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  Chronic Pain Program
The Chronic Pain Program has been designed to address all types of back and neck discomfort. The program is intended to improve quality of life, increase independent functioning, contain further medical costs, and achieve the medical goals established for each patient.
In the Chronic Pain Program at DSRC, patients are treated with an operant conditioning/psychologically based interdisciplinary treatment plan. It is designed for patients whom the treating physician believes incapable of returning to the work force in the near future. Therapy is goal-directed to improve functional abilities so that each patient can participate in all activities of daily living as independently as possible.
This program features: 
Psychological Evaluations, Biofeedback, and Psychotherapy As Needed
Physical or Occupational Therapy Evaluations
Medical and Medication Evaluations
Lifestyle Classes
Education On Each Patient's Physical Pathology
Vocational Planning
Home Exercise Programming
6 Week Treatment Programming
A treatment team of specialists provides an intensive, interdisciplinary treatment program for patients. The team includes:
Medical Doctor Physical Therapist
Physician Assistant Occupational Therapist
Psychologists Exercise Technicians
Medical Psychotherapists Certified Trainer
Candidates for this program include those who:
are over medicating;
are difficult to medically regulate;
appear non-compliant or unresponsive to treatment; and/or
report distress from psychological problems.
Upon completion of this program, the patients will have:
established manageable medication protocols;
gained a higher quality of life;
reduced physical or psychological debilitation;
helped bring case to closure; and
established a rehab plan with identifiable goals.
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Work Hardening
The Work Hardening Program has been designed to address all types of discomfort which keeps a patient from returning to work. The program is intended to return an injured worker who is deconditioned to the work force by increasing one's physical condition and proper use of posture and body mechanics relative to a specific job or the workforcee in general.
In the Work Hardening Program at DSRC, patients are provided with a physically proactive treatment plan. It will provide extensive training in the use of proper and safe body mechanics in the area of work activities. This will be based upon job analyses and simulations specific to the patient's job prospects. Psychological and vocational counseling support will be provided to help guide the patient's emotional adjustment as they transition back to work.
This program features: 
Physical or Occupational Therapy Evaluations
Functional Capacity Evaluations
"Real World" Job Simulation
Back and Neck School Education
Four to Six Week Treatment Programming
Psychological support
A treatment team of specialists provides an intensive, interdisciplinary treatment program for patients. The team includes:
Psychologist
Medical Support
Physical Therapist
Occupational Therapist
Exercise Technicians
Medical Psychotherapists
Candidates for this program include those who:
have findings that suggest early deconditioning;
are limited in activities of daily living;
are unable to match job demands with physical capacity;
report minimal psychological distress; and
are capable of returning to work following the program.
Upon completion of this program, the patients will have:
established vocational goals or returned to work;
improved quality of life;
improved overall functioning; and
helped bring medical case to closure.
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Preoperative Evaluation and Education Program (PEP)
The PEP Program has been designed to address a patient's concerns regarding spinal or upper extremity surgery. This program is intended to evaluate patients for readiness for surgery, options to surgery, expectations for surgery and self-responsibility for the decision to have surgery and self-care following surgery.
In the PEP Program at DSRC, patients are provided with an educational basis to their surgery. Patients are evaluated for readiness for surgery. Those with psychological/psychosocial features likely to cause a surgical failure are either provided emotional support or are directed away from surgery and toward conservative care and/or psychotherapy until ready for surgery. This program also provides information regarding informed consent regarding surgery, effective post-surgery self-care instruction, and adequate psychological support to lessen barriers to successful surgery.
This program features: 
Psychological Evaluations and Therapy
Physical or Occupational Therapy Evaluations
Individualized Classes
Lifestyle Classes
Home Exercise Programming
Conditioning and Stabilization Exercises
Back School Education
Day Treatment Programming
A treatment team of specialists provides an intensive, interdisciplinary treatment program for patients. The team includes:
Psychologists Occupational Therapist
Medical Psychotherapists Exercise Technicians
Physical Therapist Certified Trainer
Candidates for this program include those who:
Upon completion of this program, the patients will have:
set realistic expectations for surgery;
helped reduce medical costs;
helped decrease length of inpatient stay; and
helped decrease the number of post-surgery hospital visits.
