Pain Coaching & Professional Coaching in Rochester, NY

Pain coaching provides targeted support to help you manage physical recovery, prepare for or bounce back from surgery, and return to active daily living. We work on activity pacing so a good day doesn’t cost you the next three, on managing flare-ups when they come, and on rebuilding confidence in movement after an injury.

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• Focus Areas: Chronic pain self-management, injury recovery, surgery preparation and recovery, activity pacing, and flare-up management.

• What to Expect:

  • Assessment Phase: A comprehensive evaluation focused strictly on your physical recovery, pain-related concerns, and functional goals—without assigning mental health diagnoses or digging into past history. 

  • Planning Phase: You and Dr. Kreher will work together to develop a personalized, action-oriented plan targeting activity pacing, pain coping strategies, and surgical/injury recovery goals.

  • Support & Follow-Up Phase: Dedicated 1-on-1 coaching over 2 to 4 months featuring clear action steps at every session, ongoing care collaboration with your referring providers, and flexible subscription options for ongoing support.

• How It Differs from Mental Health Therapy: Traditional psychotherapy often focuses on diagnosing psychiatric conditions or processing deep emotional history. Pain coaching operates on the principle that pain is not a mental health disorder. Instead of treating symptoms as a mental health condition, pain coaching focuses strictly on physical rehabilitation goals, pain neuroscience education, coping strategies, and activity pacing. It delivers the same evidence-based strategies used in multidisciplinary pain programs — activity pacing, pain neuroscience education, and graded return to movement without assigning a mental health diagnosis or sending clinical documentation to insurance providers.