09/22/2025
🧠 Not all pain is the same.
One of the most important parts of my job is figuring out what kind of pain you’re actually dealing with—because that changes how I help you.
Here are the 3 main types:
• Nociceptive pain → This is pain from actual or potential tissue damage. It’s usually mechanical or inflammatory in nature (sprains, cuts, inflammation) and tends to follow predictable patterns—certain things make it worse, certain things make it better.
• Neuropathic pain → This comes from irritation or injury to the nerves themselves. It can feel sharp, burning, shooting, or even electric-like (sciatica, diabetic neuropathy).
• Nociplastic pain → This one’s trickier. It happens when the way the brain and nervous system process pain becomes altered. The result is often widespread, out-of-proportion pain with heightened sensitivity (like fibromyalgia).
👉 Knowing which type of pain you’re experiencing allows me to target the right systems—whether it’s working with the tissues, calming the nervous system, or helping your body reset its pain processing.
That’s why my sessions aren’t just about “where it hurts.” They’re about why it hurts—and what we can do to change it.
🧠 Pain isn’t one-size-fits-all.
As therapists, distinguishing between pain types is important for assessment and treatment planning.
• Nociceptive pain → Driven by actual or threatened tissue damage. Often mechanical or inflammatory in nature, with predictable aggravating/relieving factors (think- sprains, cuts, inflammation).
• Neuropathic pain → Originates from injury or disease of the somatosensory nervous system. Characterized by burning, shooting, or electric-like qualities (like sciatica, diabetic neuropathy).
• Nociplastic pain → Results from altered central pain processing, without clear tissue or nerve damage. Often widespread, disproportionate, and associated with hypersensitivity (like fibromyalgia).
📌 Identifying the mechanism helps us tailor interventions — whether addressing tissue, modulating the nervous system, or supporting central processing.