Chronic Pain Management for Seniors Broken Arrow OK

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Keefe Clinic
(918) 200-9916
5016 S 79th East Ave
Tulsa, OK
Promotion
Mention this website and get a complimentary exam. Does not include other diagnostic tests, if indicated.
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 2:00 PM - 6:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday Closed
Friday 9:00 AM - 6:00 PM
Saturday Closed
Sunday Closed
Services
Acupressure, Acupuncture, Applied Kinesiology, Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury, Physical Therapy

Dr.Jeffrey Calava
(918) 481-6494
10109 E 79th St
Tulsa, OK
Gender
M
Education
Medical School: Ok State Univ, Coll Of Osteo Med, Tulsa
Year of Graduation: 1990
Speciality
Pain Management
General Information
Accepting New Patients: Yes
RateMD Rating
2.8, out of 5 based on 2, reviews.

Data Provided By:
Christopher D Merifield, MD
(360) 415-9110
5840 S Memorial Dr
Tulsa, OK
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1987

Data Provided By:
Stephen T Lester, MD
(918) 502-7246
6585 S Yale Ave Ste 1110
Tulsa, OK
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1987
Hospital
Hospital: St Francis Hospital, Tulsa, Ok
Group Practice: Associated Anesthesiologists

Data Provided By:
Dr.Robert Paul
(918) 496-1991
Dr. James Webb - TulsaMSK, 2408 E 81st Street, Suite 300
Tulsa, OK
Gender
M
Education
Medical School: Univ Of Ok Coll Of Med
Year of Graduation: 1988
Speciality
Pain Management
General Information
Accepting New Patients: Yes
RateMD Rating
1.5, out of 5 based on 2, reviews.

Data Provided By:
Dr.BHADRESH BHAKTA
8556 E 101st St # A
Tulsa, OK
Gender
M
Speciality
Pain Management
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
Bhadresh L Bhakta, MD
(918) 622-3888
8556 E 101st St Ste A
Tulsa, OK
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: E Tn State Univ J H Quillen Coll Of Med, Johnson City Tn 37614
Graduation Year: 1994
Hospital
Hospital: Southcrest Hospital, Tulsa, Ok
Group Practice: Pain Evaluation & Treatment

Data Provided By:
Matthew Anthony Wenger, MD
(918) 749-3137
9605 S New Haven Ave
Tulsa, OK
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1986
Hospital
Hospital: St John Med Ctr, Tulsa, Ok
Group Practice: Anesthesia Associates Inc

Data Provided By:
James William Greenawalt, MD
(918) 494-0612
6839 S Canton Ave
Tulsa, OK
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1983
Hospital
Hospital: St Francis Hospital, Tulsa, Ok
Group Practice: Associated Anesthesiologists

Data Provided By:
Mark Bradley Edmonds, MD
(918) 494-0612
6839 S Canton Ave
Tulsa, OK
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1987
Hospital
Hospital: Hillcrest Med Ctr, Tulsa, Ok
Group Practice: Associated Anesthesiologists

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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