Chronic primary pain refers to pain that persists beyond normal tissue healing timelines and is not fully explained by structural findings. Symptoms often fluctuate with stress, attention, or context, and may shift in location or intensity.

Common signs include:

  • Pain lasting longer than three to six months
  • Symptoms that improve with distraction or worsen with stress
  • Normal or inconclusive imaging
  • A cycle of flare-ups despite multiple treatments

If you are unsure whether this applies to you, a screening call can help determine whether the Life in Motion Program is appropriate.

FIT is an acronym used in pain reprocessing and modern pain science to help determine whether persistent pain is likely driven by nervous system sensitization rather than ongoing tissue injury.

FIT stands for:

Functional – Pain persists beyond expected tissue healing timelines or despite normal/inconclusive structural findings and does not follow a clear pattern of tissue damage.
Inconsistent – Symptoms fluctuate in intensity, location, or response to activity in ways that are not fully explained by biomechanics alone.
Triggered – Pain is influenced by stress, attention, fear, or contextual factors, suggesting involvement of the nervous system’s protective response.

When these patterns are present, a structured nervous system–informed approach such as Pain Reprocessing Therapy may be appropriate. FIT criteria are used as part of the clinical screening process to ensure the program is a suitable match.

Persistent pain does not require the absence of structural findings. Many individuals have identifiable conditions (such as degenerative changes, pelvic disorders, or inflammatory diagnoses) while also experiencing nervous system sensitization that amplifies symptoms. In these cases, structural and sensitization patterns can coexist. The Life in Motion Program does not replace medical management. It addresses the nervous system’s protective response, helping reduce unnecessary amplification, fear, and avoidance while medical care continues where appropriate.

The number of sessions depends on the nature and duration of your concern.

Acute or clearly structural issues may respond well to a short course of individual osteopathic sessions.

Persistent or recurring pain patterns lasting longer than three to six months are typically better addressed through the structured Life in Motion Program, which includes 12 sessions over six months.

If you are unsure which approach is appropriate, a screening call can help clarify next steps.

If you are booking individual osteopathic care, your first visit includes a detailed discussion of your health history, current symptoms, and goals. A movement and structural assessment follows to understand how your body is functioning. Treatment is provided during the same visit, using hands-on techniques tailored to your presentation.

If you are considering the Life in Motion Program, all prospective participants begin with a brief screening call to determine clinical suitability before scheduling program sessions.

Massage therapy primarily focuses on soft tissue relaxation. Osteopathy includes soft tissue work but also assesses joint mobility, structural relationships, and how different systems of the body interact.

Osteopathic treatment aims to improve mobility, reduce strain, and support overall functional balance within the body.

Wear soft, comfortable clothing that allows you to move easily. Leggings, joggers, or shorts and a t-shirt are ideal. Avoid restrictive clothing such as jeans, dresses, skirts, or hoodies.


Some people feel lighter or more relaxed after treatment, while others may experience mild soreness or fatigue within 24–48 hours. This can occur as tissues adapt to changes in mobility and nervous system regulation. Gentle movement and hydration are usually helpful during this period.

Extended health insurance plans in Ontario may provide coverage for Osteopathic Manual Therapy when delivered by members of the Ontario Association of Osteopathic Practitioners (OAO). Please confirm coverage details with your provider. Receipts are issued after each session for submission.

The Life in Motion Program includes osteopathic treatment and may be partially reimbursable depending on your individual plan.

We require 24 hours’ notice for appointment changes or cancellations. Late cancellations or missed appointments are charged at the full session fee, as this time cannot typically be filled on short notice.