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Nurse-led · Bilingual · Telehealth

Find Out What's Getting
in the Way of Recovery

Less overwhelm. More clarity.

If you’ve tried multiple approaches and still feel like recovery is not possible, that does not mean you failed.

Pain Care At Home™ helps organize your pain story, identify what may be making recovery harder, and clarify what kind of support may fit next.

Book Your Free Pain Profile →Providers: Learn More →

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

BSN, RN, CCDSEnglish & Español40+ statesTrauma-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.

Beyond the number

A single score cannot explain
your pain story.

Why recovery can stall

Pain that lasts is not a sign you failed. It usually means something has not been assessed yet.

1

Pain is a protection signal

Pain is your body's way of protecting you. When pain lasts a long time, the nervous system can overprotect and stay on high alert — even after tissues have healed. That is based on pain neuroscience. Persistent pain is changeable, and it changes when it is understood.

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 fail. Plans that understand the pain experience are most successful.

This is why the first step is understanding your full picture — not another treatment chosen by guessing.

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
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 → 727-213-8864
How it works

A clearer path for pain recovery

Start with the free Pain Profile. From there, your recovery path can continue into a Pain Recovery Assessment, a written Care Plan, and Pain Recovery Coaching that helps you understand the plan, apply pain education, and put the pieces together in daily life.

1

Free Pain Profile

A 20-minute conversation to understand what has been happening, what feels unclear, and what kind of support may fit.

2

Pain Recovery Assessment

A deeper nurse-led review of pain patterns, flare-ups, function, sleep, treatment history, and support needs.

3

Pain Recovery Care Plan

A written plan that names priorities, flare planning, pain education needs, care-team questions, and practical recovery steps.

4

Pain Recovery Coaching

Support to understand the plan, apply pain education, adjust during flares, build confidence, and keep recovery moving.

You do not need to choose the full pathway on your own. The free Pain Profile helps clarify whether assessment, care planning, coaching, or a discussion with your current care team is the best next step.

Book Your Free Pain Profile →
Why a care plan matters

Pain relief matters. But when pain has lasted a long time, relief alone may not show you what to do next.

Chronic pain recovery is rarely shaped by one factor alone. Flares, sleep, stress, movement, fear, treatment history, medication effects, daily function, confidence, and healthcare experiences can all affect whether a recovery plan feels possible. When these pieces are not assessed together, people are often left trying one thing after another without knowing what is helping, what is missing, or what needs to change first.

One thing after another
New medication?
Physical therapy?
Injection?
Another opinion?

Each tried on its own — without knowing what's helping or what's missing.

A connected plan
Your Pain Recovery Care Plan™
Flare planPacingSleepPain educationCare-team questionsSmall next steps

The same pieces — assessed together, connected, and sequenced.

A Pain Recovery Care Plan™ helps turn the full picture into a clearer next step. A care plan helps organize what has been tried, what may be making recovery harder, what needs support first, and what questions may need to go back to your care team.

The goal is not to give you another generic pain tip. The goal is to help you understand your recovery picture and leave with a plan you can actually use.

You do not need another disconnected visit. You need a clearer recovery picture — and a plan that connects the pieces.

What you will receive

Clear summaries that support pain recovery.

The Pain Profile is the starting point. When more support is needed, the Pain Recovery Assessment and Care Plan turn your pain story, education needs, and recovery priorities into practical next steps.

1

Pain Profile™

A brief summary of what may be making recovery feel harder right now and what kind of next step may fit.

What patterns show upFlares, sleep, stress, function, and daily impact
What may need supportConfidence, pacing, symptom steadiness, or care-team discussion
Next stepCurrent care team, Pain Recovery Assessment, care plan, or follow-up support
2

Pain Recovery Assessment™

A patient-friendly report that reviews the bigger picture behind your pain experience and where pain education or support may be most useful.

Pain patternsFlaresSleepStress loadCare experiencesDaily functionConfidenceGoals
3

Pain Recovery Care Plan™

A written plan that connects assessment findings, pain education, flare planning, and recovery goals into a realistic next step.

Support prioritiesWhat to focus on first
Care-team questionsWhat to ask your clinician, PT, therapist, or coach
Follow-up planWhat to monitor and when to reassess

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

Support options after your free Pain Profile

Choose the level of support that matches your recovery picture.

You do not need to decide alone. The free Pain Profile helps clarify whether you need a deeper assessment, a written care plan, coaching support, or a conversation with your current care team.

All services are from home, by video or phone — no referral, no insurance, and no app needed. Every profile is reviewed personally by a registered nurse.

Free · start here
Free · 20 min

Pain Profile

A free first conversation to review your pain experience, identify what feels unclear, and decide whether a deeper assessment or care plan would be useful.

Book Your Free Pain Profile →

Video or phone — camera optional. 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 of pain patterns, flares, function, sleep, treatment history, and support needs — with a written report you can use with your care team within 48 hours.

Book & Pay — $175 →

Secure payment via Square. 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™

For people who want more than a conversation. Includes the full Pain Recovery Assessment™ plus a written care plan that organizes your recovery priorities, flare patterns, pain education needs, pacing considerations, care-team questions, and practical next steps.

Best for people who feel overwhelmed or unsure what to do next after trying multiple treatments.

Book Assessment + Care Plan — $249 →

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

Ongoing support
$85 · 55 min

Pain Recovery Coaching™

Coaching helps you understand your care plan, apply pain education in daily life, adjust during flares, build confidence, and keep recovery moving. Coaching may include pain neuroscience education, PRT-informed support, EAET-informed reflection, and mindfulness-based practices to help reduce fear, support flare planning, and make recovery steps easier to apply.

Book & Pay — $85 →

Secure payment via Square. Educational and supportive. Does not replace medical care or psychotherapy.

Not sure what you need? That is exactly why the free Pain Profile comes first.
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

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-minute conversation to review your pain experience, identify what feels unclear, and decide whether any next step may be useful. It is designed for adults 18+ living with pain that has lasted three months or longer. No commitment required.

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.

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 727-213-8864 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.

Start with a 20-minute conversation to clarify what may be making recovery harder and what kind of support may help you move toward recovery.

The goal is clarity: whether your next step is a Pain Recovery Assessment, a written Care Plan, Pain Recovery Coaching, or a discussion with your current care team.

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

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