Chronic Pain Management: The Osteopathic Perspective
- Dr. George Cheriyan, DO

- 3 days ago
- 4 min read
Chronic pain affects millions of people worldwide, influencing not just the body, but daily life, mood, sleep, work, and relationships. Unlike acute pain — a short-term signal of injury — chronic pain persists for months or even years. For many sufferers, standard treatments provide only partial relief or come with unwanted side effects. That’s where osteopathic medicine offers a distinct, holistic approach.
At 360 Osteo, we believe pain is not just a symptom to suppress, but a message to understand. In this post, we explore how osteopathic principles guide chronic pain management — integrating body, mind, and lifestyle to support lasting change.
What Is Osteopathic Medicine?
Osteopathic medicine is a branch of healthcare that emphasizes the interconnection between the body’s structure and function. Doctors of Osteopathic Medicine (DOs) are fully licensed physicians trained to:
Diagnose and treat health conditions
Use medication and surgery when needed
Apply Osteopathic Manipulative Treatment (OMT) to improve movement and relieve tension
The core idea: the body is a unit. Problems in one area can affect other systems through nervous, musculoskeletal, and circulatory pathways.
The Challenge of Chronic Pain
Chronic pain is complex. It often involves:
Ongoing inflammation
Muscle tension and compensatory movement patterns
Nerve sensitivity (“central sensitization”)
Emotional and psychological stress
Sleep disruption
Reduced activity and deconditioning
Because of this complexity, a treatment that only addresses one part — for example, pain

medication — may fall short. Over time, the nervous system can become more sensitive, meaning pain persists even after the original injury has healed.
Osteopathic care takes a multi-dimensional view, aiming to reduce pain while improving function, mobility, circulation, and quality of life.
The Osteopathic Approach to Chronic Pain Management
1. Comprehensive Evaluation
Before any treatment, we take time to understand your pain story:
When did it begin?
What makes it better or worse?
How has it changed over time?
How does it affect your daily life?
We look beyond the pain site to identify contributing factors: muscle imbalances, postural asymmetries, restricted motion, and lifestyle stressors.
This comprehensive assessment often reveals patterns that traditional exams miss.
2. Osteopathic Manipulative Treatment (OMT)
OMT is a hands-on approach that can help reduce pain and restore movement. Techniques may include:
Soft tissue mobilization to relax tight muscles
Myofascial release to ease tension in connective tissues
Articulation and joint mobilization to improve range of motion
Muscle energy techniques that use your own muscle contractions to reset alignment
Craniosacral therapy for gentle balancing of nervous system structures
OMT is gentle, customized, and supportive — particularly helpful for conditions like:
Lower back pain
Neck pain
Headaches and migraines
Fibromyalgia
Joint dysfunction
Post-surgical or post-injury stiffness
Chronic pelvic or visceral pain
Research shows that OMT can reduce pain intensity, improve function, and enhance overall wellbeing — often with fewer side effects than long-term medication use.
3. Movement and Function Optimization
Chronic pain often leads to reduced activity, which in turn can worsen stiffness, weaken muscles, and perpetuate pain cycles. Osteopathic care encourages therapeutic movement — guided exercises designed to:
Rebuild strength
Improve posture
Restore balanced movement patterns
Support the nervous system’s ability to regulate pain
Each exercise plan is tailored to your body’s needs and daily routine, empowering you to be an active participant in your recovery.
4. Lifestyle and Mind-Body Integration
Physical pain does not exist in a vacuum. Emotional stress, sleep disruption, and lifestyle habits (like prolonged sitting, poor ergonomics, or inadequate rest) can amplify pain.
At 360 Osteo, we integrate advice on:
Sleep hygiene
Stress management and breathing techniques
Nutrition and inflammation
Workstation ergonomics
Activity pacing
Supporting the whole person — not just the area of pain — improves outcomes and reduces the risk of pain returning.
Why Osteopathy Works for Chronic Pain
Here’s why many patients find osteopathic care effective when other approaches haven’t delivered lasting relief:
Holistic, Not Fragmented
Instead of treating isolated symptoms, we look at patterns — how muscles, joints, nerves, and lifestyle interact.
Hands-On Healing
OMT provides immediate feedback to the nervous system and musculoskeletal system, often creating relaxation and improved mobility that patients feel in the moment.
Active Patient Participation
You are not a passive recipient of care. You learn movement skills, body awareness, and self-management tools that last long after treatment sessions end.
Focus on Function and Quality of Life
Reducing pain is important — but improving your ability to move, sleep, work, and enjoy life is the true goal.
Is Osteopathic Pain Management Right for You?
If you’ve been living with chronic pain and feel frustrated by temporary fixes, persistent stiffness, or recurring symptoms, osteopathic care may offer relief rooted in restoring balance.
We welcome you to schedule a consultation at 360 Osteo. Together, we’ll explore your unique pain experience and create a plan that supports your body’s natural ability to heal, adapt, and function at its best.
Take the Next Step Toward Lasting Relief
Chronic pain doesn’t have to control your life. At 360 Osteo, we treat the whole person — with compassion, expertise, and personalized care.



