title: People in pain: how do they seek relief?
abstract: Little is known about how people with pain seek relief. To estimate the proportion of the population reporting recent pain, to identify ways people seek pain relief, and to report the perceived effectiveness of pain relief methods, we conducted a secondary analysis of results from a nationwide survey of the general U.S. population. Of the 1204 respondents, 31% had experienced moderate to very severe pain within the past 2 weeks and 75% of these had sought medical attention. Only 56% of those who sought medical attention got significant pain relief. Although seeking medical attention was the primary pain relief strategy, almost all of those with pain had tried multiple alternative methods for pain control, with 92% of pain sufferers having tried 3 or more alternative strategies. People who did not seek medical attention were more likely to report pain relief from prayer and going to a chiropractor than were those who sought medical attention. Factors leading to inadequate pain relief included difficulty communicating with a health professional and lack of health insurance. People who perceive that their pain is not understood by medical providers and those without health care insurance coverage are at greater risk for poor pain control.
  
  
  CONCLUSIONS
  This article presents an analysis of data from a national survey on pain and the effectiveness of ways people seek pain relief. Difficulty communicating with health professionals and lack of health insurance contributed to inadequate pain relief. Almost all people with pain used multiple methods to control their pain.
authors.affiliation: Department of Symptom Research, The University of Texas M D Anderson Cancer Center, Houston, TX 77030, USA.
authors.forename: Qiuling
authors.initials: Q
authors.lastname: Shi
authors.forename: Gary
authors.initials: G
authors.lastname: Langer
authors.forename: Jon
authors.initials: J
authors.lastname: Cohen
authors.forename: Charles S
authors.initials: CS
authors.lastname: Cleeland
mesh_terms: D000293:Adolescent; D000328:Adult; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology / Q000523:psychology*; D059408:Pain Management; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology