Letters Management of chronic pain in older adults

Management of chronic pain: seek symptoms of post-traumatic stress disorder

BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h1291 (Published 10 March 2015) Cite this as: BMJ 2015;350:h1291
  1. Andrew O Frank, retired consultant in rehabilitation medicine and rheumatology and visiting professor1
  1. 1Centre for Research in Rehabilitation, College of Health and Life Sciences, Brunel University, Uxbridge UB8 3PH, UK
  1. andrew.frank1{at}btinternet.com

Reid and colleagues’ review of the management of chronic pain in older adults is welcome, particularly its concentration on practical matters.1 Much is relevant to the management of chronic pain irrespective of age.

They did not, however, mention post-traumatic stress disorder (PTSD), which is known to influence chronic pain.2 When this condition is “active,” its sympathetic overdrive …

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