Whether it’s fibromyalgia, CRPS, recurring injuries, nerve pain, or postural tension that never seems to resolve — these are not random dysfunctions. They’re signs of a system that doesn’t have the energy or resources to repair.

Most patients with chronic pain have already tried:

• Physical therapy or chiropractic

• Injections, medications, or surgery

• Imaging that found “nothing wrong”

• Rehab exercises or mobility programs

• Anti-inflammatory diets or supplements

And they’re still in pain. That’s because what’s driving the pain hasn’t been addressed.

What’s really happening in chronic pain

Tissue healing, nerve regulation, and structural support all depend on one thing: available energy.

When the system is under stress — and metabolic output is low — the body shifts into conservation. Oxygen delivery drops. CO₂ tolerance declines. Inflammation builds. Nerves become hyperactive. Muscles become tight and reactive. Recovery slows.

Common patterns in metabolic pain states:

• Tension that doesn’t release, even after treatment

• Nerve pain or “zaps” that follow no clear injury

• Pain that moves or flares with no predictable pattern

• Recurring injuries in the same tissue or region

• Burning, tingling, or hypersensitivity

• Sensations out of proportion to the findings on exam or imaging

This is not “all in your head.” It’s a whole-body energy failure — and the pain is real.

The link between metabolism and pain

Pain sensitivity increases when:

• Oxygen is poorly delivered (due to low CO₂ or poor circulation)

• Fuel is insufficient or unable to be oxidized (especially glucose)

• Recovery is suppressed (by high cortisol or low thyroid)

• Nerves are overexcited (due to low magnesium, poor blood flow, or serotonin dominance)

• The brain is overloaded (from chronic stress signaling and sensory amplification)

Unless these are addressed, manual therapy, exercises, or injections won’t hold.

Clinical evaluation includes:

• Breath patterns and CO₂ tolerance

• Nervous system tone

• Temperature, pulse, and oxygenation

• Stress hormone dominance

• Nutrient status (especially glucose, sodium, potassium, magnesium)

• Thyroid, liver, and sleep

• Injury history and treatment response history

Treatment strategy: raise the metabolic threshold for pain

The goal is to improve tissue tolerance, reduce nerve sensitivity, and increase the margin for healing — by raising the system’s energy availability and reducing compensatory stress load.

That includes:

• Supporting thyroid and liver function to restore recovery

• Increasing CO₂ tolerance to improve oxygen delivery

• Stabilizing blood sugar and sodium to fuel nerves and muscles

• Reducing adrenaline/cortisol dominance to calm inflammation

• Tracking temperature, pulse, and recovery markers

When energy improves, tissues adapt faster. Pain becomes less reactive. And interventions (like manual therapy or movement) start working again.

If you’ve tried everything and still hurt — it’s time to treat the system, not just the site. Chronic pain is not a life sentence. It’s a signal. And it can be resolved.