Treatment Considerations With treatment, I am moving your body in ways that it hasnt moved in a long time or ever before. With manual therapies theres always a possibility that things might get a little irritated from all of these movements. A flare up of symptoms from treatment is not necessarily a negative response to treatment. Sometimes a flare up of symptoms following a treatment can provide good information to modify future treatments. We can also use a flare up of symptoms as an indicator of what tissues are creating pain. Provoking pain can lead to changes in future treatments to help avoid any further flare-ups. Sometimes as were creating changes in function and mobility of the body it takes a little while for the body to figure out what to do with this new movement. As your brain receives different information from mobility in the joints, the brain has to figure out how to function in a better, more efficient way, and sometimes symptoms are created as a result of your body trying to work better. For me to provide you with the best care, it is important for you to keep track of changes in symptoms as they occur, and to let me know if any flare ups occur, so that I can modify the treatment plan accordingly.