Pain, Resilience, and Opportunity

by Bill Cioffredi, PT

Physical Therapist Bill Cioffredi, Founder of Cioffredi & Associates | The Institute for Health & Human Performance on PAIN AND RESILIENCE: AN OPPORTUNITY

Over the course of my 30-plus-year career as a physical therapist, I have gotten a lot of satisfaction from helping people deal with what I saw as a lot of mechanical kinds of pain, and if I could help them with their pain through understanding the biomechanics and correcting things, it was really terrific.

More Than Mechanics

But I noticed, over time, more and more people who had histories of anxiety issues, panic attack problems, nervousness, and depression—and many people were on medications for these kinds of things. I began to see that there was a lot more than mechanics behind the pain problems of the people that I was seeing, and I realized that I really needed to get better at understanding that kind of “needingness” to really help people further.

I consider it an interesting paradox that there are now ways, through healthcare, that allow people to live a lot longer than they used to. The question and the challenge that follows is, “Are they, are we, living happier?” especially over those longer periods. This is where the concepts of pain and resilience and opportunity converge.

Building Competence and Confidence

As physical therapists, we have the pleasure to treat people when they come to us because they have a pain problem, and through our work with them we help them develop their competence. But in fact we also have an opportunity to help them develop their confidence—confidence that they can handle whatever it is that’s giving them trouble. It’s true that they usually come to us because they’ve got a pain problem, but you can almost take that concept of the “pain problem” and insert just “problem,” and then what we’re doing is building people’s competence and confidence to handle whatever is in front of them.

And so the topic of resilience is very interesting to me for those reasons, not only just for the pain problems that we see people for, but for the “livingness” parts of things. I have developed a deeper appreciation that when I provide care with this in mind, the pain condition becomes an opportunity…both for the person I’m treating and for me.

Dr. Adam Schwarz Presents The Clinical Science of Resiliency, part of PAIN AND RESILIENCY: AN OPPORTUNITY

LEARN MORE about Pain and Resiliency

I was honored to host Dr. Adam Schwarz of the Hanover Continuity Clinic as the featured presenter at our Fall Speaker Series event on November 2, 2016, and his lecture “The Clinical Science of Resiliency” is available to view on the Cioffredi & Associates YouTube channel.


Thank You From Cioffredi & Associates


* Pain and Resiliency: An Opportunity *


Our Fall Speaker Series took place on Wednesday, November 2, 2016 here at Cioffredi & Associates|The Institute for Health & Human Performance, and if you weren’t able to be here, we have good news! You can watch both presentations on our YouTube Channel. See below for more details.

Featured Presentations


Dr. Adam Schwarz


The Clinical Science of Resiliency

Dr. Adam Schwarz

Primary Care Physician, Hanover Continuity Clinic

Resilience is a quality that allows us to meet challenges, and not only survive, but to thrive. Whether it’s a physical pain, an emotional upset, or one of life’s many other challenges, resilience is an essential element. We are honored that Dr. Adam Schwarz has agreed to speak at our upcoming lecture series on The Clinical Science of Resiliency.



Kate Leiser, PT, DPT, OCS


Walk It Off: The Role of Exercise in Management of Pain

Kate Leiser, PT, DPT, OCS

Physical Therapist, Cioffredi & Associates

Learn how physical therapists effectively treat pain while teaching people how to manage and avoid relapses. Physical therapy is a safer alternative to pain medication; there are no side effects, and even some added benefits. Developing one’s competence and confidence to handle and recover from periods of pain in life is fundamental to building resilience.




Dear Dennis,

I wanted to thank you for your time to come and speak at the Institute’s Spring Speaker Series. You should know that so many of the people attending had thanked me for the program and for your presence. You touched so many people.

You’ve earned a reputation as a thoughtful and effective physician. My guess is you would have had a similar reputation in any other field you might have gone into. You came to the Upper Valley just a few years before me, and I’ve observed your style for some time. Based on what I’ve seen, this is how it breaks down for me: It starts with genuinely being interested in the person in front of you; being able to communicate with that person through listening, duplicating their viewpoints, and acknowledging them without judging. In finding some element you can admire in each individual, and then helping them achieve what they want, in whatever way they can accept it. I think that’s how you created the strong, lasting relationships that were your hallmark. It seems to me that is also the way you lived your life. You were married to the original gal for 45 years…and happily married. In this time of “evidence-based practice,” there’s the evidence.

I think society has been struggling here a bit Dennis. Technology can be a nice tool, as long as we don’t let it confuse us or interfere with our ability to build relationships with our patients. Thank you for everything Dennis. You really made a difference. I will remember you as I continue to apply what I’ve learned from you in my personal life as well as my professional life.


Billy Cioffredi

sports nutrition

Join Us for this FREE event!

Maximizing Athletic Performance Through Nutrition

Wednesday, August 24th, 2016, 6-7pm

Presented by Amy Tuller, RD, LD, CDE

Registered Dietitian & Certified Diabetes Educator

Join Registered Dietitian Amy Tuller as we discuss the latest in sports nutrition for athletes and active people of all ages. Proper nutrition is fundamental to maximum athletic performance. Learn about good food choices for getting the right amount of energy & maximizing performance, combining optimal ratios of carbohydrate/protein/fat, hydration strategies, ideas for pre & post-workout meals, as well as portable quick meals and snack ideas for busy athletes.

