This graph, which could mean anything, reminds me of the typical rehabilitation course I help guide my patients on. Initially we try some things, some work and some don't, but we get smarter during this time. There could even be a slight increase in pain. Yet, as the rehabilitation goes, with typical components in place the patient starts getting better. These components include:
- activity modification
- anti-inflammatory
- immobilization (boots, braces, taping)
- orthotic devices
- stretching
- strengthening
- shoe gear changes
- technique changes
- cross training
Then, as the patient and I feel they are ready to run, or starting back dancing barefoot, etc, the pain can reflare and we have a slight setback. All and all, at the end of the 3-5 months for a typical injury, the full return to activity is accomplished. I think the dips in the graph above, when the pain increases, is important to know that is it normal part of the rehabilitation process. Rich
