THE NEUROLOGIC PAIN BLOG

Evidence-Based Insights for People With Complex & Persistent Pain


with Dr. Alissa Wolfe, PT, DPT, OMPT, OCS, CHC, TPS

How to Support Someone With Chronic Pain: What to Say and What to Avoid

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How to Support Someone With Chronic Pain: What to Say and What to Avoid

Living with chronic pain is hard for obvious reasons, but what makes pain conditions worse is the isolation.

The loneliness that comes as a side effect of the condition can hurt more than the pain itself. Which is why it’s so extremely important to have a supportive circle.

In fact, that support is so important that it can even impact the person’s likelihood of recovery. Individuals with more support tend to have a better prognosis and tend to rely less on medications, have higher tolerance for activity, and lower pain levels.

It takes a special kind of person to want to learn to care for and support someone with chronic pain. But even those with the best intentions can say things that are hurtful and aren’t so supportive. It happens to all of us.

It’s human nature to want to fix things. When someone tells us about a problem they’re having, we automatically start thinking of solutions.

But unless you’re a medical professional, that person with chronic pain isn’t looking to you for solutions.

Support ≠ Solutions

Watching a loved one struggle with pain can make you feel helpless. But there are many ways you can offer support without attempting to “fix” them.

Sometimes a little extra guidance is required to know the right things to say and how to best support someone with chronic pain.

For complex and persistent pain

Something is being missed.

The Uprising: Complex Pain Academy is a structured, 5-phase program that targets the neurologic sensitivity behind persistent pain, in the right order and at the right dose, with a specialist guiding every step.

See How the Program Works

Say This, Not That

A few of the most common well-meaning misses, and what to say instead:

  • Not that: “Have you tried yoga / turmeric / that new doctor?” Say this: “You know your body and your options better than I do. I’m here if you want to think anything through.”
  • Not that: “But you look fine.” Say this: “I can’t see what you’re feeling, so tell me what today is actually like.”
  • Not that: “At least it’s not something worse.” Say this: “This is hard, and it’s okay that it’s hard. I’m not going anywhere.”

Notice the pattern. Each “say this” drops the solution and picks up the person.

There are two ways to really support someone with chronic pain: First, is with your words... and second is with your actions...

I created a guide that shows you exactly what to say (and what not to say) AND what things you can do.

This guide has practical tools that will help anyone love and support their person with chronic pain better.

If you have a loved one with chronic pain, download this FREE guide and let them know what you learned!

Or, if you have chronic pain and you have someone who has showed they want to know how they can help you better, download this guide and send it their way.

Download the Guide to Loving Your Friend or Family Member With Chronic Pain here!

One more thing supporters can do: help your person understand what is actually driving their pain. The free Pain Profile quiz gives three separate scores — physical, neurologic sensitivity, and mental/emotional — and takes a few minutes. Send it to them, or sit down and go through it together. Knowing which dimension is driving the pain changes the conversation from “why aren’t you better yet?” to “what does this actually need?”


References:

Jamison RN, Virts KL. The influence of family support on chronic pain. Behaviour Research and Therapy. Volume 28, Issue 4, 1990. pg 283-287.

FREE SELF-ASSESSMENT

The 3-Dimensional Pain Profile Quiz

 
Discover what's influencing your pain (and where to focus) with separate scores in three different dimensions: physical + mental/emotional + neurologic sensitivity.

Take the Quiz

Hi, I'm Dr. Alissa Wolfe

PT, DPT, OMPT, OCS, CHC, TPS

I'm a board-certified orthopedic doctor of physical therapy, but I specialize in complex and persistent pain.

My focus is on the neurologic wiring between the structures of the body and the mind — the missing piece most treatments overlook.

I've been building pain programs across the US since 2016 — including one for the US Army — because I kept seeing the same gap: smart, motivated people doing everything they were told, and still not getting better.

In 2021 I founded The Uprising: Complex Pain Academy to fill the gap the medical system has left wide open.

Now, I work exclusively with people who have complex pain that hasn't responded to standard treatments, providing the structure, guidance, and relief they've been searching for.

Learn about the Program