Chronic Pain Management for Seniors Ann Arbor MI

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Broad Family Chiropractic
(734) 468-2451
43423 Joy Rd.
Canton, MI
Hours
Monday 10:00 AM - 6:30 PM
Tuesday 10:00 AM - 6:30 PM
Wednesday 10:00 AM - 6:30 PM
Thursday 10:00 AM - 6:30 PM
Friday 10:00 AM - 6:30 PM
Saturday 10:00 AM - 2:00 PM
Sunday Closed
Services
Acupressure, Acupuncture, Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Zapor Chiropractic Clinic
(810) 224-3516
10415 Grand River Rd # 450
Brighton, MI
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 5:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 9:00 AM - 5:00 PM
Friday 9:00 AM - 6:00 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, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury

Kamala Anne Balachandran, MD
(313) 271-4444
Ann Arbor, MI
Specialties
Anesthesiology, Pain Management
Gender
Female
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1993

Data Provided By:
Georgine M Theiss Steude, MD
(734) 936-9227
Ann Arbor, MI
Specialties
Anesthesiology, Pain Management
Gender
Female
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1957

Data Provided By:
Rosalia Tocco Bradley, MD
(734) 712-3840
Ann Arbor, MI
Specialties
Anesthesiology, Pain Management
Gender
Female
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1988
Hospital
Hospital: St Joseph Mercy Hosp, Ann Arbor, Mi
Group Practice: Anethesia Associates-Ann Arbor

Data Provided By:
Duncan Chiropractic Group
(810) 213-7048
8685 W Grand River Ave
Brighton, MI
Hours
Monday 10:00 AM - 7:00 PM
Tuesday 3:00 PM - 6:00 PM
Wednesday 10:00 AM - 7:00 PM
Thursday 3:00 PM - 6:00 PM
Friday 10:00 AM - 7:00 PM
Saturday Closed
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, Massage Therapy, Mobile Chiropractic Care, Orthogonal Chiropractic, Pain Management, Personal Injury

Joel Rodney Saper, MD
(734) 677-6000
3120 Professional Dr
Ann Arbor, MI
Specialties
Neurology, Pain Medicine
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1969
Hospital
Hospital: Chelsea Comm Hosp, Chelsea, Mi
Group Practice: Michigan Head-Pain

Data Provided By:
Ronald Arthur Wasserman, MD
(734) 763-5459
Room C 213 Med Inn Building 1500 E Medical Center
Ann Arbor, MI
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Manitoba, Fac Of Med, Winnipeg, Man, Canada
Graduation Year: 1986
Hospital
Hospital: University Of Michigan Hospita, Ann Arbor, Mi
Group Practice: Multidisciplinary Pain Ctr

Data Provided By:
Michael Jay Marcovitz, MD
(734) 712-4331
4483 Ford Rd
Ann Arbor, MI
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1985
Hospital
Hospital: Chelsea Comm Hosp, Chelsea, Mi; St Joseph Mercy Hosp, Ann Arbor, Mi
Group Practice: Anest Assoc Of Ann Arbor Pc

Data Provided By:
Srinivas Chiravuri, MD
(734) 936-0731
2269 Trillium Woods Dr
Ann Arbor, MI
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Adichunchanagiri Inst Med Sci, Univ Mysore, Bellur, Karnataka
Graduation Year: 1996
Hospital
Hospital: Herrick Memorial Hospital, Tecumseh, Mi

Data Provided By:
Data Provided By:

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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