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Nurse-led · Bilingual · Telehealth

Understand What Makes
Recovery Harder

Less overwhelm. More clarity.

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.

Pain Care At Home™ helps organize your pain story, identify concerns that may need closer attention, and build a focused recovery plan through a comprehensive assessment completed by a registered nurse.

Book Your Free Pain Profile →Providers: Learn More →

For adults 18+ living with pain lasting three months or longer. 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 almost always has reasons — and those reasons can be understood.

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 can change. Understanding pain patterns and the factors influencing recovery can help guide more appropriate support.

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.

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 Follow-Up that helps adjust recovery steps, improve pain flares, and make daily life a little bit easier.

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

Assessment & Care Plan

A deeper nurse-led review of pain patterns, flares, function, sleep, treatment history, and support needs — delivered with a written plan that names priorities, flare planning, care-team questions, and practical recovery steps.

3

Follow-Up Support

Support to review progress, 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 the first step. The Assessment & Care Plan builds the recovery plan that supports you and your care team.

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. You will leave with a written plan showing what to focus on first, what can wait, what to discuss with your providers, and how to respond when symptoms flare.

Your plan does not direct or replace your clinicians’ treatment. It organizes your history, priorities, questions, and recovery needs so you can have a clearer conversation with the professionals already involved in your care.

You do not need more confusion or overwhelm. You need a clearer picture — and a plan that can guide recovery.

What you will receive

Clear summaries that support pain recovery.

The Pain Profile is the starting point. The Assessment & Care Plan™ turns your pain story into the full picture and a written plan — one appointment, both documents. Follow-Up keeps the plan working in daily life.

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™

One appointment, two connected documents — the full picture and the written 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

Pain Recovery Follow-Up™

Support after your plan to keep recovery moving in daily life.

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.

Support options after your free Pain Profile

Start with clarity. Continue with the support that fits.

You do not need to decide alone. The free Pain Profile helps clarify your first step. The Assessment & Care Plan builds the recovery plan — for you and for your care team.

No referral is required, and everything happens from home by video or phone. Services are direct-pay, with payment completed securely through Square or PayPal, and HSA/FSA documentation support is available for eligible services.

Free · start here
Free · 20 min

Pain Profile™

A brief phone or video consultation to discuss what has been happening, identify your main concern, and decide whether a comprehensive assessment and written care plan may be useful.

Book Your Free Pain Profile →

Video or phone — camera optional. No obligation. Supports education and care planning. Does not replace medical care.

Signature Service
The complete starting point
$249 · 75–90 min

Pain Recovery Assessment & Care Plan™

A comprehensive nurse-led review of your pain history, flare patterns, daily function, sleep, treatment experiences, stress load, confidence, and recovery needs.

You receive: a personalized written assessment summary, prioritized recovery goals, flare and pacing considerations, pain-education recommendations, questions to discuss with your care team, and a practical 30–60 day plan.

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.

Support after your plan
$85 · 55 min

Pain Recovery Follow-Up™

After your care plan, follow-up sessions review progress, address barriers, adjust recovery steps, prepare for provider conversations, and make the plan easier to use in daily life. Sessions may include pain neuroscience education, PRT-informed support, EAET-informed reflection, and mindfulness-based practices.

Book a Follow-Up — $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 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.

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 the comprehensive Assessment & Care Plan, follow-up support, 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.