You have to care enough about your chronic pain to manifest positive change. Some people might be insulted by this, but trust me, I was in that same boat for many years and I completely understand. What I mean when I say that is, you have to make it your number one priority in order to get your thoughts right, so that you can find a pain management program that will give you relief and stick with it. If you are not thinking in terms of making it a priority, then seeking a lifestyle change to help with your chronic pain will fall to the way side. Sometimes I think we get used to our pain and we accept things too easily.