Chronic Pain

Serving Sugar Land & Houston

Living with chronic pain can be exhausting—physically, mentally, and emotionally. Because of this, Dr. Angela Pfeiffer and Dr. Margaret Tripp specialize in chronic pain management and treatment.

Many individuals we work with have already pursued extensive medical care, tried multiple treatments, and are still left managing daily discomfort or limitation. Over time, this can lead to frustration, discouragement, and a sense that options are running out.

At our practice in Sugar Land, serving the greater Houston area, we offer a thoughtful, evidence-informed approach to chronic pain, including Pain Reprocessing Therapy (PRT), designed to address the neurological and psychological components of persistent pain.

Understanding Chronic Pain

Chronic pain is complex. The term refers to any pain that has lasted more than 3 months.

In many cases, even when an initial injury or medical condition has improved, the pain can continue due to changes in how the brain and nervous system process signals. Chronic pain can actually occur in the absence of any bodily injury.

This does not mean the pain is “in your head.” It means the pain is real—and being generated or amplified by learned neural pathways.

Common examples include:

Back, neck, or musculoskeletal pain
Headaches or migraines
Fibromyalgia-like symptoms
Persistent pain without a clear ongoing medical cause

Our Approach to Chronic Pain Treatment

We provide an integrated, individualized approach that respects both the physical and psychological aspects of pain.

1. Pain Reprocessing Therapy

We guide you through a structured process to:

Understand the mechanisms of your pain
Reduce fear and reactivity to symptoms
Build new, healthier neural pathways

2. Psychological Support

Chronic pain often impacts mood, stress levels, and overall quality of life.

We address:

The emotional toll of ongoing pain
Stress patterns that may contribute to symptom persistence
Ways to increase a sense of control and resilience

3. Nervous System Regulation

We incorporate strategies that help your system:

Settle out of a chronic “alarm state”
Reduce baseline tension
Improve recovery and flexibility

Collaboration with Medical Care (When Needed)

Drs. Pfeiffer and Tripp collaborate with your medical providers if needed to help create a united intervention team:

Help clarify whether additional evaluation is useful
Coordinate care when appropriate
Consider medication support if it meaningfully contributes to your overall plan

What Makes Our Practice Different

At our Sugar Land practice, we offer:

A collaborative, multidisciplinary team (psychiatry, neuropsychology, psychology)
20–30 years of clinical experience
A balanced approach that is both scientifically grounded and highly individualized
A professional, thoughtful environment for exploring complex conditions.
In-person and Virtual appointments available