The Vicious Cycle of Chronic Pain in Aging Requires Multidisciplinary Non-pharmacological Approach to Treatment

被引：0
|
作者：
Shpaner M. [1 ]
Tulipani L.J. [1 ]
Bishop J.H. [1 ]
Naylor M.R. [1 ]
机构：
[1] Department of Psychiatry, University of Vermont College of Medicine, One South Prospect St., Arnold 6, Burlington, 05401, VT
来源：
Current Behavioral Neuroscience Reports | 2017年 / 4卷 / 3期
关键词：
Age; Chronic pain; Cognitive therapy; Integrative health; Multidisciplinary treatment; Neurobiology;
D O I：
10.1007/s40473-017-0126-5
中图分类号：
学科分类号：
摘要：
Purpose of Review: This review summarizes how aging contributes to pain chronification and how recent developments in neuroscience can inform management of chronic pain in the elderly. Recent Findings: Normal aging can boost pain chronification through neurodegeneration, alterations in circadian rhythms, inflammaging, as well as musculoskeletal deterioration and metabolic dysregulation. These processes are interconnected and bidirectional. There is accumulating evidence for the central role of inflammaging in chronic pain, and novel therapies are in development to address inflammaging. Social support and relapse prevention are particularly important aspects of interventions in the elderly. Summary: The confluence of multiple neurobiological mechanisms in the course of aging and pain chronification calls for an integrative health approach to management. In addition to pharmacotherapy, a comprehensive approach should include nutritional, psychological, and physical interventions. © 2017, Springer International Publishing AG.
引用
收藏
页码：176 / 187
页数：11
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