Depression Management Is A Key To Chronic Pain

depressionStudies indicate pain and depression are highly interrelated and may reduced physical, mental, and social functioning, which could lead to poor treatment outcomes and longer duration of symptoms. The biochemical basis focuses on serotonergic and norepinephrine systems.[1]

MRI studies have led to the understanding that chronic pain patients display brain structure and function alterations. Identified altered brain regions are involved in pain processing, but also in other sensory and particularly cognitive tasks. [2] Chronic pain, as a stress state, is one of the critical factors for determining depression, and their coexistence tends to further aggravate the severity of both disorders.[3]

This questionnaire is designed to give you a status and direction. It is often used by health professionals to consider referrals, modify treatment plans and monitor progression.[4] Answer the 9 questions based on the last 2 weeks.


Little interest or pleasure in doing things



Feeling down, depressed or hopeless



Trouble falling asleep, staying asleep, or sleeping too much



Feeling tired or having little energy



Poor appetite or overeating



Feeling bad about yourself – or that you’re a failure or have let yourself or your family down



Trouble concentrating on things, such as reading the newspaper or watching television



Moving or speaking so slowly that other people could have noticed. Or, the opposite – being so fidgety or restless that you have been moving around a lot more than usual



Thoughts that you would be better off dead or of hurting yourself in some way


Question 1 of 9

help for depression and anxiety at amazon

Chronic pain is a major public health problem, with studies reporting that in Europe and the USA, about one fifth of the general population are affected. As one of the most common and disabling mental disorders, depression has been reported to be the third leading contributor to the global disease burden. They can mutually promote their own severity progress and affect outcomes.

This is often an impediment to progress in treating pain conditions. The more it becomes chronic, the greater the chance of it affecting psychological factors and can become engrained as in central sensitization. Depression is often involved in back pain, neck pain, especially in managing whiplash, tinnitus, tmj jaw problems, headaches and many other condition.

1. Harvard Review of Psychiatry. Nov/Dec 2018;26(6):352-363
2. European Journal of Pain. 2017 May;21(5):769-786
3. Neural Plasticity. Epub 2017 Jun 19
4. The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine. 2001 Sep;16(9):606-13

Author Bio

Stephen Ornstein, D.C. has treated thousands of neck, shoulder and back conditions since graduating Sherman Chiropractic College in 1987 and during his involvement in Martial Arts. He holds certifications as a Peer Review Consultant from New York Chiropractic College, Physiological Therapeutics from National Chiropractic College, Modic Antibiotic Spinal Therapy from Dr. Hanne Albert, PT., MPH., Ph.D., Myofascial Release Techniques from Logan Chiropractic College, and learned Active Release Technique from the founder, P. Michael Leahy, DC, ART, CCSP.