Toward function-oriented, neuroscience-based spine care in older adults: a structured narrative review and translational synthesis - Scorecard - MDSpire

Toward function-oriented, neuroscience-based spine care in older adults: a structured narrative review and translational synthesis

  • By

  • Carl P. C. Chen

  • Areerat Suputtitada

  • June 4, 2026

  • 0 min

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Clinical Scorecard: Advancing Spine Care for Older Adults: A Comprehensive Review of Function-Focused, Neuroscience-Informed Approaches

At a Glance

CategoryDetail
ConditionChronic spinal pain
Key MechanismsFunction-oriented, neuroscience-based approaches
Target PopulationOlder adults
Care SettingMultidisciplinary and interdisciplinary pain management settings

Key Highlights

  • Chronic spinal pain is a leading cause of disability, especially in aging populations.
  • Non-pharmacological strategies such as Pain Neuroscience Education and structured exercise improve outcomes.
  • Adjunctive modalities like extracorporeal shockwave therapy and high-intensity laser therapy may enhance treatment effects.
  • Regenerative interventions show promise but require further research and standardization.
  • Psychological therapies are essential for addressing maladaptive pain beliefs and behaviors.

Guideline-Based Recommendations

Diagnosis

  • Consider biopsychosocial factors in chronic pain assessment.

Management

  • Prioritize non-pharmacologic interventions as first-line strategies.

Monitoring & Follow-up

  • Regularly assess functional outcomes and treatment adherence.

Risks

  • Be aware of the potential for falls and functional decline in older adults.

Patient & Prescribing Data

Older adults with chronic spinal pain

Focus on safe, accessible, and evidence-informed pain management approaches.

Clinical Best Practices

  • Integrate psychological therapies across all stages of pain management.
  • Utilize a comprehensive biopsychosocial model in treatment planning.
  • Address systemic barriers to the implementation of non-pharmacologic interventions.

Related Resources & Content

Original Source(s)

Toward function-oriented, neuroscience-based spine care in older adults: a structured narrative review and translational synthesis

  • by Carl P. C. Chen, Areerat Suputtitada

  • June 4, 2026

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