Phase One
Pain
Turn the volume down.
Myofascial release, gentle nerve gliding and calming modalities take enough edge off that moving becomes possible again.
What We Treat
It’s been going on long enough that you stopped bringing it up. The injury healed and the pain didn’t. There’s a mechanism behind that, it’s well understood, and a cause-first evaluation is where it starts.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Pain is an alarm system, and it’s supposed to switch off once the tissue heals. Sometimes it stays switched on. The nerves carrying the signal get more sensitive, the spinal cord and brain turn the volume up, and it takes less and less to set the whole thing off. That’s why light pressure can hurt, and why a flare-up can show up with no new injury behind it.
Other things keep feeding it. Poor sleep and constant stress change the chemistry your body uses to damp pain down. Guarded posture and the movements you’ve been avoiding leave muscles weak and joints stiff, which hands the alarm more to react to. Inflammation and the weather and what you ate get blamed, and sometimes they are part of it.
The mix is different in every person, so the plan starts with a cause-first evaluation. What’s sensitive, what’s weak, what’s stiff, and what your days actually look like. You’ve spent years managing everybody else’s appointments and everybody else’s symptoms. This one is yours.
The Honest Truth
Nobody regrets starting too early. Plenty of people wish they hadn’t waited.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for chronic pain.
Phase One
Pain
Myofascial release, gentle nerve gliding and calming modalities take enough edge off that moving becomes possible again.
Phase Two
Prime
Low-impact movement and range work, kept under the level that triggers a flare, so your body relearns that motion isn’t a threat.
Phase Three
Perform
Strengthening and neuromuscular retraining add load in steps small enough to hold, so tolerance grows instead of spiking and crashing.
Phase Four
Prevent
A flare-up plan you can run yourself, sleep and stress habits addressed, ergonomics at work and at home. That’s the endpoint, not another appointment.
Questions, Answered
You don’t have to start there. California’s Direct Access law lets you begin with a licensed physical therapist for up to 45 days or 12 visits, whichever comes first, before a physician has to sign off. With pain this persistent, a scan usually shows the same ordinary changes most people your age have, so it rarely explains the pain on its own. If something in your evaluation belongs with a physician, we’ll say so, and we coordinate with whoever manages your medication.
Not the way we do it. Flare-ups usually come from too much too soon, so we start under your current limit and add slowly from there. Some sessions ask a little of you, and a little discomfort along the way is normal. A sharp jump is not, and it’s information we use to adjust the next one. A licensed physical therapist sets the dose with you at every visit. Nothing gets pushed on you.
You get a plan with an endpoint, so you always know which phase you’re in and what’s left. As a general guideline, not a guarantee, 2–3 visits a week for 4–6 weeks is what gets the most out of a plan, and sessions run 30–60 minutes. On cost: we accept 14 insurance plans, Medicare included, and we check your benefits before you start so nothing lands as a surprise.
Book Your Visit
Request a time and a real person calls you back during business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
We call back during business hours, Monday to Friday
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
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