PRT is a structured, evidence-based approach designed to help people with persistent pain retrain the brain and nervous system to feel safe in the body again. Research has shown that PRT can reduce pain intensity and improve quality of life by addressing pain at its source — the brain’s interpretation of signals.

Session dates and times:
Mondays at 12:00 p.m.

• October 20, 27

• November 3, 17, 24

• December 1, 8, 15

Over the course of 8 sessions, you’ll:

• Learn about the science of nociplastic pain and how the brain can change

• Practice guided techniques like somatic tracking to notice sensations with more ease and safety

• Build skills for reappraisal and cultivating positive emotional states

• Connect with others who are on a similar journey

What to Expect:

• 75-minute weekly sessions

• Education, discussion, and guided experiential practices each week

• Tools and strategies to integrate into daily life between sessions

Because this is a program that builds on itself, we ask that you only register if you are available to attend at least 7 of the 8 sessions. Consistent participation will help you get the most benefit from the program and allow the group to grow together. If these dates don’t work, we’ll be offering this series again in the winter.

THIS CLASS IS CURRENTLY FULL - CLICK HERE TO JOIN THE WAITLIST.

This class introduces the ancient practice of Qi Gong, using slow, flowing movements and breathwork to calm the nervous system, reduce tension, and support healing. No prior experience needed — just a willingness to move with intention.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

PRT is a structured, evidence-based approach designed to help people with persistent pain retrain the brain and nervous system to feel safe in the body again. Research has shown that PRT can reduce pain intensity and improve quality of life by addressing pain at its source — the brain’s interpretation of signals.

Session dates and times:
Tuesdays at 11:30 a.m.

• October 14, 28

• November 4, 18, 25

• December 2, 9, 16

• No session on Oct 21 or Nov 11

Over the course of 8 sessions, you’ll:

• Learn about the science of nociplastic pain and how the brain can change

• Practice guided techniques like somatic tracking to notice sensations with more ease and safety

• Build skills for reappraisal and cultivating positive emotional states

• Connect with others who are on a similar journey

What to Expect:

• 75-minute weekly sessions

• Education, discussion, and guided experiential practices each week

• Tools and strategies to integrate into daily life between sessions

Because this is a program that builds on itself, we ask that you only register if you are available to attend at least 7 of the 8 sessions. Consistent participation will help you get the most benefit from the program and allow the group to grow together. If these dates don’t work, we’ll be offering this series again in the winter.

THIS CLASS IS CURRENTLY FULL - CLICK HERE TO JOIN THE WAITLIST

This group medical visit is designed for people living with persistent pain who are looking for a gentle, supportive way to begin or continue moving. Each session includes guided meditation and simple, mindful movements that can be done seated or standing, with options to modify based on your comfort, energy, and symptoms on the day.

This class is an ideal starting point for movement, especially during flare-ups or on days when pain, fatigue, or low capacity make more structured or faster-paced classes feel like too much. It offers a slower pace, a strong focus on breath and nervous system regulation, and an opportunity to move in a way that feels safe and manageable.

Meditation and gentle movement can support habit formation by providing a consistent, accessible way to stay connected to movement, even when symptoms fluctuate. It may also be a helpful entry point if you are feeling unsure about classes like Clinical Pilates, Yoga, or Qi Gong, or if you are working toward returning to those options over time.

This session is about meeting your body where it is and supporting ongoing movement in a compassionate, flexible way.

This session is led by Shubhi Sharma (occupational therapist) & Dr. Noah Alexander.

Current patients can book here.

Procedures can sometimes play a helpful role in managing persistent pain — but they are just one tool in the recovery toolbox.  

In this group medical visit, Dr. Noah Alexander will guide you through the most common pain procedures, explaining what they can (and can’t) do, and how they may fit into your overall recovery plan.

Topics will include:

• Diagnostic procedures – such as medial branch blocks

• Therapeutic procedures – including radiofrequency ablation and epidural steroid injections

You’ll gain a clearer understanding of:

• The purpose of the procedure 

• How the procedure is performed

• What to expect before, during, and after these procedures

• How to weigh potential benefits and risks

• Which clinics offer procedures

• How to decide — together with your care team — whether a procedure might be the right step for you

Current patients can book here.

This 2-hour, single-session pain education workshop is based on Stanford research. Learn why pain persists, how it’s processed in the brain and body, and practical tools to reduce it. Leave with a personalized pain relief plan to support daily function and help you regain a sense of control.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This group medical visit introduces yoga as a gentle, accessible way to support people living with persistent pain. In this session, you’ll explore simple postures, mindful movement, and breathing practices designed to calm the nervous system, improve body awareness, and foster a sense of safety in movement. No previous yoga experience is required.

