A whole person approach to the management of an elderly woman with chronic low back pain is discussed. This approach includes weaning of opioid medication, active self-management and appropriate support.
- Nervous system sensitisation is the predominant contributor to many chronic pain states.
- Significant benefit from pharmacological therapy is unlikely in this case of an elderly woman with chronic low back pain, or in any other case of chronic pain.
- A whole person management approach incorporating gradual medication weaning and support to develop active self-management strategies is recommended for this case.
- Social connection, psychological strategies, physical activity and nutrition are core components of the self-management approach.