Case Studies
Real-world examples demonstrating successful outcomes for complex pain conditions using evidence-based whole-person approaches
Please note: These case studies represent composite examples based on typical treatment patterns. Individual outcomes vary and are influenced by many factors including chronicity, complexity, and individual circumstances. Recovery is a journey that requires active participation and realistic expectations.
Chronic Pelvic Pain Syndrome - 3 Year Duration
42-year-old male
Initial Presentation
- Constant pelvic/perineal pain with sitting
- Pain rated 7-8/10 daily
- Unable to work full-time
- Anxiety and sleep disturbance
- Multiple investigations with no clear findings
Treatment Approach
- Comprehensive pain assessment identifying physical, psychological, and lifestyle contributors
- Pain education using contemporary pain science
- Graded pelvic floor relaxation and breathing strategies
- Movement pattern retraining
- Cognitive behavioural strategies for pain management
- Gradual return to valued activities
Outcomes
- Pain reduced to 2-3/10 after 6 months
- Able to sit comfortably for 4+ hours
- Returned to full-time work
- Improved sleep and reduced anxiety
- Developed effective self-management strategies
Complex Regional Pain Syndrome (CRPS) - Upper Limb
35-year-old female
Initial Presentation
- Severe burning pain in hand and forearm (8-9/10)
- Hypersensitivity to touch and temperature
- Colour and temperature changes in affected limb
- Fear of movement and protective behaviours
- Previous treatments: multiple pain medications, nerve blocks (limited benefit)
Treatment Approach
- Education about CRPS and neuroplasticity
- Graded Motor Imagery programme
- Sensory discrimination training
- Gradual exposure to feared movements and sensations
- Stress management and pacing strategies
- Collaboration with pain consultant for medication optimisation
Outcomes
- Pain reduced to 3-4/10
- Improved hand function and return to normal use
- Reduced hypersensitivity
- Confident self-management of flare-ups
- Returned to hobbies (piano playing)
- Reduced medication requirements
Post-Prostatectomy Chronic Pain
58-year-old male
Initial Presentation
- Persistent pelvic pain following prostate surgery
- Pain with sitting and during intercourse
- Urinary urgency and frequency
- Frustration with lack of improvement
- Impact on relationship and quality of life
Treatment Approach
- Detailed assessment of pelvic floor muscle function
- Manual therapy for pelvic floor muscle tension
- Bladder retraining programme
- Relaxation and breathing strategies
- Graded return to physical and sexual activity
- Partner education and involvement
Outcomes
- Significant reduction in pelvic pain (80% improvement)
- Improved sitting tolerance
- Normalised bladder function
- Resumed intimate relationship
- Improved mood and confidence
Persistent Lower Limb Pain with Sensitisation
47-year-old female
Initial Presentation
- Burning pain in leg and foot after back surgery
- Multiple failed treatments including further surgery
- High levels of fear-avoidance
- Reduced mobility and deconditioning
- Low mood and feelings of hopelessness
Treatment Approach
- Pain reconceptualisation using contemporary neuroscience
- Graded exposure to feared movements
- Progressive strengthening and conditioning
- Mindfulness-based pain management
- Goal-oriented rehabilitation
- Collaboration with GP for psychological support
Outcomes
- Pain intensity reduced by 50%
- Walking tolerance increased from 5 to 45 minutes
- Reduced catastrophising and improved coping
- Returned to gardening and social activities
- Developed realistic but positive outlook
Key Principles from These Cases
Whole-Person Approach
Success requires addressing physical, psychological, and lifestyle factors—not just focusing on the painful area.
Education is Essential
Understanding pain mechanisms reduces fear, empowers decision-making, and supports behavioural change.
Active Participation
Recovery requires active engagement with strategies, exercises, and lifestyle changes—it's not a passive "treatment."
Time and Patience
Recovery from persistent pain typically takes months, not weeks. Gradual progression and realistic expectations are crucial.
Individualised Care
Each person's pain experience is unique, requiring tailored assessment and treatment rather than generic protocols.
Could This Approach Help You?
If you're experiencing persistent pain and want to explore whether this whole-person approach could support your recovery, book a free discovery call.