Andrew Pastor M.D.

Orthopedic Shoulder and Elbow Surgeon. Engineer. Edmonds, Washington

Disappointing shoulder program - physical and occupational therapy

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The occupational therapists in the Disappointing Shoulder Program supervise a goal-setting and pacing program, to identify goals and activities to which they wish to return to in a controlled, paced fashion. The hypothesis is that pain need not be a barrier to doing things, and that much of the depression and poor quality of life that often follows chronic pain can be relieved if the individual can re-engage in the occupations that have previously provided fulfillment and which they may have abandoned unnecessarily as part of their chronic pain experience. 

The physical therapists have a critical role in getting patients, who are very out of condition, in pain and extremely fearful of moving, to return to fitness and strength. This is done with a graded exercise and stretching program which makes good use of the excellent facilities and local walking paths found in and around our treatment center.