Lumbalgia y ciática crónicas. ¿Usamos adecuadamente los opiáceos? ¿Cirugía de raquis o morfina en el paciente mayor?

The guidelines and protocols developed by primary and specialist care professionals (management by processes) encourages better management and control of this type of pain. There is no need to continue with the current situation of opting out of spinal surgery in the old or very old merely because of age and of introducing the patient to an environment of morphine-on-demand. Purely economic reasons are inadmissible and the clinical reasons are unappealing.