Abstract
When viewed through a socioecological evolutionary mismatch lens, the burden of chronic pain has many parallels with obesity. The introduction of ‘obesogenicity’ in the mid-1990s triggered awareness in policy-makers and the public of the burden of obesity on society, refocussing efforts ‘upstream’. I propose that ‘painogenicity’ could do the same for chronic pain. Painogenicity is the sum of influences that the surroundings, opportunities or conditions of life have on promoting the persistence (stickiness) of pain in individuals or populations. Painogenicity draws attention to upstream forces that ‘threaten’ a person's sense of well-being to make pain sticky. A painogenic lens reconfigures pain as an embodied personal experience embedded in a socioecological environment and opens up health-promoting (salutogenic) solutions to address the burden of chronic pain.
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