Pain Management in Geriatric Populations

Pain Management in Geriatric Populations - Momentum Medical

As we age, our bodies go through a lot of changes that can lead to chronic pain. How can we effectively manage pain in the elderly population? The World Health Organization predicts that the global population of individuals aged 60 years and older will double to reach 2 billion by 2050.

This increase in the aging population has led to a growing need for effective pain management strategies in geriatric populations. Pain management in the elderly population presents unique challenges due to age-related changes in the body and the presence of other medical conditions.

At Momentum Medical, we understand the importance of providing effective pain management solutions for our senior patients. Pain management in elderly guidelines, natural pain relief, pain management, acute pain management, and chronic pain in the elderly are only a few of our expertise.

Medication Use in the Elderly

Pain management often involves medication, which is particularly essential for elderly patients. Yet, it’s crucial to remember that medications prescribed for chronic pain must be taken under the supervision of a doctor. This is because they may impact older individuals differently than younger individuals.

Remember that certain medications may interact with other medications or medical conditions, which could have negative side effects. To avoid this, it’s crucial to inform your doctor of all the medications you’re taking. Additionally, keep them updated on any changes in symptoms, and adjust dosages as necessary.

Medication Risks and Contraindications In the Elderly

As we age, our bodies change and respond to medication differently. Older adults are more likely to have chronic health conditions that require medication, but they are also more susceptible to medication risks and contraindications. In this article, we will discuss medication risks and contraindications in the elderly for NSAIDs, adjuvant analgesics, and opioids.


Nonsteroidal anti-inflammatory drugs are commonly used to relieve pain and inflammation. But, for seniors, it could increase their chance of gastrointestinal bleeding, kidney concerns, and cardiovascular problems.

Research has revealed that older adults, particularly those with a past ulcer diagnosis or consuming other drugs that heighten the bleeding risk, face a greater likelihood of gastrointestinal bleeding. NSAIDs can also cause a decline in kidney function in seniors with pre-existing kidney disease.

Please note that NSAIDs may raise the likelihood of cardiovascular incidents like heart attack and stroke, particularly in individuals who have a history of heart disease.

Adjuvant Analgesics

Adjuvant analgesics are medications that are not primarily used for pain relief but can enhance the effects of other pain medications. However, they can also cause adverse effects in older adults.

Antidepressants can cause falls and cognitive impairment, especially in those with dementia. Anticonvulsants can cause dizziness, confusion, and sedation. Muscle relaxants can cause drowsiness and confusion, which can increase the risk of falls.


Opioids are potent pain medications that are commonly used in older adults with chronic pain. However, they can also cause side effects such as constipation, nausea, vomiting, sedation, confusion, and respiratory depression.

Older adults are more susceptible to these adverse effects due to changes in metabolism and organ function. Older adults are also at higher risk of opioid overdose due to decreased tolerance and multiple medication use.

Consideration of Mental Health Disorders in the Elderly

Pain management in the elderly should also consider mental health disorders. Mental illness can complicate pain management and contribute to an individual’s experience of pain. So it is important to recognize signs of mental illness like depression and anxiety, which can be common among older adults.

The most common mental health disorders in older adults include:

Alzheimer’s Disease

Alzheimer’s disease is a type of dementia that affects memory, thinking, and behavior. It is important to recognize the signs of Alzheimer’s disease and to provide appropriate care.

Caregivers should be patient and understanding, as individuals with Alzheimer’s may experience confusion, frustration, and anxiety. It is also important to create a safe and secure environment for individuals with Alzheimer’s, as they may wander or become disoriented.


Dementia is a broad term used to describe a decline in cognitive ability. It can affect memory, language, and judgment, and can be caused by a variety of underlying conditions. Caregivers should be aware of the different types of dementia and provide appropriate care based on the individual’s needs. It is important to maintain a routine and provide structure for individuals with dementia, as this can help reduce confusion and anxiety.

Assessing Pain

Chronic pain is a common issue among the elderly, and it can be difficult to assess in individuals with cognitive impairment. Caregivers should pay close attention to changes in behavior, as this can be a sign of pain. It is also important to communicate with the individual and ask them about their pain levels. Pain management strategies should be tailored to the individual’s needs and preferences.

Administering Medications

Medication management can be challenging for individuals with mental health disorders, especially those with cognitive impairment. Caregivers should ensure that medications are administered correctly and on schedule.

It is also important to monitor for any adverse effects or interactions with other medications. Communication with healthcare providers is key to ensuring that medications are being used appropriately.

Complementary Integrative Approaches to Pain Management

Older adults have options for managing pain besides medications. These therapies must be overseen by a healthcare provider or certified practitioner for safety and effectiveness.


Acupuncture involves the insertion of thin needles into specific points of the body. It is believed to stimulate the body’s natural healing process, which can help alleviate pain.

Research has shown that acupuncture is a viable treatment for various types of chronic pain, including osteoarthritis, back pain, and neck pain.

Chiropractic Care

Chiropractic care involves the manipulation of the spine and other joints to alleviate pain and improve mobility. It is especially effective in treating back and neck pain. Chiropractors use a range of techniques, including spinal adjustments, massage therapy, and stretching exercises.


Hypnosis involves inducing a trance-like state to help individuals relax and focus their minds on positive thoughts. Hypnosis can be especially useful for those who are sensitive to medications or prefer non-pharmacological approaches to pain management.

Mindfulness, Meditation, and Cognitive Behavioral Therapy

Mindfulness, meditation, and cognitive behavioral therapy are all forms of psychotherapy that can help individuals manage chronic pain.

Mindfulness involves paying attention to the present moment without judgment, while meditation involves focusing the mind on a specific object or thought. CBT teaches individuals to reframe negative thoughts and beliefs about pain, which can help reduce pain levels.

Myofascial Release

Myofascial release is a technique that involves applying pressure to specific points on the body to release tension in the fascia, a connective tissue that surrounds muscles and organs.

For those with chronic pain conditions like fibromyalgia and chronic fatigue syndrome, it can aid in reducing pain and enhancing mobility.

Complementary integrative approaches to pain management can be effective in reducing chronic pain and improving overall well-being. If you are struggling with chronic pain, consider incorporating one or more of these approaches into your pain management plan. Always consult with a healthcare professional before trying any new pain management techniques.

Choose Momentum Medical for your Pain Management

Momentum Medical is a trusted and reliable healthcare provider that specializes in pain management for geriatric populations. Their team of experts is highly skilled and experienced in providing personalized care to elderly patients who suffer from chronic pain.

They understand the unique needs of geriatric patients and use a comprehensive approach to pain management that includes medication management, physical therapy, and other non-invasive treatments. With Momentum Medical, you can trust that your loved one will receive the best care possible to manage their pain and improve their quality of life.

Book an appointment today to learn more.