Painful disabilities run the spectrum from slow in onset and subtle, to sudden and devastating. Regardless of the manner in which they begin, people who experience these conditions find their lives radically altered. The most obvious changes occur in shifting physical abilities, but it is the less obvious adjustment in the fabric of life that can often take the greatest toll. Families, careers, friendships, activities are all affected. The lack of healing triggers a sense of loss that can easily slip into despair. The old life is lost and the new seems forbidding.