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Trauma-informed pain care: A gentle path to managing persistent pain
Living with persistent pain can feel overwhelming. It affects every part of your life - your mood, your sleep, your relationships, and your ability to do the things you love. When pain is linked to past trauma, the experience becomes even more complex. Trauma-informed pain care can offer a compassionate, effective way to manage pain. This approach recognises your history and treats you with kindness and respect, helping you regain control and comfort. Understanding trauma-inf
Charlotte Small


Occipital nerve blocks for migraine: A treatment for chronic headache
Occipital nerve blocks are a treatment for migraine and chronic headaches. Learn how this injection can reduce headache pain and improve quality of life. Migraine and chronic headaches can be incredibly disruptive, affecting work, sleep, family life and overall wellbeing. For people who experience frequent migraines or persistent headache, medications alone do not always provide sufficient relief. One treatment sometimes used in specialist pain and headache clinics is an occi
Charlotte Small


Suprascapular nerve block for shoulder arthritis: A treatment for chronic shoulder pain
Suprascapular nerve blocks are a minimally invasive treatment for shoulder arthritis and chronic shoulder pain. Learn how this injection can reduce pain and improve movement. Shoulder arthritis is a common cause of persistent shoulder pain, stiffness and difficulty with everyday activities. Tasks such as dressing, reaching overhead or sleeping comfortably can become increasingly difficult when the shoulder joint becomes inflamed or worn. For people living with chronic shoulde
Charlotte Small


Lumbar medial branch blocks and Radiofrequency treatment for back pain
Lower back pain is one of the most common reasons people seek help from a pain specialist. For many people living with long-standing back pain, the problem is not a slipped disc or trapped nerve but irritation in the small joints of the spine, known as the facet joints. When these joints become painful, treatments such as lumbar medial branch blocks and radiofrequency treatment can sometimes help. Understanding Facet Joint Pain Facet joints are small joints at the back of the
Charlotte Small


Breaking down persistent pain: Understanding chronic pain, causes and solutions
Living with persistent pain can feel overwhelming. It often affects every part of your life - from your mood to your daily activities. I want to walk with you through understanding this complex experience. Together, we’ll explore what persistent pain is, why it happens, and practical ways to manage it. My hope is to offer you gentle guidance and reassurance as you navigate your journey toward greater comfort and control. Understanding chronic pain: What it means for you Chron
Charlotte Small


Choosing the right pain management specialist: A guide to finding your path
Living with persistent pain can feel overwhelming. I understand how challenging it is to find the right support that truly listens and offers effective relief. Seeking a pain management consultant can be a hopeful step towards regaining control and comfort in your life. Let me walk you through what matters most when choosing a pain management consultant, so you feel confident and cared for every step of the way. Understanding the role of a pain management consultant When pain
Charlotte Small


Understanding injection-based treatments for chronic pain
For some people, injections or other pain interventions can be helpful as part of chronic pain management — particularly when pain is limiting movement, sleep, or rehabilitation. These treatments are not cures for chronic pain, but they may reduce pain temporarily , settle flare-ups, or create a window of opportunity to engage in other therapies. Common types of injections Depending on the pain condition, injections may include: Steroid injections to reduce inflammation arou
Charlotte Small


Understanding medication for chronic pain management
Medication can play an important role in managing chronic or persistent pain, but it is rarely the whole answer. The nature of chronic pain Unlike acute pain, which often targets healing tissues, chronic pain usually involves changes in the nervous system. This means medicines may help reduce pain intensity, calm nerve activity, or improve sleep and function , rather than eliminating pain completely. Types of medication commonly used Depending on the individual and the type o
Charlotte Small


Lifestyle changes and chronic pain
When you live with chronic or persistent pain, lifestyle changes are not about “fixing” the pain or pushing your body harder. Instead, they are about supporting the nervous system , reducing flare-ups, and making day-to-day life more manageable. Small, sustainable changes are far more helpful than drastic overhauls. Gentle movement and pacing Movement remains important in chronic pain — but how you move matters. Helpful principles include: • Gentle, regular movement rather
Charlotte Small


Neurodivergence and chronic pain
Chronic pain is also more common among people who are neurodivergent — including autistic people, people with ADHD, dyslexia, dyspraxia, and other forms of neurodiversity. Neurodivergence describes natural variations in how brains process information, sensation, and emotion. It is not a flaw or disorder — but it can shape how the nervous system experiences the world. Sensory processing and pain Many neurodivergent people experience: • Heightened sensory sensitivity (to touc
Charlotte Small


Psychological or emotional trauma and chronic pain
For some people, chronic pain is closely linked with trauma — particularly experiences that left the body feeling unsafe, overwhelmed, or out of control. Trauma doesn’t have to mean a single dramatic event. It can include: • Childhood adversity or neglect • Emotional, physical, or sexual abuse • Medical trauma (painful procedures, not being believed, repeated hospitalisations) • Military service, accidents, or serious illness • Living for long periods under stress, fear, or
Charlotte Small


What is chronic or persistent pain?
Pain is part of being human. It’s a vital warning system that tells us when something is wrong — a hot pan, a twisted ankle, an infection that needs treatment. Most pain is acute : it has a clear cause and improves as the body heals. But chronic or persistent pain is different . Chronic pain: more than just pain that lasts a long time Chronic (also called persistent) pain is usually defined as pain that lasts longer than three months , or pain that continues beyond the exp
Charlotte Small
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