Care Plan for Chronic Pain: Pain Management Tips

care plan for chronic pain

What is your treatment care plan for chronic pain? I have had migraine my whole life and lived with chronic pain along with them. My head is the main spot for pain, in my case. It changes locations from intense swelling and throbbing in my occipital (back of the head) to face pain consisting of pressure behind my eyes and shooting pain down my jaw. My neck and shoulders hold a ton of tension, making my posture bad while my entire body aches. I often feel clenching my jaw, fists, legs, and muscles when I don’t even know it. It feels like I’m in fight or flight mode, either battling or succumbing to my pain. In this post, I will share my chronic pain tips and ways to manage pain.

There are so many ways to manage pain without medication or added to it. I find that because each migraine attack is different, so is my pain and my management of it. Having various options is helpful since nothing works the same every time.

Care Plan for Chronic Pain

Care Plan for Chronic Pain

Mind-Body Medicine

Using the powers of the mind to produce changes in the body can help all types of chronic pain. Reducing stressful and pain-inducing emotions such as panic and fear can refocus attention on subjects other than pain. Have you tried: relaxation training, controlled breathing, meditation, biofeedback, visual Imagery, or hypnosis?

Relaxation Training

Relaxation training involves concentration and slow, deep breathing to release muscle tension and relieve pain. Learning to relax takes practice, but relaxation training can focus attention away from pain and release tension from all muscles. To learn these skills, relaxation apps and videos are widely available.

Controlled Breathing

I have found this hugely helpful, especially as a migraine attack spikes. Before I knew how to control my breathing, I used to panic, knowing what was coming, and now I focus on breathing; I sit in a relaxed, reclining position in a dark room and close my eyes. Slowing down my breathing and taking deep breaths, using the chest (and not the abdomen), allow me to calm down. I try to focus on deep breaths in and out and repeat for several minutes.


Meditation focuses the mind on something specific (such as breathing or repeating a word or phrase) to quiet it. It requires relaxing the muscles, clearing your mind, and taking slow breaths to help occupy your mind and reduce pain. Practicing “mindfulness” is an excellent way to build mental strength and reduce stress levels that can accelerate pain symptoms.


Biofeedback is taught by a professional who uses special machines to help control bodily functions, such as heart rate and muscle tension, brain activity and skin temperature. It can be used to reinforce relaxation training and, once mastered, can be practiced without using the machine.

Visual Imagery and distraction

Mental Imagery (guided Imagery) involves concentrating on mental pictures of pleasant scenes or events or mentally repeating positive words or phrases to reduce pain. It is a form of mental escape that can help you feel peaceful while involving calming, peaceful images in your mind.

Distraction techniques focus away from negative or painful images on positive thoughts. This technique may include simple activities, such as watching television or a favorite movie, reading a book or listening to a book on tape, listening to music, or talking to a friend.


Has anyone tried this? I haven’t, and I’d love to hear about your experience! This technique can be used in two ways to reduce pain perception. Some people are hypnotized by a therapist and given a post-hypnotic suggestion that reduces the pain they feel. Others are taught self-hypnosis and can hypnotize themselves when pain interrupts their ability to function. Self-hypnosis is a form of relaxation training.

Care Plan from a Professional Therapist

These practices rely on professionals to help manage pain. I find these options to be super helpful but also expensive. Insurance doesn’t cover it or not enough, and I quit because of the cost. It is such a treat for me and really helps, though.

Some examples may be massage (my favorite!!!), reiki, physical therapy, acupuncture, chiropractic manipulation, or clinical psychology.


Reiki is when the practitioner moves her hands over the energy fields of the client’s body to increase energy flow and restore balance.

Clinical Psychologists

Psychologists can help chronic pain sufferers work through daily struggles and offer strategies to help manage pain, improve mood and sleep, and recognize how unhelpful thoughts feed into the pain cycle.

Chronic Pain Tips

  • I don’t drink alcohol, which can worsen sleep problems and is triggering, and I don’t smoke.
  • Get adequate and consistent sleep the best I can.
  • Eat a healthy diet with anti-inflammatory foods, and take supplements like ginger, turmeric, etc.
  • Reduce stress by using the techniques we discussed above.
  • Exercise raises endorphins, serotonin, and dopamine, increasing my pain threshold. Movement and activity will stimulate your circulation, which may also help. I like yoga, Pilates, and walking. I’m interested in Tai chi, a slow-flowing Chinese practice that improves balance but has yet to try it.

