Chronic pain is a common problem and can have a significant impact on people’s quality of life. DiscussionTreatment can be limited, as many medicines do not seem to be beneficial to patients. Primary care physicians will often see people suffering with chronic pain several times in close succession to titrate their medication and these can be very frustrating encounters for both the doctor and patient, especially if patients do not appear to be improving. There are non-pharmacological treatment options can should be actively encouraged and general practitioners should set out realistic expectations for the patient and sign-post them to useful local resources.