Chronic Pain Management for Seniors Godfrey IL

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First Capitol Chiropractic & Rehab
(636) 299-0979
605 First Capitol Dr
St Charles, MO
Accident? In Pain? Free exam, X-rays & 3 aqua massages w/ donation to our Youth in Need fundraiser. We can help w/ back/neck pain, headaches, whiplash, pinched nerves, carpal tunnel, arthritis, auto accident injuries & work injuries.
Monday 9:00 AM - 12:00 PM
Tuesday 9:00 AM - 12:00 PM
Wednesday 9:00 AM - 12:00 PM
Thursday 2:00 PM - 6:00 PM
Friday 9:00 AM - 12:00 PM
Saturday 8:30 AM - 9:30 AM
Sunday 12:00 AM - 12:00 AM
Acupressure, Acupuncture, Applied Kinesiology, Auto Accidents, Chiropractic Laser Therapy, 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, Mobile Chiropractic Care, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury, Physical Therapy

Tzer-Hwa T Z Chen, MD
(314) 838-1818
243 Dunn Rd
Florissant, MO
Anesthesiology, Pain Management
Medical School: China Med Coll, Taichung, Taiwan (385-05 Prior 1/71)
Graduation Year: 1979
Hospital: Missouri Baptist Med Ctr, Saint Louis, Mo; Christian Hosp Northeast, Saint Louis, Mo
Group Practice: Greater St Louis Pain Mngmnt

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Wynndel Buenger, M.D.
1 Memorial Drive
Alton, IL
El Lin, M.D.
2100 Maddison Avenue
Granite City, IL
Christopher Felling, M.D.
12303 DePaul Drive
Bridgeton, MO
Family Physicians Northwest
(314) 266-5989
12258 Saint Charles Rock Rd
Bridgeton, MO
We Can Help!
Call today for your first appointment!
Monday 9:00 AM - 5:30 PM
Tuesday 11:00 AM - 4:30 PM
Wednesday 9:00 AM - 5:30 PM
Thursday 1:00 PM - 4:30 PM
Friday 9:00 AM - 5:30 PM
Saturday Closed
Sunday Closed
Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Pediatric Chiropractic, Personal Injury, Physical Therapy

Nabil Ahmad , MD
(314) 251-6364
815 East Fifth St #B
Alton, IL
Pain Management

Tipu Sultan, M.D.
11585 W. Florissant
Florissant, MO
Rachel Feinberg, M.D.
3565 Pennridge Road
Bridgeton, MO
Taylor Rehab & Wellness
(773) 417-5035
4956 W Irving Park Rd
Chicago, IL
Monday 8:00 AM - 2:00 PM
Tuesday 8:00 AM - 2:00 PM
Wednesday 8:00 AM - 2:00 PM
Thursday 9:30 AM - 7:30 PM
Friday 8:00 AM - 1:00 PM
Saturday 8:30 AM - 1:00 PM
Sunday Closed
Acupuncture, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury

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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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