Each injured worker is different. At COR we recognize those differences and treat people individually.

Early referrals may benefit from physical therapyappointments (e.g. 30-60 minutes, three days per week) where the therapists work on pain relief via heat, ice, ultrasound, TENS, and supervised range of motion (ROM) exercises. Many find that this approach is similar in some aspects to helpful chiropractic treatments they have received in the past for neck or back pain. Aquatic therapy is available in the HydroWorx therapeutic pool as a stand-alone treatment or as a part of your rehabilitation plan. Get out the swimsuit!

About seventy percent of injured workers return to full duties within three months of the incident. Those who do not may require additional help or services in order to restore function at home and at work. Some workers have been able to continue working ‘light duty’ after an injury, but have found it difficult to regain their strength and endurance due to pain and deconditioning. Others have been out of work for a long time and are physically deconditioned.

These individuals are appropriate candidates for COR’swork conditioning (WC) program. This too is a physical therapy-only service. The client follows a graded protocol focusing on reconditioning via aerobic, ROM, strengthening, and work simulation tasks. The North Carolina Industrial Commission (NCIC) states that “work conditioning programs are usually provided in multi-hour sessions available five days a week for a duration of two to eight weeks”. Industrial rehabilitation program definitions, standards, and a review of the rights and responsibilities of the injured worker (claimant) are available at the NCIC website.

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.