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Office management of chronic pain in the elderly

  [ 257 votes ]   [ 2 Comments ]
By DK Weiner • • April 12, 2007

Journal: American Journal of Medicine. 2007 Apr;120(4):306-15.

Authors and affiliation: Weiner DK. Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. [E-mail: ]

PMID: 17398221

Chronic pain plagues older adults more than any other age group; thus, practitioners must be able to approach this problem with confidence and skill.

This article reviews the assessment and treatment of the most common chronic nonmalignant pain conditions that affect older adults - myofascial pain, generalized osteoarthritis, chronic low back pain (CLBP), Fibromyalgia Syndrome, and peripheral neuropathy.

Specific topics include:
n Essential components of the physical examination;
n How and when to use basic and advanced imaging in older adults with CLBP;
n A stepped care approach to treating older adults with generalized osteoarthritis and CLBP, including noninvasive and invasive management techniques;
n How to diagnose and treat myofascial pain;
n Strategies to identify the older adult with Fibromyalgia syndrome and avoid unnecessary "diagnostic" testing;
n Pharmacological treatment for the older adult with peripheral neuropathy;
n Identification and treatment of other factors such as dementia and depression that may significantly influence response to pain treatment;
n And when to refer the patient to a pain specialist.

While common, chronic pain is not a normal part of aging, and it should be treated with an emphasis on improved physical function and quality of life.

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Article Comments Post a Comment

Office management of chronic pain in the elderly
Posted by: crashcart
Apr 18, 2007
*WHY* is only the abstract printed? This does no one any good. It would be nice to see the entire article, otherwise, why bother listing the "specific topics" if the reader is not allowed to see them? Lynn M. Waugh, RN
Reply Reply

FM, facial expression and emotional experience by Kirsch & Bernardy
Posted by: crashcart
Apr 18, 2007
That was one of the most useless studies I've *ever* seen! More wasted grant money. This money *could* have been spent on funding for FM/CFS research instead! Yeesh!!!
Reply Reply
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