Chronic Pain Management for Seniors Columbia MO

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James Dale Toombs, MD
(573) 256-2245
1413 Dunbar Dr
Columbia, MO
Specialties
Family Practice, Pain Management
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 2000

Data Provided By:
Amtul J Sami, MD
(573) 882-2568
409 S Village Cir
Columbia, MO
Specialties
Anesthesiology, Pain Management
Gender
Female
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1976

Data Provided By:
Wiley Miller, PhD
University of Missouri
Columbia, MO
 
Elizabeth Allemann, M.D.
1200 Fay Street
Columbia, MO
 
Pain Relief Associates
(636) 791-0910
150 Weiss rd
Cottleville, MO
Promotion
Free Evaluation.
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 2:00 PM - 6:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 2:00 PM - 6:00 PM
Friday 9:00 AM - 6:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
Services
Orthopedic Care, Orthotics & Prosthetic Therapy, Physical Therapists, Sports Medicine, Workers Comp/Rehabilitation

Dr.Ebby Varghese
(573) 884-7100
3211 S Providence Rd # C
Columbia, MO
Gender
M
Speciality
Pain Management
General Information
Hospital: Rusk Rehabilitation Center
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 2, reviews.

Data Provided By:
Keshav Shivram Joshi, MD
1 Hospital Drive,
Columbia, MO
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Grant Med Coll, Univ Of Bombay, Bombay, Maharashtra, India
Graduation Year: 1971

Data Provided By:
Mark Starr, M.D.
201 W. Broadway
Columbia, MO
 
Joseph Meyer, M.D.
1605 E. Broadway
Columbia, MO
 
Chippewa Accident & Family Care
(314) 492-7358
6651 Chippewa St 311
St Louis, MO
Promotion
Free consultation. 95% personal injury cases. We do more personal injury work than any other Doctor on the South side of St.Louis. Regular patients are also welcome. Dr. Vitale
Hours
Monday 8:00 AM - 2:00 PM
Tuesday 8:00 AM - 7:00 PM
Wednesday Closed
Thursday 8:00 AM - 7:00 PM
Friday 8:00 AM - 2:00 PM
Saturday 8:00 AM - 2:00 PM
Sunday Closed
Services
Auto Accidents, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Pain Management, 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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