The Functional Restoration and Pain Management Program is an interdisciplinary, individualized program designed to restore function, increase a patient’s ability to function with pain, reduce reliance on medications, increase quality of life, and reduce reliance on medical visits and return to work.  The program teaches new coping strategies, as well as educating you on your injury so as to better understand why your pain exists and how you can assist your body in controlling this pain.  Our goal is not primarily pain reduction, but increased function.  No passive modalities are used.

Our pain management program is CARF accredited. Programs can vary from 4 to 8 hours a day, lasting anywhere from 2 to 4 weeks.

Criteria for Admission

  1. The individual has had chronic pain for more than three ( 3 ) months duration beyond healing time.
  2. The individual is medically stable and capable of participation in the Pain Management Program.
  3. The individual has had a complete medical work-up to determine the etiology of the painful condition.
  4. All reasonable, conservative, and/or surgical treatments have been attempted and have not proved successful in eliminating the painful condition.
  5. Global Assessment of Functioning (GAF) of 40 –90 with any psychosocial stressor (PSS) rating.
  6. The patient exhibits pain behaviors, functional limitations, emotional or mental dysfunction that are disruptive to their activities or daily living in any of the following:
    1. The patient is facing significant, permanent loss of functioning that requires major physical, vocational, and psychological readjustment.
    2. Diagnostic findings are insufficient to explain the pain and further invasive medical treatments is not an option
    3. Pain has persisted beyond the expected tissue repair time.
    4. The patient has chronic pain linked to adverse interpersonal relationships that interfere with rehabilitation.
    5. The patient has physical / mental impairment greater than expected on the basis of the diagnosed medical condition and treatment.
    6. Patient continues to express unrealistic expectations regarding outcomes of medical / psychological intervention.

Program Components

  • Behavioral cognitive skills training for pain
  • Individualized work simulation
  • Ergonomic training
  • Assessment for adaptive devices
  • Body mechanics training
  • On site job coaching
  • Assess and treat fears of return to work
  • Assess and treat psycho-social barriers (i.e. depression, anxiety, sleep deprivation, anger)
  • Individual therapy with a license mental health professional
  • Energy management
  • Medication evaluation, management and reduction
  • Physical conditioning
  • Aerobic capacity training
  • Endurance training
  • Coordination training
  • Safety and injury prevention
  • Promotion of worker responsibility and self-management
  • Nutritional counseling

Goals of the Program:

  • Return patient to the capacity for work
  • Wean patients from as many medications as possible and place on a sustainable and reasonable medication regimen if necessary (the ideal is for only OTC use of analgesics)
  • Reduce reliance on the medical system including ER visits, injections, surgeries and other medical procedures that aim to alleviate pain but foster dependence on the part of the patient
  • Decrease Depression
  • Decrease Anxiety
  • Increase Self -Confidence
  • Improvement of physical functioning
  • Improvement of activities of daily living
  • Management/reduction/discontinuation of pain medication
  • Decrease the severity of pain
  • Decrease the amount of distress pain causes
  • Increase patient’s sense of responsibility and competence at self-managing pain
  • Improvement of quality of life