Clinical Report: Advancing Spine Care for Older Adults
Overview
This review highlights the importance of function-oriented, neuroscience-informed approaches to managing chronic spinal pain in older adults. It emphasizes non-pharmacological strategies that improve pain and functional outcomes, addressing the limitations of traditional treatments.
Background
Chronic spinal pain is a leading cause of disability, particularly among older adults, and poses significant public health challenges. Traditional treatments often fall short in efficacy and safety, necessitating a shift towards more holistic, function-focused care. Understanding the unique needs of aging populations is crucial for effective pain management.
Data Highlights
This review synthesizes evidence from various studies on non-pharmacological interventions, including Pain Neuroscience Education, structured exercise, and psychological therapies, which have shown improvements in pain and function.
Key Findings
Chronic spinal pain significantly impacts older adults, contributing to disability and mental health issues.
Non-pharmacological interventions, such as Pain Neuroscience Education and structured exercise, have demonstrated efficacy in improving outcomes.
Adjunctive therapies like extracorporeal shockwave therapy and high-intensity laser therapy may enhance treatment effects.
Regenerative interventions, including ultrasound-guided mechanical needling, show promise in addressing spinal conditions.
There is a need for standardized protocols and robust trials for biologic injectables and neuromodulation techniques.
Clinical Implications
Clinicians should prioritize non-pharmacological, function-oriented approaches in managing chronic spinal pain in older adults. Integrating psychological therapies and structured exercise into treatment plans can enhance patient outcomes and reduce reliance on traditional pharmacological interventions.
Conclusion
The review underscores the necessity for a paradigm shift in spine care for older adults, advocating for evidence-based, interdisciplinary approaches that prioritize function and patient-centered care.
A small observational study in collegiate football players found microbiome associations after nonconcussive head impacts, though findings were limited by severe underpowering and high attrition
Patients with preoperative vitamin D deficiency had higher postoperative pain scores and opioid use after mastectomy, including more than triple the odds of moderate to severe pain within 24 hours of surgery.
