Ashley Pehar | Specialized Care for Chronic Primary Pain
Retrain persistent pain patterns. Restore trust in your body.
Life in Motion is a specialized clinical practice focused on chronic primary pain — integrating osteopathic manual therapy with Pain Reprocessing Therapy (PRT) to address pain at its nervous system roots.
Through a structured, phased approach, we help patients move beyond cycles of fear, flare-ups, and frustration toward steadiness, clarity, and renewed capacity.
When Pain Persists, It’s Not Always Structural
Chronic primary pain is real pain driven by an overprotective nervous system rather than ongoing tissue damage. It often continues despite normal imaging, repeated treatments, or reassurance that “nothing is wrong.”
Over time, the nervous system can become sensitized — interpreting safe sensations as threats. This creates a self-reinforcing cycle of pain, fear, avoidance, and exhaustion.
Life in Motion offers a structured framework to help the brain and body unlearn these patterns using evidence-informed Pain Reprocessing Therapy alongside skilled osteopathic care.
Who This Practice Serves
Life in Motion works with adults experiencing:
- Chronic back, neck, or joint pain
- Headaches and migraines
- Pelvic or abdominal pain
- Fatigue and tension syndromes
- Pain that persists despite normal or inconclusive
- Symptoms that worsen with stress, attention, or fear
If you’ve tried multiple treatments without lasting relief, or feel stuck in cycles of flare-ups, symptom management, and uncertainty about what to do next, a structured nervous system–informed approach may offer a different path forward.
The Life in Motion Program
The Life in Motion Program is a six-month, 12-session structured pathway designed specifically for persistent pain patterns.
It integrates:
- Pain Reprocessing Therapy (PRT)
- Osteopathic manual treatment
- Nervous system stabilization and pain-safety learning strategies
- Gradual exposure and movement retraining
- Relapse prevention and long-term sustainability planning
This program is the primary focus of the clinic and is recommended for patients experiencing pain lasting longer than three to six months — especially when symptoms fluctuate, spread, or intensify with stress or fear.
The goal is not simply symptom reduction, but restored function, increased confidence, and the ability to live without constant preoccupation with pain.
Osteopathic Manual Therapy
Individual osteopathic sessions remain available for acute injuries and clear structural concerns
Osteopathy is a gentle, hands-on therapy that supports mobility, reduces tension, and influences nervous system tone through therapeutic touch. When appropriate, manual therapy can play a meaningful role in both acute care and integrated chronic pain treatment.
However, persistent or recurring pain patterns are most effectively addressed within the structured Life in Motion Program.
A Collaborative, Evidence-Informed Approach
Pain Reprocessing Therapy is an evidence-based model now being adopted within major academic centres such as University Health Network and Toronto Rehabilitation Institute. Combined with osteopathic care, it offers a comprehensive way to address both body and brain in persistent pain.
Care at Life in Motion is trauma-sensitive, structured, and collaborative. The process requires curiosity, consistency, and active participation — not perfection.
Begin With a Screening Call (Below)
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