WHO WE ARE
At Black Hills Somatic Solutions, we provide neuroscience-informed therapy for chronic pain, including Pain Reprocessing Therapy and pain psychology. We look at the relationship between your symptoms, experiences, brain, and nervous system to better understand what may be keeping your pain going. From there, therapy can help you develop new ways of responding to pain and rebuild confidence in your body.
Pain can be frustrating, especially when it continues after an injury has healed or when medical tests do not fully explain what you are experiencing. Chronic pain can affect how you move, sleep, work, and participate in the parts of life that matter to you. It can also leave you wondering why your body still feels like something is wrong.
A DIFFERENT APPROACH TO HEALING
Nearly one in four U.S. adults lives with chronic pain. It can affect how you move, think, sleep, and go about your daily life. You may find yourself monitoring symptoms, avoiding certain movements, or wondering why your pain hasn’t followed the timeline you expected.
When an injury heals but the pain doesn’t fade, or when pain shows up without a clear physical cause, it’s natural to feel confused, unheard, or unsure what to do next– especially after being told your scans or tests “look normal.”
That confusion doesn’t mean something is wrong with you and it doesn’t make your pain any less real. It often means there’s more happening beneath the surface than a single injury or diagnosis can explain. Understanding how the brain and nervous system are involved can offer a different way forward. One that is grounded in why your pain has continued, not just how to manage it.
THE BRAIN, BODY, & NERVOUS SYSTEM
Pain is an important part of the body’s protection system. When you are injured or your brain detects a potential threat, pain draws your attention to the area and encourages you to protect it while you heal. Pain isn’t simply a measure of damage. It’s the output of a larger system involving the brain, body, and nervous system working together.
The brain is constantly learning from experience. When pain has been present for a long time, the nervous system can begin to associate certain movements, sensations, or activities with danger. Over time, those associations can make the pain response easier to trigger, even without new injury.
This is one way neuroplastic symptoms develop. The pain is real, but the nervous system may be responding to a threat it has learned to expect rather than ongoing tissue damage.
Ongoing pain can also make the nervous system more watchful for potential danger. You may find yourself monitoring your body closely, avoiding certain movements, or feeling concerned that a particular sensation means something is wrong.
These responses make sense– your brain is trying to protect you. But when the nervous system becomes overly sensitive to perceived threat, these protective patterns can sometimes contribute to pain continuing.
Understanding these patterns offers a different starting point for treatment: one that takes your pain seriously while recognizing the role the brain and nervous system may play in keeping it going.
CHRONIC PAIN & NEUROPLASTIC SYMPTOMS
Persistent pain can influence more than physical sensations. Over time, it can shape how you think about pain, how you move, and how you respond to everyday activities and sensations.
Pain & Physical Sensations
Thoughts & Emotions
Behaviors & Daily Life
CHRONIC PAIN CONCERNS
Black Hills Somatic Solutions works with individuals experiencing a range of persistent pain and neuroplastic symptoms, including:
You do not need to have a specific diagnosis to reach out to our team. If persistent pain is affecting your daily life, we can help you explore whether Pain Reprocessing Therapy and a neuroscience-informed approach may be right for you.
CHRONIC PAIN & NEUROPLASTIC CONDITIONS
Chronic pain is real, even when imaging or medical testing does not fully explain what you’re experiencing. Our approach considers how the brain and nervous system process pain signals and how evidence-based therapies can help retrain these learned pain patterns.
We help people experiencing:
OUR TREATMENT APPROACH
PRT helps you understand how the brain and nervous system process pain and recognize when pain may be connected to a learned protective response. Through targeted exercises, you can learn to approach pain sensations with less fear and rebuild a sense of safety in movement and everyday activities.
Pain psychology looks at how living with persistent pain affects your emotions, relationships, and daily functioning. Therapy can help you work through frustration, grief, and uncertainty that often build up over months or years of unexplained symptoms.
Somatic therapy brings attention to what’s happening in your body as pain, stress, or other physical sensations arise. By becoming more aware of these responses, you can begin to recognize patterns and practice responding to sensations in a new way.
Understanding how pain works can make persistent symptoms feel less confusing or frightening. Learning about the brain, nervous system, and pain gives you a clearer framework for what you’re experiencing and why it may be continuing.
CBT helps you identify thoughts and behaviors that may contribute to fear, avoidance, or distress around pain. You can then practice more flexible ways of thinking and responding to symptoms and situations that have become difficult.
CHANGING PATTERNS AROUND PAIN
The goal of therapy isn’t to eliminate every pain sensation or guarantee you’ll never feel discomfort again. Instead, treatment helps you understand what’s happening, respond with less fear, and rebuild trust in your body.
Learn how the brain and nervous system contribute to pain signals, and what that means for your specific symptoms.
Recognize the thoughts, sensations, and situations that trigger worry about movement or reinjury.
Practice approaching pain and other physical sensations with curiosity instead of alarm.
Gradually rebuild trust in your body by returning to movements and activities you may have been avoiding.
Return to the work, hobbies, relationships, and routines that pain may have pushed to the side.
WHAT MAKES US DIFFERENT
Persistent pain can be complicated, especially when it has affected your confidence, activity level, sleep, or quality of life. At Black Hills Somatic Solutions, we take time to understand the full picture of what you are experiencing rather than focusing on pain as an isolated symptom. Your care is grounded in neuroscience while remaining personal, practical, and responsive to your goals.
We use current understanding of pain, the brain, body, and nervous system to help make sense of persistent symptoms and guide your treatment.
There is no single path through chronic pain. Your treatment is shaped around your experiences, symptoms, goals, and what feels appropriate for you.
You are an active part of the treatment process. We work together to understand your symptoms, explore what may be keeping them going, and determine which approaches are most helpful.
FAQ
Pain Reprocessing Therapy (PRT) is a therapeutic approach that helps people understand how the brain and nervous system can contribute to persistent pain. It focuses on changing the way pain sensations are interpreted and reducing the sense of threat that can keep the nervous system in a protective state.
Neuroplastic symptoms are real physical symptoms that can be influenced by changes in how the brain and nervous system process and respond to sensations. In some cases, the nervous system can continue producing symptoms even when there is no longer an active injury or clear source of tissue damage.
Yes. Pain does not always disappear as soon as an injury heals. The nervous systems can remain sensitive after the original threat has passed which may contribute to persistent or recurring pain. A healthcare professional can help determine whether there is an ongoing medical cause that needs to be addressed.
Yes. A lack of findings on medical tests does not mean that your pain is imagined or that you are making it up. Pain is a real experience involving the brain and nervous system. When appropriate, Pain Reprocessing Therapy can help explore whether nervous system patterns may be contributing to persistent symptoms.
They overlap, but they are not exactly the same. Pain psychology addresses the emotional, cognitive, behavioral, and social effects of living with pain, while Pain Reprocessing Therapy specifically focuses on how the brain and nervous system may contribute to persistent pain. Depending on your needs, therapy may incorporate both approaches.
A DIFFERENT APPROACH TO HEALING
You don’t need to know whether your symptoms are “neuroplastic” before reaching out. You also don’t need to have the right explanation for your pain. A consultation can be a place to talk through what you have been experiencing, understand whether a neuroscience-informed approach may be appropriate, and decide together what the next step could look like.
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YOUR PATH TOWARD HEALING
Starting therapy can feel overwhelming, especially if you’ve spent months or even years searching for answers. At Black Hills Somatic Solutions, we’re here to guide you through every step of the healing process with compassion, education, and personalized care.
step 01
Every healing journey begins with understanding you. We’ll take the time to listen to your experiences, explore your symptoms, and learn about the factors that may be influencing your nervous system.
step 02
We’ll help you make sense of the brain-body connection and explain how your nervous system may be contributing to persistent pain, anxiety, sleep difficulties, or functional neurological symptoms. Understanding what’s happening is an important part of moving forward.
step 03
Using evidence-based therapies like Pain Reprocessing Therapy (PRT), somatic therapy, Cognitive Behavioral Therapy (CBT), and CBT-I, we’ll develop a treatment plan tailored to your unique needs and goals.
step 04
As you learn new skills and retrain patterns within the nervous system, you’ll gain confidence in your ability to manage symptoms, feel more connected to your body, and continue your healing long after therapy ends.
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