Successful chiropractic management of a centenarian presenting with bilateral shoulder pain subsequent to a fall

This report describes the chiropractic management of a 100-year-old patient who presented with bilateral shoulder pain subsequent to a fall. This case report brings to the surface several features especially germane to the successful management of older patients. These include: strategies to enhance both the history and physical examination procedures of an older person; an eclectic approach to care planning, coupled with a willingness to appropriately modify therapy as clinical circumstances dictate; monitoring outcome measures of importance to the patient; avoidance of ageist attitudes and the role of a chiropractor for health promotion and prevention.