Individual Patient Consult
Complex pain is daunting, and committing to a program after so many things have failed can understandably be challenging. The individual patient consult is a way for you to spend an hour with me and get a taste of the unique sensory based movement strategies I use with complex patients, or address specific questions related to symptoms and pain management, without yet committing to a long-term program.
Depending on your goals, we may discuss the 1:1 movement or mentorship program for ongoing support. Many patients use individual consults regularly as every few week like physical therapy appointments, or once a month or quarterly “check-ins” that help fill in the gaps in pain care and decrease the overwhelm that often accompanies navigating the medical system with complex chronic conditions.
Do you have chronic pain including:
Body part pain affecting your spine, low back, hips, neck, shoulders, leg, foot, arm, or hand
Nerve pain that has weird sensations and is still bothering you despite procedures
Chronic conditions that affect sensory information like hypermobile spectrum disorders or Ehlers-Danlos Syndromes (EDS)
More widespread pathologies like Complex Regional Pain Syndrome or Fibromyalgia that create barriers to movement
Neurological conditions like brain injury, stroke, MS, Parkinson’s etc causing weakness, hemiparesis and loss of coordination
Are you struggling with:
Sitting, standing, or walking increasing back and hip pain
Upper neck or shoulder pain that limits range of motion, function, and may be accompanied by headache
Persistent aching, stiffness, or spasming
Sensitive body parts with neuropathy or allodynia that you are having a difficult time using
Areas areas of very low sensation you don’t feel or have good motor control over that impair movement
Implants like spinal cord stimulators affecting muscle recruitment and creating inhibition
Having a hard time getting what you’ve done in physical therapy to carry-over and last
You Can Change More Than You Think.
You may have done a pain program already or graduated PT but still need help bridging the gap to getting more active again in a way you can feel safe and confident is helping more than hurting you.I will answer any questions you may have regarding challenges and barriers you’ve been dealing with and help you create a plan to address them. What we use the call time for is in a sense, ‘choose your own adventure’ depending on what you have concerns or frustrations with. You will leave with answers to your questions, an understanding to what is contributing to symptoms, and starting steps you can take to begin improving them.
If getting back to more movement is a main goal and lifestyle factors are relatively under control, stability is the focus. We need more brain-based guidance with movement when we have illnesses that affect neurological and sensory systems to decrease compensations from changes in brain mapping that lead to the weakness and neuromuscular inhibition we develop living in pain. You’ll learn neurological techniques to better address the motor dysfunction and limitations that affect stability, walking, positions during daily life and in the gym, so you can move better, decrease stiffness and spasming, and finally feel in your own body how simple shifts that change the information your brain is working with can actually lead to significant changes in the way we move and feel as a result.
What to Expect Before and After
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Prior to the Appointment
If it’s your first time meeting with Justine, you will fill out an assessment in advance so we can use the time as efficiently as possible to address your primary concerns - whether a movement, lifestyle, or pain management related issue.
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After We Meet
You will get a link with your recording for review. If interested in working on things further, I’ll be able to give you direction for the appropriate level of individualized guidance and support based on your needs and goals.
“Complex patients are complex, not difficult. We struggle when we lack an truly individualized approach and system to drive change.”
— Justine Feitelson