01/23/2026
A new survey of Cleveland Clinic patients suggests that trauma is both highly prevalent and under-addressed in chronic pain care, leaving many patients without treatment that meaningfully addresses the intersection between traumatic experiences and chronic pain.
Researchers say the findings point to a significant gap in clinical practice and an opportunity for health systems to integrate trauma-responsive approaches into routine pain management.
The quality-improvement study, published in the September 2025 issue of Pain Medicine, analyzed responses from 702 adults with chronic primary pain who completed an anonymous electronic survey in 2022 and 2023.
Although all respondents had been treated recently for pain — through primary care, pain management, physical therapy or chiropractic care — the majority reported experiences that extended far beyond physical symptoms.
According to the study, 68.2% of patients said they had experienced at least one traumatic event, and almost one in five reported both trauma exposure and clinically significant trauma symptoms.
“Previous research has shown that pain and trauma tend to intensify each other, but what stood out in our data is just how common trauma is among patients seeking pain care,” explains lead author Hallie Tankha, PhD, a psychologist in the Center for Wellness Research and Training at Cleveland Clinic. “Despite this, pain clinics are not consistently screening for trauma or connecting patients with treatments that address both conditions.”
This is why Holistic Centered Treatment takes a whole body approach to treating CRPS and complex chronic pain.
This just emphasizes the importance treat addressing all aspects of chronic pain – physically, mentally and emotionally – all while individualizing the treatment to each person’s specific needs and goals.
Holistic Centered Treatment is transforming lives and introducing chronic pain patients to a new way of healing.
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