10/29/2025
Pain is a lagging indicator of progress - it will improve after we see other variables improve (strength, range of motion, general activity, etc.)
This process can feel incredibly slow for someone who is assessing progress only on the basis of pain improvements.
I tend to find that using objective data to assess progress in the leading indicators (strength, range of motion, general activity, etc.) helps to keep a client motivated, engaged, and subsequently more likely to experience the pain relief they are looking for.
Here is a cool pre-post test of hip flexion and abduction work across 5 reps (via isokinetic testing). We see notable improvements in the numbers, that translated to improved daily activity. The pain for this client is still present, but they are beginning to note decreased frequency of pain, more activity required to bring pain on, and improved recovery time when pain occurs!