I can lose what I have worked so hard for when problems become worse. I have to decide if I am willing to go into battle or I am going to give up and let myself slip into decline. Stopping regression requires the willingness to act again and again without having therapists around to help. I think a problem is solved and then it's not. Here is one example.
Several months ago my central pain suddenly became intolerable at night. Central pain is constant pain created by damage to the brain. Symptoms include constant burning, pain caused by normally non-painful stimuli, shooting or electric shock-like pain, muscle cramps, stinging, tingling, or a pins-and-needles sensation. These abnormal sensations are usually localized to one body part, especially the hands or feet. I have a constant burning sensation in my hemiplegic foot.
Taking Tylenol and raising the sheet off of my foot used to help me fall asleep. In the photo I placed a ball outside the covers to show you what the ball under the covers looks like. The ball creates friction so it stays put and keeps the covers off the end of my big toe all night long. When these two strategies were not enough to help me sleep I added a 3rd strategy.
Neurologists have known about the extinction phenomenon for decades. Two sensations can sometimes cancel each other out. This is why you rub a painful body part that has bumped into an object. Ben Gay cream works because it has Capsaicin which produces a mild burning sensation that cancels the awareness of muscle pain.