Pain recovery starts with clarity. Get your free Pain Profile →
Nurse-led · Bilingual · Telehealth

Find Out What's Getting
in the Way of Recovery

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 capture the full picture — flare patterns, health history, daily impact, and what has not worked — so the next step can be clearer, safer, and better matched to your needs.

Recovery is possible. The right starting point matters.

Book Free Pain Profile →
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.

If you’ve tried everything

Pain education helps most when it connects to your pain experience.

You may need someone to help capture the full picture of what has happened, what has changed, what has not worked, and what kind of support you may need next.

Pain education that explains why symptoms can become more sensitive, unpredictable, or widespread over time.
A clearer look at repeated appointments, treatments, medication effects, procedures, or recommendations that did not lead to lasting progress.
Support for flare-ups, poor sleep, fear, stress, loss of confidence, and changes in daily function.
A way to connect the pieces so your next step is not based only on a pain number or a generic explanation.

Pain education is part of recovery support. It helps connect what you are feeling with pain science, flare patterns, sleep, stress, movement, health history, and daily life so your care plan makes more sense and feels easier to use.

Book Free Pain Profile →
Person thoughtfully reflecting with a journal
A clearer picture can guide safer next steps.
Why recovery can become harder over time

The original pain problem is often only one part of the story.

Over time, pain can become shaped by flare patterns, treatment experiences, fear, stress, sleep disruption, and changes in daily life. That bigger picture is often what gets missed.

Original pain
→
Fear
→
More symptoms
→
Multiple treatments
→
Complications
→
Flare-ups
→
Poor sleep
→
Less function
→
Many pain areas
→
More confusion
What Pain Care At Home™ does differently

We connect the pieces that shape pain recovery.

Pain recovery is easier to understand when the pieces are connected. Pain Care At Home™ brings together biopsychosocial screening, nurse-led assessment, care planning, pain education, and coaching support so your recovery path is clearer and more practical.

Flare patterns
Health history
Daily function
Sleep
Stress load
Care experiences
Pain education
Recovery goals
Start with clarity: the free Pain Profile helps identify whether a Pain Recovery Assessment, written Care Plan, or Coaching support may help your recovery.
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 Free Pain Profile → 727-213-8864
How it works

Start with clarity, then build a recovery path.

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 Free Pain Profile →
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.

Services & pricing

Start free. Choose paid support only if it fits.

Begin with the free 20-minute Pain Profile. If a deeper assessment, written care plan, or coaching would help, you can book and pay securely below.

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 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 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™

Everything in the Pain Recovery Assessment™, plus a written Pain Recovery Care Plan™ — support priorities, flare and pacing planning, functional goals, and questions to bring to your care team.

Book & Pay — $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™

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

Book & Pay — $85 →

Secure payment via Square. 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 & Pay — $45 →

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. Services are direct-pay via Square or PayPal — for PayPal, or any payment question, call or text 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

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

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. 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.

How is my information handled?

Pain Care At Home™ uses the website contact form only for general questions. 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.

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