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Living With Chronic Pain: Why Small, Achievable Goals Help Shrink It

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Initial chiropractic consult with Dr Phil $99 (normally $134) until 31 December 2026. New patients only, one per person. X-rays only if clinically indicated. Quote code CHIRO35 when you call, or type it in the notes when booking online.

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Chronic pain often starts with an injury that was never properly addressed. Dr Phil Mifsud explains central sensitisation and why building strength and confidence through small, achievable goals is the most reliable way forward.

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Written by Dr Phillip Mifsud, Chiropractor & Exercise Physiologist and founder of Bodyline Health, Lower Plenty. Based on Dr Phil’s own video and clinical experience.

Quick answer: Chronic pain is pain that lasts beyond normal healing time, usually more than three months. Chronic pain is pain that has lasted beyond normal healing time, often after an injury that was not properly addressed at the start. Over time the nervous system becomes more sensitive and amplifies pain signals, sometimes spreading pain more widely. The most reliable way forward is building strength and confidence through small, achievable daily goals, with support from an experienced team.

Watch the video

Chronic Pain and How to Work Through It

Dr Phil explains this in under two minutes.

How does ordinary pain become chronic pain?

A common story is an injury, often years ago, that was not properly addressed at the start. The pain lingers, and over time it becomes amplified. Dr Phil has experienced chronic pain himself, and has refined how he helps people with it over many years.

What is happening in the body?

With chronic pain, the nervous system becomes hypersensitive. It turns up the volume on pain signals going to the brain. Nearby nerve receptors can start firing too, so pain that began in one spot, such as the lower back, can spread and become more widespread or global.

This process has several names, including central sensitisation, and it is involved in conditions such as fibromyalgia. Some people need medication or formal pain management programs to help manage it.

What actually helps?

With strength comes confidence

Chronic pain is hard to treat, but one approach reliably helps: small, achievable goals that build strength, because strength builds confidence. Confidence is a crucial part of turning chronic pain around.

  • Bend forward and stretch during each ad break of your favourite TV show
  • Walk to the letterbox and back, then a little further each week
  • Choose one simple exercise and do it every day

The snowball effect

As each small goal is achieved, confidence grows, and that has a snowballing effect. Over time it helps shrink widespread pain back down to one spot, and then work on that spot.

Do not do it alone

Get experienced help, get good advice, and do not give up. It is a process, but people do get through it.

Medicare and chronic pain

If you have a chronic condition, your GP may be able to set up a Chronic Disease Management plan, which can provide Medicare rebates for some allied health visits. See our HICAPS, Medicare and health funds page for details.

Who at Bodyline Health can help with chronic pain?

Because Bodyline Health has several disciplines under one roof at 17 Main Road, Lower Plenty, your care can be shared between practitioners who talk to each other.

  • Dr Phillip Mifsud (Chiropractor and Exercise Physiologist): graded exercise and small, achievable goals, with hands-on care.
  • Jess Lagerwey (Mental wellness): support with the stress and mood side of living with pain.
  • Mary Fleming (Physiotherapist): graded activity and strengthening.
  • Catherine Farchione (Acupuncture): acupuncture as part of a pain management plan.
  • Chris Panayides (Hypnotherapist): hypnotherapy, which some people use alongside other pain management.

When to seek urgent medical help

See your GP promptly if your pain changes in character, comes with unexplained weight loss, fever, night sweats or new numbness or weakness. If you are struggling to cope, reach out. Lifeline is available 24/7 on 13 11 14.

Further reading on chronic pain: Chronic pain (Healthdirect Australia).

Common questions

What is central sensitisation?

A state where the nervous system becomes hypersensitive and amplifies pain signals, so pain persists or spreads beyond the original injury.

Why does chronic pain spread?

When the nervous system is sensitised, nearby nerve receptors can start firing too, making pain more widespread.

What is the best way to manage chronic pain?

Building strength and confidence through small, achievable daily goals, with guidance from experienced practitioners and your GP.

Can exercise help chronic pain?

Yes. Gradual, achievable exercise builds strength and confidence, which can help reduce pain over time.

Can I get Medicare rebates for chronic pain treatment?

Your GP may be able to set up a Chronic Disease Management plan that provides Medicare rebates for some allied health visits.

This article is general information, not a diagnosis or a substitute for individual medical advice. If you are unsure, see your GP or book an assessment.

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17 Main Road, Lower Plenty,
(03) 9017 4784

Bodyline Health clinic building at 17 Main Road, Lower Plenty