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New Perspectives in Chronic and Neuropathic Pain in Older Population

Chronic and neuropathic pain has always been a major health problem, especially in elderly population. An increasing number of data has demonstrated not only its importance from the physical and psychological point of view, but also for the economic and social aspects [1,2]. For centuries the attention of the researchers was focused on the study of neurons and their functions, initially they explained how pain is transmitted to brain. At the moment the clinicians know almost everything about the ascending and descending systems of pain control. They know about the extremely high number of receptors, from time to time they suggested about the importance in the perception, transmission and reduction of pain. Also the potentiality for therapy and reduction/abolition of pain are increasing in number, but still the number of patients over 65y with moderate to severe pain is increasing. Actually, it is enormous. Looking at the data of recent literature, there is an apparent prevalence of chronic pain of 50% in older adults living on their own, and over 75% in those living in care facilities [3,4]. Moreover, there are many data showing the strict interrelationship of chronic pain with other chronic diseases [5].