Multiple variations will be offered so you can participate at your own comfort level — whether seated in a chair, standing or laying down.

Tools and props you may wish to have:

• A yoga mat is helpful but not required. If standing, wear shoes or socks with good grip in place of a yoga mat.

• A chair or stool is helpful for seated modifications or for placing your hands on for support during transitions.

• A couple rolled towels or throw cushions can help cushion and support limbs.

• Yoga blocks or a few sturdy books, a step stool, small sturdy storage bins are all optional but useful to help bring the floor closer to you.

This session is led by Andrea Palichuk (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class integrates evidence-informed movement, breathwork, and body awareness strategies shown to support nervous system regulation and improve functional mobility. You will be guided through gentle, Pilates-based exercises that are adaptable to all abilities, with a focus on moving safely and confidently.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

The holidays can be joyful, but also busy, unpredictable, and full of extra demands. This session explores how to approach the season with awareness and compassion for your body and nervous system. We’ll talk about realistic pacing strategies, how to plan for rest and recovery, and ways to navigate social expectations without burning out.

Together, we’ll explore tools to help you:

• Recognize early signs of the boom–crash cycle

• Set boundaries and communicate your needs

• Prioritize activities that bring meaning and connection

• Build in moments of calm and safety for your nervous system

This session is open to anyone living with persistent pain who wants to find more balance and enjoyment through the holiday season.

This session is led by Shubhi Sharma (occupational therapist) & Dr. Noah Alexander.

Current patients can book here.

This class introduces the ancient practice of Qi Gong, using slow, flowing movements and breathwork to calm the nervous system, reduce tension, and support healing. No prior experience needed — just a willingness to move with intention.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class integrates evidence-informed movement, breathwork, and body awareness strategies shown to support nervous system regulation and improve functional mobility. You will be guided through gentle, Pilates-based exercises that are adaptable to all abilities, with a focus on moving safely and confidently.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class introduces the ancient practice of Qi Gong, using slow, flowing movements and breathwork to calm the nervous system, reduce tension, and support healing. No prior experience needed — just a willingness to move with intention.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class introduces the ancient practice of Qi Gong, using slow, flowing movements and breathwork to calm the nervous system, reduce tension, and support healing. No prior experience needed — just a willingness to move with intention.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class integrates evidence-informed movement, breathwork, and body awareness strategies shown to support nervous system regulation and improve functional mobility. You will be guided through gentle, Pilates-based exercises that are adaptable to all abilities, with a focus on moving safely and confidently.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

Pain Reprocessing Therapy (PRT) is a supportive, research-informed approach that helps people with persistent pain understand how the brain and nervous system can learn to feel safer again. This program combines education, guided practices, and gentle exploration to help you relate to your pain in a new way.

Session dates and times:
Mondays 4:15-5:30 p.m.

• January 5, 10, 26

• February 2, 9, 23

• March 2, 9

Over 8 sessions, you will:

• Learn how pain works and why the brain can change
• Practice tools like somatic tracking to notice sensations with more ease
• Build skills that support calm, confidence, and emotional well-being
• Connect with others who are navigating similar experiences

This series offers a steady, encouraging space to learn, reflect, and try out practical strategies that can support your recovery over time.

What to Expect:

• 75-minute weekly sessions

• Education, discussion, and guided experiential practices each week

• Tools and strategies to integrate into daily life between sessions

Because this is a program that builds on itself, we ask that you only register if you are available to attend at least 6 of the 8 sessions. Consistent participation will help you get the most benefit from the program and allow the group to grow together. If these dates don’t work, we’ll be offering this series again in the Spring.

This session is led by Shubhi Sharma (occupational therapist) & Dr. Noah Alexander.

Current patients can book here.

This group medical visit is designed for people living with persistent pain who are looking for a gentle, supportive way to begin or continue moving. Each session includes guided meditation and simple, mindful movements that can be done seated or standing, with options to modify based on your comfort, energy, and symptoms on the day.

This class is an ideal starting point for movement, especially during flare-ups or on days when pain, fatigue, or low capacity make more structured or faster-paced classes feel like too much. It offers a slower pace, a strong focus on breath and nervous system regulation, and an opportunity to move in a way that feels safe and manageable.

Meditation and gentle movement can support habit formation by providing a consistent, accessible way to stay connected to movement, even when symptoms fluctuate. It may also be a helpful entry point if you are feeling unsure about classes like Clinical Pilates, Yoga, or Qi Gong, or if you are working toward returning to those options over time.

This session is about meeting your body where it is and supporting ongoing movement in a compassionate, flexible way.

