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Chronic Pain Programs

re+active chronic pain programs

Life can get very small with chronic pain. Learning how to live big with chronic pain. â€‹

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Starting to re+consider therapy for your pain? 

I've tried PT before for my [insert body part(s)] pain, and everything I've tried doesn't work. We hear this frequently, especially when standard physical therapy hasn't worked before. Pain scientists are learning more about pain every year. One thing we do know is that, pain lights up a lot of different regions in the brain all at once: the motor system, the sensory system, the body's regulation centers, memory centers, etc. So each one should be assessed carefully to identify which slices are the bigger pieces to understand your unique pain experience and treat it in a specialized manner.  â€‹

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What's different at re+active?​​
​​Expert care only

​Our entire team of physical therapists, occupational therapists, psychologists, and yoga therapists are experienced in chronic pain. We have continuing education for therapists around the globe to stay up-to-date on the latest research as well as teach other clinicians and students on the most effective strategies for managing chronic pain.

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Integration like nowhere else

All of your therapists are under one roof, and they hold weekly 30 minute meetings just to discuss your case! This means that your PT is working with your yoga therapist on safe movement, and your OT is coordinating with your psychologist on regulation strategies. If you are having a mental or psychological block from taking the next step, the psychology team might join your session with the PT. 

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Comprehensive Care
Whether it's meeting with your doctor of sharing with a friend, we are happy to collaborate with you in what tools are most effective for you.

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What assessments do we do?

We perform evidence based assessments and treatments, including:
 

  • Functional assessment of the limb

  • Proprioceptive/body awareness sensory testing

  • Graded Motor Imagery + graded exposure

  • Autonomic testing and biofeedback

  • Orthopedic and neurological assessment

  • Comprehensive behavioral sleep assessment

  • Lifestyle risk & supportive factors

  • Cognition

  • Emotional health

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Apply online for our program to see if you are a good fit. After we receive your application, we will set up a free consult with you to see if this is a good fit for you. 

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Our program includes:

  • Physical therapy with a focus on a graded approach to return to activities.

  • Psychology for emotional and cognitive brain health and mind+body practices

  • Physical therapy and Psychotherapy co-treat sessions where your therapists will work with you to tackle on some of the larger barriers to pain relief and function.

  • Occupational therapy with a focus on lifestyle interventions like cognitive behavioral therapy for insomnia, energy management, and mindfulness.

  • Yoga therapy with a specialist who takes your pain into account.

  • Interdisciplinary meetings where your team will help problem solve difficult situations.

  • Coordination with other medical and professionals

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What is the end goal of the program:

Before any therapy takes place, you and your care team will set both short- term and long-term goals that go beyond "less pain" -- think... "what would I do if I had less pain?" We then create a plan centered around you and your goals! It's scary to dream big but we've helped people return back to all sorts of things: from sitting on longer rides so that they can travel to returning to play volleyball at a high level.

Our philosophy:

  • Understand you as a whole person, including body and brain connections, your environmental influences, and underlying neurologic and musculoskeletal issues.   

  • Our therapy approach is strongly influenced by the research and principles of neuroplasticity.  We are driven by the idea that we can re-establish healthy connections through movement, motor control, sensory training, autonomic control and addressing underlying physical limitations.  We implement a strong motor learning approach to treatment including graded motor imagery and principles of autonomy, external focus and enhanced expectations.  

  • CRPS is not "in your head".  Research and experience have shown that CRPS results from problems functional connectivity in the brain and the body.  We believe strongly in understanding who many different factors might contribute to the pain including your peripheral nervous system, central nervous system, musculoskeletal factors and lifestyle factors. 

  • We believe in recovery! We join you on a journey (and you are in the driver's seat) and are part of an interdisciplinary team that includes your physician, psychologist and other health professionals.  We also discuss and prepare for flare-ups and changes along your journey. 

  • Our therapy approach is strongly influenced by the research and principles of neuroplasticity.  We are driven by the ideas that the brain is plastic and while the connections might be skewed in CRPS, we can re-establish healthy connections through movement, motor control, sensory training, autonomic control and addressing underlying physical limitations.  We implement a strong motor learning approach to treatment including graded motor imagery and principles of autonomy, external focus and enhanced expectations.  

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What will sessions at re+active look like?

Yoga Therapy

Yoga therapy for chronic, complex pain is an effective way to work on body awareness and autonomic regulation. The poses are modified to stay within a safe range, and may start in more restorative poses lying down, if dysautonomia or flares are a concern.

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