The principles of chronic pain management in the elderly are the same
as in younger people; whenever possible, the cause of the pain should
be identified and eradicated. However, older people are more likely to
suffer pain from incurable conditions, and the emotional component of
the suffering may be considerable. Treatment options include analgesi
cs, opiates, antidepressants and anticonvulsants as well as psychologi
cal strategies, physical strategies such as exercise and transcutaneou
s electrical nerve stimulation (TENS), and surgery. Improvement of fun
ction may be a more important treatment goal than relief of pain.