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Nurse-led · Bilingual · Telehealth

Understand What Makes
Recovery Harder

You might recognize this

✓You've seen multiple providers but still don't have a clear recovery plan
✓Your pain flares unpredictably and you're not sure what's driving it
✓Sleep, stress, or daily function have gotten harder alongside the pain
✓You feel like the full picture of your experience hasn't been heard

You do not have to keep guessing. Start with a conversation, understand the fuller recovery picture, and receive a plan that helps organize what comes next.

Book Your Free Pain Profile →Providers: Learn More →

Free 20–30 min · Phone or video · No commitment · Adults 18+

Person journaling in a calm home setting — representing pain recovery

For the first time, I felt like someone understood my pain experience — not just my pain score.

Marisela Cigliuti, BSN, RN, CCDS — founder of Pain Care At Home™
16+
Years nursing experience
Meet your nurse

I’ve explained my pain symptoms over and over and still had no plan for recovery.

Hi, I’m Marisela Cigliuti, BSN, RN, CCDS — founder of Pain Care At Home™.

Registered Nurse BSN, RN, CCDS Bilingual EN/ES PRT Certified EAET Trained Mindfulness Certified Lived experience

PRT = Pain Reprocessing Therapy  ·  EAET = Emotional Awareness & Expression Therapy  ·  CCDS = Certified Clinical Documentation Specialist

Pain is always real. Recovery can start with a clearer story, a realistic next step, and support that fits your current pain experience.

I bring together neurology experience, nursing, pain recovery training, mindfulness practice, and lived experience with chronic pain.

For years, I worked as a nurse in traditional healthcare settings. I saw how often people with chronic pain moved from specialist to specialist without a clear plan that connected the full story.

Then everything changed — I developed fibromyalgia. Suddenly, I was the one sitting on the exam table, feeling dismissed, misunderstood, and desperate for answers.

I learned how hard it can be when pain is real, but the care plan does not fully explain why recovery feels so difficult.

I built Pain Care At Home™ to offer the kind of support I needed when I was suffering. You do not have to figure this out alone.

Book Your Free Pain Profile →
Beyond the number

A single score cannot explain
your pain story.

Why recovery can stall

Persistent pain is rarely explained by one factor.

1

Pain is a protection signal

Recovery can become harder when symptoms, sleep, function, stress, treatment history, uncertainty, and other factors accumulate over time. Organizing the bigger picture can help clarify your support needs and next steps.

2

Persistent Pain and Flares

A good day leads to doing more, and a bad day could lead to more fear of pain — and the cycle repeats. More effort goes into additional treatments or programs that promise relief. A well-documented plan keeps recovery moving forward.

3

The journey that no one understands

Years of treatments, mixed messages, and feeling unheard leave their own mark — treatment fatigue, fear of trying again, and lost confidence. Recovery plans that ignore the pain story often fall short. Plans are more useful when they reflect the person’s full pain experience, current capacity, and care needs.

This is why the first step is understanding your pain profile — not another guess at what treatment could work next.

How it works

A clearer path for pain recovery

Start with a free 20-minute Pain Profile consultation. The full program begins with a $179 pain recovery assessment and written care plan, followed by personalized pain recovery coaching at $85 per hour.

1

Free Pain Profile

A free 20-minute phone or video conversation to discuss what has been happening, clarify your main concern, and decide together whether a deeper assessment would be useful.

You leave with

  • ✓Clarity on your main concern
  • ✓An honest sense of whether a care plan would help
  • ✓No pressure to continue — you decide
2

Assessment & Care Plan

After the free conversation, the $179 introductory service includes a 60-minute RN-led assessment of your pain experience, recovery barriers, current function, goals, and support needs, followed by a personalized written care plan. A structured Pain Recovery Profile™ and additional questions help organize the information we discuss.

What the $179 includes

  • ✓Pain Complexity screenings and additional questions
  • ✓Complete evaluation of your Pain Profile
  • ✓Personalized recovery recommendations
  • ✓A written plan with priorities and next steps
3

Follow-Up Support

After your care plan, follow-up sessions review progress, adjust recovery steps, prepare you for provider conversations, and apply pain education to daily life. Booked when you're ready.

You leave with

  • ✓Progress review and plan adjustments
  • ✓Flare and pacing support
  • ✓Preparation for your next provider visit

Start with the free 20–30-minute call. It costs nothing, takes no commitment, and helps you decide whether the $179 assessment is right for you.

Book Your Free Pain Profile →
What you will receive

Clear summaries that support pain recovery.

The free Pain Profile consultation introduces the full pain recovery program. A $179 introductory assessment includes a 60-minute RN-led session and written care plan, followed by assessment-based coaching at $85 per hour.

1

Free Pain Profile™

An introductory conversation about what may be making recovery feel harder right now and what kind of next step may fit.

What we talk aboutFlares, sleep, stress, function, and daily impact
What we clarifyYour main concern and what may need closer attention
Where it leadsYour current care team, or the Assessment & Care Plan
2

Pain Recovery Assessment & Care Plan™

A 60-minute RN-led assessment of your pain experience, current function, goals, and support needs, followed by personalized recommendations and a written care plan.

