@artscaping Thank you for your response Chris. My therapist does not talk, give feed back, or input unless I ask. It's a bit annoying but I like him and feel that he does a good job. I do ask him to let up when need be and he tells me anything beyond 24 hours of follow up pain would not be considered normal. So, I'm normal then because my after effects mostly settle after 48 hours. My main concern was that after a year, plus, of receiving treatment, I'm surprised we dont make progress. But, then I consider SFN and realize that I'm never going to actually get better, this is more about maintaining. I was just inquiring to see if others have the same experience and its not just me or my therapist.