Approximately one-third of all Americans suffer from some form of chronic pain especially musculoskeletal & back pain, arthritis, headaches, cancer, and pain from neurological and cardiac diseases. The disability from chronic pain is more than from heart disease and cancer combined. In just six months, persistent pain at moderate or higher levels can cause reduced activity, personality change, depression, emotional reactivity or narcotic pain medication dependence. Chronic pain often becomes linked with high stress states causing a vicious cycle to begin and continue. Dr. McDuff has more than twenty years experience with alternative stress and pain control strategies and can manage painkiller dependence with buprenorphine.