How Much Pain is OK During Rehab? Understanding Safe Pain Levels in Physical Therapy
At REV Physical Therapy, we know that some discomfort is part of the rehab process—but how much is too much?
Whether you’re recovering from surgery, managing a chronic condition, or rebuilding strength after an injury, it’s common to feel some pain while exercising. But there’s a difference between appropriate pain and pain that signals potential harm. Understanding that line is key to your recovery.
How Much Pain is Acceptable?
We use a simple tool called the Verbal Analog Scale (VAS)—a 0 to 10 pain rating system where 0 is no pain and 10 is the worst imaginable. During any specific rehab exercise (whether done in the clinic or at home), we’re okay with your pain increasing by up to 2 points on this scale.
For example:
If you start an exercise at a pain level of 3 and it climbs to 5 while you’re doing it, that’s acceptable—as long as it returns to baseline fairly quickly.
🔑 If your pain increases by more than 2 points, stop and reassess.
Give your body a break, and note how long it takes for the pain to return to your baseline. If it lingers or worsens, let your physical therapist know. This is an important signal that something may need to be adjusted in your rehab plan.
What About Muscle Soreness (DOMS)?
Another common part of rehab is Delayed Onset Muscle Soreness (DOMS)—that dull ache or stiffness that kicks in 24–48 hours after a new or more intense exercise session. DOMS is normal and expected, especially when you’re activating muscles in new ways.
Here’s our guideline:
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Mild soreness lasting 1–2 days is okay.
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By day 3, the soreness should be mostly or completely resolved.
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If it’s getting worse after day 2, or not clearing by day 3, bring it up with your therapist.
DOMS doesn’t usually require medical attention, but it’s something we monitor to make sure your body is adapting—not being overworked.
If you are unsure how to gauge your pain levels or discomfort levels when working out give us a call at (386) 738-3456
Stop by our Physical Therapy Clinic right down the road from Advent Health DeLand.
Our Goal at REV Physical Therapy DeLand is to keep you moving.
