Chronic Pain | Clinical Focus | Dr Bapoo
Clinical Focus

Chronic Pain

Chronic pain is rarely “just pain”. It is often a combined pattern of irritation, congestion, sensitivity, and reduced recovery capacity. The goal is not only relief, but to change the conditions that keep pain repeating.

What often drives chronic pain

Chronic pain usually reflects more than tissue damage. It commonly includes regulation problems: circulation that is stuck, nerves that are reactive, and recovery systems that are depleted.

Stuck circulation

When flow is restricted, tissues stay sensitised. Pain can be fixed in one place or move along a pathway.

Nervous system over-alertness

When the system stays “on”, pain signals amplify. Sleep and stress often become part of the pain loop.

Weak recovery capacity

If repair is slow, pain lingers. Fatigue, digestion issues, and repeated strain commonly coexist.

What I assess

I look for the pattern behind the pain, not only the location. This tells us what to treat first and what to treat next.

Triggers and timing

What worsens it: rest, movement, stress, food, cold, heat, time of day, or position.

Quality of pain

Sharp, dull, burning, heavy, tight, throbbing, or numbness. Each quality points to a different driver.

System signals

Sleep, digestion, temperature, mood, urination, energy, and inflammation signs.

How treatment is staged

Relief is important, but sequence matters. We stabilise the system first, then deepen repair, then consolidate gains.

1

Calm and open

Reduce reactivity, improve flow, and ease the immediate pain response without over-stimulating the system.

2

Support repair

Strengthen recovery capacity and rebuild tolerance so the body stops defaulting back into the same pain loop.

3

Prevent relapse

Lock in progress, reduce flare frequency, and build a simple plan that fits your actual day-to-day life.

Want a structured plan for your pain? Book a visit and bring your timeline: when it started, what changed it, and what makes it flare.
This information supports, but does not replace, medical diagnosis or emergency care. If pain is sudden, severe, associated with chest pain, weakness, loss of bowel or bladder control, or unexplained weight loss, seek urgent medical help. See Disclaimer.