A free Pain Profile can help you understand what's in the way of recovery.  Book now →
Nurse-led · Bilingual · Telehealth

Find Out What's Getting
in the Way of Recovery

Chronic pain is rarely shaped by one thing alone.

Recovery can be affected by pain patterns, flares, sleep, stress, fear, confidence, daily function, treatment history, and support needs.

If you’ve tried multiple approaches and feel like recovery is not possible, that is not a failure on your part. It may mean the full pain experience has not been captured in a way that can guide the right next step yet.

Pain Care At Home™ helps capture the patterns, history, and daily impact that pain scores often miss, so care can be safer, more realistic, and easier to discuss with your care team.

Built by a bilingual registered nurse who has lived the patient side of chronic pain recovery.

Recovery is possible. The right starting point matters.

Start Your Free Pain Profile → For Providers
BSN, RN, CCDS English & Español 40+ states Trauma-informed
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.

Why recovery can feel unclear

The pain experience is often shaped by far more than the original pain event.

Many people seek care after something changes — a new symptom, a flare, a diagnosis, a surgery, or a shift in how their body feels.

Over time, repeated appointments, procedures that did not help, medication side effects, conflicting explanations, poor sleep, fear of movement, and feeling dismissed can make recovery feel even harder.

The Pain Recovery Assessment is designed to capture these layers so they can guide a more realistic recovery plan, better care-team communication, and support that fits your current capacity.

When your pain experience is captured clearly, care can move beyond guessing.

Person thoughtfully reflecting with a journal
A clearer picture can guide safer next steps.
What the Pain Profile measures

Your pain experience — not just a number.

Most pain assessments ask one question: how bad is it, 0–10? That number matters, but it does not show what you are living with day to day. The Pain Profile looks at the patterns, stress load, daily function, and support needs that can affect recovery.

Pain patterns

How and when your pain behaves, flares, and changes. We track what aggravates it and what brings relief.

Nervous system load

Stress, tension, body activation, and mental effort that can keep your system on alert.

Life context

Your daily realities, support systems, and capacity. Because recovery has to fit into your actual life.

Eight areas the assessment reviews:

Pain distribution
Flare patterns
Nervous system sensitivity
Emotional impact
Cognitive load
Daily function
Recovery confidence
Healthcare experience
How it works

From uncertainty to better-matched support

Four steps to help your care plan fit your symptoms, capacity, and recovery needs — not a generic protocol.

1

Free Pain Profile

A free first step to review your pain experience and clarify your main recovery concerns.

2

Pain Recovery Assessment

A comprehensive nurse-led assessment across pain patterns, flares, function, sleep, and support needs.

3

Pain Recovery Care Plan™

A written plan with your support priorities, goals, and next steps — in plain language you can share with your care team.

4

Pain Recovery Coaching

Follow-up support to apply your next step with more confidence and less guesswork.

Care Pathways

Start with a clearer pain recovery picture.

Pricing is listed to help you plan. The free 20-minute Pain Profile helps clarify whether education, a deeper assessment, a written care plan, coaching, or care-team communication may fit best before you choose a paid service.

Not sure which service fits?

Many people do not need another generic pain recommendation. They need a clearer way to understand what their symptoms, flares, function, and treatment history are showing now. Your free Pain Profile helps clarify whether your next step may be a full assessment, a written care plan, follow-up coaching, or a discussion with your current care team.

Always free · start here
Free · 20 min

Free Pain Profile

A free first conversation to review your pain experience, identify what feels unclear, and clarify which level of support may fit your situation.

  • Brief review of current pain recovery concerns
  • Plain-language summary of main recovery themes
  • Guidance on whether a full assessment may help
  • Space to ask questions before any paid service
Start Your Free Pain Profile →

No obligation. Supports education and care planning. Does not replace medical care.

Comprehensive recovery review
$175 · 60 min

Pain Recovery Assessment™

A nurse-led assessment for people who have tried multiple treatments, feel overwhelmed by their pain story, or need a clearer way to understand what may be making recovery harder. It is not just a questionnaire — it combines your responses with a nurse-led consultation and a written report you can use with your care team.

  • Comprehensive recovery review using the clinical assessment framework
  • Pain Stability Index™ review
  • 60-minute nurse-led consultation
  • Verbal summary of key recovery patterns
  • Identification of support needs and recovery strengths
  • Written Pain Recovery Assessment Report within 48 hours
  • Suggested next steps to discuss with your care team
Book Assessment — $175 →

Supports education and care planning. Does not diagnose pain mechanisms or replace medical care.

