
TLC for Chronic Pain: A PT’s Guide to Long-Term Pain Relief
February 17, 2025Voices of chronic pain accompanied by stress and anxiety are becoming familiar conversations with many I encounter. Relentless pain following every step of your life can gradually decelerate your once-active life, and the activities you once took for granted can become a burden. Allow me to share three therapeutic tools that have not only been beneficial but are also supported by expanding research studies.
Train for Diaphragmatic Breathing
With poor posture combined with increased tension, we habitually use secondary breathing muscles of our neck and upper chest, resulting in inefficient and shallow breathing.
This causes spiraling effects of more tension and restrictions in our neck, shoulders, and upper chest, which often leaves us with compensated spinal and scapular systems. Pain also activates your fight or flight response (sympathetic system), where your body is alerted by stressful situations. Diaphragmatic breathing stimulates the “rest and digest” response (parasympathetic system), which brings balance to your system and helps your body relax.
Studies show that 5-10 minutes of diaphragmatic breathing 3x/day can facilitate relaxation. Diaphragmatic breathing combined with mindfulness meditation might provide a powerful haven to recenter your focus.
Logging Grateful State of Mind

There is an expanding body of research demonstrating the ability of a grateful perspective to modulate pain signals to the brain and increase a patient’s baseline threshold to painful stimuli. Thankfulness seems to modulate pain by activating reward-related areas in the prefrontal cortex while dampening the activity involved in processing pain signals. Thus, it alters the neurological loop that fuels chronic pain pathways.
Cultivating the conscious habit of thankfulness unlocks healing potential and elevates a higher sense of well-being. Start the practice of gratitude for small things by journaling or jotting down positive and joy-filled moments to reframe your mindset.
Community and Nurturing Social Connections
Another defense element lies in reaching out to your trusted social connections. We find tangible evidence that those, who are more socially connected, experience less pain than those who are less socially connected. When we are plugged into our community, we have a sense of belonging and this relational reserve supports us in trying times. When I meet individuals with a healthy support system, they demonstrate a more positive outlook and hope during challenging times.
I know…it’s counterintuitive or unthinkable to be thankful during painful and challenging times. However, from my personal and clinical experiences, I attest to the research findings that those who practice a habit of gratitude, especially with an accountable friend or group, will find ways to counteract the burdens of chronic pain by boosting hope and resilience.
If you find yourself caught in the spiraling effect of chronic pain, it’s essential to find ways to pull yourself out and protect your well-being. Here at CBPT, we specialize in addressing chronic pain and compensating patterns. Even while pursuing other means of relief, we are here to jumpstart your path of recovery and equip you with tools to manage those debilitating symptoms. Remember you are not alone!
References:
- Hopper, Susan I., Murray, Sherrie L., Ferrara, Lucille R., & Singleton, Joanne K. (2019). "Effectiveness of diaphragmatic breathing for reducing physiological and psychological stress in adults: a quantitative systematic review." JBI Database of Systematic Reviews and Implementation Reports. DOI: 10.11124/JBISRIR-2017-003848.
- Baumgartner, J. N., Haupt, M. R., & Case, L. K. (2023). "Chronic pain patients low in social connectedness report higher pain and need deeper pressure for pain relief." Emotion, 23(8), 2156–2168. DOI: 10.1037/emo0001228.
- Fa-ngam Charoenpol, Nuj Tontisirin, Borwornsom Leerapan, Rattaphol Seangrung, and Roderick J. Finlayson (2019). "Pain experiences and intrapersonal change among patients with chronic non-cancer pain after using a pain diary: a mixed-methods study." J Pain Res, 12, 477–487. DOI: 10.2147/JPR.S186105.
Struggling with Chronic Pain? Start Your Recovery Today!
Seeking expert care to manage chronic pain and regain control of your life? Our specialists at Coury & Buehler Physical Therapy are here to support you on your journey to relief! A representative will be in touch shortly.WANT MORE TIPS?

Anna is passionate about her work but truly appreciates the simple joy of being with her family and whipping up healthy meals for them. When she breaks from the kitchen, you’ll find her swimming or gardening.
Latest posts by Anna Cho, PT, MPT (see all)
- TLC for Chronic Pain: A PT’s Guide to Long-Term Pain Relief - February 17, 2025
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