Services
Six pieces of work, assembled around one person's week.
Not everyone needs all of them. Most people begin with an assessment, and what follows is decided from what that assessment finds.
Persistent pain assessment
A full history taken without a clock on it: onset, what has been tried, how the pain behaves across a week, sleep, mood, medication, movement you avoid, and the activities you have quietly dropped. We look at the pattern rather than a single number.
You finish with a written summary — what appears to be driving the pain now, what is likely to be changeable, and the one or two things we would address first.
Pain education
Structured, plain-language sessions on how pain is produced: the difference between tissue damage and a protective alarm, why a sensitised system fires earlier and louder, and why that is a modifiable state rather than a permanent one.
This is the part that makes the rest possible. It is hard to load a knee, or return to a shift, while you believe every twinge is damage accumulating.
Graded movement and activity pacing
We find a baseline you could repeat on your worst realistic day, then increase from there in steps small enough that the following week stays intact. Every increase is a decision with a review point attached.
The measure of success is not the size of a single effort. It is the number of usable days in a fortnight.
Flare-up planning
Flares are part of persistent pain, not evidence that the plan failed. We write the response in advance: what to reduce and by how much, what to keep going regardless, how to talk to work about it, and which signs mean you should contact your GP rather than sit it out.
Having it on paper removes the decision-making from the moment you are least able to do it.
Sleep, routine and load across the day
Poor sleep lowers the threshold at which pain is felt, and pain wrecks sleep — which is why the two are worked on together. We look at how the day is loaded, where the demands cluster, and what a realistic evening actually looks like in your household.
Small structural changes to a week are often worth more than an extra exercise added to it.
Working with your treating team
Persistent pain usually involves several people — a GP, perhaps a physiotherapist, a specialist, sometimes an employer or an insurer. We write our summaries so they can be shared, and we stay inside our lane.
We do not diagnose, prescribe, or advise you to change medication. Those conversations belong with your doctor, and we will say so.
Before you book
What a first conversation covers
So that nothing about the first appointment is a surprise, and so you can decide whether this is the right fit before committing to it.
The history
How it started, what has changed since, what has been tried and what each attempt did — including the things that made it worse.
The cost
What the pain has taken: sleep, work, sport, driving, patience, plans. This is the list the goals get written from.
The next step
A frank view on whether this approach suits your situation, what we would start with, and where you would be better served elsewhere.
Scope
What this is, and what it is not
Being clear about the boundary is part of the service. Persistent pain attracts a great deal of confident advice, and some of it is expensive.
Assessment, education, graded planning, flare strategies and written summaries you can keep and share.
Support that is designed to be handed over rather than depended on.
Diagnosis, prescriptions, medication advice, emergency care, or any claim about how much your pain will change.
Not sure which of these you need?
Describe the situation in a few lines. We will tell you where we would start, or say plainly if this is not the right service for you.