Chronic Pain

Integrated Spine, Pain & Wellness

What is Chronic Pain?

Are you in Pain? Is your pain affecting your daily life? Has the pain persisted longer than three months? It may be time to see a doctor.

Every day people around the world experience pain. For most of us, the pain is due to an injury or tissue damage and goes away when the injury/tissue heals. Others experience pain that persists without relief, known as Chronic Pain.

There are two types of pain, Acute, and Chronic. Here is an outline that can help you determine what kind of pain you may have.

Acute Pain

Acute pain is any pain that is sudden and lasts for less than 3-6 months. This pain can feel sharp and is caused by something specific, typically an injury or damage to the tissue. Acute pain will go away when the injury or tissue damage has healed.

When a patient has Acute pain, it can be short-term and only last a few days/weeks, or it can be longer and last for a few months.

As long as the pain does not persist past six months, it is still considered Acute Pain.

Some examples of acute pain would include:

  • surgery
  • dental work
  • minor injury
  • burns or cuts
  • childbirth

If the pain keeps you from doing your normal activities and has lasted longer than three months, you may seek advice from a pain specialist to help you manage the acute pain until it has fully healed.

Chronic Pain

Chronic pain is any pain lasting longer than three to six months.

This type of pain is caused by various factors and can persist longer than expected. It is possible to experience chronic pain without having been injured or having any tissue damage.

Here are some conditions that can cause chronic pain:

  • arthritis
  • cancer
  • fibromyalgia
  • migraines/headaches
  • back/neck pain
  • nerve pain
  • chronic inflammation diseases


When to see a doctor

If you currently have pain and aren’t sure exactly which type of pain it is or what could be causing it, it may be time to make an appointment with Dr. Goyle.

He will review your medical history and perform a thorough exam to determine a course of treatment.

At your first appointment, Dr. Goyle may order more tests to determine what could be causing the pain. He may also recommend different treatments at home to help relieve your pain.

  • Treatments may include:
  • physical therapy
  • heat/ice therapy
  • anti-inflammatories
  • light movement
  • acupuncture
  • diet/lifestyle modifications

Treatments to reduce Chronic and Acute Pain would include:

  • joint injections
  • radiofrequency ablation
  • neurostimulators
  • non-narcotic therapy
  • epidurals
  • nerve blocks
  • platelet-rich-plasma treatment

Please refer to our treatment tab  read more about each of these. Other approaches that may be included with your treatment plan:

  • talk therapy
  • physical therapy
  • acupuncture
  • massage therapy
  • anti-inflammatory diet and lifestyle options
  • regenerative medicine

Keeping track of symptoms is essential. Integrated Spine, Pain, and Wellness are unique because we treat the whole body from the inside out.

Having a functional medicine credential, Dr. Goyle believes in treating patients as a whole and not just treating symptoms. He wants to heal the underlying causes to heal pain ultimately

Watch Dr. Goyle talk about Chronic Pain


Dr. Goyle’s Pain Perspective

Learn about regenerative medicine (stem cells) as well as nutrition therapy and lifestyle recommendations to help treat acute and chronic pain conditions.




Please contact Integrated Spine, Pain and Wellness (ISPW) to schedule a consultation.

Dr. Goyle’s Pain Perspective

My mission is to restore and revive the whole body through non-narcotic, minimally invasive modalities that empower patients to experience life at their optimal level.