Chronic Pain Management for Seniors Methuen MA

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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

Rami Rustum Rustum, MD
978-683-4000 x2243
1641 Salem St
North Andover, MA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Tichreen, Fac Of Med, Lattakia, Syria (Univ Latakia)
Graduation Year: 1994

Data Provided By:
Praveen Kumar Suchdev, MD
(603) 577-3003
280 Main St Ste 420
Nashua, NH
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1991

Data Provided By:
Dr.Aaron Geller
(603) 882-9872
154 Broad St # 1516
Nashua, NH
Gender
M
Education
Medical School: Univ of Pennsylvania
Year of Graduation: 1987
Speciality
Pain Management
General Information
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 4, reviews.

Data Provided By:
Julien Vaisman, MD
(617) 732-6987
10 Centennial Dr
Peabody, MA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: The Hebrew Univ, Hadassah Med Sch, Jerusalem, Israel
Graduation Year: 1981

Data Provided By:
Pain Relief Center
(603) 965-7255
163 Amherst St
Nashua, NH
Hours
Monday 9:00 AM - 7:00 PM
Tuesday 2:00 PM - 7:00 PM
Wednesday 9:00 AM - 7:00 PM
Thursday 2:00 PM - 7:00 PM
Friday 9:00 AM - 7:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
Services
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, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Gopala K Dwarakanath, MD
(978) 458-1463
220 Sutton St
North Andover, MA
Gender
Male
Education
Medical School: Bangalore Med Coll, Bangalore Univ, Bangalore, Karnataka, India
Graduation Year: 1973

Data Provided By:
John D Markman, MD
(617) 423-0591
41 Mall Rd
Burlington, MA
Specialties
Anesthesiology, Pain Management, Neurology
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1996
Hospital
Hospital: Lahey Clinic, Burlington, Ma; Beth Israel Deaconess Med Ctr, Boston, Ma; Bournewood Hosp, Chestnut Hill, Ma
Group Practice: Brigham & Women's Hospital

Data Provided By:
Steven James Hattamer, MD
(603) 577-3003
27 Lutheran Dr
Nashua, NH
Specialties
Anesthesiology, Pain Management
Gender
Male
Languages
Russian
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1992
Hospital
Hospital: Southern New Hampshire Regiona, Nashua, Nh
Group Practice: Nashua Anesthesia Partners

Data Provided By:
J. Robert Kagey
(781) 863-8283x222
5 Militia Dr
Lexington, MA
Services
Health Services Consultation to Business or Organizations, Behavioral Health Intervention involving Medical Conditions/Disorder, Couples Psychotherapy, Stress Management or Pain Management, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Louisiana State University
Credentialed Since: 1982-10-27

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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