CORE PHYSIOTHERAPY

Persistent Pain Management

At Core Healthcare, we understand how chronic pain
can impact every part of your life. Our goal is to support
you with practical, evidence-based strategies that help you
take control and move forward with confidence.

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Pain that lasts beyond 12 weeks is no longer simply an injury that’s taking a long time to heal — it’s a different problem entirely. Your nervous system has changed how it processes pain signals, and it can stay in “high alert” mode long after your tissues have fully recovered.

This is called persistent pain, and it’s more common than most people realise. It’s not a sign of weakness, and it’s not all in your head. It’s a real, physical process — just not the one most people expect.

Important: If your scans come back clear but the pain is still very real, that’s not a mystery — it’s nervous system oversensitivity. Your body’s alarm system is stuck on high, even though the original cause has gone. The good news? This can change.

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Complex Chronic Pain Somatic / Visceral Cause Contributing Myofascial Bony Inflammatory Mechanical Vascular Neuropathic Central Sensitisation Emotional & Cognitive Sleep & Social Pain Types Structural Nervous System Psycho- social

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Why Persistent Pain Is So Complex

As our pain wheel illustrates, complex chronic pain is never just one thing. It sits at the intersection of four interconnected areas – Pain Types, Structural factors, the Nervous System, and Psychosocial influences – each one capable of keeping pain alive long after an injury has healed.

Zoom out to the outer ring and you’ll see just how many contributors can be in play at once: somatic and visceral pain, inflammatory and mechanical drivers, neuropathic and vascular processes, central sensitisation, and emotional, cognitive, sleep, and social factors. This is why a single injection or scan result rarely tells the whole story – and why a whole-person approach is so important.

At Core Physiotherapy, we specialise in untangling these complex pain experiences. We help you understand why the pain is still there and, more importantly, give you the tools to take back control.

What Makes Us Different

As the pain wheel shows, persistent pain isn’t only physical — it’s shaped by biological, psychological, and social factors all at once. That’s why our approach addresses every layer of the wheel, using a combination of proven strategies:
• Pain Neuroscience Education: Understanding why your brain and nervous system produce pain – and how that knowledge itself can reduce it.
• Neuroplastic Retraining: Guided techniques that help your nervous system learn new, less-sensitive responses over time.
• Graded Exposure: A careful, step-by-step return to movement and activity – building confidence without flare-ups.
• Cognitive-Behavioural Strategies: Practical tools to shift the thoughts and behaviours that can keep the nervous system on high alert.
• Flexible Telehealth Options: Care that fits around your life – including online sessions that work alongside your GP, specialists, and other providers.

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What You Can Expect

from Us

We give you understanding, skills, and a clear roadmap to reclaim what pain has taken from you.

Our approach delivers:
• Understand your pain: Learn how nervous system hypersensitivity works and what’s keeping your pain switched on – in plain, simple language.
• Movement beyond temporary fixes: We focus on meaningful, lasting change – not just getting you through the next week.
• Self-management skills: You’ll build real independence, not reliance on endless appointments. The goal is for you to feel equipped and confident.
• Measurable improvements: We track real-world gains: activity levels, quality of life, and what you can actually do – not just pain scores on a scale.
• Evidence-based care: Our approach aligns with Australian pain management guidelines and the latest research in persistent pain.
• Expert team: Our clinicians are specifically trained in persistent pain driven by nervous system changes – it’s not a side service, it’s our focus.

Our Locations

Ready to take the Next Step?

If your GP or specialist has recommended physiotherapy for persistent pain – or if you’d simply like to find out more.
Here’s how to get started:

Referrals

To begin a managed care plan, you’ll need a referral from your GP or specialist. Simply ask them to refer you to Core Physiotherapy for persistent pain management.

Have Questions? We’re Here to Help

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1300 633 546