This session is led by Shubhi Sharma (occupational therapist) & Dr. Noah Alexander.

Current patients can book here.

This group medical visit introduces yoga as a gentle, accessible way to support people living with persistent pain. In this session, you’ll explore simple postures, mindful movement, and breathing practices designed to calm the nervous system, improve body awareness, and foster a sense of safety in movement. No previous yoga experience is required.

Multiple variations will be offered so you can participate at your own comfort level — whether seated in a chair, standing or laying down.

Tools and props you may wish to have:

• A yoga mat is helpful but not required. If standing, wear shoes or socks with good grip in place of a yoga mat.

• A chair or stool is helpful for seated modifications or for placing your hands on for support during transitions.

• A couple rolled towels or throw cushions can help cushion and support limbs.

• Yoga blocks or a few sturdy books, a step stool, small sturdy storage bins are all optional but useful to help bring the floor closer to you.

This session is led by Andrea Palichuk (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

Pain is complex, but understanding it can reduce its impact. In this session, we’ll unpack why pain can continue long after injury and how it’s processed in your nervous system. We’ll help you shift your relationship with pain through knowledge, not fear — and take a step toward greater confidence, function, and relief.

This session is led by Shubhi Sharma (occupational therapist) & Dr. Noah Alexander.

Current patients can book here.

This session is for people who have previously taken Empowered Relief and would like support staying connected to the tools they learned. We’ll offer a brief review of the core topics from the original session, explore how these skills are showing up in your day-to-day life, and revisit your personalized plan. It’s a space to check in, ask questions, navigate challenges, and hear what’s been helpful for others. The focus is on reconnecting with your strengths, refining your strategies, and feeling supported as you continue your recovery journey.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class integrates evidence-informed movement, breathwork, and body awareness strategies shown to support nervous system regulation and improve functional mobility. You will be guided through gentle, Pilates-based exercises that are adaptable to all abilities, with a focus on moving safely and confidently.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This group medical visit introduces yoga as a gentle, accessible way to support people living with persistent pain. In this session, you’ll explore simple postures, mindful movement, and breathing practices designed to calm the nervous system, improve body awareness, and foster a sense of safety in movement. No previous yoga experience is required.

Multiple variations will be offered so you can participate at your own comfort level — whether seated in a chair, standing or laying down.

Tools and props you may wish to have:

• A yoga mat is helpful but not required. If standing, wear shoes or socks with good grip in place of a yoga mat.

• A chair or stool is helpful for seated modifications or for placing your hands on for support during transitions.

• A couple rolled towels or throw cushions can help cushion and support limbs.

• Yoga blocks or a few sturdy books, a step stool, small sturdy storage bins are all optional but useful to help bring the floor closer to you.

This session is led by Andrea Palichuk (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class introduces the ancient practice of Qi Gong, using slow, flowing movements and breathwork to calm the nervous system, reduce tension, and support healing. No prior experience needed — just a willingness to move with intention.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class integrates evidence-informed movement, breathwork, and body awareness strategies shown to support nervous system regulation and improve functional mobility. You will be guided through gentle, Pilates-based exercises that are adaptable to all abilities, with a focus on moving safely and confidently.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class introduces the ancient practice of Qi Gong, using slow, flowing movements and breathwork to calm the nervous system, reduce tension, and support healing. No prior experience needed — just a willingness to move with intention.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

Pain Reprocessing Therapy (PRT) is a supportive, research-informed approach that helps people with persistent pain understand how the brain and nervous system can learn to feel safer again. This program combines education, guided practices, and gentle exploration to help you relate to your pain in a new way.

Session dates and times:
Tuesdays at 10:00 a.m.

• January 20, 27

• February 3, 17, 24

• March 10, 24, 31

Over 8 sessions, you will:

• Learn how pain works and why the brain can change
• Practice tools like somatic tracking to notice sensations with more ease
• Build skills that support calm, confidence, and emotional well-being
• Connect with others who are navigating similar experiences

This series offers a steady, encouraging space to learn, reflect, and try out practical strategies that can support your recovery over time.

What to Expect:

• 75-minute weekly sessions

• Education, discussion, and guided experiential practices each week

• Tools and strategies to integrate into daily life between sessions

Because this is a program that builds on itself, we ask that you only register if you are available to attend at least 6 of the 8 sessions. Consistent participation will help you get the most benefit from the program and allow the group to grow together. If these dates don’t work, we’ll be offering this series again in the Spring.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This session is designed to help you bring together everything you’ve been learning and shape it into a practical, personalized plan for your next steps. We will review the key skills that support recovery, explore what belongs in your own “backpack” for the journey ahead, and help you identify what to prioritize in your daily life.

