
Chronic Pain
Chronic pain can affect how you move, sleep, work, and get through daily life. It can also drain your energy, affect your mood, and make simple things feel harder.
If pain has lasted for months, you deserve care that helps you move more comfortably and with confidence.
What Is Chronic Pain?
Chronic pain is pain that lasts three months or longer. It may stay after an injury heals, or it may be linked to an ongoing health condition.
Acute pain usually acts like a short-term warning signal. Chronic pain works differently. It can continue even when tissue damage has improved, especially when the nervous system stays extra sensitive, causing less intense stimuli to be perceived as painful.
The CDC reports that 24.3% of U.S. adults had chronic pain in 2023, and 8.5% had high-impact chronic pain that often limited life or work activities. That can affect quality of life, mental health, sleep, and physical activity.


Common Causes of Chronic Pain
Chronic pain can have one underlying cause, several causes, or no specific cause found on an exam or imaging. Some possible causes of chronic pain include:
- Chronic back pain or neck pain. Ongoing pain in the spine, muscles, joints, or soft tissue can limit movement and daily activities.
- Arthritis. Osteoarthritis, rheumatoid arthritis, and other inflammatory conditions can cause persistent joint pain.
- Fibromyalgia. This chronic pain condition can cause widespread musculoskeletal pain, fatigue, and tenderness.
- Neuropathic pain. Nerve-related pain can happen with neuropathy, neuralgia, pinched nerves, or changes involving the spinal cord or central nervous system.
- Injury or surgery. Pain may continue after a sprain, fracture, surgery, or other injury has healed.
- Medical conditions. Some health conditions can affect muscles, joints, nerves, blood flow, or inflammation.
A healthcare professional can help sort through the possible causes and guide the right options for management of chronic pain.
Symptoms of Chronic Pain
Chronic pain can feel different from person to person. It may be constant or come and go. It may stay in one area or spread to other parts of the body.
Symptoms of chronic pain may include:
- Aching, burning, sharp pain, throbbing, or pressure.
- Pain that lasts for months or keeps returning.
- Stiffness, tight muscles, or reduced range of motion.
- Fatigue, sleep problems, or lower energy.
- Trouble with work, exercise, hobbies, or daily life.
- Stress, anxiety, depression, or other mental health effects.
These symptoms are real, even when pain doesn’t show up on an X-ray or test.


Chronic Pain Treatment Options
Treatment of chronic pain often works best when several strategies are used together. Your healthcare providers may talk with you about:
- Physical therapy or occupational therapy to improve movement, function, strength, and daily routines.
- Physical activity that starts gently and builds over time.
- Pain education to help you understand how the nervous system processes pain.
- Lifestyle changes, such as sleep support, pacing, stress management, and weight loss when helpful for joint stress.
- Pain medication, such as acetaminophen, over-the-counter NSAIDs, antidepressants, or other pain medicine when appropriate.
- Other pain management options, such as steroid injections, acupuncture, biofeedback, or cognitive behavioral therapy.
Opioids may be used in some situations, but they have risks and are not the right long-term choice for everyone. A healthcare provider can help you weigh benefits, side effects, and safer options.
How Physical Therapy Helps with Chronic Pain
Physical therapy can help with chronic pain by focusing on movement, strength, confidence, and daily function. It does not ignore pain. It helps you understand what affects it and how to move in safer, more manageable ways.
Your physical therapist may check strength, range of motion, posture, balance, walking, nerve symptoms, and how pain affects daily activities. Treatment may include gentle exercise, stretching, soft tissue mobilization, pacing strategies, pain relief techniques, and home exercises.
Physical therapy can also help you gradually return to physical activity. That matters because long periods of avoiding movement can make the body weaker, stiffer, and more sensitive over time.


How Ivy Rehab Treats Chronic Pain
Treatment of chronic pain often works best when several Chronic pain is individual. Two people can have the same pain and need very different treatment plans.
Your Ivy Rehab physical therapist will ask about your pain, your health history, your goals, and what daily life looks like right now. They’ll use that information to create a plan based on your current needs.
Your plan may focus on reducing pain, improving movement, building strength, and making daily activities feel more manageable. If needed, your therapist can coordinate with your physician, pain management specialist, mental health provider, or other healthcare providers.
FAQs
Can Physical Therapy Help Chronic Pain?
Yes. Physical therapy can help many people with chronic pain improve movement, strength, range of motion, and quality of life. A physical therapist can also support pain management by helping you return to physical activity safely. Studies have found that staying active and exercising regularly can significantly improve chronic pain.
What Are Common Chronic Pain Conditions?
Common chronic pain conditions include back pain, arthritis, fibromyalgia, neuropathy, neuralgia, chronic neck pain, and other musculoskeletal pain conditions. Some people have more than one type of pain at the same time.
What Is Chronic Pain?
Chronic pain is pain that lasts three months or longer. It can come from an ongoing health condition, a past injury, nerve changes, or changes in how the nervous system processes pain signals.
What Is the Difference Between Acute Pain and Chronic Pain?
Acute pain is short-term pain that often starts after an injury, illness, or tissue damage. Chronic pain lasts longer, often three months or more, and may continue even after the original tissue has healed.

Take the first step toward relief.
You don’t have to live with back pain. Ivy Rehab’s expert team is ready to help you move better, feel stronger, and enjoy life without limitations. Schedule an appointment today for the best treatment for back pain.