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Updated: Jul 20, 2025

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Pain Management in the Elderly: A Narrative Review
Kanishka Rajput1, Jessica Ng1, Nicholas Zwolinski1
1Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, TMP3, New Haven, CT 06510, USA.
Managing pain in older adults is complex due to multiple health conditions and medications. This review synthesizes evidence for optimal pain management strategies in the elderly population.
Area of Science:
- Gerontology
- Pain Management
- Clinical Practice
Background:
- Increasing life expectancy leads to a higher prevalence of octogenarians and nonagenarians in clinical settings.
- Elderly patients often present with multiple comorbidities and polypharmacy, complicating pain management.
- Chronic pain, frequently linked to degenerative processes, poses significant challenges in managing older adults.
Purpose of the Study:
- To review and collate existing evidence on best practices for pain management in the elderly population.
- To provide clinicians with guidance for addressing the complexities of pain in older adults.
- To synthesize current knowledge on managing chronic pain in geriatric patients.
Main Methods:
- Systematic review of available literature.
- Collated evidence from clinical studies and expert consensus.
- Focused on pain management strategies specifically for elderly patients.
Main Results:
- Evidence synthesis on effective pain management approaches for the elderly.
- Identification of challenges and considerations in geriatric pain management.
- Compilation of best practices for clinical application.
Conclusions:
- Effective pain management in the elderly requires a comprehensive approach considering comorbidities and polypharmacy.
- Best practices involve tailored strategies to address chronic pain related to degenerative conditions.
- Further research is needed to optimize pain relief and improve quality of life for older adults.
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