Chronic Pain
Chronic Pain
Living with pain that persists beyond normal healing time is exhausting and isolating. We approach chronic pain through the biopsychosocial model , addressing the physical, neurological, and lifestyle factors that perpetuate it.
Start here
Begin a Different Approach
Chronic pain is complex. Our assessment looks at the full picture , not just the site of pain , to build a management plan that actually works.
Book Your Initial AssessmentWhatsApp UsUnderstanding the Condition
Understanding Chronic Pain & Its Drivers
Central Sensitisation
The nervous system becomes hypersensitive over time, amplifying pain signals disproportionate to tissue state. This is a key driver in many chronic pain conditions.
Deconditioning
Avoiding movement due to pain leads to muscle weakness, joint stiffness, and further pain sensitivity , a cycle that perpetuates itself without intervention.
Sleep Disruption
Poor sleep dramatically lowers the pain threshold and impairs recovery, creating a feedback loop that worsens chronic pain.
Psychosocial Factors
Stress, anxiety, depression, and fear-avoidance behaviours all amplify pain neurologically. Addressing these is not optional , it's essential.
Inflammatory Conditions
Underlying conditions such as fibromyalgia, arthritis, or autoimmune diseases contribute to ongoing pain and require an integrated management approach.
Untreated Prior Injuries
Incompletely rehabilitated injuries can leave persistent movement dysfunction and local sensitisation that evolves into chronic pain over time.
How we treat it
The KINETIKA Approach
We assess your movement, posture, strength, and pain patterns. No two backs are the same , your plan won't be either.
Manual therapy, joint mobilisation, and targeted soft tissue work to reduce pain fast.
Progressive exercise rehab that rebuilds the strength and movement patterns that pain disrupted.
Understanding your pain changes outcomes. We give you the tools to stay well long-term.

Take the next step
Book Your Initial Assessment
Tell us what's going on with your back. We'll find what's driving it and build a plan that gets you moving again.
No referral · No imaging needed · Same-week appointments
Common questions
Frequently Asked Questions
Yes , but the approach is different from acute injury management. We focus on graded activity, pain education, and movement restoration rather than passive treatment. The goal is improving function and quality of life.
Some patients achieve complete resolution; others achieve significant reduction and improved function. In all cases, the right approach reduces the impact of pain on daily life substantially.
Chronic pain management uses pain neuroscience education, graded exposure to movement, pacing strategies, and lifestyle modification alongside hands-on physiotherapy. It's a more active, collaborative process.