Pain in the elderly:: Prospective study of hyperbaric CO2 cryotherapy (neurocryostimulation)

Objective: To evaluate the analgesic effects of hyperbaric CO2 cryotherapy in elderly inpatients. Methods: An open-label prospective study was conducted in two geriatrics departments in patients with a broad range of pain characteristics. Each patient underwent a physical evaluation followed by hyperbaric CO2 cryotherapy sessions, whose spacing and number were at the discretion of the physiotherapist. Patients completed a 100-mm visual analog scale for pain severity before and after the sessions. Results: We included 51 patients, who were treated between May 2 and June 30, 2005. Mean age was 83.7 years, and the female-to-male ratio was 4/1. The patients had acute or chronic pain whose origin was usually musculoskeletal (80.3%) or neurological (18.6%). Pain scores decreased significantly after four sessions, from 52 mm to 13 mm (P < 0.001) in patients with acute pain and from 45 rum to 13 mm (P < 0.001) in those with chronic pain. Conclusion: Hyperbaric CO2 cryotherapy is an innovative tool that should be incorporated within the non-pharmacological armamentarium for achieving pain relief in older patients. (C) 2007 Elsevier Masson SAS. All rights reserved.