Chronic Pain Management for Seniors Midlothian VA

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Chiropractic Wellness Center Inc
(804) 302-8437
601 North Courthouse Road
Richmond , VA
Promotion
Call us today to schedule an appointment!
New and established patients have the availability to schedule an appointment on each day the clinic is open. We also pride ourselves on no waiting and very short waiting times.
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 5:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday Closed
Friday 9:00 AM - 6:00 PM
Saturday Closed
Sunday Closed
Services
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, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Dr.Peyman Nazmi
(804) 378-1800
14404 Sommerville Court
Midlothian, VA
Gender
M
Education
Medical School: Pecsi Orvostudomanyi Egyetem, Pecs
Year of Graduation: 1990
Speciality
Pain Management
General Information
Hospital: Johnston Willis
Accepting New Patients: Yes
RateMD Rating
1.1, out of 5 based on 4, reviews.

Data Provided By:
Wendi Lopez
(804) 673-0100 ext. 216
1503 Santa Rosa Road
Richmond, VA
Services
Behavioral Health Intervention involving Medical Conditions/Disorder, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Stress Management or Pain Management, Individual Psychotherapy
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: University of Indianapolis
Credentialed Since: 2011-01-20

Data Provided By:
Marilyn Loevy Spiro
(804) 282-6165
Ste 202
Richmond, VA
Services
Individual Psychotherapy, Couples Psychotherapy, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Stress Management or Pain Management
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Virginia Commonwealth University
Credentialed Since: 1984-09-10

Data Provided By:
John Michael Barsanti, MD
(804) 288-7246
1501 Maple Ave Ste 301
Richmond, VA
Specialties
Anesthesiology, Pain Medicine
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1988
Hospital
Hospital: Bon Secours St Mary Hosp, Richmond, Va
Group Practice: Commonwealth Pain Specialist

Data Provided By:
Glen Allen Chiropractic
(804) 482-4332
11535 Nuckols Rd D
Glen Allen, VA
Promotion
Call for your Complimentary consultation today
Hours
Monday 8:00 AM - 12:30 PM
Tuesday 8:00 AM - 12:30 PM
Wednesday 8:00 AM - 12:30 PM
Thursday 8:00 AM - 12:30 PM
Friday 8:00 AM - 12:30 PM
Saturday Closed
Sunday Closed
Services
Acupuncture, Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Holistic Chiropractic Care, Massage Therapy, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Ronald C. Moyer
(804) 272-7611
720 Moorefield Park Dr., Ste 202
Richmond, VA
Services
Psychological Assessment, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Stress Management or Pain Management
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Rutgers, The State University of New Jersey
Credentialed Since: 1983-09-23

Data Provided By:
M Craig Pinsker, MD
(804) 301-1222
2000 Old Prescott Ct
Richmond, VA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1979

Data Provided By:
Stephen Paul Long, MD
(804) 288-7246
1501 Maple Ave Ste 301
Richmond, VA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1986
Hospital
Hospital: Bon Secours St Mary Hosp, Richmond, Va; Medical College Of Virginia Ho, Richmond, Va
Group Practice: Commonwealth Pain Specialists

Data Provided By:
Rakesh Ravindra Bhatt, MD
2036 Park Ave
Richmond, VA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Municipal Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduation Year: 1984

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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