The purpose of this study was to evaluate whether there were differentiation of personality characteristics between chronic primary and secondary pain patients. We used egogram questionnaire to evaluate the personality characteristics. One hundred and two patients were enrolled, and seven patients were excluded. Patients were classified into primary and secondary pain according to ICD-11 and statistic analysis was performed about the each ego state. Free child (FC) ego state was statistically lower in chronic primary pain patients than chronic secondary pain patients. Therefore, chronic primary pain patients tend to repress themselves and put others first. For patients with chronic primary pain, interventions to enhance FC, such as building a doctor-patient relationship that allows patients to openly express their thoughts and feelings, assisting the patient to enjoy entertainment and hobbies that help strengthen the reward system and relieve daily stress may be useful as a treatment for pain.

An 85-year-old woman was referred to her previous doctor for pain control due to breast cancer and multiple bone metastases, but the pain was severe and she had difficulty moving even after opioid and radiation therapy. Her pain was relieved by continuous epidural analgesia, and she was transferred to our hospital for spinal catheter insertion and subcutaneous port placement. The areas of her pain were her right sixth rib and L2–5 lumbar vertebrae, and her catheter tip and subcutaneous ports were placed in two locations. Her numerical rating scale was 0 next morning and she was transferred to the doctor the same day. The problem with interventional treatment is that the facilities that can perform it are limited. This case was introduced at an appropriate time, and we were able to intervene quickly and improve the patient's activities of daily living. It is believed that through appropriate cooperation between hospitals, awareness and dissemination of spinal subarachnoid analgesia can be achieved.