Chronic Pain Management for Seniors Dothan AL

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David Hanni Evans, MD
(770) 478-4475
13 Woodmere Dr
Dothan, AL
Specialties
Anesthesiology, Pain Management
Gender
Male
Languages
Spanish
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1985
Hospital
Hospital: Southeast Alabama Med Ctr, Dothan, Al
Group Practice: Anesthesia Consultant Medical

Data Provided By:
Michael Thomas Flanagan, MD
(334) 793-5105
PO Box 9011
Dothan, AL
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1993
Hospital
Hospital: Southeast Alabama Med Ctr, Dothan, Al
Group Practice: Anesthesia Consultant Medical

Data Provided By:
Steven Harvey Sykes, MD
(334) 793-5105
1118 Ross Clark Cir Ste 700
Dothan, AL
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1983
Hospital
Hospital: Southeast Alabama Med Ctr, Dothan, Al
Group Practice: Anesthesia Consultant Medical

Data Provided By:
Sam Banner, M.D.
1435 West Main Street
Dothan, AL
 
Jerry Marsella, M.D.
1108 Ross Clark Circle
Dothan, AL
 
Robert Duncan Shedden, DO
(334) 793-5000
4370 W Main St
Dothan, AL
Specialties
Emergency Medicine, Pain Management
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1979
Hospital
Hospital: Flowers Hosp, Dothan, Al
Group Practice: Dothan Anesthesiology Assoc

Data Provided By:
John Jerry Marsella Jr, MD
(334) 793-5105
1604 Tacoma St
Dothan, AL
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1986
Hospital
Hospital: Southeast Alabama Med Ctr, Dothan, Al
Group Practice: Anesthesia Consultant Medical

Data Provided By:
John Marsella, M.D.
1108 Ross Clark Circle
Dothan, AL
 
Joan Kogelschatz, PhD
921 Honeysuckle Road
Dothan, AL
 
David Evans, M.D.
1108 Ross Clark Circle
Dothan, AL
 
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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