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Orthogate
1089 Spadina Road
Toronto, AL M5N 2M7
Ph: 416-483-2654
Fax: 416-483-2654
christian@orthogate.com






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My doctor has referred me to a restoration program for back pain. What can I expect from such a thing?

You may be referring to a functional restorative program designed to increase your function and activity within the confines of your painful symptoms. In other words, you will be restored to a higher level of function but not necessarily cured of your pain.

Programs of this type started up after research clearly showed that many chronic back pain patients are afraid to move. They avoid any motions that might cause pain and believe that pain is a sign of bodily harm or damage. This behavior is called fear avoidance behavior (FAB).

We now know that activity avoidance will not help and may make you worse. A program of functional restoration can help you learn how to recognize when you are avoiding activities and shouldn't. A physical therapist and behavioral psychologist usually work together to help patients move past these limitations.

Most programs of this type teach chronic pain patients about FAB and then help you to slowly change your habits. A graded (slowly progressive at your own pace) program of exercise is included. Group therapy with other patients helps you learn how to change the way you think about your pain and movement.

Most patients find they have improved mood (less depression and anxiety) and improved quality of life after a functional restorative program. Studies show less disability and improved function after only six to eight weeks.


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