An estimated 50 million Americans live with chronic pain caused by disease, disorder or accident. An additional 25 million people suffer acute pain resulting from surgery or accident.1 Approximately two thirds of these individuals in pain have been living with this pain for more than five years.2 The most common types of pain include arthritis, lower back, bone/joint pain, muscle pain and fibromyalgia.1 The loss of productivity and daily activity due to pain is substantial. In a study done in 2000 it was reported that 36 million Americans missed work in the previous year due to pain and that 83 million indicated that pain affected their participation in various activities.3

Untreated pain has significant impact on the pain sufferer and their family. The Chronic Pain in America: Roadblocks to Relief study 2, demonstrated clearly that pain has a negative impact on an individual’s quality of life. Pain diminishes their ability to concentrate, do their job, exercise, socialize, perform daily tasks and sleep. All resulting in an unrelenting downward spiral of depression, isolation and loss of self esteem. Sternbach 4,5 conducted extensive clinical studies that concluded that depression is the most frequent psychological reaction to chronic pain and that anxiety is the most frequent psychological reaction to acute pain.

People with chronic pain have difficulty finding doctors who can effectively treat their pain. The Chronic Pain in America: Roadblocks to Relief 2 study found that one out of four pain patients had changed doctors at least three times, reporting that the primary reason for change was that they still experienced pain. Other reasons given were that their pain was not taken seriously; that doctors were unwilling to treat pain aggressively; and that doctors lacked knowledge about how to treat pain.

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  1. National Pain Survey, conducted for Ortho-McNeil Pharmaceutical, 1999.
  2. Chronic Pain in America: Roadblocks to Relief, survey conducted for the AmericanPain Society, The American Academy of Pain Medicine and Janssen Pharmaceutica,1999.
  3. Pain in America: A Research Report, Survey conducted for Merck by the Gallup Organization, 2000.
  4. Pain patients: Traits and treatment, Sternbach, R.A., 1974, New York: Academic Press.
  5. “Psychological Aspects of Chronic Pain”, Sternbach, R.A., 1977, Clinical Orthopaedics and Related Research, 129, 150-155.