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Daily Archives: January 23, 2016

Deconstructing Chronic Low Back Pain in the Older Adult –

By |January 23, 2016|Low Back Pain|

Deconstructing Chronic Low Back Pain in the Older Adult – Shifting the Paradigm from the Spine to the Person – Introduction

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SOURCE:   Pain Medicine 2015 (May); 16 (5): 881-885 ~ FULL TEXT

Debra K. Weiner

Geriatric Research, Education & Clinical Center,
VA Pittsburgh Healthcare System,
University of Pittsburgh,
Pittsburgh, PA, USA.

Over the past decade, the estimated prevalence of low back pain (LBP) among older adults (typically defined as those ≥age 65) has more than doubled [1], and the utilization of advanced spinal imaging (e.g., computerized tomography (CT), magnetic resonance imaging [MRI]) and procedures guided by this imaging (e.g., epidural corticosteroids, spinal surgery) have continued to skyrocket. [1-3]

Treatment outcomes, however, have not improved apace. Why? Part of the answer lies in the fact that treatment may in part be misdirected.

This issue of Pain Medicine contains the first in a series of articles on how to systematically and comprehensively rethink our approach to evaluating and designing management for older adults with chronic low back pain (CLBP). The series is entitled “Deconstructing Chronic Low Back Pain in the Older Adult: Step-by-Step Evidence and Expert-Based Recommendations for Evaluation and Treatment” and the article in this issue focuses on hip osteoarthritis (OA), an important potential contributor to CLBP in older adults.

KEYWORDS:   Back Pain; Chronic Low Back Pain; Chronic Pain; Elderly; Geriatric; Homeostenosis; Low Back Pain; Lumbar; Magnetic Resonance Imaging; Older Adults; Pain Management; Treatment Outcome

From the FULL TEXT Article:

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