Licensed to Treat—Unprepared for Pain

Oct 28
Why Clinicians Often Fail Patients With Chronic Pain (and what we can actually do about it).

We tell physicians: "You are licensed to treat patients with chronic pain."

Then we hand them a curriculum with less than 10 hours on pain management.

You don't need a PhD in irony to see the mismatch.

The U.S. Pain Foundation recently published a blistering critique: most clinicians report feeling ill-equipped to manage chronic pain — even though treating pain is among the most common demands in clinical practice

The Hard Truths (That Nobody's Afraid to Say)
From the survey of ~176 providers:
  • 50% admit they feel underprepared to treat chronic pain.
  • Only 17% had "extensive" training in trauma-informed or culturally responsive care.
  • 5% report managing patient expectations (i.e., unrealistic hopes of total pain elimination) as a key hurdle.
  • 61% cite emotional and psychological aspects (depression, anxiety, trauma) as a barrier.
  • Systemic constraints like regulation, insurer interference, lack of time, and documentation burdens all hamper provider freedom to deliver personalized care.

In short: we license caregivers to combat suffering—but we don't train or support them to do it well. That's malpractice by omission.

Why This Matters (Beyond Academic Chatter)
Because when clinicians are underprepared:
  • Diagnosis timelines lengthen, meaning more suffering.
  • Patients lose trust in the system.
  • Costs mount (improper referrals, failed therapy, overuse of medications).
  • Health disparities widen — marginalized patients often suffer more pain and have less access to care.

It's not just a "clinical issue" — it's a systems & equity issue.

How Anodunos Fits Into the Fix
That's where we at Anodunos come in.

Our model isn't just another educational module — it's a structural rethinking of how care for chronic pain should happen:
  • Navigator-provider framework: We train Pain Navigators and Providers to work collaboratively, forming integrated, multidisciplinary teams.
  • Biopsychosocial + integrative methods: Our curriculum combines modern brain science, traditional healing arts, and evidence-based medicine — precisely the kind of multidimensional care providers say they need more training in (92% of survey respondents wanted more pain-management education).
  • Equity, trauma, culture built in: Because treating pain without understanding the person is like prescribing without a diagnosis.
  • Advocacy built in: We aren't just training clinicians; we're pushing for insurance reform and regulatory changes so integrative care is reimbursed and scalable.

In other words, Anodunos is trying to close the "licensed-but-unprepared" gap by providing providers with both the competence and the type of infrastructure to deliver better care.

What's Next (And What You Can Do)
  • Clinicians & health systems: Ask if your continuing education addresses chronic pain holistically. If not, demand it.
  • Policymakers & insurers: Recognize that nonpharmacologic, integrative strategies deserve reimbursement.
  • Educators: Integrate pain science, behavioral health, and cultural competence into pre-license curricula.
  • Patients & advocates: Push for providers to adopt multidisciplinary care models — you deserve more than a prescription pad.

The U.S. Pain Foundation's message is clear: providers want the training and tools — they simply haven't had access to them.

Let's stop setting clinicians up to fail — and build systems (and training) that let them succeed.

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