WEDNEDSDAY, May 22, 2002 (HealthDayNews) -- Aches and pains are an inevitable part of getting older, right?
Not so, say recently published guidelines on managing persistent pain from the American Geriatrics Society.
"Pain is not a normal part of aging," Dr. Paul Katz, a geriatric specialist from the University of Rochester, explained at the society's recent annual scientific meeting in Washington, D.C. "It is eminently treatable."
The guidelines were first developed in 1998 to help ensure that older people received effective pain management that would let them maintain their dignity and overall quality of life.
More than 75 million Americans -- that's one in four -- live with chronic pain. Pain costs the United States $70 billion every year in medical and lost productivity costs, according to the National Pain Foundation.
The need for the guidelines came about because concern about causing addiction to pain medication sometimes leads doctors to treat pain less aggressively, and many patients are unaware there are effective treatments available, reports the foundation.
"Everyone was afraid to treat older people because of the concern that older people were getting too much medication, like Valium and other tranquilizers," says Dr. Michael Freedman, director of the division of geriatrics at New York University Medical Center. "So, then everybody stopped treating pain, and patients were left in terrible pain."
However, he adds, there are many new pain medications and some have fewer side effects. Also, he says, physicians have learned they can give elderly patients narcotics for their pain without causing addiction.
The guidelines were updated this year to include the newer medications and more recent evidence from medical studies.
Some of the most important guidelines include:
"When a patient comes in with pain, the most important thing to do is relieve the pain," Freedman says. "Pain is terrible. Think about when you get a headache, you can't do anything."
What To Do: For more information on pain management for older people, visit the Foundation for Health in Aging, or go here to download a pain diary to keep track of your symptoms.