Managing Chronic Pain

By Karlyn Raddatz, MPA, BSN, RN, manager of care management at Network Health

Chronic pain, or pain lasting for three months or longer, is common among older adults. For this reason, many people don’t talk to their doctor(s) about their pain. By believing pain is expected, or that you must live with it, you may not have important conversations to help you live your best life.

Unfortunately, avoiding a conversation about pain with your personal doctor can lead to negative health consequences. People with chronic pain are at greater risk for decreased mobility, increased falls, reduced immunity, decreased concentration, malnutrition, insomnia and depression.

It may be time to consider talking to your doctor if your chronic pain affects one or more of the following. • Your sleep and ability to rest • Your mobility, and you notice you have changed your movement • Your mood is depressed or irritable, and connected to how you feel physically • Your thoughts largely focus on your pain and worries related to that pain • You’re experiencing isolation as a result of your pain • Family and/or friends have expressed concern • You are using over-the-counter medications, which are not working • You are using alcohol to alleviate pain or help you sleep

Discuss Your Pain With Your Personal Doctor

Before you meet with your doctor, create a log/diary about your pain including these details. • The severity of your pain—mild, moderate or severe • The location of the pain • When you experience the pain; for example, is it worse in the morning, or after a certain activity • What makes the pain better and what makes it worse When you see your doctor, be clear about how your pain is affecting your quality of life. Your doctor will assess your needs and plan for your care. This may include prescription medications to ease your pain, so if you have concerns about pain medications, let your doctor know. Your doctor may offer these alternative treatments, which may be helpful for reducing chronic pain. • Physical therapy • Acupuncture • Cognitive behavioral therapy • Massage • Electrical nerve stimulation

Network Health Care Managers are available to talk about your pain and its impact on your quality of life. You can contact care management by calling 866-709-0019 (TTY 800-947-3529), Monday–Friday from 8 a.m. to 5 p.m.