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What to Do When a Parent is in Pain But Won’t Tell the Doctor

Many older adults downplay or hide their pain. They do not want to be a burden. They are afraid of what the doctor might find. They grew up being told to tough it out. Here is how to help.

Step 1: Watch for signs they are not saying. Wincing when they move. Holding a part of their body. Moving more slowly than usual. Sleeping more. Eating less. Irritability. These can all be signs of pain that is not being talked about.

Step 2: Ask differently. “Are you in pain?” often gets a no. Try instead: “On a scale of 1 to 10, how uncomfortable do you feel right now?” Or: “Is there anything that is bothering you physically today?” Different questions get different answers.

Step 3: Write it down before the appointment. Keep a simple pain log for a week before the doctor visit. Note when they seem uncomfortable, what they were doing, and how they seemed. Bring it to the appointment.

Step 4: Speak up at the appointment — respectfully. It is okay to say to the doctor: “I have noticed some things at home that I would like to mention.” You are the eyes and ears between visits. Your observations matter.

Step 5: Ask about pain management options. Pain in older adults is often undertreated. Ask the doctor directly: “Are there options for managing this better?” Physical therapy, medication adjustments, or simple changes at home can make a big difference.

Step 6: Address the fear underneath. Sometimes hiding pain is about fear. Fear of losing independence. Fear of surgery. Fear of a serious diagnosis. Gently acknowledging that fear — “I know this is scary, but knowing is better than not knowing” — can open the door.


Untreated pain affects sleep, appetite, mood, and overall health. It is worth advocating for. You are not overreacting.

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