Chronic Pain Management for Seniors Goffstown NH

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Parent Chiropractic Ctr
(603) 965-7142
184 Mammoth Rd
Londonderry, NH
Promotion
Mention your calling from ChiroAppointment and receive a free consultation!
Hours
Monday 8:15 AM - 11:00 AM
Tuesday 2:00 PM - 6:00 PM
Wednesday 8:15 AM - 11:00 AM
Thursday 8:15 AM - 11:00 AM
Friday 8:15 AM - 10:00 AM
Saturday 8:00 AM - 9:00 AM
Sunday Closed
Services
Acupressure, Applied Kinesiology, Auto Accidents, Chiropractic Laser Therapy, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Joseph Thomas Hyatt, MD
23 Puritan Dr
Bedford, NH
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ma Med Sch, Worcester Ma 01655
Graduation Year: 1994

Data Provided By:
Gerard J Hevern, MD
(603) 485-7861
PO Box 9001
Suncook, NH
Specialties
Family Practice, Pain Medicine
Gender
Male
Education
Medical School: Suny At Stony Brook Hlth Sci Ctr, Stony Brook Ny 11794
Graduation Year: 1976
Hospital
Hospital: Catholic Med Ctr, Manchester, Nh; Elliot Hosp, Manchester, Nh; Veterans Affairs Med Ctr, Manchester, Nh
Group Practice: Suncook Family Health Ctr

Data Provided By:
Dr.David Tung
(603) 424-8866
1 Mound Court
Merrimack, NH
Gender
M
Speciality
Pain Management
General Information
Hospital: Dr. O´connell´s Paincare Centers
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Ronald Kennedy, M.D.
100 McGregor Street
Manchester, NH
 
Eduardo William Quesada, MD
(603) 663-2215
49 Kensington Ln
Bedford, NH
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1991

Data Provided By:
Syed Asim Razvi, MD
(603) 623-4640
1 Elliot Way Ste 200
Manchester, NH
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ma Med Sch, Worcester Ma 01655
Graduation Year: 1994

Data Provided By:
Julie L Sramcik, MD
(603) 224-4776
169 Portsmouth St Unit 30
Concord, NH
Specialties
Anesthesiology, Pain Medicine
Gender
Female
Education
Medical School: Northeastern Oh Univs Coll Of Med, Rootstown Oh 44272
Graduation Year: 1994
Hospital
Hospital: Concord Hosp, Concord, Nh
Group Practice: Anesthesia Associates Prof

Data Provided By:
David Mevorach, M.D.
100 McGregor Street
Manchester, NH
 
Stephen Dainesi, M.D.
100 McGregor Street
Manchester, NH
 
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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