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Doctor’s Pain Relief Systems™ PERSONAL SUCCESS JOURNAL Page 2

* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. If you are pregnant, nursing, taking medication, or have a medical condition,

consult your physician before using this product.

Disclaimer

Your use of the Doctor’s Pain Relief Systems™ (DPRS) products is your personal choice and will be at your own risk. The DPRS™ materials are not intended to offer you all of the required information about maintaining a healthy body and a completely pain free life. You need to explore all other possible options on your own to help you maintain a healthy lifestyle. Dr. Hurst gives recommendations on his websites of other medical and non-medical choices that will help you in your quest for pain relief. However, Dr. Hurst does not know your health history and he has not consulted you about your condition.

Therefore, by moving forward with this program, you agree not to hold Dr. Hurst responsible for any accident, injury, or death that may occur because of the advice given or purchase of the products recommended on his websites. YOU AGREE TO GET MEDICAL CLEARANCE PRIOR TO STARTING THE THERAPY RECOMMENDED IN THESE PRODUCTS.

The DPRS™ products include pictures and video demonstrations of how to perform certain exercises that may involve household items such as chairs, towels, tennis balls, etc. You are personally responsible for the condition and use of these materials if you use them in your workout routine. You must accept responsibility that you are the one performing the stretches and exercises. If any of the material in the DPRS™ products seems to be too difficult, you must stop immediately and get medical clearance before continuing.

The content of all advertisements appearing on the DPRS™ websites and in the product materials purchased is the sole responsibility of the company who placed the ad. DPRS™ does not endorse either the accuracy or reliability of the content of the advertisements, or of any products connected therewith. Dr. Hurst recommends products based on his personal experience, or the experience his patients have had with the products mentioned. Your results may not be the same.

DPRS™ will not be liable for any indirect, consequential, special, incidental or punitive damages related to the DPRS™ materials or any errors or omissions related thereto. DPRS™ maximum liability for any claim based upon the DPRS™ materials is limited to the retail price of the DPRS™ as of the date of publication of the version or edition. Because some states do not allow the exclusion or limitation of liability for consequential or incidental damages, the above limitation may not apply to you.

QUESTIONS OR CONCERNS: Doctor’s Pain Relief Systems

7305 Hancock Village Dr., Ste. 137 Chesterfield, VA 23832

[email protected]

Doctor’s Pain Relief Systems™ PERSONAL SUCCESS JOURNAL Page 3

Doctor’s Back Pain System™ Cross-Fix Therapy™

Cracking The Code For Chronic Pain™

CONTENTS PERSONAL SUCCESS JOURNAL EXPLANATION pg. 4

WORD OF CAUTION pg. 5

PAST AND CURRENT HEALTH HISTORY pg. 7

CROSS-FIX THERAPY PATTERNS pg. 12 ANTERIOR CROSS-FIX PATTERN POSTERIOR CROSS-FIX PATTERN SHORT-LEG CROSS-FIX PATTERN SELF-ASSESSMENT PHOTOS DETERMINE YOUR CROSS-FIX PATTERN ADDITIONAL TESTS SELF-TESTS pg. 22 SELF-TEST #1 SELF-TEST #2 WHICH PHASE DO I BEGIN WITH pg. 24

PROGRESS CHECKLISTS pg. 26

WORDS OF WISDOM pg. 32

NOTES PAGES pg. 34

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Doctor’s Back Pain System™ Cross-Fix Therapy™

Cracking The Code For Chronic Pain™

LISTEN TO THE COMPANION AUDIO FILE… “PERSONAL SUCCESS JOURNAL” BEFORE YOU BEGIN USING THE JOURNAL. IT WILL HELP YOU UNDERSTAND EACH OF THE SECTIONS.

I have broken your journal down into 4 easy to understand sections.

1. Past and Current Health History This series of questions will help you to evaluate why you are in pain. Quick Question: Whose fault do you think it is why you are in pain! Your answer to this question WILL determine your progress. Take responsibility for your pain now, and you will breeze through to the end of the program. Don’t get caught blaming other people, or other circumstances for your current condition. ☺

2. Self-Assessment With Photos – With Explanations Of The Most Common Imbalances You will be assessing your own posture in this section. The photos are to be used for education purposes only. If you are having a hard time assessing your own photos, you can e-mail them to us at [email protected] and we will get back to you as quickly as we can with our assessment. It is recommended that you take the photos in tight clothing. Men should not wear a shirt. A bra or Sports Bra is the best choice for females. Underwear, biking shorts or running shorts are recommended for the lower body. No shoes. Stand normal! Don’t try to correct your posture for the pictures. Your assessment will not be accurate if you don’t stand as you normally would. You want to assess your true posture compared to the pictures in the journal. Loose clothing will not allow you to see where your discrepancies are.

