Chronic Pain Management for Seniors Cheyenne WY

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Harlan Robert Ribnik, MD
(307) 633-8100
PO Box 20270
Cheyenne, WY
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1985
Hospital
Hospital: United Med Ctr -East, Cheyenne, Wy; United Med Ctr -West, Cheyenne, Wy; Veterans Affairs Medical Ctr, Cheyenne, Wy
Group Practice: Physicians Medical Park

Data Provided By:
George Girardi, Md
(307) 633-8121
3235 SPARKS RD
Cheyenne, WY
Specialty
Anesthesiology, Pain Management - Interventional
Associated Hospitals
Front Range Pain Medicine, Llc

Harlan R. Ribnik, M.D.
3235 Sparks Road
Cheyenne, WY
 
Kenneth Kranz, M.D.
1200 E. 20th Street
Cheyenne, WY
 
Gerald Arthur Burger, MD
111 W 2nd St Ste 107A
Casper, WY
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1979

Data Provided By:
Raymond Charles Lansing, MD
(307) 631-2000
214 E 23rd St
Cheyenne, WY
Specialties
Anesthesiology, Pain Medicine
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1991
Hospital
Hospital: United Med Ctr -East, Cheyenne, Wy

Data Provided By:
Jonathan Singer, Do
(307) 635-4362
1401 AIRPORT PARKWAY STE 200
Cheyenne, WY
Specialty
Allergy and Immunology, Family Practice, Osteopathy, Other, Pain Management - Interventional, Physical Medicine and Rehabilitation, Preventive Medicine, Rheumatology

Reed Shaffer, M.D.
5050 Powderhouse Road
Cheyenne, WY
 
Anne Bunn
(307) 399-7499
507 South 4th St
Laramie, WY
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Stress Management or Pain Management
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: U Wyoming
Credentialed Since: 2008-12-02

Data Provided By:
R. Leo Sprinkle
(307) 721-5125
1277 North 15th Street
Laramie, WY
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Hypnosis or Hypnotherapy, Stress Management or Pain Management, Individual Psychotherapy, Career Assessment and Counseling
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Missouri - Columbia
Credentialed Since: 1978-05-05

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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