Best Value
Most complete starting point
$249 · 75–90 min

Assessment + Care Plan™

The best option for people who want a written plan — not just insight. This service translates the recovery picture into goals, stabilization priorities, flare planning, pacing considerations, and questions to bring to your care team.

Book Assessment + Care Plan — $249 →

HSA/FSA documentation support available on request for eligible services. Reimbursement is not guaranteed. Does not replace medical care.

  • Everything included in the Pain Recovery Assessment™
  • Written pain recovery summary
  • Written Pain Recovery Care Plan™
  • Top support priorities and modifiable recovery drivers
  • Flare and stabilization considerations
  • Pacing and functional goal planning
  • Questions to bring to physicians, PTs, therapists, or other clinicians
  • Optional clinician-facing summary
  • HSA/FSA documentation support upon request
Ongoing support
$85 · 55 min

Pain Recovery Coaching™

A focused session to help you apply your next step with more support — flare planning, pacing, nervous system education, setbacks, confidence-building, and care team preparation.

Book Coaching Session — $85 →

Educational and supportive. Does not replace medical care or psychotherapy.

Focused session
$45 · 30 min

Brief Recovery Coaching™

A shorter session for one focused concern — a flare, setback, pacing question, care-plan adjustment, or next-step decision.

Book Brief Session — $45 →

Educational and supportive. Does not replace medical care or psychotherapy.

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

Hi, I'm Marisela.

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
I know what it feels like to be trapped in the chronic pain cycle.

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. My philosophy is simple: pain is always real. When pain persists, recovery often requires more than one explanation or one treatment. It requires understanding the patterns, the nervous system response, the daily impact, and the support a person needs next.

You do not have to figure this out alone. Recovery can start with a clearer story, a realistic plan, and support that fits your current capacity.

Start Your Free Pain Profile → 727-213-8864
Real voices

What people say

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

This is one of the best somatic practices I have done. You are so calming and compassionate. Thank you so much.

— YouTube viewer · Somatic practice
For clinicians & care teams

Capture what pain scores miss, so pain care can be better matched.

The Pain Complexity Screening Tool™ (PCST™) is the clinical engine behind the Recovery Care Plan™ framework. It helps providers capture a biopsychosocial pain picture, document what may be affecting recovery, and notice when support, referral, stabilization, or slower onboarding may be needed.

The right question is not only the diagnosis. It is also what this person has lived through while trying to get better — and what support they need now.

Many people with chronic pain arrive with imaging, diagnoses, medications, procedure notes, treatment attempts, and years of trying to explain what happened. Yet the care team may still not have a clear picture of why recovery is difficult now.

The Recovery Care Plan™ framework helps capture what standard intake may miss: pain spread, flares, function, nervous system sensitivity, fear, emotional load, brain fog, treatment burden, healthcare experience, confidence, and support needs.

This matters because unclear findings can lead to mismatched plans, poor engagement, setbacks, weak documentation, and avoidable denial risk. The framework does not diagnose pain mechanisms or guarantee reimbursement. It supports clearer assessment, stronger documentation, better referrals, and more informed care planning.

What the framework captures

Biopsychosocial factors Pain distribution & spread Flare frequency & recovery time Symptom stability Nervous system sensitivity Emotional load Cognitive load Daily function Recovery confidence Healthcare experience Treatment burden Support intensity needs Referral considerations Care plan rationale
Provider Early Access

Bring structured recovery care planning into your workflow.

Access begins with a free consultation to review fit, scope, client population, documentation needs, and workflow. This helps clarify which resources may be useful and whether solo provider or care team access is the right fit.

Built for providers who need a clearer way to assess support needs:

Pain coaches, therapists, physical therapists, pelvic floor therapists, massage therapists, care navigators, team-based programs, and other professionals working with persistent pain within scope.

Free
Provider Consultation

Required first step. No cost, no obligation. Review fit, scope, documentation needs, and implementation questions together.

$49/mo
Founding Provider

Or $349/year. Includes tool access, scoring guidance, interpretation support, care-planning language, report templates, and pilot updates.

Care Team Access

For clinics, group practices, team-based programs, and community programs. Pricing is based on team size, training needs, and support.

Schedule Free Provider Consultation → Ask About Early Provider Access

For clinicians and care teams using the framework within their professional scope. The Recovery Care Plan™ supports assessment, documentation, and care planning; it is not a diagnostic tool and does not guarantee reimbursement. Attorney review is in progress before full licensing launch.

