Living with chronic pain can feel like an all-encompassing challenge, not just for your body but also for your mind and relationships. For long-term couples, the strain of ongoing pain can create emotional distance, alter physical intimacy, and test the resilience of your bond. However, by “rewiring” how you approach chronic pain—both mentally and relationally—you can maintain and even strengthen intimacy in your relationship.

Inspired by the mind-body healing concepts explored in Dr. Howard Schubiner’s Unlearn Your Pain and tools from the Curable app, here are five actionable steps to help reframe your experience with chronic pain while nurturing connection in your relationship.


1. Recognize the Mind-Body Connection

Chronic pain is not solely a physical condition; it’s deeply intertwined with emotional, mental, and neurological processes. Many modern pain experts, including Dr. Schubiner, emphasize the role of the brain in interpreting pain signals and how this process can be retrained.

  • Why it matters: Chronic pain often amplifies feelings of isolation or frustration, which can erode intimacy. Understanding the brain’s role in pain can empower you to approach it differently, reducing its impact on both your life and your relationship.
  • How to do it: Begin with practices like mindfulness, journaling, and deep breathing exercises, which help calm the nervous system and reduce the brain’s overreactive pain responses. Tools like the Curable app provide guided exercises that address pain from a neuroplasticity perspective, helping you reframe how your brain processes pain.

Fostering this understanding can give both you and your partner a shared sense of hope and agency over the situation.


2. Embrace Emotional Intimacy

While physical intimacy might be unpredictable with chronic pain, emotional intimacy can remain a steady source of connection. Emotional closeness is often the foundation of a resilient relationship, especially during challenging times.

  • Why it matters: Suppressing emotions or avoiding difficult conversations can increase tension, but openly sharing your experiences builds trust and deepens connection.
  • How to do it: Share your thoughts and feelings about your pain journey honestly, but also focus on positive aspects of your relationship, such as moments of gratitude or joy. Encourage your partner to share their perspective as well—chronic pain impacts them, too, and they may need emotional space to process their feelings.

Approaching these discussions with curiosity and compassion can strengthen your bond and create a sense of teamwork in navigating pain together.


3. Redefine Physical Intimacy

Chronic pain might limit certain forms of physical connection, but intimacy isn’t restricted to one specific expression. It’s about finding ways to connect that feel meaningful and comfortable for both partners.

  • Why it matters: Adjusting how you define physical intimacy allows you to prioritize connection without added pressure or discomfort.
  • How to do it: Experiment with low-stress ways to share physical closeness, such as gentle massages, cuddling, or simply holding hands. If sexual intimacy is a priority, openly discuss what feels good and explore positions or routines that work for your needs.

The Curable app emphasizes that reconnecting with your body through positive experiences—like touch or movement—can help restore trust in your body and improve physical and emotional intimacy.


4. Work as a Team Against Chronic Pain

Instead of letting chronic pain feel like an isolating burden, reframing it as a shared challenge can bring you and your partner closer.

  • Why it matters: When you tackle pain as a team, you build a sense of partnership and mutual support.
  • How to do it: Involve your partner in your care journey, whether it’s attending appointments together, learning about pain science, or trying healing activities like yoga or meditation. Engaging in shared wellness practices not only supports your healing but also strengthens your connection as a couple.

This teamwork approach helps shift the focus from “me versus my pain” to “us versus this challenge.”


5. Seek Support and Resources

Managing chronic pain and maintaining intimacy often requires external support. Guidance from professionals or communities can offer new strategies and emotional relief.

  • Why it matters: Chronic pain can be isolating, and feeling supported by others—including coaches, therapists, or support groups—helps you manage its impact on your relationship.
  • How to do it: Consider couples intimacy coaching  especially with someone who understands pain psychology. Learn how to rewire and eliminate chronic pain altogether! Support groups or online communities, like those encouraged by Curable, can also provide a space to connect with others navigating similar challenges.

Seeking support isn’t a sign of weakness—it’s a way to build resilience and foster deeper understanding in your relationship.


Final Thoughts

Rewiring chronic pain is not about ignoring it but rather changing how you respond to it—both as an individual and as a couple. By focusing on the mind-body connection, nurturing emotional intimacy, and embracing teamwork, you can keep your relationship strong and even deepen your connection.

Pain may influence your story, but it doesn’t have to define your relationship. Together, you can transform your struggles into a foundation for strength, understanding, and love.


Have you tried strategies from Unlearn Your Pain or the Curable app? What has helped you maintain intimacy while managing chronic pain? Share your experiences in the comments below—I would love to hear from you!


Dr. Anya

Dr. Anya is a sexuality expert with over 25 years experience working with individuals, couples, and groups. Dr. Anya has a Doctor of Human Sexuality degree and is a certified sex educator and certified sexologist. Dr. Anya has a private practice in the San Francisco Bay Area working with individuals and couples and invites straight and LGBTQ people into her practice.