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A work injury can split life into a before and after. One day you are handling a delivery route, climbing a ladder, transferring a patient, or sitting through another long shift at a desk. The next, you are trying to make sense of back pain that shoots down a leg, headaches that did not exist a week ago, or shoulder stiffness that makes it hard to lift a gallon of milk. Accident recovery often looks straightforward from the outside. Rest, take medication, maybe do

Pain that settles into the pelvis or evolves into complex regional pain syndrome rarely behaves like ordinary back strain or a sore knee. It is often persistent, layered, and difficult to explain in a ten minute visit. Patients describe burning, pressure, stabbing, deep aching, temperature changes, skin sensitivity, muscle guarding, trouble sitting, pain with intimacy, pain after surgery, or pain that seems wildly out of proportion to the original injury. Fam