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

  1. 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.
  2. Matthias MS, Parpart AL, Nyland KA, et al. The patient-provider relationship in chronic pain care. Pain Med. 2010;11(11):1688-1697.
  3. Frantsve LM, Kerns RD. Patient-provider interactions in the management of chronic pain. Curr Pain Headache Rep. 2007;11(2):117-123.