Support and advocacy information for individuals dealing with chronic pain.
People ask me how I got into chronic pain advocacy. The honest answer is I didn’t plan it. I lived with pain long enough that I started paying attention. Then something specific happened. I joined a chronic pain support group, and sitting in those rooms, I realized the problems I’d been facing weren’t mine. They…
What twenty minutes at the kitchen table taught me about fifteen minutes in the exam room I have been a patient with chronic pain for a long time. Long enough that I have lost count of the exam rooms. Long enough that I can tell, in the first thirty seconds, whether the visit is going…
For three days this week, I could not think past the end of my nose. A flare of chronic pain arrived with complications from diabetes riding alongside it, and the two of them together cleared my calendar without asking. I stayed in bed. I waited. My only job was to let my body do whatever…
‹ PWLE Voices — Issue 1 · June 2026 Research Spotlight What the ENGAGE Report Means for a Chronic Pain Advocate A new NIH report sets out a roadmap for how researchers should work with us. Here’s how to read it — and how to use it. In November 2025, the NIH published a report…
‹ PWLE Voices — Issue 1 · June 2026 Foundations Who Is a PWLE? Four letters, one growing role in research — and the words a major new NIH report uses to describe it. If you’ve spent any time around chronic pain research lately, you’ve probably seen the acronym: PWLE. It stands for Person —…
‹ PWLE Voices — Issue 1 · June 2026 Meet a Fellow PWLE Getting to Know Laura Quiet water runs deep. A retired kindergarten teacher and reading specialist, Laura listens carefully, asks the practical question nobody else thought of, and lives by a simple rule: movement is medicine. By Tom N. · PWLE Voices Laura…

We all have different situations, but we all swim in the same ocean. You are not alone in this. The first time I walked into a chronic pain support group, I was looking for a fix. Not a cure — I had given up on that word — but something. A practical tip I had…
A guide to the framework, the evidence, and the documents that anchor a decade of work If you have spent any time around patient-centered clinical research in the United States, you have heard PCORI’s name. The Patient-Centered Outcomes Research Institute is an independent nonprofit established by Congress in 2010 and reauthorized in 2019, funded through…

Notes from the PCORI Patient Engagement Advisory Panel — Spring 2026 Before the first session began this morning, Keneshia Bryant-Moore — chair of PCORI’s Patient Engagement Advisory Panel — asked each of us to characterize ourselves as an animal. An icebreaker. A way to ease a room of strangers into a long working day. Around…

Electronic Health Records, Chronic Pain, and the Fight for Meaningful Data Chronic pain has always lived in a difficult space. It is real. It is widespread. It is costly.And yet, for decades, it has remained largely invisible in the very systems designed to treat it. For most of that time, if you were living with…

What Is a Patient-Friendly Summary? A patient-friendly summary of a clinical trial is a clear, plain-language explanation of what a study was trying to do, who was involved, what was found, and what it means in real life. It is not a rewritten abstract.It is not a technical document with simpler words. It is a…

Provided by the Los Angeles Chronic Pain Support Group Decisions made in the California Legislature directly affect people living with chronic pain. Laws and regulations can influence access to treatment, insurance coverage, prescribing policies, prior authorization requirements, and access to multidisciplinary care. Many patients do not realize how directly state legislation can affect their daily…

Patient Engagement I hear researchers say they value patient engagement all the time. I believe most of them mean it. But too often, the value of patient engagement isn’t made visible or actionable to the people it’s meant to include. From the outside, the research process often appears closed. Invitations aren’t clear. Roles aren’t explained. …

I am a person with lived experience (PWLE) focused on improving patient engagement in clinical trials and guideline development panels. I’ve spent a lot of time collaborating with researchers, clinicians, and people living with chronic pain through my work at University of California, San Francisco, and other institutions. I’ve participated in interviews, advisory meetings, protocol…