Chronic Pain Physical Therapy

It makes so much sense that you feel exhausted.

You’ve been living with chronic or persistent pain and have tried traditional pain care like PT, chiropractic, massage, acupuncture, and/or pain specialists only to feel like your symptoms have been dismissed or misunderstood.

Here’s what you need to know…

Your pain is real and it’s complex.

You are not alone and you are not broken.

Pain is influenced by more than your tissues, movement patterns, or posture. Your nervous system, sleep, stress levels, lifestyle, and pace of life all shape your pain experience.

That’s why I take a holistic, trauma-informed, mind-body approach to chronic pain physical therapy.

Together, we’ll support your body and nervous system by integrating:

  • Pain science education

  • Mindfulness practices and nervous system regulation

  • Well-being coaching to support stress, sleep, nutrition, hydration, and physical activity

  • Gentle movement practice, pacing, and a gradual return to activity

Your relationship to your pain can change - from fear and frustration to curiosity and compassion. This shift can help you re-engage in your life, relationships, and work in ways that are fulfilling and meaningful for you.

Physical therapy for chronic pain in Bend, OR.
  • Chronic neck and back pain

  • Chronic muscle pain or tenderness

  • Chronic joint pain or instability

  • Persistent pain after an injury or surgery

  • Unpredictable pain or flare-ups

  • Pain that moves around

  • Postural pain

  • Fear of movement after injury

Common chronic pain issues I treat:

What you can expect at Orchard Physical Therapy + Coaching

One-on-One Sessions

It’s just you and me during your sessions, so you’ll receive my undivided attention with no distractions for your whole session.

Private Treatment Studio

A space for you to share your concerns and for us to work together to find a solution to support your healing.

Holistic + Integrative Treatment

Hands on therapy, movement re-education, mobility work, cupping therapy, scraping, nervous system care, mind-body connection, mindfulness, education

Individualized Plan

Personalized plan that meets your body and nervous system where you are and builds your capacity in alignment with your goals.

Physical therapy for chronic pain in Bend, Oregon.

My approach to chronic pain physical therapy is best received by people who…

  • Have tried traditional approaches to pain care and haven’t experienced the results they were hoping for

  • Are looking for care that feels calm, compassionate, and attuned to their pace (not rushed or overstimulating)

  • Are open to exploring different approaches to pain management as a path to rebuild a sense of trust, safety, and agency

  • Are ready to take ownership of their healing journey and want a guide to support and empower them along the way

  • Value whole-person, personalized care that’s nervous-system and trauma-informed

In-Network Insurance

Blue Cross/Blue Shield

PacificSource

Most insurance plans cover physical therapy, though you may have a copay, co-insurance, or deductible.

If you are uncertain of your physical therapy benefits, please contact me and I will help you determine your benefits to the best of my abilities. It is always in your best interest to understand your insurance benefits by contacting your insurance company directly.

*Please Note: I am NOT a contracted provider with Medicaid, Oregon Health Plan, Medicare, or supplemental Medicare insurance plans.

Out-of-Network

If you have an insurance plan other than Blue Cross/Blue Shield or PacificSource, I offer self-pay rates.

Initial Evaluation and Treatment (75 min) $185*

Follow-up Treatment Sessions (60 min) $150*

Payment is due at the time of service.

Upon request, you will be provided with a detailed receipt which you may submit to your insurance provider for out-of-network reimbursement.

*Pay What You Can pricing is available. Please complete this form for more information.

  • Testimonial

    Bre is on my "favorites" call list.

    She is my go-to when a pain creeps up and doesn't subside.

    I have a new outlook on pain/injuries now, thanks to Bre.

    I used to think "Omg, this is going to be bad. Whatever this injury is, it will take me out of my workouts for months!"

    She taught me more about self talk and about disastrous thinking.

    Now, when I have pain I think to myself this could be something minor. (This is huge for me!)

    Bre will set you on a path you never knew possible.

    Run, don't walk. Or, just get there if running isn't an option. :)

    SR

  • Testimonial

    Bre made me feel hopeful again, when previous providers had written my condition off as chronic pain. Her patience and creativity made me feel safe in pushing harder to reach my goals.

    KG

FAQs

Chronic Pain PT

  • My work is rooted in orthopedic physical therapy, but my approach is shaped by the understanding that pain and healing are not just physical, they’re also shaped by our nervous system, emotions, stress, and lived experience.

    I draw on training in coaching, nervous system regulation, trauma-informed care, and pain science to offer support that treats the whole person.

    I believe the highest care is delivered in a one-on-one setting, so you’ll see me for each treatment and will never be passed off to an aide or tech throughout the course of your care.

    All treatments take place in a private treatment studio.

  • With chronic pain PT we’ll spend more time understanding how your pain is showing up for you and the impacts of your lifestyle and nervous system on your pain and flare-ups. 

    When you’ve been dealing with chronic pain, the pain itself can become a stressor. Together, we’ll explore ways to understand pain so pain feels less scary or overwhelming. Often, you shift from “what went wrong?” to “what’s my pain trying to communicate to me?”

  • A session might include talking about how pain works, re-building trust and connection with your body through mindfulness and nervous system regulation practice, re-introducing movement at a pace that feels right for your body, and hands-on treatments like massage, joint mobilizations, or cupping therapy.

  • When you’ve tried so many treatments and are still in pain, it’s easy to feel like nothing will work. 

    Together, we’ll spend time exploring what you’ve already tried and where we can take a different approach. 

    We’ll look at when your pain tends to show up and how your life and nervous system influence your pain.

    We’ll talk about how pain works, so it feels less scary and confusing, incorporate mindfulness practices, and you’ll learn how to balance activity and rest so you don’t end up in boom-bust cycles where you do too much and then crash.

  • Absolutely! We don’t need a clear diagnosis to help you start feeling better.

    We can look at how your pain shows up, what makes it better or worse, and how it’s affecting your life and well-being.

  • Your fear of movement making your pain worse is so understandable. 

    My approach is to gradually introduce movement. We’ll start with exploring what movement patterns and activities you feel safe doing, then slowly re-introduce movements you’ve been unsure about. We won’t rush into anything and will always honor when you or your body says “nope, this movement is not for me right now.” This approach is especially helpful if you’ve felt stuck in fear of movement or worry about making your pain worse.

  • Yes! All of these conditions benefit from understanding how pain works, mindfulness and nervous system regulation practices, re-introduction of activity while avoiding boom-bust cycles, self massage, and hands-on therapies

  • This is really based on the individual, but for folks who are open to exploring new ways of addressing chronic pain and are wanting a holistic approach to their care, we can often see progress in 3-6 visits. 

    Now, this does not mean your pain will go away completely in that timeframe, but you might notice that pain feels less overwhelming or you’re able to do more with less fear.

Get started on your journey toward chronic pain recovery!