As my mother headed toward the end of her life, dealing with pain was a daily, sometimes moment-by-moment experience. Her body was weakened by osteoporosis, which caused compression fractures in her back, while arthritis crippled her hands and ate away at her shoulders and knees.

Simple movements I take for granted became difficult and exhausting for her. I choose to remember my mother when she was young and robust, but I will never forget the painful last years of her life.

According to a 2005 study by Stanford University Medical Center, 57 percent of senior citizens report frequent pain and 29 percent report having chronic pain lasting three months or more. The report states 4 out of 10 people say pain interferes with their activities of daily living, sleep, mood, driving and sexual relations.

Back pain is most frequently reported, followed by knees, head (migraines), shoulder and leg pain.

"A Survey of Pain in America," by Partners Against Pain in 2000, stated that 80 percent of the people surveyed think pain is normal for their condition and something they must learn to live with. One-third of pain suffers report their pain is so severe and debilitating that they don't feel they function as normal people.

The survey reported that 1 out of 3 respondents do not feel their families or doctors understand the severity of their pain and feel those around them are tired of hearing about pain.

If you suffer from reoccurring pain, there are steps you can take that may assist in relieving or reducing it:

n Discuss prescription and over-the-counter pain medication with your doctor. There are many options when it comes to pain relievers, but not all will be right for you. Medications, even those purchased over the counter, can have serious risks and side effects. Make sure your doctor knows your medical history, allergies and all medications you are currently taking.

n Consider consulting with a health-care provider who specializes in pain management. There are a number of skilled specialists in our area who can work with your doctor to find a treatment plan that works best for you.

n Ask your doctor if physical therapy would be beneficial. Medicare and supplemental insurance may assist with payment if therapy is ordered by your physician. Medicare has qualifying guidelines for reimbursement. The therapist can assist with mapping out an ongoing exercise plan to address your specific needs.

n Make healthy choices to care for your body. Eat a healthy diet, exercise and make sure you get adequate rest.

n Watch out for changes in your emotional health. Chronic pain can lead to feelings of depression and anxiety. Discuss symptoms with your doctor so a plan of treatment can be implemented. Share thoughts and feelings with loved ones who will be encouraging and supportive.

n Ask for help when needed. Pain can limit your ability to perform tasks such as housecleaning, yard chores, laundry, cooking and shopping. Let your family know your limitations and allow them to assist. Chore assistance is available at an affordable rate through Midland Area Agency on Aging and other home care agencies in our area.

n Stay active and involved with your family, friends, church and community. Pain can lead to isolation and loneliness. Look for a strong support group that will help you stay focused on positive activities. Spend time doing things you love with people you love.

Cathy Fosselman is Choices coordinator for the Grand Island office of the Midland Area Agency on Aging. For more information on services available for senior citizens, call the Midland Area Agency on Aging at 1-800-955-9714.