We will also look at how Pain Recovery’s group medical visits can fit into your ongoing care and discuss other supports that may be helpful alongside them. By the end of the session, you will leave with a clearer sense of direction, a set of strategies that feel realistic for you, and a plan that reflects what matters most in your recovery journey.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

Energy, Pain, and Pacing

A 3-Session Group Series for Living Well With Persistent Pain or Fatigue

This three-session series is designed to help you better understand your energy, reduce flare-ups, and find a more sustainable way to move through daily life with persistent pain or fatigue. Together, we focus on practical, realistic strategies that support stability, confidence, and long-term wellbeing.

Session 1: Understanding Energy, Pain, and the Boom–Bust Cycle
Learn how pain and fatigue affect your energy levels, why pushing through on “good days” often leads to crashes, and how to recognize your own sustainable activity range.

Wed Jan 21 at 4:00pm

Click here to register for session 1

Session 2: Pacing, Planning, and Prioritizing
Build practical skills to pace your day, break tasks into manageable steps, set realistic goals, and plan activities in ways that reduce the risk of flare-ups.

Wed Jan 28 at 4:00pm

Click here to register for session 2

Session 3: Energy-Saving Strategies, Rest, and Flare-Up Management
Explore simple ergonomic adjustments, energy-saving techniques, and restorative rest strategies that can make everyday tasks feel more manageable and support recovery during flare-ups.

Wed Feb 4 at 4:00pm

Click here to register for session 3

What You Will Gain From This Program

By the end of the series, participants leave with:

• A personalized pacing and flare-up management plan

• Daily and weekly planning templates to help balance activity and rest

• Energy-saving checklists for home, work, and daily tasks

• Tools to recognize early signs of overload and respond sooner

• Rest, recovery, and micro-break strategies that support long-term stability

• Greater confidence managing activity levels while living with persistent pain or fatigue

This series is suitable for anyone looking for practical, compassionate support to move away from the boom–bust cycle and toward a steadier, more sustainable way of living.

This series is led by Shubhi Sharma (occupational therapist) & Dr. Noah Alexander.

Current patients can book here.

This group medical visit introduces yoga as a gentle, accessible way to support people living with persistent pain. In this session, you’ll explore simple postures, mindful movement, and breathing practices designed to calm the nervous system, improve body awareness, and foster a sense of safety in movement. No previous yoga experience is required.

Multiple variations will be offered so you can participate at your own comfort level — whether seated in a chair, standing or laying down.

Tools and props you may wish to have:

• A yoga mat is helpful but not required. If standing, wear shoes or socks with good grip in place of a yoga mat.

• A chair or stool is helpful for seated modifications or for placing your hands on for support during transitions.

• A couple rolled towels or throw cushions can help cushion and support limbs.

• Yoga blocks or a few sturdy books, a step stool, small sturdy storage bins are all optional but useful to help bring the floor closer to you.

This session is led by Andrea Palichuk (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class introduces the ancient practice of Qi Gong, using slow, flowing movements and breathwork to calm the nervous system, reduce tension, and support healing. No prior experience needed — just a willingness to move with intention.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class integrates evidence-informed movement, breathwork, and body awareness strategies shown to support nervous system regulation and improve functional mobility. You will be guided through gentle, Pilates-based exercises that are adaptable to all abilities, with a focus on moving safely and confidently.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This class introduces the ancient practice of Qi Gong, using slow, flowing movements and breathwork to calm the nervous system, reduce tension, and support healing. No prior experience needed — just a willingness to move with intention.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This 2-hour, single-session pain education workshop is based on Stanford research. Learn why pain persists, how it’s processed in the brain and body, and practical tools to reduce it. Leave with a personalized pain relief plan to support daily function and help you regain a sense of control.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

Energy, Pain, and Pacing

A 3-Session Group Series for Living Well With Persistent Pain or Fatigue

This three-session series is designed to help you better understand your energy, reduce flare-ups, and find a more sustainable way to move through daily life with persistent pain or fatigue. Together, we focus on practical, realistic strategies that support stability, confidence, and long-term wellbeing.

Session 1: Understanding Energy, Pain, and the Boom–Bust Cycle
Learn how pain and fatigue affect your energy levels, why pushing through on “good days” often leads to crashes, and how to recognize your own sustainable activity range.

Wed Jan 21 at 4:00pm

Click here to register for session 1

Session 2: Pacing, Planning, and Prioritizing
Build practical skills to pace your day, break tasks into manageable steps, set realistic goals, and plan activities in ways that reduce the risk of flare-ups.

