Your nervous system was designed to protect you—to signal danger, coordinate response, then return to baseline. But sometimes, this vital alarm system recalibrates itself, transforming protection into pain. Neural pathways that once carried accurate information now amplify every signal, creating sensations without stimulus and maintaining states of alert that exhaust rather than preserve.
You might experience pain that migrates without logic, spreading from joint to muscle to organ in patterns that confound traditional medicine. Perhaps you've developed seizures that look entirely real—because they are—yet leave no trace on EEG. Maybe your digestive system has become a battlefield where normal meals trigger cascading dysfunction.
We understand what others miss: central sensitization isn't "pain perception gone wrong" but measurable neuroplastic change. Functional neurological symptoms aren't "conversion" or "stress manifesting physically" but genuine neurological events arising from altered neural network dynamics. When you describe feeling like your entire body is sunburned without touching sun, you're reporting objective nervous system dysfunction.
These aren't separate problems or signs of psychological distress—they're the integrated expression of a nervous system that has fundamentally altered how it processes and generates signals.
This pathway recognises that pain and neurological symptoms aren't always problems of structural damage but of processing. Your nervous system has learned these patterns—and what has been learned can be unlearned. We don't dismiss the reality of your symptoms or suggest they're "all in your head." They're in your nervous system, measurably and treatably so.
Through targeted interventions that address central processing rather than peripheral structures, we work to recalibrate the very real neurological dysfunction that drives these conditions.
Self-administered questionnaires capture widespread pain patterns, neurological symptom inventory, central sensitization indicators, and functional impact assessment to distinguish between structural damage and processing dysfunction across multiple pain conditions including fibromyalgia, FND, chronic migraines, and overlapping pain syndromes.
Your specialist care coordinator conducts comprehensive assessment using validated screening tools, ACR criteria for fibromyalgia, widespread pain index and symptom severity scales, central sensitisation inventory, pattern recognition across neurological systems, and functional capacity evaluation that maps how central processing dysfunction affects your daily life and movement patterns.
When assessment reveals potential contributing factors, systematic evaluation includes nutrient deficiency screening affecting nervous system function, hormonal assessment for conditions that amplify pain processing, metabolic profiling including inflammatory markers and mitochondrial function, autoimmune screening for conditions triggering neural sensitization, and specialized testing for small fiber neuropathy or autonomic dysfunction when clinical presentation indicates underlying pathophysiology.
For complex headache presentations, temporomandibular disorders, or facial pain patterns, comprehensive evaluation with our senior headache/migraine consultant provides specialized diagnostic expertise in orofacial pain mechanisms, TMJ dysfunction assessment, headache subtype identification, and targeted treatment protocols for cranio-cervical and facial pain syndromes.
Comprehensive synthesis of all assessment findings into personalized treatment architecture addressing central processing dysfunction through evidence-based interventions including pain reprocessing therapy, graded motor imagery, integrative medicine approaches, specialized pain physiotherapy, and self-management skill development, with clear monitoring protocols and treatment adjustment timelines that target neuroplastic change rather than structural repair.
Our experienced nurse practitioners combine conventional medical approaches with evidence-based complementary therapies to address fibromyalgia holistically. This patient-centred approach considers the interconnections between physical, emotional, and lifestyle factors contributing to fibromyalgia symptoms. Our nurse practitioners develop personalised treatment plans that may include hormone testing, nutritional counselling, mind-body techniques, and lifestyle modifications. By addressing the root causes of fibromyalgia and promoting overall wellness, integrative medicine aims to enhance symptom management, improve function, and boost quality of life for those living with fibromyalgia.
Pain Psychology focuses on the mental and emotional aspects of fibromyalgia. Our psychologists help patients develop coping strategies, manage fibromyalgia-related anxiety and depression, and improve quality of life despite symptoms. Using techniques like cognitive-behavioural therapy, mindfulness, and relaxation training, we help patients change how they think about and respond to fibromyalgia. This approach is particularly beneficial for those struggling with the widespread pain, fatigue, and emotional toll of fibromyalgia.
Our specialised Pain Physiotherapists work with fibromyalgia patients using gentle approaches designed for this condition's unique challenges. They use carefully paced exercises, manual therapy, and education on energy conservation and body mechanics. This personalised approach aims to gradually increase mobility, strength, and flexibility while minimizing post-exertional symptom flares common in fibromyalgia. Pain physiotherapy not only focuses on physical function but also integrates aspects of mental and emotional support, significantly enhancing overall wellbeing for fibromyalgia patients.
Self-management skills empower individuals to effectively manage their fibromyalgia on a day-to-day basis. We teach practical strategies that allow patients to take control of their fibromyalgia symptoms and improve their quality of life. These skills include fibromyalgia education, goal setting, pacing techniques, stress management, sleep hygiene, mindfulness and relaxation practices, effective communication, medication management, lifestyle modifications, and problem-solving. By mastering these skills, patients can gain more control over their fibromyalgia, reduce reliance on medical interventions, and improve their overall wellbeing.
Pain Reprocessing Therapy (PRT) is particularly effective for fibromyalgia, as it addresses the central nervous system sensitization underlying many symptoms. Developed by neuroscientist and psychologist Alan Gordon, PRT aims to help patients reinterpret pain signals, thereby reducing fear and anxiety associated with fibromyalgia, while reducing pain intensity.
Combining education in pain neuroscience, mindfulness techniques, and cognitive strategies, PRT helps individuals with fibromyalgia break the cycle of chronic pain by addressing the brain's learned pain response and sensitisation.
Graded Motor Imagery is an innovative rehabilitation therapy used to treat complex pain conditions like fibromyalgia and improve motor function. For fibromyalgia patients, GMI can help retrain the brain's perception of movement and sensation, which often becomes disrupted due to central sensitization.
Safe and Sound Protocol (SSP) is an innovative auditory intervention beneficial for fibromyalgia through modulation of the autonomic nervous system. Developed by renowned researcher Dr. Stephen Porges, SSP uses specially filtered music to stimulate the vagus nerve and promote a state of safety and relaxation. For fibromyalgia management, SSP aims to reduce the hypersensitivity and nervous system dysregulation often underlying symptoms. By enhancing vagal tone and improving the body's ability to self-regulate, SSP can help decrease fibromyalgia pain perception, reduce anxiety, and improve overall well-being.
Intravenous magnesium infusions offer comprehensive support for fibromyalgia sufferers, addressing both immediate symptom flares and underlying mechanisms of this complex condition. This therapeutic approach works by simultaneously calming hypersensitive pain pathways, relaxing tense muscles, and replenishing cellular energy systems, with clinical research showing significant improvements in pain thresholds, sleep quality, and fatigue levels.
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