There are many types of pain that become chronic. While people with persistent pain often don't fit into a single category, some subsets of chronic pain include:

• Central pain syndromes (widespread pain, related to changes in the brain)

• Peripheral pain syndromes (localized to specific parts of the body)

• Post-surgical pain conditions

• Autoimmune related pain

• Cancer pain

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Some of the most common conditions include:

• Fibromyalgia

• Migraines and other headache

• Irritable bowel syndrome

• Temporomandibular joint disorders

• Back pain before or after surgery

• Vulvodynia/pelvic pain

• Neuropathy

• Post COVID Syndrome

• Rheumatoid Arthritis

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When pain is widespread, or affecting your brain, central sensitization type pain disorders require an individualized approach. It's possible the reason you haven't had success with healthcare in the past is because you require a more personalized care approach than the American medical system typically provides. If you have:

• Fibromyalgia

• Migraines

• Post-stroke pain

• TBI/head injury pain

• Long Covid Syndrome

• Unexplained pain in multiple body regions

Your pain is not "all in your head". What you feel is very real, but it may be caused by a sensitivity to pain that starts in your brain. We need to recognize that no two people have the same brain, not even identical twins. It's our goal to listen to your unique needs and learn how to help your individual nervous system get back on track to reduce and better manage your pain.

What happens when surgery didn't fix it, or even made your pain worse? Sadly, chronic pain is common after some surgeries.

• Post laminectomy "failed back" syndrome

• Post thoracotomy pain (after thoracic surgery)

• Pain that persists after joint replacement

• Phantom limb pain (after amputation)

• Post ICU syndrome - after a hospital intensive care stay

     Pain can impact your life both during and after a cancer battle. Cancer treatments can involve surgeries, radiation, chemotherapy and other treatments that kill cancer but damage our bodies in the process. Many patients experience post surgical pain and neuropathy as well as weakness and general deconditioning after a cancer battle.​

Physical therapy can help determine the right kind of exercise to help your body to recover. Having a physical therapist on your team can also help put your mind at ease to help you tell the difference between the orthopedic aches and pains of life, and something more serious that your medical team should know about.

     Your physical therapist will take time to listen to your concerns, ask questions about your condition and understand your personal goals. We understand that this may take time because your history is complex and we are committed to listening to your story before offering suggestions.

     Your therapist will do some testing to assess your condition. We will prioritize these tests and may perform them over time out of respect for your body, as testing can by energy consuming and sometimes uncomfortable for patients.

     Then your therapist will work with you to develop a treatment plan. While we use traditional methods like exercises, manual therapy treatments, and education, we are also committed to offering innovative options. Our goal is to re-educate your nervous system to process pain differently.

     If you have done therapy in the past and been unsuccessful, repeating the same interventions is not likely to produce results.   We are committed to bringing you the latest advances in pain research in hopes that this time will be different for you.

Sometimes one area of the body becomes especially sensitive to pain. Traditional medical management and orthopedic physical therapy hasn't been successful, and your doctors aren't sure why. This may include:

• Temporomandibular Joint Disorders

• Complex Regional Pain Syndrome (CRPS)

• Brachial plexus injuries

• Nerve entrapments

• Neck pain

• Lateral epicondylitis (tennis elbow)

• Carpal tunnel

• Abdominal/pelvic pain (vulvodynia, dyspareunia, interstitial cystitis, IBS)

• Low back pain

• SI joint pain

• Patellofemoral pain

• Plantar fasciitis/heel pain

• Neuropathies

• Occipital Neuralgia

• Trigeminal Neuralgia

When your immune system is set to overdrive, inflammation can cause increased pain throughout the body. Physical therapy can help with managing inflammation from

• Rheumatoid arthritis

• Psoriatic arthritis

• Lupus

• Mast Cell Activation Syndrome

• Neuropathies