Why Communication Matters
Effective communication with healthcare providers is essential for chronic pain management. Appointments are often brief, and pain is subjective - good communication helps ensure you get appropriate care and feel heard.1
Before Your Appointment
Prepare Information
- Pain location(s) - be specific
- Pain quality (sharp, dull, burning, aching)
- Intensity (0-10 scale)
- What makes it better or worse
- How it affects daily life
- Treatments tried and results
Bring Documentation
- Pain diary/journal if you keep one
- List of current medications
- Previous test results
- Questions written down
During the Appointment2
Describe Your Pain Clearly
- Be honest and specific
- Use descriptive words
- Explain functional impact
- Mention changes since last visit
Ask Questions
- What do you think is causing this?
- What are my treatment options?
- What are the risks and benefits?
- When should I expect improvement?
- What should I do if it gets worse?
Self-Advocacy3
- You are the expert on your own experience
- It's okay to ask for clarification
- Request referrals if needed
- Speak up if you feel dismissed
- Seek second opinions when appropriate
- Bring a support person if helpful
Building the Relationship
- Be honest about what you've tried
- Follow through on agreed plans
- Report both improvements and setbacks
- Express appreciation for what helps
- Communicate if something isn't working
If You Feel Dismissed
- Ask for explanation of reasoning
- Request documentation in your chart
- Consider asking for referral
- Seek second opinion if needed
- Consider finding new provider
References
- Upshur CC, Bacigalupe G, Luckmann R. "They don't want anything to do with you": patient views of primary care management of chronic pain. Pain Med. 2010;11(12):1791-1798.
- Matthias MS, Parpart AL, Nyland KA, et al. The patient-provider relationship in chronic pain care. Pain Med. 2010;11(11):1688-1697.
- Frantsve LM, Kerns RD. Patient-provider interactions in the management of chronic pain. Curr Pain Headache Rep. 2007;11(2):117-123.