Understand the bigger pictureA patient-friendly assessment of pain patterns, flares, sleep, stress load, daily function, care experiences, confidence, and goals
Receive a written next-step planSupport priorities, flare and pacing planning, pain-education recommendations, and care-team questions
Pain patternsFlaresSleepStress loadCare experiencesDaily functionConfidenceGoals
3

Personalized Pain Recovery Coaching Program

Assessment-based coaching at $85 per hour to apply recovery skills, work through barriers, and adjust your personalized care plan throughout the program.

Progress checkWhat is working, and what needs adjusting
Plan adjustmentsFlare responses, pacing, and next small steps
Provider preparationQuestions and updates for your care team

These summaries are not a diagnosis, risk prediction, or emergency assessment. They are designed to support education, care planning, and next-step discussion.

Real voices

What people say

People living with fibromyalgia, migraines, chronic pain, and complex recovery histories — in their own words.

It has been great so far, honestly. I am very much enjoying my discussions with Marisela. She is a great coach and I can see the benefits already and plan to continue in this relationship.

— Coaching client · Migraine symptoms

You helped me so much this morning. I am very emotional but glad I opened up for the first time in my life. I am so grateful for you.

— Coaching client · Chronic pain

Thank you so much, Marisela. Once again, I really appreciate talking with you and the incredible resources you send my way. You really have a knack for figuring the perfect resources for my process.

— Recent client

I’ve been journaling and practicing these exercises over the last week and think they are helping. I’ve really appreciated the support you’ve given me and feel like I’ve made progress with the pain work.

— Recent client
Common questions

Frequently Asked Questions

Why would I need a care plan if I just want pain relief?

Wanting pain relief makes sense. But when pain has become persistent or complex, relief strategies often work better when they are part of a plan. A care plan helps identify what may be affecting recovery — such as flares, sleep, stress, movement, confidence, treatment history, and support needs — so the next step is not based on guessing. It does not replace medical care, but it can help you and your care team see the bigger recovery picture more clearly.

What is the free Pain Profile?

A free 20–30-minute introductory consultation, by phone or video, to briefly discuss your pain experience, clarify your main concern, and decide whether a comprehensive assessment and written care plan may be helpful. It is designed for adults 18+ living with pain that has lasted three months or longer. No commitment required.

What does the $179 Assessment & Care Plan include?

The introductory $179 service includes a 60-minute nurse-led assessment plus the clinical time to send and review Pain Complexity screenings and additional questions, complete your Pain Profile evaluation, personalize recommendations, and prepare your written plan.

Is this medical treatment?

Pain Care At Home™ provides education, nurse-led support, care-planning support, and coaching. It does not replace your medical care, emergency care, or psychotherapy. All services are within registered nurse scope.

Can I share my care plan with my doctor?

Yes. Written summaries are designed to support communication with your care team. They do not replace your clinician’s medical judgment.

Do you offer services in Spanish?

Yes. Services are available in English or Spanish at the same pricing.

What states do you serve?

Telehealth services are available across 40+ states, including all compact states. You can confirm availability before booking.

Do I need a referral to book?

No referral is needed. You can book the free Pain Profile directly through the booking link on this page. If you are a provider, coach, or therapist referring a client, you are welcome to use the contact form to send a referral inquiry first.

How is this different from seeing my doctor or specialist?

Your medical team diagnoses, prescribes, and manages your condition. Pain Care At Home™ works alongside that care — helping you understand your pain experience, organize your recovery picture, and build a plan that supports the work you are already doing with your providers. Many clients find the written assessment or care plan also helps them communicate more clearly at their next medical appointment.

Questions or referrals

Questions, referrals, or ready to begin?

Patients, caregivers, providers, pain coaches, therapists, mental health professionals, physical therapists, pelvic health professionals, and other care partners are welcome to reach out. You can ask a general question, send a referral inquiry, or start with the free Pain Profile.

Send a message or referral inquiry Book Free Pain Profile

Payment options

Services are direct-pay. Accepted: Square and PayPal. HSA/FSA documentation available on request for eligible services.

Send a message or referral inquiry

General questions and referral inquiries are reviewed personally.

Open Contact Form →

Use this form for general questions, service fit, collaboration requests, or referral inquiries from providers, coaches, therapists, mental health professionals, PTs, pelvic health professionals, and other care partners.

Please do not include detailed health information in this form. For clinical intake, use the booking link above.

Your next step

Get your free Pain Profile.

You don't have to figure out why recovery hasn't worked — that's exactly what the free Pain Profile is for. A free 20–30-minute conversation to review your experience, identify what may be making recovery harder, and clarify what kind of support fits.

No obligation. No referral needed. Whether your next step is an Assessment & Care Plan, follow-up support, or simply a clearer conversation with your current care team — it starts here.

Book Your Free Pain Profile →

Video or phone — your choice. Camera optional. No exam, no pressure.