What the Recovery Care Plan™ supports

One framework for safer intake, documentation, and care planning.

The provider version helps clinicians, coaches, therapists, and care teams capture the factors that affect recovery. It also supports clear notes, safer referrals, and support that fits the person’s current capacity.

Scope-safe support starts with better intake.

For pain coaches, care navigators, and support staff, the risk is not caring too much. The risk is making recommendations without enough information.

The framework helps providers see when a client may need education, coaching, stabilization first, referral back to a licensed clinician, behavioral health support, or team review.

🧩

Strengthen biopsychosocial assessment

Go beyond diagnosis and pain intensity. Review body, mood, stress, function, care history, and stability factors that may affect recovery.

📝

Document why support is needed

Use clear, non-blaming language to document key findings, function, flares, confidence, treatment burden, care concerns, and care-plan rationale.

🛡️

Reduce avoidable denial risk

Clearer findings may help explain why education, coaching, rehab support, behavioral pain support, or care coordination may be appropriate. Payment approval is not guaranteed.

🧭

Assess readiness and stabilization needs

Clarify whether the person appears ready for active recovery work, needs preparation, or needs more stability first.

🚦

Know when to support, refer, or slow down

Support safer decisions about what fits within coaching or education — and what may need referral, better notes, clinical collaboration, or team care.

🤝

Improve care team communication

Create shared language for clinicians, coaches, therapists, and care navigators without reducing the person to a diagnosis, score, or single pain mechanism.

The Recovery Care Plan™ framework supports clinical reasoning, documentation, scope-safe care planning, and care team communication. It does not diagnose pain mechanisms, replace professional judgment, assign treatment, or guarantee payment approval.
Common questions

Frequently Asked Questions

What is the free Pain Profile?

A free 20-minute session to review your pain experience, identify your main recovery concerns, and clarify what kind of support may make sense next. No commitment required.

What does the full assessment include?

The Pain Recovery Assessment reviews pain patterns, flares, function, sleep, emotional load, cognitive load, body activation, confidence, treatment history, healthcare experience, and support needs.

Is this medical treatment?

Pain Care At Home™ provides education, assessment 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 use HSA/FSA?

The Assessment + Care Plan may be eligible for HSA/FSA reimbursement when used to support education and care planning for a diagnosed chronic pain condition. Eligibility depends on your administrator — reimbursement is not guaranteed.

Can I share my Care Plan with my doctor?

Yes. The Pain Recovery Care Plan™ is designed to capture your recovery picture in a way that supports communication with your care team. It does not replace your clinician's medical judgment.

Do you offer services in Spanish?

Yes. Marisela is fluent in both English and Spanish. All services are available in either language at the same pricing.

What states do you serve?

Telehealth services are available across 40+ states, including all compact states. Contact us to confirm availability in your state before booking.

Do I need to know which service I want?

No. The free intake is specifically designed to help you decide. You can book a full assessment or care plan after the intake, or decide the conversation was enough for now.

How is my information handled?

Pain Care At Home™ uses the website contact form only for general inquiries. Please do not include detailed medical history, diagnoses, medications, trauma history, or urgent health concerns in the website form. Clinical intake and care-related information are handled through appropriate intake and communication systems. For more details, please contact us for our Privacy Notice and Terms of Use.

How does the Recovery Care Plan™ help providers?

The framework helps providers structure biopsychosocial assessment, document functional impact and support needs, clarify readiness and stabilization needs, support scope-safe care planning, and identify when referral or care-team communication may be needed. It may help reduce avoidable denial risk by making care-planning rationale clearer, but reimbursement is not guaranteed.

Get in touch

Have a question?

Whether you are wondering which service fits your situation, have a question about our services, or just want to say hello — send a message and Marisela will personally respond.

Send a message through the contact form 727-213-8864 Book a free 20-min intake call

Payment options

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

Send a message

Marisela personally reads and responds to every message.

Open Contact Form →

Use this form for general questions, service fit, provider inquiries, or collaboration requests.

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

Your next step

Start with a clearer pain recovery picture.

Begin with a free 20-minute Pain Profile to explore whether this is the right next step for you.

In 20 minutes, you will have a clearer sense of whether the Pain Recovery Assessment is the right next step — and what kind of support may help you move toward meaningful improvement.

Start Your Free Pain Profile → Call or text 727-213-8864