When you are dealing with chronic pain, it is not uncommon to have flare-ups or worsening symptoms. This can happen even after you have positively responded to therapy. If this happens, we would like you to call us immediately before your symptoms get too far out of control. It is much easier to restart and have success quickly than to wait until you are miserable again with pain. A return of pain may mean that you need to cut back on your exercise program or revisit with your physician. We will be happy to consult with you if this should happen.