Use the following checklist as a guide for considering a referral to a Pain Management Practitioner. YES NO   Do you believe you need narcotic pain medications for your pain problem? Do you believe you need more medical/diagnostic tests? Would you rate your total improvement from health care treatment at less than 20%? Are you depressed? Are you anxious, tense, nervous? Are you frustrated and angry? Do you have trouble with sleep? Are you fearful of re-injuring yourself? Are you over 40% less active than prior to developing your pain problem? These risk factors should alert you that you may benefit from a referral to a pain management professional in your area.