Recovery from persistent pain usually requires multiple perspectives.

We focus on two main pathways to help you move forward:

Your body needs to relearn that movement is safe. Avoidance of activities may seem to be a way to prevent pain, but withdrawing from movement or exercise leads to worse outcomes.

We help you identify an activity and exercise baseline—the level of activity you can do without triggering a pain flare. Then we encourage a gentle gradual increase— typically 5–10% at a time. This increase might seem small, but it's enough to help you relearn that activity doesn't always mean danger.  Over time, your body starts to trust movement again, and the protective responses gradually ease.   

It is important to know: no one can “talk” you out of protection. You need to show yourself that activity is safe, through carefully paced action.

We address personal and environmental factors (Contextual factors) identified in the assessment.  Contextual factors can be helpful or unhelpful to you:

• Things that increase threat and stress—like conflict, fear, isolation, or uncertainty.  Sometimes called DIMs (Danger In Me’s)
• Things that increase safety and confidence—like support, understanding, movement, and purpose. Sometimes called SIMs (Safety In Me’s)

We work to reduce your DIMs, increase your SIMs, and rebuild your sense of safety and control