Management of osteo-arthritic pain by the elderly in Niger

Abstract

This study aimed to identify how the elderly in Nigeria manage osteo-arthritic pain; their descriptions of osteo-arthritic pain; and the relationship between management strategies and relief of osteo-arthritic pain. Using structured interviews, data were collected from 236 elderly people on the quality of pain experienced; modalities used to manage osteo-arthritic pain; and the effect of such modalities on the pain. The results revealed that most respondents (79.7%) perceived osteo-arthritic pain as being excruciating; occurring all the time (80.9%); and increasing in intensity (68.2%). However, 36.9% asserted that pain was associated with stiffness of swollen joints, while 94.5% indicated that rest relieved the pain. Non-steroidal anti-inflammatory drugs (NSAIDS) were used by most (93.6%) of the respondents; local balm (ori) by 57.3%; various concoctions (abgo) by 14.7%; and traditional powder (agunmu) by 11.9%. Osteo-arthritic pain is a common condition among the elderly in Nigeria. The study found that rest, NSAIDS and local remedies were used to control the pain. Future research should investigate the actions, effectiveness, effective dosages, and potential side-effects of traditional remedies. Health education efforts should inform elderly people about the early signs and symptoms of osteo-arthritis, available remedies and medications as well as the possible side-effects of medications. Elderly women should be warned about the association between being overweight and suffering from osteo-arthritis.