The prevalence of pain peaks in middle age and decreases thereafter, accord
ing to most epidemiologic studies of complaints of pain. However this appar
ent decrease in pain in older adults may be a statistical artifact. Eighty
to 85% of persons experience a significant health problem that predisposes
them to pain at some time after age 65. With aging patients experience less
frequent head, abdominal, and chest pain and more frequent joint pain. Wom
en are more likely to report musculoskeletal pain and multiple pain sites t
han men, but there are no gender differences for reports of chest and abdom
inal pain. Many patients with chronic-pain have clinically significant depr
essive symptoms and low self-reported quality-of-life scores.