Chronic Pain Management for Seniors Carson City NV

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Dr.Alfred Grimes
(775) 841-7246
550 W Washington St # 2
Carson City, NV
Gender
M
Speciality
Pain Management
General Information
Online Appt Scheduling: Yes
Accepting New Patients: Yes
RateMD Rating
3.2, out of 5 based on 5, reviews.

Data Provided By:
Kenneth Sterling Bradley, MD
(775) 883-2207
PO Box 1907
Carson City, NV
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1993

Data Provided By:
Dr.Michael Salas
(775) 832-8288
889 Alder Ave # 303
Incline Village, NV
Gender
M
Speciality
Pain Management
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
Christopher John Hussar, DO
(775) 826-1200
9408 Double R Blvd
Reno, NV
Specialties
Pain Medicine
Gender
Male
Education
Medical School: Mi State Univ, Coll Of Osteo Med, East Lansing Mi 48824
Graduation Year: 1986

Data Provided By:
Jay Schroeder, M.D.
880 Alder Avenue
Las Vegas, NV
 
Alfred Hobson Grimes, MD
(775) 841-7246
550 W Washington St Ste 2
Carson City, NV
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1979

Data Provided By:
Christopher D. DeGraff
(775) 887-1817
343 Fairview, Ste 104
Carson City, NV
Services
Individual Psychotherapy, Couples Psychotherapy, PostTraumatic Stress Disorder or Acute Trauma Reaction, Stress Management or Pain Management
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Brigham Young University
Credentialed Since: 1986-06-19

Data Provided By:
Brian William Dubois, MD
(775) 853-3545
604 Rabbit Ridge Ct
Reno, NV
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1995

Data Provided By:
Robin Tomita, Md
(775) 884-5470
1104 N DIVISION ST
Carson City, NV
Specialty
Pain Management - Interventional, Physical Medicine and Rehabilitation

Richard Lee, M.D.
265 Taurus Circle
Reno, NV
 
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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