Neurosurgeon reflects on the difference between pain and suffering in chronic back pain patients

Stephen Doran, a neurosurgeon and author, writes an opinion piece about how pain and suffering are distinct experiences for patients.

He recounts a recent visit with a 60‑plus veteran who had endured multiple spinal surgeries, physical therapy, and chiropractic care without relief. The patient left the appointment angry, feeling let down by the medical system and demanding a fix that Doran could not provide.

Doran admits that even after three decades of practice he has not mastered a perfect response to patients he cannot help. He wonders whether his presence adds to the patient’s suffering or offers some comfort despite the lack of a surgical solution.

He cites a 1982 essay by Eric Cassell that argued medicine has an obligation to address suffering, not just physical pain, underscoring the ethical challenge doctors face when treatments fail.