You’ve done everything you were told to do
Physiotherapy.
Medications.
Maybe even surgery.
And yet the pain remains.
Not just present — but persistent, unpredictable, and limiting.
This is the moment many people realise:
Pain that lasts is not always about injury
When pain continues beyond three months, it often involves changes in the nervous system.
This is called central sensitisation.
It means the body has become more sensitive to pain signals — even when the original injury has healed.
This is why:
- scans may look normal
- treatments may stop working
- pain may spread or intensify
And why a different approach is needed.
When should you see a pain specialist?
You don’t need to wait until everything has failed.
Consider a specialist review if:
- Pain has lasted longer than 3 months
- Pain is worsening despite treatment
- Pain continues after surgery
- You need increasing medication, especially opioids
- Pain is affecting your ability to work or function
- You don’t have a clear explanation for your pain
If you recognise yourself in this list, a specialist assessment can help clarify
A different question leads to a different outcome
Most treatments focus on:
→ Where is the pain?
We focus on:
→ Why is the pain system still active?
This allows us to identify:
- nerve-related pain
- muscle-driven pain
- central sensitisation
- mixed pain patterns
And build a targeted treatment pathway
Conditions we commonly assess and treat
- Persistent pain after surgery
- Complex Regional Pain Syndrome (CRPS)
- Chronic pelvic pain and vaginismus
- Nerve pain (burning, tingling, electric pain)
- Central sensitisation syndromes
- Severe muscle spasm and guarding
The Complex Pain Recovery Pathway
Instead of isolated treatments, we use a structured approach:
1. Specialist diagnostic assessment
Understand the dominant pain mechanism
2. Pain neuroscience education
Explain how the nervous system is contributing
3. Targeted interventions
Nerve blocks, Botox, or other procedures where appropriate
4. Ketamine assisted therapy
For selected patients with central sensitisation
5. Rehabilitation and recovery
Restoring movement, function and confidence
This approach focuses on resetting the pain system, not just managing symptoms.
Timing changes outcomes
The longer pain persists:
- the more the nervous system adapts
- the harder it becomes to reverse
- the more function is affected
Early specialist input can help:
- clarify diagnosis
- avoid ineffective treatments
- guide the right pathway sooner
If your pain isn’t improving, the next step is clarity
You don’t need to keep repeating treatments that aren’t working.
A specialist assessment can help you understand why your pain is persisting.
Contact us to discuss your treatment options.