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Chronic pain is not a normal part of aging—but it is one of the most common and misunderstood challenges older adults face. In this video, we explore chronic pain in adults aged 65 and older through a comprehensive, evidence-based lens. You’ll learn how persistent pain affects mobility, cognition, mood, sleep, and overall quality of life—and why pain intensity alone tells only part of the story. We introduce the concept of an individual “pain signature,” explain why imaging often misleads rather than helps, and walk through common but under-recognized pain conditions in later life, including myofascial pain, chronic low back pain, spinal stenosis, osteoarthritis, and widespread pain syndromes. The video also outlines a stepped-care approach to treatment, emphasizing nonpharmacologic strategies such as physical therapy, exercise, and cognitive-behavioral interventions, before carefully discussing medication use—including acetaminophen, NSAIDs, neuropathic agents, and opioids—within the unique physiological realities of aging. Special attention is given to pain management in frail older adults, those with chronic kidney disease, and individuals living with dementia, where pain is often under-recognized yet deeply impactful. This video is designed for clinicians, caregivers, patients, and anyone seeking a thoughtful, realistic understanding of chronic pain in later life—focused not on eliminating pain entirely, but on restoring function, dignity, and quality of life. ===================== This video is for informational purpose only and is not intended in any way as professional advice. Please consult your doctor for instructions for your own medical condition. ===================== Select academic references: Won — Journal of the American Geriatrics Society AGS Panel — Journal of the American Geriatrics Society Reid — BMJ Shega — Journal of the American Geriatrics Society Megale — Age and Ageing Weiner — Pain Medicine Leveille — JAMA Bosley — Journal of the American Geriatrics Society Gentili — Aging (Milano) Wilson — Pain Casten — Pain Rudy — Pain Husebo — BMJ Morrison — Journal of Gerontology: Medical Sciences Weiner — Pain Medicine Karp — Pain Medicine van der Leeuw — Journal of the American Geriatrics Society Cardoso — Pain Medicine Blyth — Pain Brennan — Pain Medicine AGS Panel — Journal of the American Geriatrics Society Baker — Journal of Rheumatology Weiner — Journal of the American Geriatrics Society Culberson — Geriatrics Weiner — Springer (Book Chapter) Kean — Medical Care Weiner — Springer (Book Chapter) Englund — New England Journal of Medicine Hicks — Spine Jarvik — Spine Lane — Arthritis & Rheumatism Resnick — Lancet Bernstein — McGraw-Hill (Book Chapter) Weiner — Pain Medicine Thompson — Journal of the American College of Cardiology Reid — Journal of Gerontology: Medical Sciences Weiner — Pain Medicine Weiner — Pain Medicine Weiner — Pain Medicine Lisi — Pain Medicine Fatemi — Pain Medicine Carley — Pain Medicine DiNapoli — Pain Medicine Fritz — Pain Medicine Bramoweth — Pain Medicine Rho — Pain Medicine Karp — Pain Medicine Polsunas — Pain Medicine Wright — Pain Medicine Havran — Pain Medicine Ammendolia — Archives of Physical Medicine and Rehabilitation Schneider — JAMA Network Open Turner — Spine Atlas — Spine Javid — Journal of Neurosurgery Fokter — European Spine Journal Weiner — Pain Aalto — Spine Raffo — Spine Li — Spine Sinikallio — Spine Airaksinen — Spine Weinstein — New England Journal of Medicine Weiner — American Journal of Medicine Weiner — Springer (Book Chapter) Farrar — Pain Rufa — Physiotherapy Theory and Practice Park — Journal of the American Geriatrics Society Ettinger — JAMA Davis — Pain Management Nursing Reid — Pain Medicine Grant — Pain Ng — Journal of Alternative and Complementary Medicine Weiner — Pain Green — Behavioural and Cognitive Psychotherapy Cramer — BMC Complementary and Alternative Medicine Skingley — Nursing Standard McCaffrey — Journal of Advanced Nursing Baird — Pain Management Nursing Baird — Pain Management Nursing Lewandowski — Nursing Science Quarterly Niknejad — JAMA Internal Medicine Qaseem — Annals of Internal Medicine Morone — JAMA Internal Medicine Morone — Pain Medicine Holmes — Pain Medicine Dowell — MMWR Recommendations and Reports Barkin — Rheumatic Disease Clinics of North America Kuehn — JAMA Gloth — Journal of Pain Scheiman — Clinical Therapeutics Bansal — Journal of Clinical Pharmacology Lanza — Journal of Rheumatology Bianchi Porro — Journal of International Medical Research Jones — Clinical Drug Investigation Bhala — Lancet Reisner — Journal of Pain Chew — Journal of the American Geriatrics Society AGS Beers Panel — Journal of the American Geriatrics Society Moore — Cochrane Database of Systematic Reviews Straube — Rheumatology Oh — Drugs & Aging Zhou — Journal of Clinical Medicine Chen — PLoS Medicine Billups — Annals of Pharmacotherapy