Roughly ten to fifteen percent of all injured workers meet criteria for a chronic pain syndrome and are, if you will, physically and psychologically deconditioned. These ‘high-risk’ disabled workers are appropriate for COR’scomprehensive work hardening/pain management (WH) program which involves treatment by our occupational physician, physical therapist, and clinical health psychologist. The injured worker, these providers, the attending rehabilitation nurse, and close family members make up the Team.
Disabled workers admitted to this program also perform work conditioning/simulation tasks. However, with work hardening, the individual is involved in more intensive ‘whole-body’ rehabilitation (5-8 hours a day, five days per week; typically over four to six weeks). Clients meet regularly with the clinical health psychologist for cognitive-behavioral counseling, pain management skills training and vocational adjustment. They also participate in daily aquatic therapy; a structured exercise routine; ‘hands-on’ PT; and the weekly Team meeting supervised by our rehabilitation physician.
COR offers two additional program offerings. The stay-at-work (SAW) program is designed for larger employers in the Asheville area who have the ability to accommodate employees by working reduced hours or ‘light-duty’ job assignments while they actively participate in progressive rehabilitation to meet permanent job demands.
Finally, our functional restoration (FR) program is available for those individuals for whom return to competitive employment is not a current goal due to catastrophic injury, ‘failed’ back surgery, or additional chronic health problems. Clinical expectations focus on the ability to perform ADL’s which includes performance at a Light physical and aerobic exertion level. Typical program: three, 2-3 hour appointments per week over several weeks.