Complicated Pain Recovery

The presence of persistent pain, with its associated impairment and dysfunction, has been labeled “chronic pain syndrome” in conventional medical and psychological jargon. Unfortunately, the accompanying “chronic pain management” treatment approach has done little to alleviate suffering, address the risk of substance abuse/addiction, or deal with co-occurring mood disorders and trauma.

Following a quarter century of trans-disciplinary studies in pain, physical rehabilitation, addiction recovery, psychology, trauma and wellness coaching, I am pleased to present Complicated Pain Recovery™, a unique educational and coaching model designed to resolve the entanglement of physical, psychological, biochemical, and attitudinal factors which inhibit one’s natural potential for healing and well-being. Complicated Pain Recovery™ focuses on the 85 to 90% of pain recovery that does not require direct medical expertise. This model holds that there are four major categories of complicating factors that get in the way of the natural recovery from a painful condition. These four areas very briefly are:

  1. Bio-mechanical Stressors
  2. Hyper-sensitization
  3. Metabolic Inflammation
  4. Inertial Forces

These four areas correlate to the four aspects of pain: pain, suffering, tenderness and negativity.

I have created Compaire Consulting, LLC for the purpose of providing insight and awareness into the true nature of un-resolving pain.

Our vision is a world of mental health and addiction services that work for people in pain.

Our mission is to provide the tools that will restore comfort and well-being to those enmeshed with complicated pain.

Designed primarily with mental health/addiction professionals, facilities, and programs in mind, Compaire Consulting, LLC offers consultation, training, educational materials and workshops that delve into the true nature of un-resolving pain. These services include education about the four major complicating factors and how they interact to inhibit natural healing. Therapists, coaches, and other professionals will learn how to effectively assess their clients, educate them regarding the nature of their pain, coach them toward an integrated program of pain recovery, and identify when additional outside expertise is required.

Jerry Lerner, MD first coined the term “complicated pain” in the 1990s (American Journal of Pain Management, 10/96) after observing that there were certain common patterns of complicating and perpetuating factors in those people suffering with pain who did not respond to good and appropriate treatment. He embarked on a multi-decade exploration of these complicating factors, how they interact with each other, and how to unlock this pattern so that individuals could restore their resilience and progress toward natural healing and recovery. Dr. Lerner has personally worked with thousands of individuals struggling with pain and has observed over and over again an inherent potential for healing and recovery that far exceeds what the conventional medical pain paradigm offers. He is dedicated to sharing his insights and experience with professionals interested in bringing comfort and relief to those in pain.

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