No. The limitation on chiropractic and physical therapy visits apply to dates of injury on or after Jan. 1, 2004. However, the American College of Occupational and Environmental Medicine’s (ACOEM) guidelines for medical treatment apply, regardless of the date of injury. The ACOEM guidelines are very conservative. It has become increasingly difficult to obtain on going chiropractic care, physical therapy and occupational therapy beyond the 24 visits, even when the injury occurred before Jan. 1 2004.