When we’re living with chronic pain, or supporting someone who is, we often notice inconsistencies and variability in pain and capacity, which can bring up confusion and frustration. In this post, I share why those fluctuations happen, what they tell us about the nervous system, and how a shift toward curiosity and compassion can support steady, sustainable progress.

All pain feels like it’s coming from the body, and nociplastic pain and symptoms are just as real as those from injury or tissue damage, so it can be difficult determine whether our pain is nociplastic pain. Learn about its characteristics and how it can be reversed..

Nociplastic pain involves pain creation or augmentation by the central nervous system through pathways that involve predictive processing, threat conditioning, sensory processing and altered pain modulation in the absence of tissue damage.