Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/25/2025

Management of Costochondritis

Evidence Against Muscle Relaxants

  • Although muscle relaxants may relieve skeletal muscle pain, their effects are nonspecific and not related to muscle relaxation, according to the American Geriatrics Society 1
  • Guidelines from the American Geriatrics Society emphasize that muscle relaxants should not be prescribed in the mistaken belief that they relieve muscle spasm 1
  • For older persons specifically, many of these drugs may be associated with greater risk for falls, as noted by the American Geriatrics Society 1
  • The American Geriatrics Society guidelines suggest that muscle relaxants are not effective for musculoskeletal pain, and their use may lead to unnecessary medication side effects, including sedation and fall risk 1

REFERENCES

1

pharmacological management of persistent pain in older persons. [LINK]

Journal of the American Geriatrics Society (JAGS), 2009