Chronic Pain Management Program

What is chronic pain?

Chronic pain is different from typical pain. It is a continuously long-lasting pain (at least 12 weeks), persisting even after the cause of illness or injury has healed. With chronic pain, the body communicates ongoing pain signals to the brain. Or, the brain begins to generate the pain signal by itself. Chronic pain has a significant impact on the sufferer. Chronic pain has different types, including chronic headache, post-surgical pain, post-traumatic pain, lower back pain, bone pain, neuropathic pain (nerve pain), and chronic myofascial pain.

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What is chronic pain treatment?

The main goal of treatment is to reduce pain and help you return to daily activities without discomfort. Success in reaching chronic pain treatment goals requires the integration of a variety of options. The chronic pain treatment consists of medication, rehabilitation, shock wave therapy, nerve block, and dry needle tapping. Additional therapies may be added, such as medical massage, yoga, meditation, exercise, mindfulness, and coaching.

What types of chronic pain do we treat?

At ChivaCare, we treat several types of chronic pain, from body pain, muscle pain, bone pain, nerve pain to headache. It is essential to identify the cause of chronic pain as the treatment options and combinations may differ.

  • Muscle pain (fibromyalgia, myofascial pain): medication, shock wave treatments, stretching exercises, and adjustments to nutritional balance can help. Blood tests are suggested when checking factors related to muscle pain. These tests may include checking thyroid function.
  • Back pain: when back pain is caused by a spinal bone problem or nerve entrapment, physical therapy plays a crucial role in recovery to avoid long term damage and surgery.
  • Nerve pain (neuropathy) : this type of pain is caused by nerve damage or injury. A combination of medication can ease hyper nerve excitability, and together with physical therapy, can help recovery. Transcutaneous Electro-Nerve Stimulator (TENS) units use pads that are placed on your skin to provide stimulation around the area of pain and may help to reduce these types of pain symptoms. Injection for a nerve block is needed in some cases.
  • Headache : At Chivacare, we have leading specialists in headache and pain reduction. The team has experience treating migraine and other types of headaches. Depending on the specific kind of migraine, newly developed medication (Aimovig), an occipital nerve block, and botox are used in our clinic when required.

Who is on our pain expertise team?

Pain management needs a multidisciplinary approach. Our team includes a neurologist that specializes in pain, a rehabilitation doctor, a physical therapist, an occupational therapist, and a therapeutic massage specialist. We also work with other health and wellness specialists as appropriate to complement our medical treatment. The team focuses on developing a personalized approach and emphasizes fixing the root of the problem, as well as avoiding over the counter drugs that may have long-term side effects. 

Why ChivaCare in Chiang Mai?

Apart from the best option and team that Chivacare provides for successful pain treatment, the environment also affects the mind and body in recovery. From the various activities, hospitality, and culture of the top destinations in Chiangmai, it is the best place to detoxify the body and support the mind for pain healing. 

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Why consider chronic pain treatment?

Treat chronic pain comprehensively. When the pain signal happens, it begins to stimulate neurons in the brain to recognize pain. And when the pain becomes chronic, prolonged stimulation of the brain can cause the pain to become more challenging to treat. That prolonged stimulation is linked to long term complications such as depression, sleep problems, drug addiction. These can significantly impact the quality of life.

What are the benefits of chronic pain rehabilitation?

Rehabilitation is the set of treatment options to address the causes of pain, preventing further damage by strengthening the bone/muscle and avoid overuse of pain medications. Rehabilitation also provides long term benefits and helps avoid further damage that may require surgery. 

Who is the right candidate for chronic pain rehabilitation?

If you have pain more than 12 weeks and need medication for relieving pain symptoms, it is time to see a pain specialist team. Here we can evaluate the cause, plan the comprehensive treatment, and provide a long term approach. 

How much does chronic pain treatment cost?

Chronic pain treatment costs depend on the underlying disease that caused the pain and its severity. Customers have reported that comprehensive treatments at ChivaCare in Chiang Mai can be a fraction of costs in their home countries. Customers have shared further that the cost of three weeks of care at ChivaCare were less than a few days of treatment in Hong Kong or Switzerland. Apart from lower costs, in Chiang Mai, it’s possible to combine the treatments and rehabilitation with a stay in a restorative environment.

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Chronic Pain Experts Answer Your Questions

Chronic Pain Management Program Details

ChivaCare applies integrated medical therapies and evidence-based treatments in a person-centered and holistic way to address the patient’s specific medical condition. We can also assist with improved physical fitness and changes in lifestyle that can have a big impact on the patient’s health.


Step 1 : Pre-Arrival

Prior to arrival we send you a questionnaire and arrange a phone call. We ask for medical records, referrals, insurance requirements, accompanying travelers if any, special requirement, etc.

Transport and accommodation can be arranged by ChivaCare. Activities and medical treatment such as dental care are available.

** The program on day one depends on patient’s medical condition, distance traveled, time of arrival etc. Treatment may begin on Day 2. We also offer basic (economy) and gold program options.

Step 2 : Arrival, Check-in & Assessment 

The program on Day 1 depends on medical condition, distance traveled, and time of arrival. At ChivaCare, the first step is to meet with our team of doctors, therapists and health specialists who adjust and recommend your program.

Step 3 : Programs and Timing

Agree on programs, optional components, and optional activities on-site and off-site. The chronic pain treatment consists of medication, rehabilitation, shock wave therapy, nerve block, and dry needle tapping. Additional therapies may be added, such as medical massage, yoga, meditation, exercise, mindfulness, and coaching.

Step 4 : Treatment Program

Each day, customers spend at least half the day at ChivaCare. They are provided with lunch, drinks and snacks. Additional treatments are possible during the rest of the day. Our doctors and therapists continually review and discuss progress and meet with you. Programs may change from day-to-day updated to your needs and increasing motivation.

Step 5 : Check-Out & After-Service 

On completion of the program, there is a formal check-out with our medical team. We provide a report and recommendation for further treatment and/or exercises at home. On return to your home country, we continue to support your recovery via our tele-rehabilitation service.

Accommodation & Transportation

We work with a range of partners to provide optional accommodation options. They include 5-star resorts, 4-star hotels, boutique hotels, long stay facilities, and nursing homes.

Additional Activities (Optional Component)

Chiang Mai is an excellent area for cultural, educational, and creative activities. We can suggest and arrange a full program before or after arrival.

Rejuvenation and Fitness – (Optional Component)

The combination has a higher focus on mental and physical fitness and involves many exercises. It can be adjusted to current health condition, fitness, age, and preferences.