Chronic Pain Management
Dr Packiam’s Chronic Pain Services
An INNOVATIVE, EVIDENCE-BASED MIND-BODY approach to persistent pain. Ruach offers a comprehensive chronic pain management service that integrates contemporary medical care with neuroscience-informed treatment approaches.
Chronic pain is influenced not only by tissues and structural factors but also how the brain and nervous system process pain signals over time. Effective treatment therefore requires a whole-person, brain-body approach.
Pain Reprocessing Therapy (PRT)
Ruach has practitioners AND health professionals that are trained in Pain Reprocessing Therapy (PRT), a cutting-edge, evidence-based approach to pain. PRT aims to train the brain to change and rewire itself. The goal is not to just cope with pain but to also recover and reduce the pain by changing how the brain processes danger signals.
Rather than focusing solely on symptom suppression, PRT works by helping the brain:
● Reinterpret pain signals that have become “learned” or over-amplified
● Reduce fear and threat responses associated with chronic pain
● Gradually retrain pain pathways toward a non-danger response pattern
What to Expect
We aim to provide structured and supportive care, which can include:
– A comprehensive initial assessment of your pain history, triggers and impact on function
– Education on the neuroscience of chronic pain in a clear, practical way
– PRT techniques to retrain pain responses
– Strategies to reduce fear, tension and pain-related nervous system activation
– Regular follow-up appointments to monitor progress and refine the approach
THE FOCUS
This management plan aims to:
– Improve daily function and quality of life
– Reduce the pain intensity and sensitivity over time
– Address the brain-nervous system component of chronic pain
– Support confidence in movement and activity
– Reduce reliance on long-term symptom suppression alone.
– ern that can be retrained over time with the right approach and support.
WHY CHOOSE US
One of a small number of clinicians in Australia that trained in PRT
– A structured, evidence-informed approach to complex chronic pain
– Integration of neuroscience, lifestyle medicine and general practice care
– A focus on long-term recovery and functional improvement, not just symptom management
– Patient-centred support tailored to the individual’s needs.
Advanced PRT Certification /PPDA CERTIFICATION