3. Self-Tests To See Which Phase Of The Protocol You Can Begin With This section is designed for you to see how good your physical conditioning is. Don’t worry; the tests are overly simple to understand, although they may be difficult to perform. I STRONGLY RECOMMEND THAT EVERYONE BEGINS WITH PHASE I OF THE PROGRAM; However, I know that some of you are natural overachievers. If you plan on skipping to Phase II or Phase III, then you must prove to yourself that you are capable of skipping. These tests will help you to assess your abilities.

4. Progress Checklist For Moving To The Next Phase This section is designed to help you monitor your progress throughout the program. You should be able to progress to the next phase at 2 week intervals. In order to move on to the next Phase you should be able to perform ALL of the stretches and exercises without pain. Re-evaluate with the next set of Self-Tests. If you skip forward too soon, then you run the risk of exacerbating your injury. If that happens, then you will need to start over from the beginning until the pain subsides again.

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WORD OF CAUTION! (FOR PROCRASTINATORS ONLY)

If you are a procrastinator by nature, then this Personal Success Journal will be your Nemesis!

You probably already have many organizers, planners, and journals that you started in the

past which have ended up in a cabinet or drawer… without ever being completed. (And you won’t throw them away because you think that you may start using them again sometime.)

If this sounds like you… then I plead with you that you tell yourself…

“This time is going to be different. I WILL keep a great record of my initial

assessments… and my progress… on my journey to becoming Pain Free!”

No one in this entire world cares about you as much as you do. You can’t rely on other people to “Fix” your problems. Sure, they can help you on your journey… just as I am helping

you. But don’t think for a second that anyone else will see it through to the end FOR you. Doctor’s Back Pain System™ is merely the blueprint for becoming Pain Free. However, you

have to do the work… ARE YOU READY?

GREAT… LET’S GET STARTED! The included Health History forms are not intended to diagnose or treat your condition(s). If you want to find out if you

are healthy enough to begin this program, you must check with your family physician.

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Past and Current Health History What is your Chief Complaint? ___________________________________________

When did the symptoms appear? ________________________________________________

Is this condition getting progressively worse? * Yes * No * I Don’t Know

Is there anything that makes your pain worse? _____________________________________

Is there anything that makes your pain better? _____________________________________

Type of Pain: * Sharp * Dull * Throbbing * Numbness * Aching *Shooting *Burning * Tingling * Cramping *Stiffness * Swelling * Other _________________________________________________________

Where does the pain radiate to? *Legs *Feet *Knees *Shoulders *Arms *Hands *Fingers

Is your pain constant? * Yes * No Comes and Goes? * Yes * No

Does it interfere with your… * Work * Sleep * Daily Routine * Recreation

Activities and/or movements which are painful to perform… * Sitting *Standing *Walking *Bending *Lying Down

Please Circle The Number… No Pain At All 0 1 2 3 4 5 6 7 8 9 10 Worst Pain Ever

Have you been to any physicians or other health care professionals about your condition? * Yes * No

If so… which type(s) * Chiropractor * Family Physician * Orthopedic Surgeon * Neuro-Surgeon * Naturopathic Physician * Doctor of Oriental Medicine * Acupuncturist * Physical Therapist * Massage Therapist * Other ____________________________________ The included Health History forms are not intended to diagnose or treat your condition(s). If you want to find out if

you are healthy enough to begin this program, you must check with your family physician.

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What treatments have you already received for your condition? * Medications * Spinal Manipulations * Stretches and Exercises * Injections * Surgery * Acupuncture/Acupressure * Spinal Decompression * Deep Tissue Laser Therapy * Ultrasound * Electrical Stimulation * Massage Therapy * Reflexology * Traction * Other ___________________________________________

Have you been given a medical diagnosis? * Yes * No What diagnosis have you been given? ______________________________________

