Chronic musculoskeletal pain in older people

Gunjan Jain, Sunny Singhal, L. Goyal, Ankita Agarwal, Ajay Mathur
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Abstract

Musculoskeletal pain is a common and debilitating symptom in older adults. However, its importance is often underestimated. In this review article, we discuss its proper evaluation and management. Pain evaluation includes detailed history taking, physical examination, imaging, and laboratory investigations. Management of musculoskeletal pain requires a multidomain approach including nonpharmacological, pharmacological, and surgical modalities. A step-wise approach recommended by the World Health Organization can be used for pain management. Common musculoskeletal conditions causing pain are osteoarthritis, low-back pain, gout, pseudogout, rheumatoid arthritis, polymyalgia rheumatica, and fibromyalgia.
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老年人的慢性肌肉骨骼疼痛
肌肉骨骼疼痛是老年人常见的衰弱症状。然而,它的重要性往往被低估了。在本文中,我们讨论了正确的评价和管理。疼痛评估包括详细的病史记录、体格检查、影像学检查和实验室检查。肌肉骨骼疼痛的管理需要多领域的方法,包括非药物,药物和手术方式。世界卫生组织建议的分步方法可用于疼痛管理。引起疼痛的常见肌肉骨骼疾病有骨关节炎、腰痛、痛风、假性痛风、类风湿关节炎、风湿性多肌痛和纤维肌痛。
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