Changepain

Why chronic pain affects more than just your body and what integrated care can do about it

If you’ve been living with chronic pain, you already know it doesn’t stay in one place.

It spreads into your sleep. Into your relationships. Into the way you move through a day, plan a week, imagine a future. Pain that persists changes more than the body — it reshapes how a person thinks, feels, and functions.

This isn’t weakness. It’s biology.

The connection between pain and mental health

Research in pain neuroscience has shown that chronic pain involves the central nervous system in complex ways. The brain processes pain signals differently over time, and factors like stress, anxiety, poor sleep, and low mood can amplify the experience of pain, not because the pain is imaginary, but because the nervous system is sensitive, adaptive, and deeply connected to emotional states.

This means that addressing chronic pain effectively often requires looking beyond the site of injury or discomfort. A sore knee, a painful back, or persistent headaches don’t exist in isolation from the rest of a person’s life.

What integrated care actually means

At Changepain Clinic, integrated care isn’t a marketing phrase. It describes how our team actually works.

When a patient comes to us, they’re not seen by a single provider in isolation. Medical specialists, physiotherapists, kinesiologists, counsellors, and other allied health professionals communicate regularly, share records, and collaborate on treatment plans. The goal is to understand the full picture  not just the presenting symptom.

This matters because the path forward for someone dealing with chronic pain often involves multiple areas at once. A patient might benefit from medication review and physiotherapy. Or from active rehabilitation and counselling. Or from physician-led group sessions that provide both education and community.

No single approach works for everyone. But a team that works together has more tools to find what works for each person.

This means that addressing chronic pain effectively often requires looking beyond the site of injury or discomfort. A sore knee, a painful back, or persistent headaches don’t exist in isolation from the rest of a person’s life.

Mental Health Awareness Month, a reminder worth keeping

May is Mental Health Awareness Month, and it feels like an appropriate moment to say this plainly: if you are living with chronic pain and your mental health has suffered, that connection is real, it is recognized, and it is something that can be addressed.

You don’t need to separate your physical symptoms from your emotional experience when you seek care. The two are linked, and good care acknowledges that.

Where to start

If you’re already a patient at Changepain, speak with your care provider about the full range of services available, including counselling and our Virtual Group Medical Visits, which include sessions specifically focused on brain health and wellness.

If you’re new to Changepain, Allied Health services  including counselling are available without a referral. You can reach our Allied Health Coordinator at rehab@changepain.ca or 604-566-9101 ext. 106.

You don’t have to manage pain alone. And you don’t have to choose between your physical and mental health because real care addresses both.

You don’t need to separate your physical symptoms from your emotional experience when you seek care. The two are linked, and good care acknowledges that.

Cost of Initial Assessments - Non-MSP Medical


Private Medical Consultation (PMC) Multidisciplinary Private Assessment (MDPA)
Description Expedited, focused assessment to determine fit for non-MSP covered services requested:
IV Lidocaine Infusion, Ketamine Therapies, Prolotherapy, BOTOX, Platelet Rich Plasma (PRP).
Comprehensive functional and medical assessment with a multidisciplinary report addressing the biopsychosocial issues identified.
Care Team Pain Specialist Pain Specialist
Functional Movement Specialist
Duration 30 minutes 2 hours
Cost $450.00 $3,500.00

This will close in 0 seconds

Cost of Initial Assessments - Allied Health


Assessment Duration Cost
Chiropractic Initial 60 minutes $165.00
Physiotherapy Initial 60 minutes $160.00
Kinesiology Initial 45 minutes $90.00 (+ tax)
Counselling Initial 90 minutes $250.00
Acupuncture Initial 45 minutes $140.00

This will close in 0 seconds