Are you underweight? * Yes * No How many lbs/kgs do you want to gain? _________

Are you overweight? * Yes * No How many lbs/kgs do you want to lose? _________

Are you a Diabetic? * Yes * No How many years? ____________

Do you have high/low blood pressure? * Yes * No Which One? * High * Low

Do you have high cholesterol? * Yes * No How many years? ____________

Do you have thyroid issues? * Yes * No Hyper ___ Hypo ___

Have you… or do you have cancer? * Yes * No What type? ________________

If yes, what treatment did you receive? * Chemo * Radiation * Surgery

Are you currently in remission? * Yes * No

Have you had a heart attack or stroke? * Yes * No When? _____________________

Do you have osteopenia? * Yes * No osteoporosis? * Yes * No

******Did you know that the medications that you may be taking for your other health issues could be causing muscle soreness, muscle weakness, and muscle spasms? Look at the side effects of your medications

and ask your physician which ones he/she will help you get off of. Your pain relief is limited to the amount of side effects you may be experiencing.******

Make note that issues with the following organs can mimic back pain. It is important to have yourself checked out by a qualified medical professional if you are suspicious that one or more of these areas could be causing your pain.

Abdominal Aorta Kidneys Gall Bladder Pancreas Urinary Bladder Ovaries Uterus

The included Health History forms are not intended to diagnose or treat your condition(s). If you want to find out if you are healthy enough to begin this program, you must check with your family physician.

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Now It Is Time For You To Think About Your Childhood and Early Adulthood

Did you fall down a lot as a child? * Yes * No

Did you wreck your bicycle at all as a child? * Yes * No

Did you play sports as a young child? * Yes * No

Did you break any bones in your life? * Yes * No

Did you get headaches frequently when you were younger? * Yes * No

Do you get headaches frequently now? * Yes * No

Did you ever have back pain when you were younger? * Yes * No

Were you in any car accidents in your life? (Driver or Passenger) * Yes * No

Did you play any contact sports in high school or college? * Yes * No

Did you, or do you get Shin Splints or Achilles Tendonitis? * Yes * No

Did you, or do you take over-the-counter meds for pain? * Yes * No

Did you, or do you take prescription meds for pain? * Yes * No

Do you exercise now? * Yes * No

Is your idea of exercise walking from the recliner to the fridge? * Yes * No

Did you, or do you play an instrument? * Yes * No

Did you, or do you sleep with 2 or more pillows stacked up? * Yes * No

Did/does your job require you to perform repetitive tasks all day? * Yes * No

Did you, or do you wear high heels or cowboy boots with tall heels? * Yes * No

Do you sit in a recliner while watching television? * Yes * No

Did you ever fall down on the ice? * Yes * No

Did you ever fall down as an adult? * Yes * No

Did you, or do you ride roller coasters? * Yes * No

The included Health History forms are not intended to diagnose or treat your condition(s). If you want to find out if you are healthy enough to begin this program, you must check with your family physician.

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Did you, or do you slouch? (Poor posture) * Yes * No

Did you, or do you carry children/grandchildren on your hip? * Yes * No

For women… Did you give birth to child/children? * Yes * No

For men… When you stand & you look down, are your feet hidden because your stomach is in the way? * Yes * No

Count how many of the questions you answered YES to. ________ 0-5 Great! 5-10 Good 10-15 Uh-Oh 15-20 Bad News 20-25 Our work is cut out for us☺

O.K… Some of these questions may seem very strange to ask in a health history form. However, these are the exact reasons why you are experiencing pain today. When I was a child, I grew up what is referred to as… in the country. My friends and I would jump out of the haylofts of barns into opened up bales of hay. When we found a board and some large concrete blocks, we would make a bike ramp literally anywhere and pretend we were Evil Knievel. I would jump out of trees and off of my parents’ roof just for fun. Needless to say, the landing was not always perfect in any of these scenarios. As a teenager, I tore all of the ligaments in my right shoulder while playing football. (Grade III AC Separation). I still get minor pain in it sometimes. A few years later, I fractured the clavicle of the same shoulder! I got Achilles Tendonitis every year during football season and while running track. I wrecked a four-wheeler and got stitches on my head because the four-wheeler landed on me. When I was 22 years old, I herniated a disc in my low back doing deadlifts in the gym. I reinjured it over 10 years ago when I was in school. I get flare-ups occasionally still. I have been in multiple auto accidents over the years. (Only 1 was my fault. No one was injured!☺ ) The bottom line here is that I have totally abused my body over the years and it is my responsibility to accept the outcome that I live with today.

