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Persistent Facial Pain That Won’t Go Away?

My own chronic facial nerve pain began after a dental procedure and became constant and debilitating. After years of treatments, medications and searching for answers, I eventually found a different path forward.
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Today, I’ve regained control over my pain and help others explore whether learned nervous-system pathways may be contributing to persistent pain.
Headshot of Lucas Ruhnke, Certified Pain Reprocessing Therapy Coach and founder of Pain Free Is Possible.

My Experience With Facial Pain

My symptoms began after a tooth extraction in 2022 and developed into 24/7 facial nerve pain, including burning, numbness and pressure concentrated through the maxillary area. Along the way, I received diagnoses including Anesthesia Dolorosa, Dental Neuralgia and Central Sensitization.

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After years of specialists, medications and treatments, I eventually discovered neuroplastic pain approaches and began a gradual recovery.

Exploring Persistent Pain

​Living with pain that won’t go away can be exhausting, especially when nothing seems to fully explain it.

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You might recognize some of this:

  • Pain that moves or changes over time

  • Symptoms that flare with stress or emotion

  • Normal scans, or findings that don’t explain the pain

  • One area improves, then another starts

  • Feeling stuck, confused, or dismissed

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If this sounds familiar, you’re not alone, and your pain is real.

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In many cases, persistent pain can continue even when tissues have healed, because the nervous system has learned to stay on high alert.
This kind of pain is real and often changeable.

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You don’t need to decide anything right now.
This page is simply a place to explore whether this perspective resonates.

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A gentle next step:
Take a short self-check to see if a nervous-system approach might apply to you.

From Recovery to This Work

My own recovery led me to train in Pain Reprocessing Therapy (PRT) and support others exploring a nervous-system approach to persistent pain.
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My experience gives me a personal understanding of how difficult it can be to trust this approach when pain feels so physical and convincing.
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You don’t need to have facial pain or share my exact story for this work to apply to you.
Photo of Lucas Ruhnke, Pain Reprocessing Therapy Coach, playing guitar after recovering from debilitating chronic nerve pain
Pain Reprocessing Therapy (PRT) Certified

“Working with Lucas has been life-changing. Before starting pain rehabilitation coaching, I was bedridden and living with debilitating pain. After my very first session, my pain was nearly cut in half, and from there, I slowly began getting my life back.

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Through this work, I learned how to feel safe emotionally, build a healthier relationship with myself, honor my needs, and set boundaries without abandoning myself.

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Today, I feel freer, more capable, and more connected to myself than I have in years. I will continue to highly recommend Lucas to anyone I meet who is struggling with chronic pain.” ​

Jenaie B.

Many people start here simply wanting to understand what’s going on, not to commit to anything.

If you want to talk things through

​A session with me is a gentle, supportive space to explore the mind-body connection and uncover patterns that may be fueling pain. As a certified Pain Reprocessing Practitioner, I integrate neuroscience education, nervous system regulation, and emotional processing tools to help retrain the brain’s learned pain pathways, building safety, self-trust, and relief one step at a time.

Connect for support and guidance.

Disclaimer: My services are educational and supportive in nature and are not medical or psychological treatment. I do not diagnose or treat medical conditions. These sessions are not a substitute for care from a licensed healthcare professional.

Nelson, BC

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