Overview of social connection and chronic pain

This topic addresses the role of social connection in chronic pain, but is also an important component of acute pain management.

Social connection is the experience of feeling close to, or belonging with, an individual or community and occurs when a person feels safe, seen, heard and valued. Its absence triggers threat pathways and worsens pain experience, negatively affects health and wellbeing, and is associated with increased mortality.

People with chronic pain often feel socially disconnected or isolated. Pain impacts a person’s social opportunities and confidence. Stigma and misconceptions about chronic pain may distance other people.

Finding opportunities for social connection and meaningful activity is a first-line management strategy for chronic pain. Social connections can be purpose-driven (eg work, school, adult education, peer-support) or recreation-driven (eg hobbies, sports, social clubs). Local councils and primary health care centres are helpful sources of information about community groups and activities.

The strength of the therapeutic relationship between the healthcare provider and patient is crucial to facilitating a patient’s social reconnection. As part of a chronic pain management plan, healthcare providers should support patients by helping them to: