Chronic Pain Specialist · Lawrence Park, Toronto
You've tried things.
They haven't worked.
Here's why.
Pain that keeps returning deserves a fresh look. Devon reviews what triggers it, what has already been tried, and what your body still needs to do. From there, he explains the likely drivers and the next step.
Short Answer
Why chronic pain keeps coming back
Chronic pain often sticks around because care keeps chasing the sore spot. Dr. Devon looks for the pattern that keeps reloading it: the hip that does not move, the back that keeps guarding, the nerve that stays irritated, or the joint that never got checked. The first visit turns that into a written plan.
"Dr. Devon Savarimuthu, DC, CSCS, says: 'When pain keeps coming back, I want to know what has been missed. The sore spot is often the place doing extra work for somewhere else.'"
Who this page is for
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Pain that has lasted more than 3 months
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Tried treatment elsewhere without lasting results
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Pain that keeps returning to the same spot
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Been told "it's just wear and tear" or "you'll have to manage it"
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Tried injections or pain medication without resolution
What's usually missing
Long-standing pain can have more than one driver. The sore area may be taking extra work because another joint or movement is not doing its share. Testing the whole pattern can change the plan.
If previous care focused only on the sore spot, the first visit looks at what else may be keeping it irritated.
When pain shows up in more than one place
A lot of long-standing pain is not one clean body-part problem. The back tightens, then the hip changes, then the knee starts taking more load. Or the neck stays guarded, then headaches and shoulder pain ride along with it.
This page is for that kind of case: pain that has spread, shifted, or returned after care that only looked at one area. Dr. Devon checks how the regions connect before deciding what to treat first.
What visit 1 looks like
The first visit starts with the full story: when it began, what you have tried, what changed, what helped, and what came back. Then Devon tests movement, joints, strength, and nerve signs where needed. The goal is to find the pattern, not to name every sore spot.
You leave with a working diagnosis and a plan. If the case needs imaging, a medical referral, or a different type of care, that gets said plainly. If it fits the Endura Method, the plan has a timeline and built-in checkpoints.
The Endura Method for chronic pain
Assessment, treatment when appropriate, and a working plan begin at the initial appointment. Progress and visit frequency are reviewed so the plan can change, step down, or refer out when needed.
Progress checkpoints
You get honest progress updates: whether we're on track, whether the plan needs adjusting, or whether your case needs something beyond what I do.
Start with a 50-minute first visit that includes assessment and treatment.
If further care is useful, Devon explains the plan after the exam and changes it as your needs change.