Chronic and persistent pain — medically investigated and body-oriented.
Acute pain is your body telling you to pay attention (hot stove! broken toe!). Chronic pain persists in the absence of tissue damage. You may have nagging back pain. Neck pain. Migraine. Joint pain. Fibromyalgia. Pain following surgery or injury. Symptoms that remain despite physiotherapy, injections and normal scans.
This pain is not simply imagined and it no longer serves a purpose. The nervous system has learned to generate pain signals even without tissue damage. That learning can be reversed.
Chronic pain research has established that persistent pain is maintained not only by the body part that hurts, but by the brain, nervous system, connective tissue, hormonal regulation, sleep and stress response working in combination. This is why passive interventions often fail: they address the signal’s location, not its source.
I apply methods that are simple and yet equipped to address this complexity. Pain Reprocessing Therapy works at the level of neural threat perception, training the brain to accurately assess safety signals and interrupt the pain cycle. Combined with soft tissue work like myofascial release, deep tendon work, dry needling and functional movement and aerial therapy where indicated, treatment addresses both the neurological and structural dimensions of chronic pain.
If you have been told your pain has no clear cause, or that you have exhausted your options, that is where this work begins.
Current clinical guidelines recommend active and multimodal approaches to chronic pain for good reason. Passive measures such as injections, massage or purely passive physiotherapy can bring short-term relief but do not change the processes that maintain pain. Movement, pain education, self-management and behavioural approaches have shown significantly better long-term outcomes in research. Mind-body methods including Pain Reprocessing Therapy are evidence-based components of this approach.
The right combination of methods depends on your specific complaints, goals and current capacity. The aim is the gradual expansion of resilience and freedom of movement — not the suppression of symptoms.
Depending on your presentation, I draw on the following — individually or in combination, according to what your nervous system and daily life currently need:
A structured, evidence-based approach working directly with the brain’s learned pain responses. In a controlled clinical trial involving people who had lived with chronic back pain for an average of ten years, two thirds of participants were pain-free or nearly pain-free after treatment. I trained in PRT with Alan Gordon.
Pain education
Understanding how chronic pain works is itself therapeutic. Accurate knowledge about the nervous system’s role in pain changes how the brain processes pain signals.
Hands-on treatment targeting the soft tissue, fascial and muscular components of pain. This includes myofascial release, deep tendon release, trigger point work and marma point therapy — applied precisely and adapted to your current tolerance. Manual work restores mobility, reduces protective tension and makes movement more accessible.
Functional movement work addressing stability, coordination and the movement patterns that chronic pain disrupts. Sensorimotor training, breathing and fascial work — individually adapted to your situation.
Functional use of breath to support movement, regulate the nervous system and reduce pain amplification.
Structured guidance on how to build activity gradually without triggering setbacks — a critical component for anyone whose pain responds unpredictably to effort.
Movement supported by a suspended fabric, allowing precise, low-load work that is particularly useful when pain, instability or fear of movement have made conventional exercise difficult or counterproductive. The fabric supports the body’s weight so muscles do not need to brace, allowing the nervous system to experience movement without the usual pain expectations. This approach is well established in sensorimotor and ergotherapeutic practice. Many sessions take place without the fabric entirely.
Lasting change takes time, repetition and your active commitment. By the end of the initial appointment, we will have addressed the most important issues and drafted a structured therapy with milestones and goals.