Phase Progression

Start with Phase 1. In order to move to the next phase you will need to be able to tolerate phase 1 activities symptom free for 24 hours after the activity. Only perform as much activity as you can that does not worsen symptoms

• If symptoms return or worsen during the activity, take a break from it to recover

  • Your break may consist of trying a different activity that you can tolerate or resting/napping until symptoms return to baseline

• After symptoms resolve, start the activity again as tolerated.

• Start a journal of the symptoms you experience during each task. Track how long you were able to successfully do a task until symptoms were provoked and how long it took for your symptoms to return to baseline.

• Although not mandatory yet super helpful, invest in a heart rate monitor. When beginning light physical activity, use your HR monitor to guide you to your HR threshold.

  • For example, if you go for a walk and feel symptomatic when your heart rate is at 70 bpm, scale it back and see if symptoms go away walking at a pace of 60 bpm. Do not exceed the 70 bpm threshold until you are able to build tolerance for it.

    Progress is not linear and patience is a virtue. Keep that in mind to stay positive in order to propel you forward.

  • Tracking progress helps to have a visual of your trend over time. You will find over time, if managed properly, you will increase your stamina. The overall trajectory will trend in a positive direction.