Chronic Pain Management for Seniors Excelsior Springs MO

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Carol Ann Blum, MD
(816) 630-6081
16608 NE 113th St
Liberty, MO
Specialties
Anesthesiology, Pain Management
Gender
Female
Languages
Spanish
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1978
Hospital
Hospital: Excelsior Springs Med Ctr, Exclsor Sprgs, Mo; Liberty Hospital, Liberty, Mo
Group Practice: Independence Anesthesia Inc

Data Provided By:
Dr.Shavonne Danner
(816) 407-2028
2525 Glenn Hendren Drive
Liberty, MO
Gender
F
Speciality
Pain Management
General Information
Hospital: Liberty
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

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O'Fallon Spinal Care Center
(636) 851-9000
8633 Mexico Rd
O Fallon, MO
Promotion
$100 Initial Consultation on Weight Loss, Pain Management, or Nonsurgical Spinal Decompression.
Hours
Monday 8:30 AM - 7:00 PM
Tuesday 8:30 AM - 5:00 PM
Wednesday 8:30 AM - 7:00 PM
Thursday 8:30 AM - 5:00 PM
Friday 8:30 AM - 5:00 PM
Saturday Closed
Sunday Closed
Services
Auto Accidents, Chiropractic Laser Therapy, Chiropractic Neurology, Chiropractors, Decompression Therapy, Flexion-Distraction Therapy, Homeopathic Medicine, Pain Management, Personal Injury

Advanced Spine & Joint
(417) 232-0944
2001 State Hwy 248, Suite 6
Branson, MO
Hours
Monday 8:00 AM - 7:00 PM
Tuesday 8:00 AM - 7:00 PM
Wednesday 8:00 AM - 7:00 PM
Thursday 8:00 AM - 7:00 PM
Friday 8:00 AM - 7:00 PM
Saturday 12:00 AM - 12:00 AM
Sunday 12:00 AM - 12:00 AM
Services
Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Paulette Special Care Chiro
(314) 492-8998
6341 Clayton Rd
St Louis, MO
Hours
Monday 9:00 AM - 5:00 PM
Tuesday 9:00 AM - 5:00 PM
Wednesday 9:00 AM - 5:00 PM
Thursday 9:00 AM - 5:00 PM
Friday Closed
Saturday Closed
Sunday Closed
Services
Acupressure, Acupuncture, Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury

James Francis Piontek, MD
(816) 781-4824
1495 Hemlock Dr
Liberty, MO
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1974
Hospital
Hospital: Liberty Hospital, Liberty, Mo; North Kansas City Hospital, N Kansas City, Mo
Group Practice: Professional Anesthetic Care

Data Provided By:
James Gelsin Marx, MD
(702) 878-4568
4716 NE Vivion Rd
Kansas City, MO
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1973

Data Provided By:
Hendricks Chiropractic
(314) 334-3429
2901 Union Rd. Suite 200
Saint Louis, MO
Promotion
New Patient Exam for only $20 ($100 value)

-includes consultation, exam and 2 xrays
Hours
Monday 9:00 AM - 6:00 PM
Tuesday Closed
Wednesday 9:00 AM - 6:00 PM
Thursday 2:00 PM - 6:00 PM
Friday 9:00 AM - 1:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
Services
Acupressure, Applied Kinesiology, Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Pediatric Chiropractic, Personal Injury, Physical Therapy

Pain Relief Associates
(573) 723-1137
4344 Osage Beach Parkway South
Osage Beach, MO
Promotion
Free Evaulation
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
Acupressure, Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Gateway to Health Chiropractic
(636) 200-8163
91 Chesterfield Mall Mall Entrance between Macy's and Dillard's
Chesterfield, MO
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 9:00 AM - 6:00 PM
Friday 9:00 AM - 6:00 PM
Saturday 8:00 AM - 12:00 PM
Sunday Closed
Services
Acupressure, Acupuncture, Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

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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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