Pain that has stayed longer than it should have.
Evidence-based, longer-term strategies that turn down persistent pain and get you moving with confidence again.
When pain persists past the point of tissue healing, it is no longer a straightforward signal of damage — the system itself has become more protective and more sensitive.
That is a real, physical process, and it responds to a different approach: graded exposure to movement, better sleep and load habits, and a clear understanding of what is actually happening.
- Persistent lower back and neck pain
- Osteoarthritis-related pain
- Widespread pain and fibromyalgia-type presentations
- Pain that has continued after surgery
- Long-standing tendon pain
- Fear of movement after a significant injury
How we work through it, stage by stage.
- 01Understand
Make sense of the pain
Time spent on what is driving your symptoms and what is not. Understanding the mechanism reliably reduces its threat value — that alone changes pain.
- 02Pace
Find a sustainable baseline
A level of activity you can repeat on a bad day, so you stop riding the boom-and-bust cycle that keeps stirring things up.
- 03Expand
Grow the envelope
Slow, deliberate increases in what you can do, chosen around the things that matter to you rather than abstract exercises.
- 04Sustain
Keep it going alone
The aim is that you manage flare-ups yourself, with a plan you have used often enough to trust.
The things people ask before booking.
No. Persistent pain is a real, measurable change in how the nervous system processes signals — and that is exactly why the treatment approach differs from acute injury.