Mayo Clinic PRC programs use several core components to help people manage their symptoms. Some components may not be available in each program. Core components include group pain education sessions, physical therapy, occupational therapy, biofeedback, and medication management and chemical health education, as shown below:
Group pain education sessions
Each group session has a topic that is presented and discussed with the group. These sessions use a cognitive behavioral therapy (CBT) or acceptance and commitment therapy (ACT) model and emphasize learning new ways to deal with the challenges of chronic pain and symptoms. Sessions emphasize skills such as physiological self-regulation, emotion regulation, stress management and problem-solving.
Physical therapy
Physical therapists instruct people in strengthening, stretching and aerobic conditioning. Therapists also educate people about proper body mechanics, lifting techniques, posture, aerobic exercise benefits and pain behaviors. Even participants who previously struggled with being active find themselves growing stronger and more active in a short amount of time.
Occupational therapy
Occupational therapists teach people how to effectively balance their daily activities in the areas of leisure, productivity and self-care. Moderation and modification of activities result in functional improvements that can be maintained over time. Return-to-work issues are addressed when indicated, as are time management and office ergonomics.
Biofeedback
Biofeedback provides information about how the body can be negatively affected by pain and other chronic symptoms. Using specialized equipment, biofeedback specialists instruct people on how to regulate breathing and muscle tension while engaged in daily activities.
Medication management and chemical health education
Medications to treat symptoms can worsen pain over time and promote other adverse health effects. Other medications also can cause side effects that limit function, and some medications can become habit-forming even if taken as prescribed. PRC staff works with each person to reduce pain or symptom-focused medications over time, with the goal of gradually eliminating unnecessary medications during the three-week program.