Persistent Symptoms Despite "Finishing" Rehab

I know you guys see rehab and training as more of a continuum rather than two distinct things.

I am at the point in my rehab where I am basically training, doing 10 to 15 sets, two to three times per week, at RPEs of 6 - 8. The limit is no longer my pain symptoms during training, but rather strength.

Despite this fact, I still have persistent symptoms during day-to-day life. The symptoms are not constant, but are only aggravated when doing certain things, like driving for long periods.

Maybe I’m doing too few movements? I was doing that pull downs with a pronated grip and rows with a neutral grip for my rehab. Do you think I should introduce some new movements to desensitize the area? The only thing I can really think of to add that would be novel are curls, back squats (these hurt my elbows), and deadlifts for isometric loading of the tendon.

I have been using the curable app recently, and they talk a lot about neuroplastic versus structural pain. If my pain is neuroplastic, then I guess introducing novel stimuli would be a good idea, right? Although my pain seems more structural, in that it is aggravated by predictable activities, and is not random. Of course it is also influenced by psychological and social factors as well, like sleep deprivation; I’m not trying to say it is purely structural.

Sometimes this can simply be a longer process than we’d like; if you have observed significant improvements with your current strategy, it’s possible that you just need more time and patience for things to ease off in the rest of life. But with that said, there’s nothing wrong with experimenting with your training set up either. I like the idea of introducing novel movement variations, starting with very low loads just to move and challenge sensitive areas in new ways.

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