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Deconstructing Chronic Low Back Pain in the Older Adult-Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment: Part II: Myofascial Pain.

Publication ,  Journal Article
Lisi, AJ; Breuer, P; Gallagher, RM; Rodriguez, E; Rossi, MI; Schmader, K; Scholten, JD; Weiner, DK
Published in: Pain Med
July 2015

OBJECTIVE: To present an algorithm of sequential treatment options for managing myofascial pain (MP) in older adults, along with a representative clinical case. METHODS: A modified Delphi process was used to synthesize evidence-based recommendations. A multidisciplinary expert panel developed the algorithm, which was subsequently refined through an iterative process of input from a primary care physician panel. RESULTS: We present an algorithm and supportive materials to help guide the care of older adults with MP, an important contributor to chronic low back pain (CLBP). Addressing any perpetuating factors should be the first step of managing MP. Patients should be educated on self-care approaches, home exercise, and the use of safe analgesics when indicated. Trigger point deactivation can be accomplished by manual therapy, injection therapy, dry needling, and/or acupuncture. CONCLUSIONS: The algorithm presented gives a structured approach to guide primary care providers in planning treatment for patients with MP as a contributor to CLBP.

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Published In

Pain Med

DOI

EISSN

1526-4637

Publication Date

July 2015

Volume

16

Issue

7

Start / End Page

1282 / 1289

Location

England

Related Subject Headings

  • Treatment Outcome
  • Self Care
  • Practice Guidelines as Topic
  • Pain Measurement
  • Pain Management
  • Myofascial Pain Syndromes
  • Middle Aged
  • Male
  • Low Back Pain
  • Humans
 

Citation

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ICMJE
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Lisi, A. J., Breuer, P., Gallagher, R. M., Rodriguez, E., Rossi, M. I., Schmader, K., … Weiner, D. K. (2015). Deconstructing Chronic Low Back Pain in the Older Adult-Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment: Part II: Myofascial Pain. Pain Med, 16(7), 1282–1289. https://doi.org/10.1111/pme.12821
Lisi, Anthony J., Paula Breuer, Rollin M. Gallagher, Eric Rodriguez, Michelle I. Rossi, Kenneth Schmader, Joel D. Scholten, and Debra K. Weiner. “Deconstructing Chronic Low Back Pain in the Older Adult-Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment: Part II: Myofascial Pain.Pain Med 16, no. 7 (July 2015): 1282–89. https://doi.org/10.1111/pme.12821.
Lisi, Anthony J., et al. “Deconstructing Chronic Low Back Pain in the Older Adult-Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment: Part II: Myofascial Pain.Pain Med, vol. 16, no. 7, July 2015, pp. 1282–89. Pubmed, doi:10.1111/pme.12821.
Lisi AJ, Breuer P, Gallagher RM, Rodriguez E, Rossi MI, Schmader K, Scholten JD, Weiner DK. Deconstructing Chronic Low Back Pain in the Older Adult-Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment: Part II: Myofascial Pain. Pain Med. 2015 Jul;16(7):1282–1289.
Journal cover image

Published In

Pain Med

DOI

EISSN

1526-4637

Publication Date

July 2015

Volume

16

Issue

7

Start / End Page

1282 / 1289

Location

England

Related Subject Headings

  • Treatment Outcome
  • Self Care
  • Practice Guidelines as Topic
  • Pain Measurement
  • Pain Management
  • Myofascial Pain Syndromes
  • Middle Aged
  • Male
  • Low Back Pain
  • Humans