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Devplan 25

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 reps105
decreased
Tendon glides sets21
added
Elevation + gentle fist
removed
Resisted putty grip
removed
Wrist AROM
Why 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