Effective Alternatives for Pain Management in Seniors
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Aging is synonymous with many health problems and chronic pain is a part of the deal.
According to the US National Institute of Health (NIH), neurodegenerative and musculoskeletal conditions, arthritis, osteoarthritis, and peripheral vascular diseases cause pain in seniors. Whether chronic or acute, pain causes more than physical discomfort. It can affect the quality of life and lead to social isolation.
Pain management, therefore, emerges as a key aspect of healthcare for seniors. While traditional painkillers, such as opioids and nonsteroidal anti-inflammatory drugs (NSAIDs), can be effective, they may not be the best option. These medications carry significant risks, which may be even more profound for older adults.
In this article, we will list a few effective alternatives for pain management in seniors. Before that, we will discuss the reasons to avoid painkillers in the first place.
Why Pain Medication is Not the Best Solution
Undoubtedly, painkillers can offer immediate and lasting relief from acute or chronic pain. However, there are good reasons not to opt for them. The following risks are prevalent.
Risk of Dependency
The high risk of addiction and dependency is a reason to worry, particularly for people using opioids. A survey by the Substance Abuse and Mental Health Services Administration (SAMHSA) revealed alarming statistics. It stated that synthetic opioids caused 64% of all drug overdose fatalities in 2020-21. The number was a significant increase from 49% in the previous year.
Even worse, individuals using medications to curb opioid dependency also face additional risks. Suboxone, a medication used for addressing opioid addiction, is an example. It is linked with tooth decay due to its acidic nature, notes TruLaw. The ongoing Suboxone lawsuit underscores the gravity of the risk.
The Suboxone lawsuit payout per person varies according to the extent of damage, but it can be a hefty amount. For example, minor to moderate cases can claim $10,000-$50,000 while payouts in extremely severe cases can reach $500,000.
Side Effects
Almost all medications have side effects, and painkillers are not an exception. The fact that aging adults are involved compounds the risk of side effects with the prolonged use of medicines. For example, NSAIDs can cause gastrointestinal issues such as ulcers and bleeding.
Opioids are even worse when it comes to side effects. WebMD lists the common ones associated with the use of opioids. They can cause constipation, allergic reactions, gastrointestinal problems, and respiratory issues. Cognitive issues like slow reaction, dizziness, and sedation may also surface. Seniors may also experience tolerance and interactions with other medications.
Long-term Health Risks
Prolonged use of certain analgesics can lead to long-term health issues. These include liver damage from acetaminophen and cardiovascular problems (from NSAIDs). The elderly should consider them more seriously as their health is already compromised due to aging.
Temporary relief from pain and discomfort means you may end up with a serious disease for a lifetime.
Alternative Pain Management Therapies for Seniors
Now that you understand the risks of painkillers, you may want to consider other options. Here are a few alternative therapies you can explore for effective and lasting results.
Physical Therapy
Physical therapy is a combination of exercises and treatments designed to alleviate pain, improve mobility, and strengthen muscles. These are personalized to address individual needs. Physical therapists can recommend personalized exercise programs for seniors to promote flexibility, strength, and balance.
Besides reducing pain, physical therapy can improve overall quality of life. It is also effective for conditions like osteoarthritis and post-surgical recovery.
Acupuncture
Acupuncture, an ancient Chinese practice, involves inserting thin needles into specific points to relieve pain. According to ScienceDirect, older adults struggling with lower back pain can benefit from this therapy. The recommended frequency is 6–8 treatments in the initial two months, followed by 1–2 treatments in the last 30 days. A maintenance regimen thereafter offers excellent results.
Besides back pain, acupuncture can be effective for arthritis and migraines. For seniors, this safe and drug-free alternative comes without the side effects associated with traditional medications.
Cognitive Behavioral Therapy (CBT)
A psychological approach, Cognitive Behavioral Therapy (CBT) can help aging adults manage pain. It focuses on altering negative thought patterns and behaviors linked with discomfort. With CBT, a patient is educated about coping strategies to handle their condition.
CBT is ideal for seniors with depression or anxiety related to chronic pain. The best part is that it improves mental health outcomes, making it a holistic approach.
Mindfulness and Meditation
An article in Harvard Health Publishing highlights the role of mindfulness practices in addressing chronic pain. It states that meditation and deep breathing exercises can reduce stress and improve pain perception. Individuals feel relieved as they focus on the present moment without judgment.
Seniors can benefit from mindfulness-based stress reduction (MBSR) programs. Regular practice can enhance emotional resilience besides promoting relaxation.
Frequently Asked Questions
How do I know if I should avoid certain painkillers?
Your healthcare provider can recommend the best medications to manage pain in the long term. They consider factors like pre-existing conditions and other medications that may interact negatively with analgesics. Before taking painkillers, discuss your medical history in detail with your doctor.
Are natural remedies effective for pain management?
Yes, managing pain should not just be about popping pills. Besides physical therapy, acupuncture, and mindfulness, you can try natural remedies like herbal supplements. These include turmeric and ginger. Hot/cold therapies and dietary changes may also help without any risks or side effects.
Should seniors take over-the-counter painkillers?
While seniors may take over-the-counter painkillers, they must do it with caution. This is even more crucial if you have some health issues or use prescription medicines. Also, long-term use of any medication should be avoided as it can lead to dependency or tolerance.
While traditional painkillers can be helpful, seniors must look for holistic alternatives. The objective should be to seek long-term relief without the associated risks of medication dependency and adverse side effects. With these natural and safe therapies, you can live without pain and have a better quality of life.
This article is for information only. If you are concerned about your health, please seek the advice of a health professional.
Photo by Ravi Patel on Unsplash
