Chronic Pain Management for Seniors Bethel CT

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Jonathan T Orr, MD
(212) 423-6802
24 Hospital Ave
Danbury, CT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1989

Data Provided By:
David Charles Levi, MD
(203) 792-7246
69 Sand Pit Rd
Danbury, CT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1995

Data Provided By:
Jeffrey M. Simon
(845) 279-5908
667 Stoneleigh Avenue
Carmel, NY
Services
Family Psychotherapy, Couples Psychotherapy, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Stress Management or Pain Management, Biofeedback
Education Info
Doctoral Program: The New School
Credentialed Since: 1981-09-23

Data Provided By:
Hedy Augenbraun
(203) 374-1055
4695 Main Street
Bridgeport, CT
Services
Individual Psychotherapy, Disability Determination or Worker Compensation Evaluation, Forensic Evaluation (e.g., mental competency evaluation), Stress Management or Pain Management, PostTraumatic Stress Disorder or Acute Trauma Reaction
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: U Memphis
Credentialed Since: 1985-02-05

Data Provided By:
Dr.Michael Saffir
(203) 944-0042
Fl 2, 2909 Main Street
Stratford, CT
Gender
M
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med
Year of Graduation: 1985
Speciality
Pain Management
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 2, reviews.

Data Provided By:
Vincent S Lenczewski, MD
95 Locust Ave
Danbury, CT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1994

Data Provided By:
David Kloth, MD
(203) 792-7246
2 Mountainview Ter Unit 1132
Danbury, CT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1987

Data Provided By:
Hungchih Lee, MD
(203) 576-5533
2800 Main St
Bridgeport, CT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: St George'S Univ, Sch Of Med, St George'S, Grenada
Graduation Year: 1993

Data Provided By:
Dr.Rahul Anand
(203) 319-9355
52 Beach Rd # 204
Fairfield, CT
Gender
M
Speciality
Pain Management
General Information
Hospital: Bridgeport
Accepting New Patients: Yes
RateMD Rating
3.2, out of 5 based on 11, reviews.

Data Provided By:
Dr.Rakesh Patel
(203) 732-1580
130 Division Street #248
Ansonia, CT
Gender
M
Speciality
Pain Management
General Information
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 4, reviews.

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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