Devices and Products

Some examples may be the TENS unit, GammaCore, Cefaly, and Nerivo for migraine treatment. I don’t use any of those anymore. I tried the tens unit years ago and found it sat in my closet among other failed products or drugs. So I tend not to try them, although so many have found relief. I love heat and ice. I use heat to soothe my neck and shoulder muscles and warm my cold toes, fingers, and nose. Sometimes, I use it for sinus pain also. I use ice for my aching heat, freezing trigger points, and numb my head.

Cannabis/CBD Products

I have found CBD and Hemp products to be hit or miss. Cannabis has been studied to be helpful, but it is all a learning process that holds stigma and legality issues.

Support Care Plan Chronic Pain

I see my neurologist, who provides me with medication I may need. I’m the type that needs medication and many different therapies. Support groups (like the Healthline app) allow me to meet others living with chronic pain and feel less alone. I love meeting people there and chatting. It’s a relationship I nurture from the comfort of my home and still feel connected to. Additionally, I connect on Facebook, Instagram, and Twitter.

I now work to have a positive work environment. Having a comfortable workspace and control to reduce stress allows me to have control over pain and work more effectively. This has taken me years to figure out! A toxic work environment makes me VERY sick. Above all, I try to have healthy relationships. I have found that honest and supportive friendships and family relationships ease stress and encourage self-care.

Final Thoughts on Care Plan for Chronic Pain

In conclusion, being in chronic pain is exhausting, frustrating, and often defeating. Mentally, it is as hard as physically dealing with it for me. I get frustrated when all these techniques don’t add to relief—having a preferred care plan for chronic pain gives me control. When it works and feel like I’ve lost everything when nothing works. Living in pain and trying to manage it is not linear. I have good days and bad days. I have days I find relief and days that nothing works. The only thing I can control is how I react to it.

What are your chronic pain tips?

chronic pain tips

I dream of pain-free days

Sign up for our newsletter

Sarah Rathsack

I tell stories of My Migraine Life. Living life through Migraine consists of advocacy, treatment, prevention, and searching for health and happiness in a positive honest way. My kids, husband, dog, family and friends motivate me to make a difference in the Migraine World.
Posted in ,

You Might Also Like:

National Puppy Day

National Puppy Day 2018: My Golden Retriever

Happy National Puppy Day! Every year I post a picture of my dog. She is my nurse, my therapy, my medicine and my first child. As I was locked in my room with a 3 day Migraine from hell, guess who slept beside me? Guess who kept me company in the middle of the night while the pain was raging? My dog. She'll always be my puppy! My almost 13 year old puppy!
Read More
Migraine is a Neurological Disease

Migraine is a Neurological Disease

This is a significant fact for me. My mom and grandmothers both suffered from Migraines. I remember my grandpa being very sensitive to my suffering after he saw my grandma suffer on the couch with a wet cloth for so many years. I am a mom that worries daily about the fact and possibility of…
Read More
Chronic Laziness

Chronic Laziness or a Health Condition?

Do I have chronic laziness or a health condition? I constantly fear being seen as lazy when I live with chronic migraines. I run a marathon, and some days, an iron man inside my body every day. Hence, I am a stay-at-home mom, and I work HARD. I think my job is one of the…
Read More


  1. Chronic Mom on September 28, 2020 at 2:30 pm

    I’ve always wondered if hypnosis was useful. The other thing I really want to try is flotation therapy.

  2. mymigrainelife on October 2, 2020 at 10:08 am

    I’ve tried floatation therapy twice. The first time was nice and relaxing, the second time I didn’t enjoy as much.

  3. Anne Marie on October 15, 2020 at 8:48 am

    I just found you blog. Have you ever been prescribed something to take daily to limit the number of migraines each month?

  4. mymigrainelife on October 22, 2020 at 9:02 am

    Yep. Check out my Aimovig post. Aimovig

  5. Stephen Walker on January 11, 2021 at 4:55 am

    Hi Sarah,

    You make some very good suggestions for coping with pain. I cannot say that I know where you are coming from as I don’t suffer from migraine.

    However, my sister does get bad migraines, so I do know a little. The point you make about Biofeedback is very interesting particularly because I have not come across it before.

  6. Sarah Rathsack on January 11, 2021 at 7:59 am

    Thank you for reading. Please pass any information onto your sister and best of luck!

  7. Ginger on February 14, 2021 at 8:15 pm

    Professionals can help with migraine. My Physiotherapist help me to treat my migraine pain. I’m so thankful.

Leave a Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Weighted Blanket

Allay Lamp- Green Light Therapy

Headache Hat- Ice Hat

Heat Wrap


Bed of Nails