When Pain Has No Clear Cause: How PRT Helps Ease Fear
In my last post, I shared about falling and hurting my arm. At the time, I was convinced it was broken. Every bump in the road on the way to the hospital increased my pain, as my mind imagined the bone shifting around. Yet the moment I learned from the doctor that there was no fracture, my pain decreased almost instantly.
That experience highlighted for me how much fear fuels pain — and how quickly reassurance can calm it. But what happens when reassurance doesn’t come? What happens when you’re living with chronic pain that doctors can’t fully explain or pain that lingers even when there’s no injury?
The Uncertainty of Unexplained Pain
When pain continues without a clear cause, it can feel deeply unsettling. Instead of the relief I felt when I learned my arm was safe, many people with chronic pain leave medical appointments with more questions than answers.
This uncertainty often increases fear. You might find yourself wondering:
- Why am I still hurting if nothing shows up on tests? 
- What if something serious is being missed? 
- Will I have this pain forever? 
That fear can become part of the pain itself, strengthening the nervous system’s alarm response and keeping the cycle going.
Understanding Pain Changes the Experience
This is where Pain Reprocessing Therapy (PRT) can be so powerful. PRT helps people understand that in many cases, chronic pain is not a sign of ongoing damage, but rather the brain misinterpreting safe signals as if they were dangerous.
This kind of pain — sometimes called neuroplastic pain — is very real, but it’s being generated and maintained by the brain’s protective wiring. Just as my pain eased the moment I learned my arm wasn’t broken, many people find that having a clear, science-based explanation of their pain reduces fear and lowers the intensity of their symptoms.
How PRT Helps Break the Fear-Pain Cycle
PRT offers tools and strategies to step out of the fear-pain loop:
- Reframing pain sensations: Recognizing that pain doesn’t always mean harm. 
- Reducing fear: Understanding the brain’s role in pain calms the nervous system. 
- Creating safety in the body: Gentle movement and mindfulness send reassuring signals of safety. 
- Building resilience: With practice, confidence grows, and the nervous system learns to quiet the danger alarm. 
Moving Forward with Hope
If you’ve been told “there’s nothing wrong” but you’re still experiencing chronic pain, please know that your pain is real — and it deserves care and understanding. What’s often missing is an explanation that makes sense, along with tools that target both the brain and body.
That’s exactly what Pain Reprocessing Therapy offers. In my online practice here in Nova Scotia, I work with individuals and groups to help people understand their pain, reduce fear, and begin to reclaim their lives.
👉 If this resonates with your own experience, I’d be honoured to support you. Reach out today to explore how PRT can help you break free from the fear-pain cycle.