Non-cancer Pain and Cognitive Impairment: A Disabling Relationship

Inclusion Criteria: 1. age over 65 2. Pain at least 3 months duration 3. Pain greater in lower extremity than other anatomical site with ambulation 4. Pain self-report of moderate intensity of higher on an average day 5. Community-dwelling 6. Ambulatory 7. Physician states participants have decision-making capacity to enroll into the trial 8. Participants with cognitive impairment have a reliable caregiver 9. Inadequate pain relief from NSAIDS and/or acetaminophen in the past Exclusion Criteria: 1. Current cancer requiring chemotherapy 2. History of addiction to opioids or other controlled substance 3. Consumes more than 2 alcoholic drinks a day 4. Severe balance disturbance 5. Intra-articular steroid injection in the past 6 weeks