Persistent or Chronic Pain

Pain affects everyone at some stage of their life, we need to know how to manage it well.

Have you had pain for more than a few months? 

Have you tried many different treatments with no or minimal relief?

The combination of modalities here at Physio Therapy Yoga provide a variety of approaches to suit you and your condition (see approaches page). We combine evidence-based physiotherapy, with further training in other modalities, and the biopsychosocial practice of Yoga Therapy.

Have you tried Exercise to manage your pain with little relief? 

These are the benefits, and it works for many;

  • maintain flexibility and movement
  • improve cardiovascular health
  • build and keep muscle tone
  • improve mood and general wellbeing
  • help control pain
  • increase confidence to take part in activities

However, you need to balance strength with the relaxation of specific muscles! 

Many of my clients have spent years strengthening their body, esp their ‘core’ (varied ideas of what this is) with minimal pain relief until they were taught to relax.  They may stretch, but unless done regularly and correctly this can be short-lived or ineffective.

I will teach you how to properly relax. I ultimately aim to help you be less reliant on any therapist and therefore giving you more control over your pain.

Some muscles in the body “grip” when we experience emotions. If they habitually grip they alter how you move, they irritate nerves, and can cause localised pain just as any compression or tight muscle does.

Common types or causes of Persistent Pain;

1. Musculoskeletal or Nociceptive pain 

from tissue injury Habitual stiffness in deep muscles and the inability to relax these muscles -Described above

  • Neuropathic Pain – is caused when there is damage to the nerves – it can feel burning, cold, tingly, pins and needles, itching etc. The nerves are sending incorrect signals to the brain so the sensations often feel “weird”. It can be treated. 

2. Neuropathic pain may occur when nerves are:

  • compressed by tight tissues (fascia), as in fibromyalgia
  • irritated by chemicals such as inflammation (local or systemic)
  • overstretched by hypermobility 
  • poor circulation to the area
  • entrapped – not able to slide and glide.

3. Referred pain

Referred pain is felt away from the source. Back pain with sciatica is most common. Entrapped nerves may cause this type of pain or trigger points within tight muscles. 

     4. Underlying health conditions

    Underlying health conditions such as cancer, fibromyalgia, endometriosis, visceral (gut_ disorders, autoimmune disorders cause persistent pain

    5. Arthritis

     Osteoarthritis (stiff joints) or rheumatoid (inflamed joints). 

    6. TMJ or Jaw pain

    Associated with the joint, nerves and muscles of the head, neck, mouth or teeth.- see page on TMJ pain

    7. Headache and migraine

    Read more about headache and migrane pain, causes and treatments on our Headaches Info Page here

    8. Visceral pain

    Emanating from the internal organs


    Sometimes the cause of your longstanding pain has just not been found! If you are assessed thoroughly physically, and your lifestyle, and treated using the “Integrated Therapy” approach happily many of our clients get better.

    Utilising the many modalities and approaches we have available to us here (see approaches and Services pages) we may help you move better, reduce inflammation, and change your thinking processes – where your attention is going, anxiety and fear and other emotions, to help alleviate suffering.

    Yoga Therapy

    Yoga Therapy heals the mind and the body together. Using the mind to heal the body and using the body to calm the mind.

    Yoga teaches you Equanimity is a state of psychological stability and composure which is undisturbed by experience of or exposure to emotions, pain, or other phenomena that may cause others to lose the balance of their mind.

    Let's get to the bottom of your pain

    A-J combines evidence-based knowledge with clinical experience with a holistic biopsychosocial approach to treat persistent pain that has not responded to traditional treatments.