Patients are encouraged to have manipulative therapy (chiropractic adjustments for physical therapy joint mobilizations) just prior to or one week after injections. After the individual injections, patients are encouraged to do regular flexibility and stretching exercises. However, they are advised to not over stress areas injected as this may prevent proper healing from taking place. Once sufficient healing has taken place (4-5 weeks), more strenuous exercise may begin under supervision, including strengthening and stabilization exercises. Occasionally, repeat injections maybe needed 3-6 months after completing the treatment if dysfunction still persists.