Wed Jan 28 at 4:00pm

Click here to register for session 2

Session 3: Energy-Saving Strategies, Rest, and Flare-Up Management
Explore simple ergonomic adjustments, energy-saving techniques, and restorative rest strategies that can make everyday tasks feel more manageable and support recovery during flare-ups.

Wed Feb 4 at 4:00pm

Click here to register for session 3

What You Will Gain From This Program

By the end of the series, participants leave with:

• A personalized pacing and flare-up management plan

• Daily and weekly planning templates to help balance activity and rest

• Energy-saving checklists for home, work, and daily tasks

• Tools to recognize early signs of overload and respond sooner

• Rest, recovery, and micro-break strategies that support long-term stability

• Greater confidence managing activity levels while living with persistent pain or fatigue

This series is suitable for anyone looking for practical, compassionate support to move away from the boom–bust cycle and toward a steadier, more sustainable way of living.

This series is led by Shubhi Sharma (occupational therapist) & Dr. Noah Alexander.

Current patients can book here.

This group medical visit introduces yoga as a gentle, accessible way to support people living with persistent pain. In this session, you’ll explore simple postures, mindful movement, and breathing practices designed to calm the nervous system, improve body awareness, and foster a sense of safety in movement. No previous yoga experience is required.

Multiple variations will be offered so you can participate at your own comfort level — whether seated in a chair, standing or laying down.

Tools and props you may wish to have:

• A yoga mat is helpful but not required. If standing, wear shoes or socks with good grip in place of a yoga mat.

• A chair or stool is helpful for seated modifications or for placing your hands on for support during transitions.

• A couple rolled towels or throw cushions can help cushion and support limbs.

• Yoga blocks or a few sturdy books, a step stool, small sturdy storage bins are all optional but useful to help bring the floor closer to you.

This session is led by Andrea Palichuk (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

This group medical visit is designed for people living with persistent pain who are looking for a gentle, supportive way to begin or continue moving. Each session includes guided meditation and simple, mindful movements that can be done seated or standing, with options to modify based on your comfort, energy, and symptoms on the day.

This class is an ideal starting point for movement, especially during flare-ups or on days when pain, fatigue, or low capacity make more structured or faster-paced classes feel like too much. It offers a slower pace, a strong focus on breath and nervous system regulation, and an opportunity to move in a way that feels safe and manageable.

Meditation and gentle movement can support habit formation by providing a consistent, accessible way to stay connected to movement, even when symptoms fluctuate. It may also be a helpful entry point if you are feeling unsure about classes like Clinical Pilates, Yoga, or Qi Gong, or if you are working toward returning to those options over time.

This session is about meeting your body where it is and supporting ongoing movement in a compassionate, flexible way.

This session is led by Hayley Alexander (physiotherapist) & Dr. Noah Alexander.

Current patients can book here.

Energy, Pain, and Pacing

A 3-Session Group Series for Living Well With Persistent Pain or Fatigue

This three-session series is designed to help you better understand your energy, reduce flare-ups, and find a more sustainable way to move through daily life with persistent pain or fatigue. Together, we focus on practical, realistic strategies that support stability, confidence, and long-term wellbeing.

Session 1: Understanding Energy, Pain, and the Boom–Bust Cycle
Learn how pain and fatigue affect your energy levels, why pushing through on “good days” often leads to crashes, and how to recognize your own sustainable activity range.

Wed Jan 21 at 4:00pm

Click here to register for session 1

Session 2: Pacing, Planning, and Prioritizing
Build practical skills to pace your day, break tasks into manageable steps, set realistic goals, and plan activities in ways that reduce the risk of flare-ups.

Wed Jan 28 at 4:00pm

Click here to register for session 2

Session 3: Energy-Saving Strategies, Rest, and Flare-Up Management
Explore simple ergonomic adjustments, energy-saving techniques, and restorative rest strategies that can make everyday tasks feel more manageable and support recovery during flare-ups.

Wed Feb 4 at 4:00pm

Click here to register for session 3

What You Will Gain From This Program

By the end of the series, participants leave with:

• A personalized pacing and flare-up management plan

• Daily and weekly planning templates to help balance activity and rest

• Energy-saving checklists for home, work, and daily tasks

• Tools to recognize early signs of overload and respond sooner

• Rest, recovery, and micro-break strategies that support long-term stability

• Greater confidence managing activity levels while living with persistent pain or fatigue

This series is suitable for anyone looking for practical, compassionate support to move away from the boom–bust cycle and toward a steadier, more sustainable way of living.

This series is led by Shubhi Sharma (occupational therapist) & Dr. Noah Alexander.

Current patients can book here.