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Cowboy Healthcare  /  Services  /  Chronic Pain Management

Chronic Pain
Management

Pain that has lasted more than three months is chronic — and it responds to a completely different approach. We use evidence-based movement therapy and pain neuroscience to help you reclaim your life without relying solely on medication.

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Fibromyalgia Chronic Back Pain Nerve Pain Headaches Medication Reduction
A Different Approach

Chronic pain is real.
And it can change.

Chronic pain is not simply acute pain that persists. Over time, the nervous system adapts — sometimes amplifying pain signals in ways that are no longer connected to actual tissue damage. This is called central sensitisation, and understanding it changes everything about how we treat pain.

At Cowboy Healthcare, we don't just treat symptoms — we address the system. Our approach combines pain neuroscience education, graded movement exposure, manual therapy, and therapeutic exercise to retrain your nervous system and restore function.

Many of our chronic pain patients have seen multiple providers without lasting relief. We look at the full picture — your history, your movement patterns, your sleep, your stress load — because chronic pain is rarely just a physical problem. It's a whole-person problem that requires a whole-person approach.

Physical therapist working with patient
Conditions We Treat

If you've been told
"learn to live with it" — don't

🌡️

Fibromyalgia

Widespread musculoskeletal pain, fatigue, and cognitive difficulty. We use graded exercise, sleep hygiene education, and gentle movement therapy to reduce symptom burden and improve daily function.

🔩

Chronic Low Back Pain

The most common chronic pain condition. We address movement dysfunction, core stabilisation, posture, and fear-avoidance patterns — targeting why your back keeps hurting, not just where.

⚡

Nerve Pain & Radiculopathy

Shooting, burning, or electric pain from compressed or irritated nerves — including sciatica, carpal tunnel, and cervical radiculopathy. We reduce nerve tension and restore normal movement.

🧊

Complex Regional Pain Syndrome

CRPS involves intense, disproportionate pain in a limb following injury or surgery. We use graded motor imagery, desensitisation, and mirror therapy as part of an evidence-based CRPS protocol.

💆

Chronic Headaches & Neck Pain

Cervicogenic headaches, tension headaches, and chronic neck pain. We treat the muscular and joint contributors with manual therapy, postural correction, and dry needling.

🦷

TMJ & Facial Pain

Temporomandibular joint dysfunction causes jaw pain, clicking, headaches, and neck pain. We provide targeted manual therapy and jaw movement exercises to restore normal mechanics.

Our Method

How we treat
chronic pain differently

01
Pain Neuroscience EducationWe start by helping you understand the science of chronic pain — how the nervous system becomes sensitised, why pain doesn't always mean damage, and how that knowledge itself can reduce pain intensity. This is not "it's all in your head." It's biology.
02
Graded Exposure to MovementFear of movement (kinesiophobia) is one of the biggest drivers of chronic pain disability. We systematically and safely reintroduce movement your body has been avoiding, building tolerance and confidence at a pace that doesn't flare your symptoms.
03
Manual Therapy & Dry NeedlingHands-on techniques to reduce muscle tension, improve joint mobility, and interrupt the pain-spasm-pain cycle. Dry needling targets trigger points that contribute to chronic muscular pain and referred pain patterns.
04
Therapeutic ExerciseProgressive, pain-guided strengthening and mobility work. Exercise is one of the most powerful pain-reducing interventions available — but dose and progression matter enormously for chronic pain patients.
05
Lifestyle & Self-Management ToolsSleep, stress, and activity pacing directly affect chronic pain. We help you build a sustainable daily routine that reduces pain flares and maintains your gains long after PT ends.
Insurance

We accept your plan

Chronic pain PT is covered by Medicare and most commercial insurance plans when medically necessary. We accept BCBS, UnitedHealthcare, Aetna, Cigna, Humana, GEHA, and more. Contact us to verify before your first visit.

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Patient Reviews

What our patients
are saying

★★★★★

"Fibromyalgia for twelve years. Most PTs either don't understand it or overpush and cause flares. Cowboy did an actual assessment of my sensitisation and built a program that works with how my nervous system functions. First PT I've completed without a setback."

Angela D. Fibromyalgia Management · March 2026
★★★★★

"Chronic pelvic and lumbar pain after a work injury three years ago. Workers' comp PT was useless. Here they identified the actual movement dysfunction causing my pain and addressed it directly. I still have some pain but I have a real strategy now."

Steve K. Chronic Back Pain · February 2026
★★★★★

"Post-COVID pain syndrome — fatigue and aching that wouldn't resolve. My rehab here was paced carefully, they understand post-viral sequelae, and I'm at about 70% of where I was. More importantly I know what to do on bad days and how to build back safely."

Christine B. Post-COVID Pain · April 2026

You don't have to
hurt forever

Chronic pain changes with the right approach. We've helped patients who had given up on recovery find real, lasting relief. Let's start with an evaluation.

Book a Free Evaluation