Understanding Chronic Pain
In this short video, I explain how pain can persist even after tissues have healed, and how changing the way the brain interprets threat and safety can help change the pain experience.
Chronic Pain Recovery Therapy
A personalised approach to persistent pain using Pain Reprocessing Therapy (PRT), pain neuroscience and nervous system-based strategies.
If you’ve been living with chronic pain that has lasted longer than expected, despite treatment or healing, it can be difficult to understand why it is still there.
For some people, chronic pain can be influenced by an overprotective nervous system that continues to produce pain even when the body is no longer in danger. The encouraging news is that these pain pathways can change. By understanding pain differently and gradually helping the brain and nervous system learn safety, recovery may be possible.
Sessions are available in person at my private clinic in Laddingford or online via Zoom. Sessions to be used within 90 days.
1:1 Chronic Pain Recovery
I offer a personalised 1:1 programme combining Pain Reprocessing Therapy (PRT), pain neuroscience education and practical strategies to help you understand your pain and begin changing the patterns that may be keeping it going.
We’ll work together to reduce fear around symptoms, build a greater sense of safety in your body and gradually help you return to activities and movement with more confidence.
What Your Programme Includes
- 1 × 90-minute initial session
- 3 × 60-minute follow-up sessions
- Pain Reprocessing Therapy (PRT)
- Pain neuroscience education
- Practical tools to reduce fear and build a greater sense of safety
- Support with gradually returning to movement and activities
- Personalised practices to use between sessions
- £260
- Package price. Sessions to be used within 90 days.
What Is Pain Reprocessing Therapy?
Pain Reprocessing Therapy (PRT) is an evidence-based psychological approach designed to help people with primary chronic pain — pain that is being generated or maintained by the brain and nervous system rather than ongoing tissue damage.
PRT uses education and practical techniques to help you interpret sensations with less fear and gradually change the brain’s learned response to them.
The aim isn’t to ignore or push through pain, but to help your nervous system recognise that previously threatening sensations can be safe.
Why Can Chronic Pain Persist?
Chronic pain can develop when the brain and nervous system become increasingly protective and begin interpreting sensations as threatening, even when there is no ongoing tissue damage requiring protection.
This can be influenced by factors such as previous injury, stress, fear of pain, learned associations, attention to symptoms and difficult life experiences.
Over time, these patterns can become learned — but because the nervous system is adaptable, they can also change.
How Pain Reprocessing Therapy Works
PRT helps you change the way you respond to pain and other physical sensations. Through education, guided exercises and techniques such as somatic tracking, we work on interpreting sensations through a lens of safety rather than danger.
As fear around symptoms reduces and the brain receives repeated messages of safety, learned pain pathways may begin to change. The process is gradual and personalised, helping you build confidence in your body and return to activities that may have become associated with pain.
Can Chronic Pain Improve?
Yes. Research shows that some forms of persistent pain can significantly improve — and for some people resolve — when the brain and nervous system learn to interpret previously threatening sensations as safe.
Recovery is individual, and no outcome can be guaranteed. The aim is to reduce fear, build confidence in your body and help you gradually return to a fuller, more active life.
Could Pain Reprocessing Therapy Be Right for You?
PRT may be appropriate for some persistent pain presentations where ongoing tissue damage does not fully explain the symptoms, including:
- Persistent back or neck pain
- Fibromyalgia
- Chronic headaches or migraines
- Repetitive strain symptoms
- Some forms of pelvic pain
- Other persistent or recurring pain without a clear ongoing structural cause
A careful assessment is important to determine whether this approach is appropriate for you.
Please see your doctor first
Please ensure that you have consulted with a medical doctor who thoroughly investigates and rules out potential causes of pain, including:
- neurological impairment
- cancer tumour
- autoimmune disease such as type 1 diabetes, multiple sclerosis, lupus, and rheumatoid arthritis
- bone fracture
- infection
Chronic headaches & migraines, chronic jaw and fascial pain, chronic pelvic and bladder pain, back, neck or joint pain, irritable bowel syndrome (IBS), fibromyalgia, chronic fatigue syndrome (CFS/ME) are just some of the common causes of chronic pain affecting a significant portion of the UK population.
The research behind PRT
PRT blends pain education, cognitive behavioural therapy, mindfulness practices, and gradual exposure to rewire your brain's response to pain. PRT tackles neuroplastic pain, also referred to as nociplastic pain, with science-backed methods enabling you to reappraise the source of your pain and its threat level.
Neuroplastic pain is a type of pain that persists beyond the expected healing time for an injury or illness, or pain that has originated from an unknown source. Unlike acute pain, which serves as a warning signal for tissue damage or injury, neuroplastic (nociplastic) pain is characterised by changes in the nervous system that result in the amplification and continuation of pain signals.
