If you’re a posture based chiropractor, you want to jump in and correct these horrible, crooked, antalgic postures when they present in your office. It’s what you do. But if you’re a SMART posture based chiropractor, you may want to wait just a bit.
Instead, just do what you would normally do. For my patients, that’s typically daily, gentle adjustments to mobilize the area, sometimes twice daily if the patient is truly in a lot of pain and lots of ice. Remember, as bad as it looks, what you’re seeing is rarely representative of any long term postural imbalances the patient may have. Yes, there are exceptions, but you’ll figure all that out soon enough. More often, the antalgic posture is simply the way the patient needs to hold their spine right now in order to reduce pain.
Once you get their pain relieved, you’ll typically see the spine begin to relax back into the more chronic postural pattern. It’s these more chronic imbalances, often the underlying cause for the acute pain, which really need your rehab efforts. Trying to rush in and correct the antalgic position may well force your patient’s spine back toward a straighter posture, but one which creates much more pain. Not good! Don’t ask me how I know.