Pain that has outlasted the healing of the tissue behaves differently, and it does not respond to being treated as though it were a fresh injury. Persistent pain needs a plan that addresses sensitivity, capacity and confidence together — and that steadily gives activity back rather than taking more of it away.
What is pain management?
Pain management physiotherapy combines hands-on treatment and modalities for symptom relief with graded activity and clear education about why the pain persists. The aim is a measurable return of function: doing more, with less flare-up, and understanding what is happening well enough to manage it yourself.
Conditions we treat
- Chronic back and neck pain
- Persistent post-surgical pain
- Fibromyalgia and widespread pain
- Long-standing joint pain
- Myofascial pain and trigger points
- Pain that has not responded to previous treatment
Signs you should not ignore
- Pain lasting longer than three months
- Pain out of proportion to any injury found
- Flare-ups after activity that used to be tolerated
- Disturbed sleep because of pain
- Avoiding activity for fear of provoking it
- Frustration at investigations that came back clear
Our treatment approach
-
1
Thorough assessment
Establishing what drives the pain now, which is often not what started it.
-
2
Explanation
A clear account of why pain persists — which by itself reduces threat and, with it, symptoms.
-
3
Symptom relief
Manual therapy, dry needling, taping and modalities to lower irritability enough to begin.
-
4
Graded activity
Building tolerance from a level you can sustain, rather than the boom-and-bust cycle.
-
5
Pacing and flare planning
Practical strategies for busy days and for setbacks, which will happen.
-
6
Self-management
Finishing with you able to run the programme yourself.
What treatment achieves
- Reduced pain intensity and frequency
- More activity tolerated before flare-up
- Better sleep
- Less fear of movement
- A plan you can run without the clinic
Prevention & self-care
- Pace activity rather than pushing through and crashing
- Keep moving on bad days, at a reduced level
- Protect sleep — poor sleep measurably increases pain sensitivity
- Set function goals, not only pain goals
- A flare-up is a setback, not a return to square one
How many sessions will I need?
This depends on how long the problem has been present, its severity and how consistently you can follow your home programme. After your first assessment you will be given a realistic estimate rather than an open-ended course of treatment.