Recovery & Rehabilitation

Chronic Pain Management

When pain has lasted months, the right combination of care can change everything.

Chronic pain — pain lasting more than 3 months — often involves changes in how the nervous system processes signals, not just ongoing tissue damage. Our chronic pain program combines manual therapy, graded exercise, pain neuroscience education, and movement retraining to help patients regain function and quality of life.

What We Treat

Conditions addressed by Chronic Pain Management

Persistent low back pain
Chronic neck pain and headaches
Failed back surgery syndrome
Fibromyalgia
Chronic regional pain syndrome (CRPS)
Persistent post-surgical pain
Generalized chronic musculoskeletal pain

Treatment Approach

What we do in Chronic Pain Management

Pain Neuroscience Education

Evidence-based patient education on how chronic pain works — often the single most powerful intervention for chronic pain.

Graded Exposure / Graded Activity

Progressive return to activities the patient has been avoiding, calibrated to current tolerance.

Manual Therapy

Hands-on joint and soft tissue work to address mobility restrictions and modulate pain signals.

Therapeutic Exercise

Strengthening and conditioning targeted to deconditioning and movement avoidance from chronic pain.

Movement Retraining

Re-learning normal movement patterns that have been altered by years of pain-protective behavior.

What to Expect

Your visit, step by step

01

Whole-Person Evaluation

Beyond the standard PT exam — your pain history, medical history, function, and goals all factor in.

02

Education + Movement

Most sessions blend hands-on care with patient education and progressive exercise. The goal is durable change, not symptom-chasing.

03

Sustainable Independence

We build a long-term self-management plan so improvements last after formal PT ends.

Typical Timeline

Chronic pain rehabilitation typically takes 8–16 weeks. Functional gains often come early; durable change in pain-system sensitivity takes longer.

Chronic Pain Management FAQs

Can PT really help chronic pain?

Yes — strong evidence supports active rehabilitation for most chronic pain conditions. The goal is functional improvement (doing more of what matters to you) — pain reduction often follows.

I've tried PT before and it didn't help. Why try again?

Traditional PT focused on pain-flare avoidance often fails for chronic pain. Modern chronic pain rehab actively retrains the nervous system through education and graded movement, which is a different approach.

Will exercise make my pain worse?

Calibrated exercise is one of the most effective treatments for chronic pain. We start at your current tolerance and progress in small increments. Some discomfort during exercise is expected; severe flare-ups are not.

Do you coordinate with pain management physicians?

Yes — many of our chronic pain patients are co-managed with the interventional pain team at Axis Orthopedic & Spine. Injections and PT often work better together than either alone.

How is this different from chiropractic care?

Different scope and approach. Chiropractic focuses on spinal manipulation; PT addresses the full movement system through manual therapy, exercise, and patient education. Many patients use both at different points.

Will I be on opioids during PT?

We don't prescribe — that's between you and your physician. Many patients reduce or eliminate opioids over the course of chronic pain rehab as function improves and the underlying drivers of pain are addressed.

Ready to Start Chronic Pain Management?

Schedule an evaluation today — same-week new patient slots typically available at both Plano offices.