It sounds to me like you are in pretty good hands. Everything you did sounds good...but maybe just a little too much the first day. I'm glad that they want to keep an eye on the therapy so you don't go into flares. Elevated pain will happen of course...but it shouldn't reach flare level. Improvements are slow and a little at a time...but it's amazing what the therapy can do over time. When people would come visit me after a week of therapy they could always see a difference even if I couldn't. Best of luck to you with the therapy!