Event 4: Outcomes

After 3 Sessions Over 2 Months

Able to walk 5 blocks with bearable 4/10 pain
Was able to go out to dinner with husband without increased pain
Able to descend 4 flights of stairs with moderately increased pain
She had one flare up of pain that she was able to control with activity modification and pacing techniques
She is now able to participate in strength training exercise
Patient Specific Functional Scale has improved from 11/50 to 21/50
Reports no difficulty wearing pants, or having sheets on legs, and reports less sensitivity to cold

Guided imagery through mirror box and visualization create a positive mental representation of the affected side
Exercise to improve strength and cardiovascular fitness improves overall function
Pacing and functional restoration allows for increasing activity without causing pain and further central sensitization
Understanding of pain biology has been demonstrated to help reduce pain perception or experience