Chronic Pain Management for Seniors Carlisle PA

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Mechanicsburg Chiropractic Center
(717) 620-4873
1010 Wesley Dr
Mechanicsburg, PA
Hours
Monday 9:00 AM - 12:00 PM
Tuesday 3:00 PM - 7:00 PM
Wednesday 9:00 AM - 12:00 PM
Thursday 3:00 PM - 7:00 PM
Friday 9:00 AM - 12:00 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, Physical Therapy

Mukul Lalit Parikh, MD
(717) 728-9801
2004 Mountain Pine Dr
Mechanicsburg, PA
Specialties
Anesthesiology, Pain Management
Gender
Male
Languages
Hindi, Spanish, Gujarati, Other
Education
Medical School: Osmania Med Coll, Univ Hlth Sci, Vijayawada, Hyderabad, Ap, India
Graduation Year: 1978
Hospital
Hospital: Polyclinic Med Ctr -Pinnacle H, Harrisburg, Pa
Group Practice: Riverside Anesthesia Associates Ltd

Data Provided By:
Tim Kosenske, M.D.
5 Sprint Drive
Carlisle, PA
 
Roger Ostdahl, M.D.
920 Century Drive
Merchanicsburg, PA
 
Kennett Chiropractic Center
(610) 541-2363
219 N Union St
Kennett Square, PA
Promotion
First Time Visitors! We are offering first time
visitors a complete orthopedic and neurological
exam with Dr. David Shmukler. This exam will
determine if your condition is likely to respond to
natural treatment by Dr. Shmukler. regular fee
Hours
Monday 8:30 AM - 12:00 PM
Tuesday 8:30 AM - 12:00 PM
Wednesday 8:30 AM - 12:00 PM
Thursday 8:30 AM - 12:00 PM
Friday 8:30 AM - 12:00 PM
Saturday Closed
Sunday Closed
Services
Auto Accidents, Chiropractic Neurology, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Holistic Chiropractic Care, Pain Management, Personal Injury, Physical Therapy

Jay Jungho Cho, MD
(717) 795-7943
5124 E Trindle Rd
Mechanicsburg, PA
Specialties
Physical Medicine & Rehabilitation, Pain Management
Gender
Male
Education
Medical School: Yonsei Univ, Coll Of Med, Sudai-Moon-Ku, Seoul, So Korea
Graduation Year: 1968
Hospital
Hospital: Carlisle Hosp, Carlisle, Pa; Healthsouth Rehabilitation Of, Mechanicsburg, Pa; Chambersburg Hosp, Chambersburg, Pa
Group Practice: Rehabilitation Med Assoc Pc; Rehabilitation Med Assoc Pc Trindle Rehab Medicine Centre

Data Provided By:
Henry Weeks, PhD
211 Echo Road
Carlisle, PA
 
John Sullivan, M.D.
1001 South Market Street
Mechanicsburg, PA
 
Mechanicsburg Chiropractic Center
(717) 620-4873
1010 Wesley Dr
Mechanicsburg, PA
Hours
Monday 9:00 AM - 12:00 PM
Tuesday 3:00 PM - 7:00 PM
Wednesday 9:00 AM - 12:00 PM
Thursday 3:00 PM - 7:00 PM
Friday 9:00 AM - 12:00 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, Physical Therapy

Havertown Chiropractic & Wellness Center
(610) 822-3495
35 W Eagle Rd
Havertown, PA
Promotion
Call today to schedule an appointment!
Hours
Monday 10:00 AM - 7:30 PM
Tuesday 3:30 PM - 7:30 PM
Wednesday 10:00 AM - 7:30 PM
Thursday 3:30 PM - 7:30 PM
Friday 10:00 AM - 2:00 PM
Saturday Closed
Sunday Closed
Services
Acupressure, 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, Massage Therapy, Pain Management, Pediatric Chiropractic, Personal Injury

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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