Now booking free Pain Profiles for early participants.  Book your free 20-minute call →
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, flare-ups, sleep, stress, fear, confidence, daily function, treatment history, and support needs.

If you’ve tried multiple approaches and still feel like recovery is not possible, that does not mean you have failed. It may mean the full picture of your pain has never been captured in a way that can guide the right next step.

Pain Care At Home™ helps document flare patterns, health history, and daily impact that pain scores often miss, so your care plan can be safer, better matched, and more focused on recovery.

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

Recovery is possible. The right starting point matters.

Start Your Free Pain Profile → See How It Works
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.

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.

What you receive

Patient-friendly summaries you can use with your care team.

The free Pain Profile helps clarify whether a deeper assessment would be useful. If you choose a paid assessment or care plan, you receive written guidance that turns your pain experience into practical next steps.

1

Pain Recovery Snapshot™

A short summary of the main patterns affecting your recovery right now.

Recovery pictureFlares, stress load, sleep, and daily function
What may be harderConfidence, pacing, or symptom unpredictability
Next support optionAssessment, care plan, coaching, or current care team discussion
2

Pain Recovery Profile™

A deeper patient-friendly report that reviews pain patterns, flare burden, daily impact, confidence, and support needs.

Pain patternsFlaresSleepStress loadNervous system sensitivityEmotional impactDaily functionConfidence
3

Recovery Care Plan™

A written plan with priorities, stabilization needs, flare planning, functional goals, and questions to bring to your care team.

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.

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.
Services

Start free. Choose paid support only if it fits.

Begin with the free 20-minute Pain Profile. If a deeper assessment or written care plan would help, the options will be explained clearly before you book anything paid.

Not sure what you need?

That is exactly why the free Pain Profile comes first. You can talk through what has been happening, ask questions, and decide whether a full assessment, written care plan, coaching, or a conversation with your current care team is the best next step.

Free · start here
Free · 20 min

Free 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.

  • 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 review of pain patterns, flares, function, sleep, and support needs
  • Symptom stability and flare-pattern 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 factors that may be easier to change first
  • Flare and steadiness planning
  • 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
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.

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.

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, 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