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

Non-cancer Pain and Cognitive Impairment: A Disabling Relationship