# Navigating Chronic Pain: Insights and Strategies for Seniors
Written on
Chapter 1: Understanding Chronic Pain
For many older adults, chronic pain can feel omnipresent—affecting various parts of the body. The sensations can range from aching to sharp stabs, burning, or a prickling feeling. Personally, my chronic pain stems from severe osteoarthritis linked to a rare genetic disorder. At 66, I've undergone eight joint replacements, but many seniors experience pain from conditions like musculoskeletal aging, diabetes, or fibromyalgia.
To manage my pain, I turn to writing, a career I pursued for over thirty years before retiring due to my health. I’m currently working on a book titled "Hurt Feelings: Inside the Emotions of Living in Chronic Pain." (I’m looking for stories from other chronic pain sufferers; see my bio below.)
A significant part of my drive is to find ways to cope with pain as I age. Unfortunately, chronic pain is a frequent issue for older adults. According to the National Institutes of Health (NIH), around 65% of U.S. adults aged 65 and over report experiencing pain, and nearly 30% endure chronic pain.
In my research for "Hurt Feelings," I interviewed Dr. Andrea Furlan, a prominent pain specialist and author of "8 Steps to Conquer Chronic Pain: A Doctor's Guide to Lifelong Relief." Her extensive experience with patients reveals important insights into understanding and managing pain.
Dr. Furlan points out that many healthcare providers struggle to treat chronic pain effectively:
> "Chronic pain, which lasts longer than three months, is fundamentally different from acute pain, which follows an injury or illness lasting a shorter duration. Many people, including healthcare providers, often apply the same methods to treat chronic pain, leading to unsatisfactory outcomes. Consequently, those with chronic pain may spend years trying ineffective treatments."
Chronic pain is particularly prevalent among specific demographics, as Dr. Furlan explains:
> "Women generally experience more chronic pain than men, and older adults have higher rates than younger individuals. Children can also suffer from chronic pain. Moreover, marginalized groups often face discrimination in treatment options, and those with lower socio-economic status may have fewer resources for managing their pain."
Dr. Furlan suggests assembling a "toolbox" of strategies for coping with chronic pain. She shares a story of a young woman who identified 102 strategies in her toolbox, humorously noting that she has a "full-size garage" full of tools.
While not everyone needs such an extensive collection, Dr. Furlan recommends having at least one tool from each of five categories, which she refers to as the "Five Ms":
Section 1.1: The Five Ms
Mind-body therapies
The connection between the mind and body is critical when addressing pain. Research indicates that emotional states can influence pain perception and vice versa. Some individuals neglect the importance of psychological treatments, like Cognitive Behavioral Therapy (CBT). Dr. Furlan remarks:
> "Patients fixated solely on their physical symptoms often seek a quick remedy, which can hinder their recovery."
Movement
Despite the urge to remain inactive due to pain, movement is essential for management. The CDC recommends 150 minutes of moderate aerobic exercise weekly for those aged 65 and above, a goal that can be challenging for seniors with chronic pain. Dr. Furlan emphasizes:
> "Movement encompasses all physical activities—whether walking, shopping, or household chores—not just formal exercise."
Modalities
This category includes various treatments for alleviating physical discomfort, from heating pads to TENS units that disrupt painful nerve signals. Dr. Furlan explains:
> "Modalities refer to physical therapies such as temperature, pressure, and electrical stimulation."
Manual therapies
Techniques involving hands-on treatment, such as massage and physical therapy, can significantly reduce pain. Dr. Furlan advocates for these methods:
> "Manual therapies can include massage, mobilization, and manipulation, all aimed at relieving discomfort."
Medications
Although Dr. Furlan often prefers alternatives to medication for nociplastic pain (pain stemming from the brain post-injury), she acknowledges that some patients may need medication. She advises caution:
> "All medications come with side effects that can alter bodily functions. It’s crucial to discuss any concerns with your healthcare team."
Dr. Furlan underscores the importance of assembling a pain management team that includes various professionals, from physicians to mental health providers and personal coaches with chronic pain experience. When I asked her about the most vital action for pain patients, she emphasized:
> "Educate yourself about chronic pain. Become an expert in pain neuroscience."
Dr. Furlan is deeply committed to helping others navigate their pain journeys, drawing from her own experiences with debilitating pain at various life stages.
Chapter 2: Key Takeaways for Seniors in Pain
The first video, "Strategies for Coping with Chronic Pain - 2023," offers additional practical advice and insights for managing chronic pain effectively.
The second video, "Strategies for Coping with Chronic Pain - 2021," provides further strategies and support for those dealing with chronic pain.
From my investigations and discussions with experts like Dr. Furlan, here are several important points for seniors living with chronic pain:
You are not alone.
Millions share your experience. Online and in-person support groups can offer valuable information and community; consider reaching out to resources like painconnection.org or your local aging office.
Improvement is possible.
Follow Dr. Furlan’s advice to study your pain. A great starting point is her book, "8 Steps to Conquer Chronic Pain: A Doctor's Guide to Lifelong Relief."
You are more than your pain.
It's essential to remember that your life encompasses more than pain. Engage in activities that bring you joy, like going out, watching performances, or pursuing hobbies.
Find your purpose.
Having a sense of purpose can alleviate pain. Whether through work, volunteering, or being involved in your family’s lives, consider what you want to dedicate your time to moving forward.
You are loved.
Chronic pain can be isolating, but don't hesitate to lean on family and friends for support. Surround yourself with those who care and want to assist you on this journey.
Randall H. Duckett, the author of "Seven Cs: The Elements of Effective Writing," invites fellow chronic pain sufferers to share their stories for his upcoming book. He can be contacted at [email protected] or learn more at randallhduckett.com.