This event is FREE and open to the public. Pre-registration is requested, call 603-643-7788 or email to reserve your spot today.


Amy Tuller WEBAbout Our Presenter: Amy Tuller has over 25 years of experience helping people to maintain optimal health and performance through nutrition. She received her BS in Foods & Nutrition from the State University of New York at Plattsburgh, and completed her dietetic internship at Beth Israel Hospital in Boston. She offers Nutrition Counseling services at Cioffredi & Associates for people of all ages. Read her full bio here.



Nancy 1Our next FREE Fall Prevention Screenings are taking place on Wednesday, April 15th!

There is still time to register for this event! Call us at 603-643-7788 to register today.

This free one-on-one screening with one of our Physical Therapists will evaluate your balance and mobility, provide valuable insight into fall prevention, and offer solutions to decrease your risk.

Participants will need to complete a medical history and balance scale prior to their screening. The therapist will review your history, and put you through a series of test to evaluate your balance and determine your risk of fall. You will leave the screening with some tools that you can use to improve your balance.


The screening will take approximately 30 minutes, and are by appointment only. Space is limited, and pre-registration is required. Call us at 603-643-7788 to register. 



Wednesday, April 15th from 11am – 1pm and 2:30pm – 4pm


Tuesday, May 12th, 2015 from 10am – 12pm



We’re pleased to announce that starting in March we will be offering monthly FREE Fall Prevention Screenings for people ages 65 and older. Screenings will be offered by appointment only, and there are a limited number of spaces available.

This free one-on-one screening with one of our Physical Therapists will evaluate your balance and mobility, provide valuable insight into fall prevention, and offer solutions to decrease your risk.

Participants will need to complete a medical history and balance scale prior to their screening. The therapist will review your history, and put you through a series of test to evaluate your balance and determine your risk of fall. EdithYou will leave the screening with some tools that you can use to improve your balance.

Upcoming Screening Dates:

Tuesday, May 12th, 2015

10am – 12pm


Wednesday, June 10th, 2015

11AM – 1PM


TUESDAY, July 14th, 2015

10AM – 12PM


Screenings are approximately 30 minutes and are by appointment only. Space is limited, and pre-registration is required. Call us at 603-643-7788 to register. 

Find a Healthier You This Year

With Medically Based Personal Training


We are not a health club or an exclusive fitness studio. Our primary purpose is to provide an extension of our Physical Therapy service for people wishing to go beyond activities of daily living, and make a safe transition back to a more active and invigorating lifestyle.

Once a pain problem is resolved, people still can be in a physical state that is distant from their previous or desired level of activity or function. It is common to have a level of apprehension in returning to previous activities, especially for those who have a complex medical condition. Our Medically Based Personal Training service is personalized and attentive, provided in a calm yet inspiring space, and supported by doctoral level staff. Whether you are looking to return to a health club, walk the golf course, or return to the solitude of running, we are here to help you achieve your goals.

NEW YEAR’S SPECIAL: Get an 8-Pack of Personal Training Sessions for Just $499*

(A savings of $61! That’s like getting one session FREE!)
* Offer valid for new personal training clients only. Expires March 13th, 2015.

Experience a day in the life at Cioffredi & Associates in this time-lapse video. We used GoPro technology to take a photo every 10 seconds over the course of our 12 hour clinical day. The images were then stitched together into this one minute and 21 second video. We had fun doing this project to show off the new clinic!

Fall is in the air, and that means it’s time for our semi-annual Speaker Series! Join us for an evening of food, fun, and educational speakers.

This event is FREE and open to the Upper Valley Community. Pre-registration is requested, as space is limited. Reserve your space by calling 603-643-7788 or email


Featured Speakers:

Sharon McMonagle WEB5:15 – 5:45pm

Core Strength: From Injury Prevention to Athletic Performance

Presented by Sharon McMonagle, PT, DPT

Physical Therapist at Cioffredi & Associates. Sharon received her Doctorate in Physical Therapy from Washington University School of Medicine in St. Louis. She completed her undergraduate degree at Colby College where she was a student athlete participating in both Varsity Swimming and Crew.

John Nutting

5:50 – 6:20pm

Rotator Cuff Injury & Management: Current Best Practices

Presented by John Nutting, MD

Orthopaedic Surgeon at Dartmouth Hitchcock Medical Center. Dr. Nutting
received his medical degree from Eastern Virginia Medical School in Norfolk, Virginia. He completed residencies in orthopaedic surgery at both DHMC and Newington Children’s Hospital, followed by a fellowship at Harvard Combined Hospitals in Boston.

Bill Cioffredi WEB6:30 – 7:00pm

Foot Pain: Finding the Source

Presented by Billy Cioffredi, PT

Founder and CEO at Cioffredi & Associates. Bill graduated from the University of Pennsylvania in 1979 with a degree in Physical Therapy. He has extensive experience in both orthopaedic and sports rehabilitation. He is certied in Trigger Point Dry Needling which he incorporates into care when appropriate.