Chronic Pain Management for Seniors Essex Junction VT

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Patricia A. Pati
(802) 651-7737
6 Kurk Drive
Essex Junction, VT
Services
Individual Psychotherapy, Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), Couples Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Stress Management or Pain Management
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: United States International University
Credentialed Since: 1985-10-15

Data Provided By:
Michael T Borrello, MD
(802) 847-3737
111 Colchester Ave
Burlington, VT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: U Of Tx Med Sch At Houston, Houston Tx 77225
Graduation Year: 1990

Data Provided By:
Annmarie Gonzalez Munoz, MD
1 S Prospect St
Burlington, VT
Specialties
Anesthesiology, Pain Management
Gender
Female
Education
Medical School: Univ Nac De Cordoba, Fac De Cien Med, Cordoba, Argentina
Graduation Year: 1991

Data Provided By:
Jonathan Fenton, D.O.
67 Lincoln Street
Essex Junction, VT
 
Steven Mann, PhD
385 S. Willard Street
Burlington, VT
 
Jerry Mark Tarver, MD
(802) 288-9461
55 Sydney Dr
Essex Junction, VT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1985

Data Provided By:
James Phillip Rathmell, MD
(802) 847-2415
111 Colchester Ave
Burlington, VT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1988

Data Provided By:
Michael Gerard Gibson, MD
(802) 847-8573
28 Centre Dr
Milton, VT
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1992

Data Provided By:
Alfred Ciongoli, M.D.
89 South Willams Street
Burlington, VT
 
Frederick M Perkins, MD
802-295-9363 x5281
215 N Main St # 112
White River Junction, VT
Specialties
Anesthesiology, Pain Medicine
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1974
Hospital
Hospital: Veterans Affairs Medical Ctr, White Riv Jct, Vt
Group Practice: Dept-Veterans Affairs Med Libr

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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