Table 4.

Common rationales for recommendations

Modality	Common Rationales
Exercise	• Objective biomechanical testing suggest need for
	- strengthening, endurance training
	- increased flexibility
	• Fear of movement or activity
Self Care Education	• Aggravating factors could be addressed with
	- ergonomics
	- activity modification
Acupuncture & Oriental Medicine	• Stimulate flow of energy (qi) to decrease pain
	• Presentation fits classic Oriental medicine pattern
Massage	• Tight muscles noted on exam/history
	• Benefit from a touch therapy; stress reliever
Chiropractic	• Reduce pain
	• Increase joint range of motion
Cognitive Behavioral Therapy	• Need skills for relaxation or activity scheduling to manage pain
	• Address fear of movement
Medication	• Pain management
	• Review current medication