Management of LBP in older patients in the ED
A better understanding of clinical manifestations of pain in the older patients, improved methods of assessment, and the use of both pharmacologic and non-pharmacologic treatments can result to a more favorable outcome in the ED.
The ED physician’s role is fundamental to prevent aggravation of the symptoms and physical decline.
More research is needed to explore the consequences of LBP on the quality of life of older patients and to improve the management in the ED.
Jakobsson U, Klevsgard R, Westergren A, Rahm HI (2003) Old people in pain: a comparative study. J Pain Symptom Manag 26:625–636Crossref
D’Astolfo CJ, Humphreys BK (2006) A record review of reported musculoskeletal pain in Ontario long-term facility. BMC Geriatr 6(1):5. doi:10.1186/1471-2318-6-5 CrossrefPubMedPubMedCentral
Edmond SL, Felson DT (2000) Prevalence of back symptoms in elders. J Rheumatol 27:220–225PubMed
Hartvigsen J, Frederiksen H, Christensen K (2006) Back and neck pain in seniors—prevalence and impact. Eur Spine J 15(6):802–806. doi:10.1007/s00586-005-0983-6 CrossrefPubMed
Ancoli-Israel S, Soares CN, Gaeta R, Benca RM (2004) Insomnia in special populations: effects of aging, menopause, chronic pain, and depression. Postgrad Med 116:33–47. doi:10.3810/pgm.12.2004.suppl38.260 PubMed