how to measure progress in pt

An important conversation that I have with all of my clients is defining what progress looks like. For many, it’s actually “redefining” progress, because for most of my new clients, their view of progress is the black and white answer to the question “Is my pain getting better or not?”

Obviously, this is the end goal for just about everyone. No one likes being in pain.

BUT… pain is a complex thing, and for those of my clients who have been experiencing chronic pain for years, relying solely on absence/presence of pain can muddle the picture and become a less reliable barometer for progress. If pain coming or going was the only way we measured improvement, a lot of people would give up before they could make meaningful progress.

Consequently, the absence of pain is far from the only useful metric for assessing progress.

Here are some other potential metrics for progress:

• Having the same amount of pain, but:

  • doing more in the gym

  • lifting heavier

  • being more active

  • having less fear with movement

• Having a quicker return to baseline level of pain after an aggravating movement/activity

• Having a greater awareness of the impact of stressors on pain level, and implementation of a plan to address these things

• Improved emotional regulation surrounding pain - separating the natural negative emotions that come with pain, and viewing pain more objectively, in the context of activity and stressors.

• Reframing pain as a signal for either sensitivity or temporary activity intolerance from your nervous system, as opposed to a sign of tissue damage

• And, obviously, the eventual goal of decreased pain with movement and at baseline. But this can take time. And learning to train with or around pain will often be more valuable in the short term.

If you’re someone who’s been dealing with pain, these metrics may be helpful in assessing your progress. And if you’re looking for additional guidance throughout the rehab process, you know where to find me. :)