When your plan changes
Why your protocol changed
Every plan update should arrive with a plain-language explainer: what changed, what drove it, what to do now, and when to call a clinician. Pick a scenario and persona to see the same change explained different ways.
Scenario
Persona
Summary
We made today lighter so your hand can settle.
Reducing load now keeps tomorrow's session possible.
What changed
decreased
Tendon glides reps10 → 5decreased
Tendon glides sets2 → 1added
Elevation + gentle fistremoved
Resisted putty gripremoved
Wrist AROMWhy it changed
pain
high · regress
You reported pain 8/10 today, up 4 from baseline.
Rule: Pain ≥7 and rose ≥3 vs baseline
swelling
high · regress
Swelling reported as severe.
Do now
- Complete today's lighter routine.
- Use elevation and gentle motion.
Do not do today
- No resisted strengthening today.
- Do not double yesterday's missed work.
References
- Ruleset version: rs-2026.04.01
- Source: HandTherapy.app safety + progression rules
Open libraries when the explainer sends you to drills
Protocol changes often end in gentler or swapped moves — browse exercises and movements with filters cleared so old search state does not hide options.