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Treatment of persistent pain in older adults

Authors
Marissa C Galicia-Castillo, MD, MSEd, CMD, FACP
Debra K Weiner, MD
Section Editor
Kenneth E Schmader, MD
Deputy Editor
Marianna Crowley, MD

INTRODUCTION

The population of older adults (age 65 and older) is growing, with numbers of the frailest, most pain-ridden, and oldest (persons 85 years and over) increasing the most rapidly. Up to 50 percent of community-dwelling older adults report pain that interferes with normal function, and at least half of nursing home residents report pain on a daily basis [1,2]. Medical, psychological, and social comorbidities, as well as environmental factors, may contribute to pain and/or impact treatment response [3].

This topic will discuss treatment of persistent (ie, chronic) non-cancer pain in the older adult, with an emphasis on the differences in management from younger adults. Other closely related, important issues related to treatment of pain in older adults are reviewed in detail separately:

(See "Evaluation of chronic pain in adults", section on 'Older adults'.)

(See "Overview of the treatment of chronic non-cancer pain".)

(See "Drug prescribing for older adults".)

                                 

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Literature review current through: Nov 2016. | This topic last updated: Tue Oct 18 00:00:00 GMT+00:00 2016.
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