The next step is to get an evaluation in a pain clinic. There the psychosocial problems are discovered and evaluated by a social worker. Patients get advice about their medication because often they are taking the wrong medication or too much of it. They will receive physical therapy to strengthen and lengthen sore muscles. They get into an exercise program especially designed for them with very low impact exercises.
Pain control is improved with imaging and biofeedback.
Some patients are sent for psychological counseling. All patients have the opportunity to join a support group. Reduction in pain and increase in strength only comes with great effort on the patient's part. There are no magic shots or pills. The good news is that almost all victims of this disease will get better and enjoy life.