I’m a little more than worried about myself. Four months ago I had a work-related injury. I still have low back and leg pain. Some days it’s very severe. Other days it’s milder. The doctor expected the pain to go away with healing and says healing has taken place now. Could I still get better? Or is this “as good as it gets”?

For most soft tissue or bone problems healing does take place in six to eight weeks. Pain, swelling, and loss of motion usually resolve by the end of this time. The patient can get back to work or regular activities.

Recovery may take longer if there is nerve damage. And sometimes the pain cycle gets turned on and the body can’t turn it off. Scientists aren’t really sure what happens in cases like this. Pain becomes chronic and can be mild, moderate, or severe.

Studies show a better result for patients who have rehab. A multimodal form of rehab is best. This means the patient is evaluated very careful from a physical, social, and psychologic point of view. Rehab to address needs in all three of these areas is advised.

Patients do better in the long-run if rehab has included patient education, fitness, and counseling. Both occupational and physical therapists provide exercises and management techniques. Close supervision over a longer period of time is also linked with better results. For patients who have extreme chronic pain, early treatment is better than waiting for months before getting started.