Chronic Pain Management for Seniors Lima OH

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Al-Amin A Khalil, MD
(419) 222-0808
825 W Market St Ste 203
Lima, OH
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Cairo, Fac Of Med, Cairo, Egypt (330-02 Prior 1/71)
Graduation Year: 1980

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Thomas Santanello, D.O.
153 Waterbury Ct
Saint Marys, OH
 
Tocco Chiropractic & Rehabilitation
(440) 348-0926
4859 Dover Center Rd # 13
North Olmsted, OH
Hours
Monday 9:00 AM - 7:00 PM
Tuesday 9:00 AM - 5:00 PM
Wednesday 9:00 AM - 7:00 PM
Thursday 9:00 AM - 1:00 PM
Friday 9:00 AM - 5:00 PM
Saturday Closed
Sunday Closed
Services
Acupuncture, Applied Kinesiology, Auto Accidents, 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, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Campus View Chiropractic
(614) 733-8925
71 E Wilson Bridge Rd
Worthington, OH
Promotion
Call us today!
Hours
Monday 10:00 AM - 6:00 PM
Tuesday 10:00 AM - 6:00 PM
Wednesday 10:00 AM - 6:00 PM
Thursday 10:00 AM - 6:00 PM
Friday 10:00 AM - 6:00 PM
Saturday 9:00 AM - 11:00 AM
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Homeopathic Medicine, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury

All Health Chiropractic
(440) 252-1127
24932-C Aurora Road
Bedford Heights, OH
Hours
Monday 10:00 AM - 6:30 PM
Tuesday 10:00 AM - 6:30 PM
Wednesday 10:00 AM - 6:30 PM
Thursday 10:00 AM - 6:30 PM
Friday 10:00 AM - 6:30 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
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, Pediatric Chiropractic, Personal Injury, Physical Therapy

Mark Adrian Wangler, MD
(419) 222-6622
860 Yorkshire Dr
Lima, OH
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1981

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Advanced Spinal Rehab and Wellness Center
(440) 925-5247
26291 Center Ridge Rd
Westlake, OH
Promotion
$49 First Visit
includes consultation, spinal exam, & x-rays (reg. $330). To help those with limited or no insurance.
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 Closed
Saturday Closed
Sunday Closed
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

Graceland Chiropractic
(614) 450-0658
200 Graceland Blvd
Columbus, OH
Hours
Monday 8:00 AM - 6:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 2:00 PM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday 8:00 AM - 12:30 PM
Saturday Closed
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

Baker Chiropractic Wellness Center
(440) 510-1695
5810 Pearl Rd
Parma, OH
Promotion
*** Complimentary Consultation,
No barriers to finding out whether or not I can help.
Hours
Monday 9:00 AM - 12:30 PM
Tuesday Closed
Wednesday 9:00 AM - 12:30 PM
Thursday 9:00 AM - 12:30 PM
Friday Closed
Saturday Closed
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Pain Management, Pediatric Chiropractic, Personal Injury

All Health Chiropractic
(216) 239-0182
1370 Ontario Avenue
Cleveland, OH
Hours
Monday 10:00 AM - 6:00 PM
Tuesday 10:00 AM - 6:00 PM
Wednesday 10:00 AM - 6:00 PM
Thursday 10:00 AM - 6:00 PM
Friday 10:00 AM - 6:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
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, 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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