Reduce pain, restore function, and move
forward with greater confidence.
Chronic pain is usually influenced by more than just physical symptoms. Factors such as stress, sleep disruption, injury history, fear avoidance, movement patterns, and behavioral conditioning can all contribute to how pain is experienced and reinforced over time.
PBWI’s Chronic Pain Program takes a comprehensive approach to chronic pain, focusing on restoring function, improving quality of life, and helping individuals gradually return to the activities that matter most to them.
The goal is to build greater confidence, resilience, and independence in daily life.
How Our Program Works
The process begins with a review of the individual’s pain history, symptoms, previous treatments, movement patterns, sleep, nutrition, and emotional well-being. The clinical team evaluates the factors that may be contributing to pain to develop a clearer understanding of the individual’s needs.
Not all chronic pain has the same cause. The team identifies whether the individual’s pain is primarily influenced by physical structures, nerve function, nervous system sensitivity, inflammation, or a combination of factors. This helps the team determine which treatments and providers are most appropriate.
After the assessment, the individual’s care team reviews the results together and identifies what is driving the pain. From there, the team prioritizes the pillars that matter most and sequences care accordingly. The individual receives a detailed report with a care plan that outlines what is happening, why it is involved, and why.
Throughout the program, the care team monitors the individual’s progress, reviews changes in symptoms and daily functioning, and adjusts the care plan as needed. As improvement occurs, the focus shifts toward building the skills and confidence to manage pain more independently.
The Five Clinical Pillars
Chronic pain involves more than one system, so treatment should too. The program is organized around five evidence-based clinical pillars, each targeting a different driver of pain and led by a designated clinical provider. The pillars are not siloed. They work together, and overlap is intentional. The care team prioritizes and sequences the pillars to match each client’s needs, so every part of care builds on the last.
Primary Goal: Calm an overactive nervous system and prepare the brain and body to heal.
Chronic pain is often amplified by a nervous system stuck in a constant threat state. This heightens pain signals, disrupts sleep, and keeps muscles guarded long after the original injury has healed. When the nervous system stays in this protective mode, the body has a harder time responding to treatment. Regulation is often where care begins, so the client can get the most out of every other part of the program.
This could include:
- Neurofeedback
- Clinical Hypnosis
- Mindfulness Training (MBSR/MORE)
- Breathwork
- Acupuncture
Primary Goal: Correct biomechanical dysfunction and reduce the physical strain that keeps pain going.
Pain persists when tissues are repeatedly overloaded by poor movement patterns, postural compensation, or daily environmental stress. Over time, the body adapts in ways that protect one area while overloading another. Physical therapy anchors this pillar, with functional training carrying that work into everyday movement so the client can move with confidence again.
This could include:
- Physical Therapy
- Manual Therapy and Myofascial Release
- Dry Needling
- Cupping
- Functional Training
- Massage Therapy
- Ergonomic Correction
Primary Goal: Change the client’s relationship with pain.
Fear, avoidance, and worry about pain can keep it going long after the physical cause has been addressed. Over time, the brain can learn to read normal body signals as danger, so pain continues without ongoing damage. This pillar helps the client retrain that response and build a new relationship with pain. It is a core part of care, not an optional extra.
This could include:
- Acceptance and Commitment Therapy (ACT)
- Cognitive Behavioral Therapy (CBT)
- Psychoeducation
- Pain Reprocessing Therapy (PRT)
- Trauma Therapy
Primary Goal: Reduce the internal biological drivers that sustain pain.
Inflammation, blood sugar swings, nutrient gaps, and poor sleep can keep pain active at the physiological level. When these factors go unaddressed, the body stays in a state that makes healing harder. This pillar builds an internal environment that supports recovery and helps every other part of the program work better.
This could include:
- Nutrition Support
- Lifestyle Coaching
- Sleep Coaching
- Targeted Lab Testing
Primary Goal: Build the client’s confidence and independence in managing pain between sessions and beyond the program.
This pillar gives the client practical tools to support healing in everyday life. Practices are introduced and guided by the care team, then built into the client’s daily routine with ongoing support. The result is a set of self-management skills the client can rely on for the long term.
This could include:
- Integration Coaching
- Yoga, Tai Chi, and Qigong
- Heat and Cold Therapy
- TENS Therapy
- PEMF Therapy
- Flare-Up Planning
Is the Chronic Pain Program Right for You?
PBWI’s Chronic Pain Program may be helpful if ongoing pain is limiting an individual’s daily life, affecting their emotional wellbeing, or continuing despite previous treatments. This program may be appropriate for those experiencing:
- Pain lasting three months or longer
- Recurring or unexplained pain
- Pain that interferes with daily activities
- Fear of movement or reinjury
- Reduced mobility, strength, or stamina
- Difficulty returning to activities you enjoy
- Sleep disruption related to pain
- Fatigue or low energy
- Increased pain when stressed
- Anxiety related to pain
- Limited relief from previous treatments
- A desire to reduce reliance on pain medication
Your Complimentary Consultation
We offer a complimentary 15-minute Chronic Pain Consultation to discuss your goals and share how our evidence-based approach supports your health. Connect with us today to explore whether our concierge, in-home program is the right fit for you.
