Article
Medicine, General & Internal
Hoi Kei Iki Chan, Chin Pang Ian Chan
Summary: The management of pain in older adults should consider the biopsychosocial model and address the diversity in physiological changes, psychological and cognitive aspects, and social interactions. Pharmacological treatment should be carefully chosen, considering side effects, drug-drug and drug-disease interactions, and administration details. Non-pharmacological interventions should be combined with medication to tailor the treatment plan to individual needs, aiming to alleviate pain burden while preserving quality of life.
Article
Orthopedics
Wouter Van Bogaert, Iris Coppieters, Jeroen Kregel, Jo Nijs, Robby De Pauw, Mira Meeus, Barbara Cagnie, Lieven Danneels, Anneleen Malfliet
Summary: The study showed that individuals with chronic spinal pain and high levels of fear of movement tend to have worse treatment outcomes. However, the experimental treatment combining pain neuroscience education with exercise therapy that addresses specific movements patients fear can mitigate this negative impact of kinesiophobia in patients.
Article
Orthopedics
Keiko Yamada, Tomoko Fujii, Yasuhiko Kubota, Takaaki Ikeda, Masamichi Hanazato, Naoki Kondo, Ko Matsudaira, Katsunori Kondo
Summary: This study investigated the prevalence of chronic musculoskeletal pain in independent Japanese older people and explored the impact of population density and aging rate on pain levels between municipalities. The results showed a higher prevalence of chronic musculoskeletal pain in older individuals and women, but population density and aging rate did not explain the differences between municipalities.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Geriatrics & Gerontology
Brandon C. Yarns, Tongtong A. Zhu, Ali Najafian Jazi
Summary: Chronic pain is a serious issue for older adults, and psychotherapy is a promising treatment option. This article presents a novel psychological assessment and treatment approach for older adults with chronic pain, focusing on resolving trauma and emotional conflicts through a therapy called emotional awareness and expression therapy (EAET).
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
(2022)
Article
Primary Health Care
Regina Wing Shan Sit, Shirley Yue Kwan Choi, Bo Wang, Dicken Cheong Chun Chan, Dexing Zhang, Benjamin Hon Kei Yip, Samuel Yeung Shan Wong
Summary: This study evaluated the clinical effectiveness of a supervised neuromuscular exercise program for older people with chronic musculoskeletal pain, showing that NM exercise can help reduce pain, improve self-efficacy, and physical function.
BRITISH JOURNAL OF GENERAL PRACTICE
(2021)
Article
Multidisciplinary Sciences
Regina Wing Shan Sit, Benjamin Hon Kei Yip, Bo Wang, Dicken Cheong Chun Chan, Dexing Zhang, Samuel Yeung Shan Wong
Summary: The study found that chronic musculoskeletal pain predicts the severity of insomnia, and this relationship is not moderated by age, gender, or number of comorbid diseases. The findings suggest that pain management should be prioritized in the prevention of insomnia.
SCIENTIFIC REPORTS
(2021)
Review
Chemistry, Medicinal
Marion Voute, Veronique Morel, Gisele Pickering
Summary: Topical lidocaine is a safe and effective option for pain management, with proven efficacy in various pain conditions. It can be used alone or in conjunction with systemic drugs and non-pharmacological approaches for optimized pain management and multimodal analgesia.
DRUG DESIGN DEVELOPMENT AND THERAPY
(2021)
Article
Clinical Neurology
Raymond C. Tait, John T. Chibnall, Donna Kalauokalani
Summary: This study compared perceptions of the burden of patient care and associated clinical judgments between physicians and people with chronic pain (PWCP), revealing that physicians had higher burden ratings and less favorable clinical judgments, while PWCP respondents had lower burden ratings and more favorable clinical judgments. These differences could impact treatment collaboration and merit further study in clinical practice.
Article
Geriatrics & Gerontology
Yurun Cai, Suzanne G. Leveille, Ling Shi, Ping Chen, Tongjian You
Summary: The study found that chronic pain interference and pain distribution in older adults are associated with an increased risk of injurious falls, especially in women. Short-term moderate-to-severe pain also increases the risk of injurious falls in the subsequent month.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2021)
Article
Medicine, General & Internal
Takafumi Saito, Tao Chen, Harukaze Yatsugi, Tianshu Chu, Xin Liu, Hiro Kishimoto
Summary: The number of chronic pain sites is positively associated with the presence and severity of neuropathic-like symptoms in older Japanese adults with chronic pain.
Article
Clinical Neurology
Hironobu Uzawa, Hideaki Ishii, Takeki Ishida, Takashi Shida, Hiroto Furuyama, Yusuke Nishida
Summary: This study aimed to examine the inter-session reliability of CPM in older individuals with or without chronic musculoskeletal pain and analyze the factors influencing CPM reliability. The study found that a systematic error exists in the CPM index of older adults with chronic musculoskeletal pain, but not in those without chronic pain. Autonomic nervous system activities were identified as significant factors for CPM reliability.
JOURNAL OF PAIN RESEARCH
(2023)
Review
Pharmacology & Pharmacy
Gianmarco Marciano, Cristina Vocca, Maurizio Evangelista, Caterina Palleria, Lucia Muraca, Cecilia Galati, Francesco Monea, Liberata Sportiello, Giovambattista De Sarro, Annalisa Capuano, Luca Gallelli
Summary: According to the International Association for the Study of Pain, chronic pain refers to an unpleasant sensory and emotional experience linked with actual or potential tissue damage. There are different types of pain, including nociceptive, neuropathic, and nociplastic pain. This narrative review examines the characteristics of drugs used for each type of pain, following guidelines, and their effects on individuals with comorbidities to minimize severe adverse events.
Article
Geriatrics & Gerontology
Grazyna Puto, Iwona Repka, Piotr Brzyski
Summary: The study evaluated the psychometric properties of the Polish translation of the Geriatric Pain Measure - 24 in older people with chronic pain, showing that the GPM-24 is a reliable and valid tool for the multidimensional assessment of chronic pain in older individuals.
Review
Medicine, General & Internal
Manuel Rodriguez-Huguet, Maria Jesus Vinolo-Gil, Jorge Gongora-Rodriguez
Summary: Chronic Neck Pain (CNP) is a leading cause of disability worldwide, and dry needling (DN) has been found to be an effective treatment option for CNP. This review assessed the effectiveness of DN in the treatment of CNP and found positive outcomes in the short-term and follow-up periods.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Medicine, General & Internal
Brian Chin, Ian Wee, Nicholas L. X. Syn, Gavin K. O'Neill, Eng Soo Yap, Pei Lin Koh
Summary: The benefits and disadvantages of non-surgical and surgical management of mild to moderate chronic arthropathy in people with haemophilia remain controversial, and a systematic review is needed.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2022)