Chronic Pain Management for Seniors Aberdeen SD

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David Florencio Fran, MD
701 8th Ave NW Ste C
Aberdeen, SD
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Visayas, Gullas Coll Of Med, Mandawe City, Cebu
Graduation Year: 1984

Data Provided By:
Bruce William Keppen, MD
(712) 279-2600
305 S State St
Aberdeen, SD
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1984

Data Provided By:
Bradley Vilims, M.D.
815 1st Ave Southeast
Aberdeen, SD
 
Live Well Chiropractic
(605) 496-0165
6809 S Minnesota Ave # 102
Sioux Falls, SD
Hours
Monday 8:30 AM - 5:00 PM
Tuesday 8:30 AM - 5:00 PM
Wednesday 8:30 AM - 5:00 PM
Thursday 8:30 AM - 5:00 PM
Friday 8:30 AM - 5:00 PM
Saturday Closed
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury

Dakota Wellness Concepts
(605) 644-5034
1109 N Main St
Spearfish, SD
Hours
Monday 9:00 AM - 5:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday Closed
Thursday 2:00 PM - 6:00 PM
Friday 9:00 AM - 5:00 PM
Saturday Closed
Sunday Closed
Services
Acupressure, Acupuncture, Applied Kinesiology, Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Mobile Chiropractic Care, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury

Heloise Demoin Westbrook, MD
(605) 225-4682
1411 N Main St
Aberdeen, SD
Specialties
Anesthesiology, Pain Management
Gender
Female
Education
Medical School: Finch U Of Hs/Chicago Med Sch, North Chicago Il 60664
Graduation Year: 1994

Data Provided By:
Edward Wegrzynowicz, M.D.
815 1st Ave Southeast
Aberdeen, SD
 
Heartland Chiropractic Associates - Dakota Dunes
(605) 472-7262
711 Sioux Point Rd
Dakota Dunes, SD
Promotion
Call our office today to schedule a consultation!
Hours
Monday 8:00 AM - 6:00 PM
Tuesday 9:00 AM - 12:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 9:00 AM - 5:00 PM
Friday 8:00 AM - 5:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Mobile Chiropractic Care, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury

Campbell Chiropractic Clinic
(605) 299-7334
118 Gateway Dr
North Sioux City, SD
Hours
Monday 8:00 AM - 6:00 PM
Tuesday 8:00 AM - 1:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 2:00 PM - 6:00 PM
Friday 8:00 AM - 6:00 PM
Saturday Closed
Sunday Closed
Services
Acupressure, Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Mobile Chiropractic Care, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury

Phillip John Becker, MD
(605) 995-2270
115 N Harmon Dr
Mitchell, SD
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1992

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What to Do About Chronic Pain in Older Adults

When you're younger, it may be easier to shrug off pain or work through it. The old expression, No pain, no gain is the mantra of many athletes. But as we get older, pain has a way of getting us down faster and keeping us there longer. We don't bounce back like we used to. This is especially true when pain is present.

Older adults often find that managing the chores and activities of daily life are a challenge enough without pain being added to the mix. Suddenly, making a cup of tea can become impossible -- much less preparing a nutritious meal. Sleep is disrupted, thinking becomes cloudy, and the affected adult is no longer getting out with other people. Persistent pain in this age group can create a steady decline in physical and cognitive function.

What can be done about it? Medications are one possibility but knowing what to take and when to take it can be another difficult hurdle to jump. In this special edition, the American Geriatrics Society's Guidelines for Pharmacologic Therapy are reviewed. The specific focus is on medications for chronic pain in older adults. Chronic (or persistent) pain is defined as pain that lasts more than three months. Older adult refers to men and women 65 years old and older.

The next logical question is, What medications are available and who should take them? Pain medications including acetaminophen (Tylenol), nonsteroidal antiinflammatories (NSAIDs), opioids (narcotics), adjuvant (additional other) analgesics, topical analgesics (rub on creams and gels), and other drugs are discussed. Here's a brief summary of each class of drugs.

  • Acetaminophen (Tylenol): Safe and effective, the first choice of drug for pain relief. Patients should not take more than a total of 4 grams each day. Anyone with liver disease or who abuses alcohol cannot take this drug.
  • Nonsteroidal antiinflammatories (NSAIDs): More effective than acetaminophen for chronic inflammatory pain but with possible gastrointestinal problems. Should not be used by anyone with an active stomach ulcer, kidney disease, or heart failure. Patients on NSAIDs must be monitored carefully for any signs of adverse effects.
  • Opioids (narcotics such as Lortab, OxyContin, Percocet or Percodan, Morphine): Anyone who has not responded to acetaminophen or NSAIDs and who has moderate to severe pain that affects daily function should be considered for opioid pain relievers. Newer and better drugs of this type are available that are safe and effective. Opioids should only be prescribed and monitored by knowledgeable physicians with experience using these drugs.
  • Adjuvant analgesics: refers to drugs developed for some other purpose than pain relief but useful for persistent pain. Includes some anticonvulsants, antiarrhythmics, and antidepressants. Used most often for people with fibromyalgia, nerve pain, chronic and severe back or bone pain, and headaches. Often prescribed along with other pain relievers.
  • Topical analgesics including lidocai...
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