Beyond the Surface: How to Support Those with Chronic Pain You Can’t See

‘LPT: Try to be understanding of people with chronic pain. Some people have pain disabilities you can’t see in their joints, back or bones. It is easy to think they should be able to do more, but unless you have experienced sever back pain or similar items it is really hard to understand’

Understanding their hidden struggles fosters empathy, making it easier to support them without judgment, even when their limitations aren’t obvious.

Chronic pain, like severe back or joint issues, often isn’t visible, yet it can drastically limit someone’s abilities. First, pain varies widely—what looks like a simple task might be excruciating for them. Forcing assumptions can lead to misunderstanding their capabilities. Second, chronic pain is unpredictable; someone might seem fine one day but struggle the next.

Recognizing this variability helps you avoid snap judgments. Finally, empathy matters—unless you’ve felt relentless pain, it’s hard to grasp its mental and physical toll. Acknowledging their reality builds trust and shows respect for their experience, making your interactions more compassionate.

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This approach also deepens connections. It encourages patience, reducing frustration in relationships. It opens conversations, letting people share their needs without fear. Plus, it broadens your perspective, reminding you that everyone’s fighting battles you might not see.

Have you or someone you know dealt with invisible chronic pain? How do you navigate supporting others when their struggles aren’t obvious? 

This Reddit tip shines a light on a critical issue: chronic pain is often invisible, yet profoundly limiting. Dr. David Borenstein, a rheumatologist, notes, “Chronic pain conditions like fibromyalgia or arthritis can be debilitating, yet patients often face skepticism because their suffering isn’t visible” (source: Arthritis Foundation). For the Reddit user’s point, this means assuming someone’s capabilities based on their appearance can dismiss their reality, causing frustration or isolation.

The OP highlights a key tension: society often expects visible proof of disability, but chronic pain defies this. One person’s “easy” task, like lifting a box, might be agonizing for another due to unpredictable flare-ups. This variability, as the OP notes, makes empathy essential. Research shows 20% of adults live with chronic pain, yet many feel invalidated (source: CDC).

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This issue ties to a broader social challenge: stigma around invisible disabilities. People with chronic pain often face accusations of laziness, as seen in the Reddit comments. Acknowledging their limits without judgment fosters trust. Dr. Borenstein suggests asking open-ended questions like, “How can I support you today?” to understand their needs.

Practically, try listening without assumptions. If someone declines a task, respect their boundaries. Educate yourself on conditions like fibromyalgia or gout to grasp their impact. Encourage open dialogue, as this builds stronger, more compassionate connections. Have thoughts on supporting those with chronic pain? Share below!

Here’s the feedback from the Reddit community:

The Reddit community didn’t hold back, sharing personal stories and spicy takes with their usual mix of heart and humor. From painful lessons to calls for compassion, here’s what they had to say about invisible chronic pain.

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Daveinatx − Chronic pain is unlike acute. You wake up the day with so many exertion points. Maybe you have more one day over another. Maybe you can do something one day, but not the next.. Once you've spent the day's points, there's not much more one can do.

Nardelan − I was 16 and saw my driver’s training/science teacher at our local gas station. He was parking handicapped so I thought I’d be funny and my dumbass yelled out to him “Mr. Smith, that spot is only for handicapped people!”

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He points to his handicapped plate and explained to me he has f**ked up hips and can’t walk far. In a normal school day you would never notice it. I felt like an a**hole and he was really understanding about it, but I’ll never make that mistake again.

mm052020 − I’m 15 and had a sever figure skating accident causing me to have had debilitating lower back pain that’s only gotten worse for the past 6 years. People always give me so much grief if I can’t do things, and assume I’m just being a lazy teenager if I say I can’t do something because of my back.

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It takes my mom being like “She literally had back surgery at 14 and she risks severely injuring herself if she lifts that box. Cut it out” for people to actually get the picture. I think my all time favorite moment is that the reason my back is so messed up is because an older man ran in to me on the ice while figure skating, and I went flying and messed up my back when I landed.

His wife is also a school teacher. After my back injury, she told me to sit on the floor with the rest of the class. I went to grab a pillow to sit on and she told me I wasn’t allowed to and that I was being dramatic. I just looked at her.

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To be clear, both the husband and the wife know that he messed up my back for the rest of my life because he was being careless and unaware of his surroundings. It was a big thing at the skating club I was at. I was a pretty advanced skater and had to stop completely do to this injury. (I also want to say that it looks like having a facet block in my back is going to help, so things are not completely hopeless)

drmarvin2k5 − Nurse here with 20yrs of back problems. I’ve had surgery 4 times. The pain starts to drive you nuts. You can even start thinking it’s all in your head (it’s not!!) but it can just add so much stress. Exercise and losing weight helps (I’m working on that again right now). I definitely have learned to have empathy for anyone with chronic pain.

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It’s not just an issue of “being tough” because I can be as tough as I want, but it’s still terrible. There was about 2 years before my last surgery that I didn’t sleep for more than about 5 hours a night (and it wasn’t 5hrs straight). I was still working full time, so you can imagine how you start to get even more stressed when you still have to do everything, but have NO sleep.. Please be understanding. Imagine it was you and go from there.

DufferDan − This holds true with people of all disabilities! Physical or mental.

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CelticAngelica − I have 9 chronic conditions and 3 autoimmune conditions, all invisible. Between the skoliosis, spondylosis, arthrogryposis, gastritis, IBS-M and lance migraines I am in constant pain. A good day for me is when my pain is only a 5 on the pain scale. The chronic insomnia doesn't help.

senorvato − I fully understand now. A painful hip ailment left me barely able to walk. No surgery required, just time and rest. And probably tendonitis for a while. Still have an altered gait almost a year later, but showing progress thank God! First diagnosis was for hip replacement. Then an honest surgeon refuted the diagnosis and recommended rest. Still have my original parts...for now.

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Upvotespoodles − I can’t imagine in my wildest dreams ever ruining my own life by pretending to be in pain so that I can sit around doing nothing for no reason. I’ve seen so many stories of people accused of this. Wtf would they have to gain?

I figure even if someone pretends to be in too much physical pain to live a rewarding life, they probably have some kind of mental issue causing them to do that. I think it’s stupid to accuse someone of doing something with no motive, for no reason, with nothing to gain.

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evonebo − I’m relatively young and have gout.. When people at work see me limping and ask me I tell them.. Then I hear them say I’m exaggerating my condition.. You don’t realize how much it hurts unless you experienced it.

allgoodcretins − In my experience of chronic pain (living with it for 17 years now) those who truly experience chronic pain don't necessarily remind you of it every five minutes. It becomes the new normal and you do your best not to let it define you or hold you back more than is necessary.. I know this is probably a controversial opinion it's not one I share very often.

These Reddit voices range from poignant to pointed, showing how deeply personal and divisive this topic can be. Do these stories resonate, or do they miss the mark? One thing’s clear: chronic pain sparks real talk.

This Reddit tip is a wake-up call to see beyond the surface. Chronic pain may be invisible, but its impact is real, reshaping lives in ways we might not imagine. A little empathy goes a long way—listening without judgment can transform relationships and build trust. Have you or someone you know faced invisible chronic pain? How do you support others when their struggles aren’t obvious? Drop your thoughts below and let’s keep this heartfelt convo going!

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