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This checklist helps people safely resume exercise after a musculoskeletal injury. It’s for anyone cleared to begin rehab—athletes, weekend warriors, and everyday exercisers—who want a structured, low-risk return plan.
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- Book a physiotherapy assessment — Get an expert exam to confirm healing, identify limits, and spot red flags.
- Obtain written clearance and a rehab plan from your physiotherapist — Ask for specific exercise limits, timelines, and progress markers.
- Set a pain-monitoring plan — Define acceptable pain and post-session flare thresholds.
- Use the 0-10 pain scale during and after sessions — 0=no pain, 10=worst. Aim for ≤3 during activity and small, short increases after.
- Record baseline pain and your flare threshold — Note resting pain and max acceptable increase (e.g., +2 lasting <48 hours).
- Create a graduated load progression using the 10% rule — Plan weekly load increases around ~10%, adjusting for tissue response.
- Increase load by ~10% per week and monitor response — Adjust smaller for sensitive tissues or when pain rises.
- Begin with controlled, low-load exercises per your plan — Prioritize slow, pain-free movement and correct form before adding load.
- Assess and correct compensatory movement patterns — Use video, mirrors, or physio feedback to spot and fix poor mechanics.
- Implement strength rebalancing exercises — Target weak or underactive muscles identified by your assessment.
- Include single-leg and core control drills — Progress stability and control before heavy bilateral loading.
- Track sessions, load, pain, sleep, and soreness daily — Use a simple log or app to spot trends and guide progression.
- Perform functional return-to-sport or activity tests before full return — Assess strength, endurance, balance, and sport-specific skills as advised.
- Create a flare-up response plan — Define clear steps to take if symptoms worsen during progression.
- Stop aggravating activity, apply relative rest/ice, and contact your physiotherapist if needed — Avoid complete immobilization unless advised; seek guidance for persistent or severe increases.
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