Chronic Pain is More Common Than Diabetes or Depression: A Call for a Bio-Psycho-Social Approach

1 in 5 Americans experience chronic pain, which now exceeds the prevalence of diabetes and depression. Dr Weiner explores how a bio-psycho-social approach offers a more effective strategy for managing this pervasive issue.


Recent research from a cohort study using data from the National Health Interview Survey 2019-2020 underscores a critical message: chronic pain affects more individuals than many other chronic diseases, pressing us to reconsider our approach to pain management.

The Surprising Prevalence of Chronic Pain

The findings are a wake-up call; the rate of chronic pain surpasses those for high blood pressure, diabetes, and even depression, placing chronic pain at the forefront of public health challenges. Clearly, current solutions aren’t working well. I believe this is because current solutions only consider physical pain, which is just a small percentage of where pain originates.

A Bio-Psycho-Social Approach to Pain

The traditional method of treating pain often isolates it as a purely medical, physical condition. However, the complexity of chronic pain, influenced by an array of biological, psychological, and social factors, demands a more integrated approach:

  • Biological Treatment: This includes medications, physical therapies, and advanced interventions like nerve stimulation, tailored to address the specific biological causes of pain.

  • Psychological Support: Chronic pain is invariably linked with psychological stressors such as anxiety and depression. Therapies like cognitive behavioral therapy (CBT) help manage the psychological aspects of pain, improving patients’ overall well-being.

  • Social Integration: Pain affects more than just the body; it impacts social interactions and a person's ability to engage with the world. Community support and social care are crucial in helping individuals cope with the isolating nature of chronic pain.

Implementing a Comprehensive Strategy for Pain Management

Early interventions that encompass biological, psychological, and social elements can prevent chronic pain from becoming a persistent and debilitating part of an individual's life.

The high incidence of chronic pain revealed by recent studies is a clarion call for a shift in how we manage this complex condition. A bio-psycho-social approach addresses the multifaceted nature of pain, and aligns with a more compassionate and holistic view of health care.

At our clinic, we apply the bio-psycho-social approach to pain management, which considers both the physical aspects of pain and the psychological and social dimensions that influence well-being (and that can exacerbate or help alleviate pain). We address factors such as lifestyle, diet, and nutrition, and ensure that each treatment plan is tailored to the individual's unique needs. 

Mental well-being is a cornerstone of our therapy, with a special focus on ketamine therapy. This treatment is not just for alleviating physical discomfort but also for addressing the emotional and mental associations that often accompany chronic pain. By integrating ketamine therapy into our care model, we help patients navigate the complexities of pain, fostering healing on all levels and promoting a more balanced and fulfilling life.

Do you or a loved one suffer from chronic pain? Contact us today.

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Podcast: Comprehensive Pain Management and Alternative Therapies with Katie Walker and Adam Marr

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Ketamine for Fibromyalgia and Chronic Pain Management - a Systematic Review