If you answered YES to a few of these questions, then each incident most likely has contributed to your current pain. If you answered YES to multiple questions then they definitely contributed to the pain you are in today. Of course, there are some of you that are determined to find a way to disagree with me, and you might remember a specific trauma that occurred recently which is absolutely, 100% the reason for your pain today. That may be true. However, I ask that you understand that if you hadn’t abused your body in the past or currently, then maybe the new problem would not be so severe… Something to think about.

I am going to keep reminding you of the following over and over during the course of this program… No one cares about you as much as you do! If you are tired of searching for that “Magic Pill” to get you better, then you are in the right place. (Hint… It doesn’t exist.) Read through the questions above again and try to remember how your body ached when you experienced any of the problems listed. Even better yet, make a list of additional things you have done over the years that your body is regretting today. My program is designed to help you get out of pain, but you must remember… the outcome is on you… it always has been.

Now let’s do something about it!

The included Health History forms are not intended to diagnose or treat your condition(s). If you want to find out if you are healthy enough to begin this program, you must check with your family physician.

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Cross-Fix Therapy™ Patterns

There are 3 primary postural imbalances that I will be addressing. The difference between other programs and mine is that the other programs only deal with the muscle imbalances and they completely ignore the structural imbalances. Yes, the muscle imbalances are very important to address. However, the body never properly heals by only addressing pain with only one type of therapy. If we don’t work on the structural imbalances as well, then your relief will only be short lived for as long as you continue to do the stretches and exercises. I will be explaining the structural imbalances in more detail as we go through the program together.

Explanations of the 3 primary postural imbalances are on the pages that follow. They are…

1. Anterior Cross-Fix Pattern 2. Posterior Cross-Fix Pattern 3. Short Leg Cross-Fix Pattern

Your first step will be trying to identify which imbalance you may have. This is where your self-assessment photos come in. You will need to compare your photos with the pictures of the 3 primary postural imbalances. If you have trouble identifying your Pattern, then you can email your photos to [email protected], and someone on my staff will get in touch with you as soon as possible. (Usually within 24 hours).

O.K… Let’s turn the page and get started!

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Anterior Cross-Fix Pattern

Posterior Rotated Pelvis

What It Usually Feels Like.

• Low back pain when standing or walking for long periods of time • Pain when you lay on your back with your legs straight • A deep ache all across your low back • Pain down your leg if a bulged or herniated disc is involved • Pain when you lean backward • Pain directly in the center of your buttock on either side • Relief when you lean forward • Relief when sitting down, even better if you lean forward while sitting

Artwork By: Martha Iserman

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Posterior Cross-Fix Pattern

What It Usually Feels Like.

• Low back pain usually on one side or the other • Pain in your back or hips when walking or running • Pain down your leg because a bulged or herniated disc is usually involved • Pain when you lean forward • Relief when you lean backward • Relief when sitting straight up using a good lumbar support cushion

Artwork By: Martha Iserman

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Short Leg Cross-Fix Pattern

What It Usually Feels Like.

• Low back pain usually on one side or the other right above the buttock • Pain down your short leg • Pain when you lean away from your short leg side • A feeling of ‘twisting’ in the low back when walking • Tripping frequently with the foot of the high hip side • Pain if taking long strides, on the short leg side

Artwork By: Martha Iserman

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Determine Your Cross-Fix Pattern

* Anterior Cross-Fix Pattern (Too Much Curve) ACFP

* Posterior Cross-Fix Pattern (Not Enough Curve) PFCP

* Short Leg Cross-Fix Pattern (Un-level Pelvis) SLCFP

* I’m Not Sure Which Pattern I Have Don’t worry… You will be able to figure this out. On the next page I have a couple of tests you can do that should help you determine your pattern. Compare these tests with your pictures.

• Butt sticks out • Pain when you lean backward • Relief when you bend forward • Tightness in the low back • Tightness in the front of your legs

*These are general observations. Not everyone will have the exact same symptoms.

• Flat butt • Pain when you lean forward • Relief when you bend backward • Tightness in the abs • Tightness in the center of your buttocks • Tightness in your hamstrings

*These are general observations. Not everyone will have the exact same symptoms.

• Pain in low back on short leg side • Pain down the short leg • Pain in the center of your buttock (short leg side) • Tightness in your hamstrings on your short leg side • Unlevel feeling when standing or walking

*These are general observations. Not everyone will have the exact same symptoms.

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ADDITIONAL TESTS

The Following Tests Are For You To Perform To Help You Identify Your Cross-Fix Pattern. They are not 100% specific, but they will help you if you are not sure which pattern you have.

