Pain reprocessing therapy (PRT)PRT is designed to rebuild safety being present in the body.
If you have chronic pain your brain has learned over months or years that being present in the body comes with a cost: pain. Many people cannot afford to feel the full range of their chronic pain, symptoms, or fatigue, day-to-day because it would be debilitating. Being aware of their bodily sensations would prevent them from being able to live their lives. You may have already lost important days, hobbies, or even relationships due to your illness and symptoms. PRT helps you reconnect with your body and live a full life again. PRT has four prongs: Somatic, Behavioral, Emotional, and Psyhcoeducation. See the graphic below for more information.
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Pain Reprocessing Therapy has shown to be effective for increasing safety in the body for a variety of symptoms including:
Nausea and GI issues
Dizziness
Vertigo
Itchiness
Migraines
Fatigue
If you have unpleasant physiological symptoms that have made it difficult to be in your body PRT can help even if the symptom experienced is not pain.
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Yes. I welcome a healthy amount of skepticism for any therapy modality that you are going to try, so I’m glad you’re asking about the research. There are over 50 peer-reviewed studies that demonstrate the efficacy of PRT for a variety of chronic illness diagnoses including:
Fibromyalgia
Endometriosis
IBS
Arthritis
Tinnitus
Hypermobility
PRT has been shown to significantly reduce pain levels in clients. Not only is PRT effective at reducing pain while you are in therapy but the effects are maintained long after you complete PRT. Significant reduction in reported pain levels was shown to be sustained 5 years after client’s last PRT treatment in a recent study.
Learn more about the current PRT research and studies here.
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As your question demonstrates, pain has an evolutionary purpose. Pain lets us know that there is something wrong with the body and motivates us to get help. But what happens when this evolutionary response starts misfiring?
When you see the statistics on PRT where some clients report 100% reduction in chronic pain many clients get concerned that they will miss important signals from their body without their pain. Luckily, the brain region associated with chronic pain (and the brain region that is targeted in PRT as shown in fMRI scans post PRT treatment) is a different brain region than the region of the brain that processes acute, structural injuries. What does this mean? It means that your brain’s threat detection system for acute, structural damage will not be impacted by PRT. You will still feel acute pain if you injure yourself.
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Neuroplastic pain is defined as pain that is created or amplified by the brain in response to a stimulus in the body. When you experience chronic pain your brain is in overdrive mode and is translating neutral sensations from your body as intense pain signals. You may have noticed that similar bodily sensations can result in very different experiences. At times a sensation is painful and at others it is relaxing or neutral. The chest pressure we feel when we are anxious is quite painful yet we feel soothed by a deep pressure massage in our shoulders. How? Because the brain decides how signals from the body are interpreted. When a bodily sensation is viewed through a lens of fear this creates chronic pain, fatigue, and debilitating symptoms.
By recreating safety in the body we can help your brain to stop interpreting bodily sensations as pain and ultimately get you relief.
Somatic: Rebuild safety being present in the body with Somatic Tracking exercises
Behavioral: Increase your engagement in activities that you previously had to stop due to chronic pain, fatigue, or symptoms
Emotional: Increase your emotional awareness and expression to reduce neural pathways that amplify the pain response in the body
Psychoeducation: Learn about the neuroscience behind chronic pain and symptoms in the body and how to work with your brain to reduce the amplification of pain signals