PRT is effective in providing relief for individuals experiencing chronic back pain. A randomized controlled study published in JAMA Psychiatry (2021) compared PRT and placebo. The results revealed that 66% of participants after engaging in the four-week PRT psychological treatment, were pain-free or nearly pain-free post-treatment. Importantly, the majority of these individuals sustained this relief for up to one year. In 2023 research confirmed the link between the reduction in pain and the changing belief that pain is caused by the brain rather than a structural problem with the body. This change occurred due to the clients practicing pain reprocessing therapy!
Watch and listen
Discover the groundbreaking findings of the Pain Reprocessing Therapy study in the compelling documentary, ‘Pain Brain’. Dive into the transformative journey of chronic back pain patients and explore the remarkable results of this groundbreaking research.
Emerging neuroscience reveals that our brains play a crucial role, creating the pain we feel through predictive processing. It's not just about the body part; it's a signal from the brain, highlighting areas needing attention. Dr. Rangan Chatterjee has welcomed Howard Schubiner, PRT Medical Advisor, to his podcast twice! And in his 2026 Channel 4 Documentary ‘Live Well with the Drug-Free Doctor’ he celebrates the transformational benefits of PRT for chronic pain recovery!
Why This Work Matters to Me
I understand persistent pain from both a professional and personal perspective. I lived with chronic low back pain for around two years and was offered spinal fusion surgery, but chose not to proceed.
Learning about pain neuroscience and neuroplastic pain changed the way I understood my own symptoms and played an important part in my recovery.
That experience ultimately led me to train in Pain Reprocessing Therapy and now informs the compassionate, evidence-informed way I support others living with persistent pain.
About CarolineWhat clients say
“Having completed Caroline’s chronic pain freedom course I can't recommend it enough! It gave me many lightbulb moments right from the first lesson. Caroline teaches in a way that means you can fully understand what is going on in your own body and arms you with all the tools to implement into everyday life to manage, alleviate and eradicate pain. There are lots of opportunities to ask questions and Caroline makes you feel fully supported, I really looked forward to each lesson and am so grateful to have made the choice to take this course. I'm certain it would benefit most people and wish her all the best in helping as many people as possible.”
“I found the Chronic Pain Freedom Workshop incredibly interesting and helpful. It was delivered perfectly at the right speed and with plenty of in depth information that is so interesting. The videos were very helpful and made you really think about the power of the brain. Caroline is an excellent teacher who is very knowledgeable and passionate about helping people. It was great to interact with others on the course too. I thoroughly recommend this course.”
“I did Caroline’s PRT course in December and it was brilliant. It is jam packed full of information and you are led through exactly what to do to help your chronic pain. The exercises are meditation based and all very pleasant. Caroline is so engaging and makes everything easy to understand. Stick with process and you will see a reduction in your pain! If you’re thinking of hands on treatment too, Caroline is a fabulous therapist and I would whole heartedly recommend her.”
“Caroline has a fun, approachable manner when teaching the PRT course. Learning about pain and how the brain influences pain has been an incredible eye-opener. The amount of knowledge Caroline shares is amazing, very thorough and evidence-based. The techniques Caroline introduces provide a different way of thinking about and approaching pain. Building these into my daily schedule has helped enormously. I highly recommend Caroline's PRT course.”
“I can't recommend Caroline highly enough. She has such a gentle, kind manner making you feel very at ease. Her breadth of knowledge means she treats the whole person not just the part that hurts. The environment is calm and welcoming, contributing to the feeling of wellbeing. I feel so much better, an all round positive experience.”
Reviews as published on the Move with Ease website.
Chronic Pain Freedom Workshop
An interactive group course, available online, to learn proven techniques to rewire the brain and overcome chronic pain, with tools for lasting pain relief and recovery. Next group, online workshop dates tbc.
If you would like to hear about the next dates, please send an enquiry and I’ll let you know when they are confirmed.
Ready to Explore a Different Approach to Chronic Pain?
If chronic pain is limiting your life and you’d like to explore whether Pain Reprocessing Therapy could be appropriate for you, a free discovery call is a good place to start.
We can talk about your symptoms, your experience so far and whether my Chronic Pain Recovery programme may be suitable for you.
In Person or Online
Sessions are available in person at my private clinic in Laddingford, welcoming clients from Maidstone, Tonbridge, Paddock Wood and across Kent, or online via Zoom.
A gentle invitation
If you’re living with chronic pain, tension, anxiety, or stress — and you’re ready to explore a calmer, more informed way forward — you’re very welcome here.