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Start gentle ROM (Week 1) gentle stretching (Weeks 2-4) progressive low-load strengthening (Weeks 2-4) Progress to resistance under PT supervision (Weeks 4-6) Follow structured protocol rather than self-directed progression Increase intensity/duration by no more than 10-15% per week What Should You Do If Symptoms Return After Activity

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Step 3 Ongoing Monitoring & Optimization Regular follow-up (typically every 3-6 months for maintenance protocols, more frequently for correcting deficiencies) includes re-testing to monitor vitamin levels, assessment of symptom improvement, adjustment of dosing or frequency as needed, and transition to maintenance protocols once optimal levels are achieved