For Each Of These Tests, You Will Be Lying on Your Back

Extend your legs straight out. If you have pain, then you have Anterior Cross-Fix Pattern. If you don’t have pain, then you have Posterior Cross-Fix Pattern.

Bring your knees up to your chest. If you have pain, then you have Posterior Cross-Fix Pattern. If you don’t have pain, then you have Anterior Cross-Fix Pattern.

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Slide your hands under your lower back. If you have less room under one hand, then your pelvis is rotated and you have Short Leg Cross-Fix Pattern on the side with less

room for your hand to slide under.

Lift both legs up, one at a time. If one leg rises up higher than the other one, (if one leg is easier to lift than the other one) then that leg is the short leg and you have

Short Leg Cross-Fix Pattern on that side.

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SELF-TESTS

SELF-TEST #1

Self-Test #1 For Those Wanting To Start With Phase II, Or For Progressing to Phase II

Some people have let the pain take over their life. If you fall into this category then you will definitely want to start with the Phase I Video. Before moving on to the Phase II Video…

• You must be able to stand up from a seated position without using your hands to help. (NO PAIN) • You must be able to stand on one foot for 10 seconds without putting the other foot down.

Right and Left foot are to be tested individually. • You must be able to get up and down off of the floor from lying on your back without any help.

You have to be able to do this at least one time. If you can’t do any of these 3 tests without pain then YOU MUST START WITH THE PHASE I VIDEO. If you can do at least 2 out of the 3 without pain, then you can start with the Phase II video at your own discretion. Remember, it probably took you years to get in this condition… so take the time and follow the plan laid out for you. There is no need to rush things. You will only injure yourself worse.

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SELF-TESTS

SELF-TEST #2

Self-Test #2 For Those Wanting To Start With Phase III, Or For Progressing to Phase III

If it was easy to do the first self-test, then see if this one gets the best of you. You will be performing the same tests. However, you will need to challenge yourself more this time in order to get clearance to move on to the Phase III Video.

• You must be able to stand up from a seated position without using your hands to help. (NO PAIN) You have to be able to perform at least 10 repetitions

• You must be able to stand on one foot for 20 seconds without putting the other foot down. Right and Left foot are to be tested individually.

• You must be able to get up and down off of the floor from lying on your back without any help. You have to be able to do this at least 5 times in a row.

If you can’t do any of these 3 tests without pain then YOU MUST STICK WITH THE PHASE II VIDEO. If you can do at least 2 out of the 3 without pain, then you can start with the Phase III Video at your own discretion. Remember, it probably took you years to get in this condition… so take the time and follow the plan laid out for you. There is no need to rush things. You will only injure yourself worse.

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Which Phase Do I Begin With You first need to identify which Cross-Fix Pattern you have

Anterior Cross-Fix Pattern

***ALWAYS START WITH PHASE I STRETCHES AND EXERCISES FOR AT LEAST THE FIRST 2 DAYS***

1. Perform Self-Test #1 on the video. 2. Begin Phase I Exercises and Stretches for 2 days minimum, even if you pass Self-Test #1 3. Perform the first self-test again on the video. If you pass, then… 4. Move on to Phase II Stretches and Exercises Video 5. Perform Self-Test #2 on the video. If you pass Self-Test #2, then… 6. Move on to Phase III Stretches and Exercises Video 7. Once you have mastered the first 3 phases, then you can move onto the Functional

Exercises Video

Posterior Cross-Fix Pattern

***ALWAYS START WITH PHASE I STRETCHES AND EXERCISES FOR AT LEAST THE FIRST 2 DAYS***

1. Perform Self-Test #1 on the video. 2. Begin Phase I Exercises and Stretches for 2 days minimum, even if you pass Self-Test #1 3. Perform the first self-test again on the video. If you pass, then… 4. Move on to Phase II Stretches and Exercises Video 5. Perform Self-Test #2 on the video. If you pass Self-Test #2, then… 6. Move on to Phase III Stretches and Exercises Video 7. Once you have mastered the first 3 phases, then you can move onto the Functional

