Programs
Chronic Pain & Metabolic Care
The pain that keeps someone out of work, and the metabolic disease underneath it — assessed together, because they are the same problem.
Pain is a signal, not the disease
The terrain model that governs this program is straightforward: symptoms are signals, and durable recovery comes from correcting the underlying structure rather than suppressing what it is broadcasting.
In practice that means a person arriving with back pain gets assessed for the metabolic inflammation, sleep disruption, unmanaged blood sugar and nervous-system state that are amplifying it — not just imaged and prescribed.
What gets assessed
- The pain itself: where, how long, what changes it, what has already been tried
- Metabolic markers, including the inflammation that drives pain amplification
- Sleep, which is both a cause and a casualty
- Current medications, and whether any are now doing more harm than good
- Function — what you cannot currently do that you need to be able to do
Why this matters for this population
Unmanaged pain is one of the most reliable ways a housing placement fails. Someone who cannot sit, stand or sleep cannot hold a job, cannot tolerate a congregate setting, and will eventually self-medicate with whatever is available. Treating the pain properly is not comfort care here. It is housing retention.
Opioid stewardship
This program reduces opioid burden. Where someone arrives on a high dose, the work is to taper safely with something better in place — not to abandon them, and not to continue indefinitely.
“You cannot correct anybody’s metabolism from a bus stop.”
Dr. Gurpreet Singh Padda, MD, MBA, MHP
Think this might be for you?
You do not need a referral and you do not need to prove anything first. Tell us what is happening and we will be honest about whether we can help.