. . .

. However, one should bear in mind that resumption of deleterious activities will rapidly result in a recurrence of the original symptoms. Regardless of the modalities used, the individual afflicted has to go through a significant characterological change and become much less of a type A personality and more of a tai chi practitioner, who practices all activities slowly, smoothly, and gradually. This change usually takes several years. In summary, avoiding reinjury is imperative; finding appropriate physical therapy and treatment modalities is often difficult but obviously necessary for improvement; and surgery should be considered a problematic last resort with the exceptions noted above.   .