Chronic Pain and Aging: FAQs for Older Adults

4 min read

Chronic pain is a common and often misunderstood part of aging. While it is more prevalent among older adults, its effects go beyond physical discomfort. This article explains how widespread pain is in people aged 65 and older, common causes, the emotional consequences, and practical approaches to support older adults living with pain.

How common is pain among people 65 and older?

Chronic pain increases with age, and many people assume it is simply “part of getting older.” Data from the Centers for Disease Control and Prevention (CDC) indicate that a substantial share of adults with chronic or high-impact chronic pain are older adults. In the United States, a large proportion of those reporting persistent pain are aged 65 and older, including millions in the 65–84 age group and additional millions over 85. Although chronic pain is common, its personal and social impacts can be profound and deserve thoughtful attention.

Common causes of pain in older adults

Several conditions contribute to persistent pain in older adults. Osteoarthritis is among the most frequent causes, affecting a notable percentage of men and women over 60. This degenerative joint disease commonly targets knees and hips first, producing pain during everyday movements like walking, standing, climbing stairs, or sitting for long periods. As joint pain progresses, many older adults begin to avoid activities that previously brought them enjoyment and meaning.

When people stop routines they value—such as attending religious services, volunteering, or social clubs—losses extend beyond physical activity. Withdrawal from meaningful activities can erode social connections, sense of purpose, and overall wellbeing.

What to consider when helping an older adult with pain

Family members and caregivers naturally want to help when a loved one is suffering. However, taking over tasks entirely can unintentionally undermine independence and self-worth. Many older adults report feeling disempowered or like a burden when others do chores or errands on their behalf. Maintaining a balance—providing support while encouraging autonomy—is important. Collaborative problem-solving, adaptive tools, and pacing activities can help preserve dignity and physical function while protecting against pain flare-ups.

The relationship between pain and depression

Research consistently shows a strong link between chronic pain in older adults and depression. Pain can lead to reduced activity, social isolation, and loss of roles, all of which raise the risk for depressive symptoms. Conversely, depression can heighten pain perception, creating a bidirectional cycle that makes both conditions harder to manage. Recognizing emotional distress early and addressing it alongside pain can prevent this downward spiral.

How well do older adults cope with pain?

Not every older adult with chronic pain becomes depressed. Many older adults demonstrate resilience, adapting to limitations and finding ways to remain engaged in life. Resilience, a problem-solving mindset, and seeing challenges as opportunities for growth are associated with better emotional outcomes. Interventions that build coping skills, promote meaningful activities, and support social connection can strengthen resilience and reduce the risk of depression.

Mental health care and pain management for older adults

Psychological approaches can play a key role in managing chronic pain. Referrals to clinicians who specialize in working with older adults—such as geropsychologists—or to pain psychologists can help individuals develop coping strategies, improve mood, and maintain function. Psychological therapies commonly used include cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT), both of which teach skills for managing pain-related thoughts, emotions, and behaviors.

Alongside medical and rehabilitative care, mental health support can help older adults remain socially connected and purpose-driven, reducing the risk of isolation and promoting better overall quality of life.

Resources

Therapists: Download your free guide on the Depression-Pain Cycle
Professional training: Pain Psychology Certificate Course (14.5 CE Credits) — covers ACT and CBT for chronic pain and strategies to address bias in pain care
Board certification: Find a board-certified health psychologist

CEU Courses

Pain Psychology Certificate Course (14.5 CE Credits) — ACT and CBT for chronic pain and approaches to reduce bias in pain care
ACT for Chronic Pain (5.5 CE Credits)
CBT for Chronic Pain (6 CE Credits)
Impact of Bias on Pain Care (3 CE Credits)