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Dr. Cary H. Rothenberg, D.C.

Chiropractor focused on herniated discs

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Pain and injuries

What Is Chronic Pain and How Does It Affect Your Nervous System?

Dr. Cary H. Rothenberg, D.C., Chiropractor. Professional license 15265498.

Chronic pain lasts more than three months and can change the way the nervous system processes pain. Its management should be comprehensive: physical therapy, chiropractic care and relaxation techniques can help relieve symptoms and recover mobility.

Last updated: October 7, 2026.

Chronic pain is a condition that affects many people, lasting for months or even years. Unlike acute pain, which has a temporary cause, chronic pain becomes a long-term problem that affects both the body and the nervous system.

How Does Chronic Pain Affect the Nervous System?

When pain lasts more than three months, it can change the way the nervous system processes pain signals. This phenomenon, known as central sensitization, happens when the nerves become more sensitive to stimuli that would not normally cause pain.

Effects on the Nervous System

  • Altered pain perception: The nerves start sending pain signals even when there is no injury.
  • Increased nerve sensitivity: Pain signals become more intense, affecting both physical and emotional perception.
  • Emotional effects: Chronic pain can contribute to disorders such as anxiety and depression by changing the way the brain perceives emotions.

Treatments for Chronic Pain: Physical Therapy and Chiropractic Care

Treatment for chronic pain should be comprehensive, and both physical therapy and chiropractic care are options that can help relieve symptoms and restore mobility.

  • Physical Therapy: Physical therapy helps relieve chronic pain through exercises and stretching techniques that aim to improve mobility and reduce muscle tension. Therapeutic massage and manual therapy are also used to reduce inflammation and improve blood flow.
  • Chiropractic Care: Chiropractic adjustments focus on improving the alignment of the spine and relieving pressure on the nerves. This can reduce the intensity of the pain, helping people manage chronic pain better.

Chronic Pain Conditions Treatable with Physical Therapy and Chiropractic

  • Low back pain: Pain in the lower part of the back. It can be relieved with physical therapy exercises and chiropractic adjustments to improve posture and reduce inflammation.
  • Herniated Disc: A condition in which the intervertebral discs press on the nerves, causing pain. Chiropractic adjustments help reduce the pressure on the nerves.
  • Dorsalgia: Pain in the middle of the back. Physical therapy helps strengthen the muscles and correct posture, while chiropractic adjustments improve spinal alignment.
  • Cervicalgia: Neck pain that can be relieved with physical therapy exercises and chiropractic manipulation to improve neck mobility.
  • Sciatica: Pain along the sciatic nerve caused by a herniated disc. Physical therapy and chiropractic adjustments can relieve the pressure on the nerve.
  • Joint Pain: People with arthritis or other chronic joint problems benefit from physical therapy to improve mobility and strength, and from chiropractic adjustments to reduce tension in the joints.

Relaxation Techniques and Stress Management

Besides physical therapy and chiropractic care, relaxation techniques such as meditation and deep breathing are essential to reduce the emotional impact of chronic pain. These practices help lower stress and improve emotional well-being, which is crucial for managing chronic pain.

Improve Your Quality of Life with Specialized Treatment

Chronic pain is a complex condition that affects both the body and the nervous system. Fortunately, chiropractic care and physical therapy are treatments that can help relieve pain, improve mobility and restore quality of life. If you are experiencing chronic pain, it is advisable to seek specialized treatment that addresses both the physical and the emotional aspects of the condition.

Frequently asked questions

What is chronic pain?

Pain that persists for more than three months, even after the initial cause has gone away.

What are chronic symptoms?

Symptoms that last a long time, such as constant pain, fatigue, stiffness or inflammation.

How do you get rid of chronic pain?

With comprehensive treatment: physical therapy, medication, postural adjustments and psychological support.

What is chronic pain according to the WHO?

A persistent health condition that affects quality of life and needs multidisciplinary medical care.

Want to know what's going on?

At the evaluation we review your case and explain your options. The plan is set in consultation.