Reset Your System, Restore Confidence, and Build Resilience
Chronic Pain Management
Chronic or persistent pain can affect more than just movement; it can also impact sleep, stress, energy, mood, work, and daily life. Many patients come to us after trying multiple treatments, imaging, medications, or quick-fix approaches that never addressed the bigger picture.
At Tualatin Valley Physical Therapy, we take a supportive, collaborative approach to chronic pain management.
Instead of chasing short-term symptom relief, we focus on helping you:
Improve movement confidence
Increase strength and tolerance over time
Reduce flare-up frequency and intensity
Return to meaningful activities at your pace
Better understand what influences your symptoms
Care is individualized, respectful, and guided by your goals, not a one-size-fits-all template.
Conditions & Presentations Commonly Seen
We frequently work with individuals experiencing:
Long-standing back, neck, or joint pain
Recurring flare-ups or stiffness
Pain that increases with stress, fatigue, or load
Lingering symptoms after injury or surgery
Movement avoidance due to fear or uncertainty
Difficulty returning to previous activities
If symptoms suggest anything outside the scope of physical therapy, we will coordinate with your medical provider as needed.
Our Approach to Chronic Pain Rehabilitation
Many factors, including load tolerance, stress, sleep, activity patterns, conditioning level, and history of previous pain or injury, influence persistent pain. That means recovery isn’t about “fixing one spot,” it’s about gradually rebuilding your body’s capacity and confidence over time.
Your plan may include:
Graded exposure to movement and activity
Progressive strength and mobility training
Pacing strategies to avoid over- and under-doing
Education to help make sense of symptoms
Manual therapy when appropriate
Support during flare-ups, not punishment for them
Progress is measured by what you can do, not only how you feel on any one day.
Who This Type of Care Is Especially Helpful For
This service is a good fit if you:
Feel discouraged by past treatment experiences
Want a thoughtful, non-rushed approach
Value education + active participation in rehab
Prefer one-on-one guidance with a Doctor of PT
Want long-term progress, not just temporary relief
Many of our patients say the most significant difference here is simple:
They finally feel heard, understood, and supported.
Chronic Pain FAQs
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Pain does not always equal tissue damage. Over time, the nervous system can become extra sensitive, like an overactive alarm, causing pain even after tissues have healed.
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No. Chronic pain is real. It reflects changes in how the brain and nervous system process signals, combined with strength, stress, sleep, activity, and life demands.
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Flare-ups are often related to stress load, fatigue, movement tolerance, or nervous system sensitivity, not “re-injury.”
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We address the whole body, nervous system, movement capacity, stress tolerance, and lifestyle factors alongside strength and mobility treatment.
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The right movement, introduced gradually, usually improves function and decreases sensitivity over time.
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Yes! The nervous system can change and adapt. Progress may be gradual, but meaningful improvement is achievable.
What to Expect at Your Visits
During your evaluation, we’ll discuss:
Your history and pain experiences
Activities or movements that feel important to you
Patterns or triggers that influence symptoms
Your goals, concerns, and previous treatment attempts
Your plan will be built collaboratively, not prescribed to you.
Follow-up visits focus on:
Gradual progression of strength & tolerance
Movement retraining appropriate to your comfort
Supporting consistency through setbacks
Celebrating functional wins and milestones
Recovery isn’t linear, and we plan for that together.
Our Philosophy on Chronic Pain Care
We don’t promise quick fixes.
We don’t rely on passive treatments or “symptom chasing.”
We don’t tell people their bodies are fragile, misaligned, or broken.
Instead, we focus on CARL:
Capability
Autonomy
Resilience
Long-term meaningful progress
Our goal is to help you live a fuller, more confident life with a body you trust.
Ready to Take the Next Step?
Whether you’re ready to begin treatment or want a conversation first, we’re here to help you explore your options with clarity and support.