Pain Flare-Up Management Plan

When to Use

Develop proactively during a stable period, before a pain flare-up occurs. The plan provides a structured response to manage flare-ups without catastrophising or abandoning coping strategies. Review and update after each flare-up experience.

How to Introduce

Normalise that pain flare-ups are an inevitable part of living with chronic pain and do not indicate damage or treatment failure. Frame the plan as an emergency toolkit — having it ready means the client can respond effectively without panic when a flare-up occurs.

Adaptations

For clients with very frequent flare-ups, focus on distinguishing between normal pain fluctuations and genuine flare-ups. For those who catastrophise during flare-ups, include specific cognitive strategies and self-compassion statements. Include guidance on when to seek medical attention versus self-managing.

The flare-up plan should not encourage ignoring pain signals that indicate new injury or medical emergency. Include clear criteria for when to seek medical assessment. Do not present the plan as a reason not to contact healthcare providers when clinically indicated.

Clinical Tips

Effective flare-up plans typically include: reminder that flare-ups are temporary, pacing adjustments (reduce activity but don't stop completely), relaxation techniques, distraction strategies, medication guidelines, when to contact the GP or pain team, and a review date. Laminate or keep on the phone for easy access during a flare-up.