Chronic Pain Management for Seniors Dover DE

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Dr.MANONMANI ANTONY
(302) 629-0850
240 Beiser Boulevard #201
Dover, DE
Gender
F
Speciality
Pain Management
General Information
Accepting New Patients: Yes
RateMD Rating
4.3, out of 5 based on 3, reviews.

Data Provided By:
Robert S Friedman, MD
640 S State St
Dover, DE
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Cornell Univ Med Coll, New York Ny 10021
Graduation Year: 1976

Data Provided By:
Ganesh Balu, M.D.
1001 S. Bradford Street #10
Dover, DE
 
Robert J. Varipapa, M.D.
1074 South State Street
Dover, DE
 
tammie l mcnatt, painmanagement
207 kentwood dr
dover, DE
 
Irene C Mavrakakis, MD
(302) 678-8100
1074 S State St
Dover, DE
Specialties
Anesthesiology, Pain Management
Gender
Female
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1993

Data Provided By:
Ameer Nazim, MD
6 E Camden Wyoming Ave
Camden Wyoming, DE
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1982

Data Provided By:
Manonmani Antony, Md
(302) 734-7246
742 S GOVERNORS AVE 4
Dover, DE
Specialty
Anesthesiology, Pain Management - Interventional
Associated Hospitals
Delaware Coastal Anesthesia, Llc , Professional Anesthesia Services, Llc , Regional Medical Associates, Pa

Pavan Malik, Md
(302) 733-0806
640 SOUTH STATE STREET
Dover, DE
Specialty
Anesthesiology, Pain Management - Interventional
Associated Hospitals
Velez Corporation , Pain Control Center Of Pittsburgh Inc , Bay Anesthesia Associates Llc , Mt Pleasant Surgery Center Lp

Eugene Godfrey
(302) 346-3171
100 SCULL TERRACEDOVER SURGICENTER
Dover, DE
Specialty
Anesthesiology, Pain Management - Interventional

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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