America's Pain Detective - Dr. Mitchell Cohn, DO: Speaker, Author, Recognized Leader in the Advancement & Training of Pain Diagnostics and Treatment

About Chronic Pain

What damage does chronic pain do to your life?


  • can be debilitating: physically, mentally, and emotionally.
  • can render patients unable to walk, work, sleep or enjoy life.
  • steals a person’s HOPE.


Chronic pain explained

Any pain which lasts longer than 90 days is, by every medical definition, chronic. Many times, pain lasts for years and decades. Injury or pain which is of new onset is easier to treat and to prevent from becoming chronic, in many cases. Once pain has proceeded to the chronic stage, most physicians find it nearly impossible to eradicate.

Pain which lasts long enough leads inevitably to a general feeling of unease, listlessness, and depression. These complications are then treated separately by most physicians with multiple therapies and drugs. The drugs, themselves, often lead to dependencies, addictions, sleep disorders, organ dysfunctions, further depression and other complications.

In many of these ‘complicated’ cases no diagnosis is every actually made, leading doctors to tell patients, “It’s all in your head.” Other patients are given generalized or ‘wastebasket’ diagnoses with little meaning or which offer little insight into the pain’s cause or solution.

Previously a chronic pain sufferer, myself, I understand these problems.  I also understand the intricacies of pain production as few others in the field. I know that the many, many patients who have been through the Medical Mill represent doctors’ failures to understand the more subtle causes of painmany of which cannot be found via x-ray, MRI, or electrodiagnostic testing and which cannot be solved by throwing drugs at them.

Many of the best institutions and pain physicians in the world believe and teach that once pain has become chronic, it causes permanent 'pain-maintaining' changes in the brain.  These changes, they believe, are no longer fixable.  Pain must, therefore, be treated by dousing the brain's pain centers with drugs to 'manage' these pain perceptions.

If my three decades of experience have taught me anything, it is:

The vast majority of the underlying causes of chronic pain are REAL, findable, and treatable.

Even those patients with terrifying diagnoses such as ‘Fibromyalgia’, CRPS/RSD, and Neuropathic pain syndromes frequently benefit and many are even cured of their pain with proper diagnosis – usually via an accurate, detailed medical, injury, and pain history and properly performed osteopathic neuromusculoskeletal exam. Much of the time, even the most myseterious and intractable pain syndromes turn out to have mundane, easily treatable, but previously undetected causes.