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Three-Day Rehabilitation Evaluation
The 3-Day Rehabilitation Evaluation is an interdisciplinary evaluation designed to assist the referring physician in developing a treatment plan for complex cases. The evaluation addresses medical, psychological and physical rehabilitation aspects of each case. The evaluation is intended to provide a treatment plan that will lead to improved quality of life, increased independent functioning, containment of further medical costs, and that will help achieve the medical and work related goals established for each patient.
This evaluation features:
Psychological Evaluations and Biofeedback Evaluations
Physical Therapy Evaluations
Medical and Medication Evaluations
Basic Education and Classes regarding the patient's status to assist the patient in understanding the rationale behind the plan being developed and to maximize compliance with the final treatment plan
A treatment team of specialists provides an intensive, interdisciplinary treatment evaluation of patients. The team includes:
Medical Doctor · Physical Therapist
Physician Assistant · Occupational Therapist
Psychologists · Exercise Technicians
Medical Psychotherapists · Certified Trainer
Candidates for this evaluation include those who:
are over medicating;
are difficult to medically regulate;
appear non-compliant or unresponsive to treatment; and/or
report distress from psychological problems; and
meet TWCC Spine and Mental Health Guideline criteria for mental health, physical therapy and occupational therapy evaluations.
Upon completion of this evaluation, the referring physician will receive:
recommendations for treatment;
a summary of findings;
a full report of the data upon which the summary and recommendations are based; and
an established rehab plan with identifiable goals.
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Back and Neck School
The Back and Neck School has been designed to address all types of back and neck discomfort. The program is intended to return minimally injured patients to the read with knowledge and skills to minimize the risk of injury or re-injury as they resume normal daily activities.
In the Back and Neck School at DSRC, patients are provided with extensive education regarding spinal anatomy and care. It is aimed at educating patients on spine anatomy, proper use of posture and body mechanics and the applications of these principles to functional activities. It is a course of training tailored to meet the needs of the more or less difficult job demands each patient is likely to face.
This program features:
Instruction in Stabilization Exercises
Education in Spinal Anatomy, Posture, and Body Mechanics
Activity of Daily Living Applications
A treatment team of specialists provides an intensive, interdisciplinary treatment program for patients. The team includes:
Candidates for this program include those who:
Upon completion of this program, the patients will have:
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Postoperative Rehabilitation Program
The Postoperative Rehabilitation Program has been designed to address the patient who is having difficulty with the rehabilitation process. It is intended to increase the functional status of postoperative patients in the early postoperative phase (4 weeks to 6 months post op) who are not progressing as anticipated.
In the Postoperative Rehabilitation Program at DSRC, patients are provided with treatment geared to improving their physical condition, body mechanics, functioning, and developing compliance with a home exercise program. It is designed for patients who do not have a significant psychological or psychosocial condition affecting their treatment but may have normal levels of anxiety regarding assuming physical activity. They have not yet become chronic, but are not ready for more intensive rehabilitation such as work hardening.
This program features:
Physical or Occupational Therapy Evaluations
Progressive Physical Rehabilitation
Home Exercise Programming
A treatment team of specialists provides an intensive, interdisciplinary treatment program for patients. The team includes:
Occupational Therapist
Exercise Technicians
Physical Therapist
Certified Trainer
Candidates for this program include those who
Upon completion of this program, the patients will have:
increased in strength, endurance and flexibility
become independent in an individualized home exercise program; and
reduced the need for additional rehabilitation.
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Stabilization Program
The Stabilization Program is designed to address those with acute back and neck discomfort. The program is intended to provide relief of symptoms, reduce risk of injury, avoid further diagnostics and potential surgery as patients re-enter the workplace or resume their normal daily activities.
In the Stabilization Program at DSRC, patients are provided extensive training in neutral spine techniques, trunk stabilization, spine anatomy, and the patient's pathology as it relates to job and daily activities. This program provides intensive training in the proper use of posture and body mechanics in areas of activities of daily living and work activities combined with lifestyle classes.
This program features:
Physical or Occupational Therapy Evaluations
Training in Posture and Body Mechanics
Lifestyle Classes
Training in Trunk Stabilization and ADLs
Day Treatment Programming
A treatment team of specialists provides an intensive, five day interdisciplinary treatment program for patients. The team includes:
Physical Therapist
Occupational Therapist
Exercise Technicians
Certified Trainer
Candidates for this program include those who
are in the acute phase of injury (less than 6 months);
have completed initial diagnostics; and
wish to complete a conservative care regimen.
Upon completion of this program, the patients will have
All Services available in Spanish & English.
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