The SIRPA approach is based on the work of Dr John Sarno, Peter O’Sullivan and Lorimer Moseley and helps you to identify the causes of your chronic pain, which may be complex. They may include neurological pathways, beliefs about pain and your body, or internal emotional conflicts and stresses. These are explored in a supportive environment, and any links between these and your pain/illness can be identified.


Dr Sarno’s own research found an 80-85% complete resolution for back pain sufferers7. Other components of the approach are also researched and proven8,9,10,11 Georgie Oldfield, Chartered Physiotherapist and the author of “Chronic Pain: Your Key to Recovery”, pioneered this work in the UK and has trained a network of professionals to deliver it.


For many people, this approach is sufficient to resolve their pain or stress illness. You can read more about it Here. Smart Pain Resolution is currently the only place offering SIRPA in Northern Ireland.


At Smart Pain resolution, the two approaches, SIRPA and the Alexander Technique provide a powerful combination to ensure optimal outcomes. As chronic pain is often a combination of both physical and psychological factors, the dual approach is particularly effective. Whether we use just one or both approaches is open to discussion and the decision is led by you. All work is started with a full consultation.


Smart Pain Resolution does not offer a “quick fix” (although often significant change is evident in a surprisingly short time frame). You will be encouraged towards a healthier lifestyle, as this has also been proven to help reduce chronic pain and stress illness. Resolving your pain or stress illness will involve you making, with support, a full commitment to improving your own well-being.


After initial work: Sarah runs ongoing groups to provide peer support for people who have implemented the ideas suggested during their one to one work. The groups focus on personal achievements and celebrate progress, but can also help you maintain the changes you have made (as old habits have a way of creeping back in!).


  • 7. Cited in Sarno, J “The Mind-Body Prescription”, Grand Central Publishing, 1999.
  • 8. “Expressive writing: Connections to physical and mental health.” The Oxford handbook of health psychology, 417-437. Pennebaker, J. W., & Chung, C. K. (2011).
  • 9. “Mindfulness-based stress reduction and health benefits: A meta-analysis” P. Grossman, L. Niemann, S. Schmidt, H. Walach. Journal of Psychosomatic Research, 2004.
  • 10. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects: A prospective investigation. SD Boden et al. The Journal of Bone and Joint Surgery. 1990, Vol 72, Issue 3.
  • 11. “Relaxation Response and Resiliency Training and Its Effect on Healthcare Resource Utilization”. Stahl, Dossett, LaJoie et al. PLOS 2015.

If you are ready to change your life to one that is free from pain, so that you can get back to doing what you love

or simply call us on NI 028 6634 0049 or RoI 087 979 3173


  •  Unit 57, Enniskillen Business Centre,
  •   21 Lackaghboy Rd, Enniskillen,
  •  Co. Fermanagh, BT74 4RL
  •  NI 07851705519 RoI 087 979 3173