University of Oklahoma Health Sciences Center

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Author/s:

Owoicho Adogwa, M. Cary Reid, Sai Chilakapati, Una E. Makris

Date Added:

September 17, 2023

Journal/Publication:

Journal of the American Geriatrics Society

Publisher:

American Geriatrics Society

Publication Date:

April 25, 2023

Issue:

Volume:

Pages:

2373-2380

URL:

Clin-STAR corner: 2021 update in musculoskeletal pain in older adults with a focus on osteoarthritis-related pain

Type:

Meta-analyses, Reviews, and Guidelines

DOI (1):

https://doi.org/10.1111/jgs.18369

PMID (1):

37186060

Keywords

aging

back pain

osteoarthritis

chronic pain

comorbid conditions

MeSH

Musculoskeletal Pain* / drug therapy

osteoarthritis

Knee* / complications

Knee* / therapy

RPR Commentary

A summary of what we know about managing chronic musculoskeletal pain in older people. James W. Mold, MD, MPH

Abstract

Chronic musculoskeletal (MSK) pain remains a leading cause of disability and functional impairment among older adults and is associated with substantial societal and personal costs. Chronic pain is particularly challenging to manage in older adults because of multimorbidity, concerns about treatment-related harm, as well as older adults' beliefs about pain and its management. This narrative review presents data on nine high-quality, peer-reviewed clinical trials published primarily over the past two years that focus on MSK pain management in older adults, of which four were comprehensively reviewed. These studies address contributors to knee osteoarthritis (OA) pain (insomnia), provide evidence for digital delivery or artificial intelligence driven behavioral interventions and potentially more efficient/equally effective modes of delivering glucocorticoids for OA; each of the selected studies have potential for scalability and meaningful impact in the care of older adults.

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