Exercises Video

Short Leg Cross-Fix Pattern

***ALWAYS START WITH PHASE I STRETCHES AND EXERCISES FOR AT LEAST THE FIRST 2 DAYS***

1. Perform Self-Test #1 on the video. 2. Begin Phase I Exercises and Stretches for 2 days minimum, even if you pass Self-Test #1 3. Perform the first self-test again on the video. If you pass, then… 4. Move on to Phase II Stretches and Exercises Video 5. Perform Self-Test #2 on the video. If you pass Self-Test #2, then… 6. Move on to Phase III Stretches and Exercises Video 7. Once you have mastered the first 3 phases, then you can move onto the Functional

Exercises Video

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Progress Checklist FOLLOW THESE STEPS TO GET THE MOST OUT THIS SYSTEM

1. Put in today’s date in the first box that says WEEK 1 – DAY 1 on page 26. 2. Put in the date for each day that you perform the routine. If you skip a day, or two, then

make sure to leave the box empty for that corresponding day. 3. Circle the Phase of videos that you are in. Start with Phase I Video. 4. Circle the pain scale for the day. 0 means no pain at all. 10 means the worst pain you have

ever experienced in your life. 5. Circle YES or NO if you feel committed to getting out of pain each day. Be honest! 6. Circle YES or NO if you are getting better.

Remember, if you are not improving, then you need to re-evaluate your commitment to the program. If you find you are skipping too many days, then you need to hold yourself responsible and make some quick changes to your routine.

EXAMPLE FOLLOWS…

Progress Checklist – Weeks 1 & 2

Date (Fill In) Phase (Circle) Pain Scale (0-10) Are You Committed? Getting Better?

8/1/2011I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 2

SKIPPED I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 3

8/3/2011I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 4

8/4/2011 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 5

SKIPPED I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 6

8/6/2011I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 7

8/7/2011I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

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Progress Checklist – Weeks 1 & 2

Date (Fill In) Phase (Circle) Pain Scale (0-10) Are You Committed? Getting Better?

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 2 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 3 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 4 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 5 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 6 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 7 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 9 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 10 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 11 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 12 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 13 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 14 I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

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Progress Checklist – Weeks 3 & 4

Date (Fill In) Phase (Circle) Pain Scale (0-10) Are You Committed? Getting Better?

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY16

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 17

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 18

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 19

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 20

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 21

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 23

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 24

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 25

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 26

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 27

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 28

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

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Progress Checklist – Weeks 5 & 6

Date (Fill In) Phase (Circle) Pain Scale (0-10) Are You Committed? Getting Better?

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 30

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 31

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 32

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 33

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 34

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 35

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 37

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 38

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 39

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 40

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 41

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 42

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

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Progress Checklist – Weeks 7 & 8

Date (Fill In) Phase (Circle) Pain Scale (0-10) Are You Committed? Getting Better?

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 44

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY45

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 46

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 47

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 48

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 49

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 51

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 52

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 53

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 54

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 55

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

DAY 56

I II III 1 2 3 4 5 6 7 8 9 10 YES NO YES NO

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Extra Words Of Wisdom To Help You Stay On Course…

No one else cares about you as much as you do. Take help when you can get it, but realize that you need to take control of your own outcome. If you are expecting someone else to do the work for

you… then you are in for a very disappointing future. You have the tools in your hands. Take back control of your own health!

We create the exact life we want. If you feel like a victim… if you feel like nothing ever goes your way… then you need to address these separate issues through various means of self-help. I have

specific links on my website that can help. If you are positive person already, then you are well on your way to getting great relief. You just need someone to help guide you in the right direction.

You need to follow the advice given in this system concerning the Recommendations & Restrictions during the healing process. If you aren’t willing to make changes that are recommended, then you

need not blame anyone but yourself if your pain doesn’t resolve.

You are likely to have 1 or 2 relapses of pain during the course of this self-treatment. Do not get discouraged! We all have some bad days of flare-ups. It will get better again. Just relax, take a

break from the exercises for a day or two, and only do the stretches. Make notes in your Progress Checklist and move on. DON’T GIVE UP!

Sometimes you will need extra assistance getting over a plateau. Make sure to take advantage of the links that are on the main website, www.doctorspainreliefsystems.com for a list of products

that can help you get even better results than you expected. I have done the research for you. All you need to do is pick the products that resonate with your needs the most.

You are receiving a lot of information and you may feel overwhelmed. Again, don’t get discouraged because you will be able to make it through this. We are here to help. We have given you all of this material because we didn’t want to leave any questions unanswered. If you do have

any additional questions, you can submit them through email… [email protected]

You can also click on the FAQ tab on our main website, www.doctorspainreliefsystems.com

Also, make sure to check out our blog for additional support

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