Ashley Pehar is an osteopathic manual practitioner and the creator of the Life in Motion Program, a structured, phased approach to chronic primary pain that integrates osteopathic manual therapy with Pain Reprocessing Therapy (PRT). She has completed Mastery Training in Pain Reprocessing Therapy and is listed on the official Pain Reprocessing Therapy Center practitioner directory.
Ashley brings over 15 years of experience within healthcare and clinical settings — including clinical research, therapeutic movement, and osteopathic practice — to her work in chronic pain care. She is known for her precise, systems-oriented approach and for building structured recovery pathways that recalibrate the nervous system and restore physiological resilience. Her work reflects an important shift within manual therapy practice — moving beyond purely structural models and integrating a biopsychosocial framework into hands-on care.
Ashley works with adults navigating persistent pain, tension, fatigue, and symptoms that often remain unexplained by imaging or conventional testing. These patterns are frequently rooted in nervous system dysregulation and its broader physiological stress responses. When the body remains in prolonged states of protection or depletion, cycles of pain and exhaustion can become self-reinforcing and deeply discouraging.
Her approach blends skilled osteopathic treatment with evidence-based Pain Reprocessing Therapy and motivational interviewing. This integration addresses not only tissue mechanics, but also fear patterns, belief systems, behavioural conditioning, and the broader context in which pain develops and persists.
Rooted in trauma-sensitive, evidence-informed care and contemporary pain neuroscience, Ashley’s phased model prioritizes safety while steadily expanding capacity. Rather than separating manual therapy from psychological and behavioural drivers of pain, she integrates them — reflecting an evolving standard of care for chronic primary pain.
Through the Life in Motion Program, Ashley is helping reshape how persistent pain is understood and treated within the field of manual therapy.
If you’re interested in working together, begin with a brief screening call to determine clinical fit.
