Chronic Pain Management for Seniors Millsboro DE

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Midway Chiropractic
(302) 380-4130
18585 Coastal Hwy
Rehoboth Beach, DE
Hours
Monday 8:30 AM - 7:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 8:30 AM - 7:00 PM
Thursday 9:00 AM - 6:00 PM
Friday 8:30 AM - 6:00 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, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Mobile Chiropractic Care, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury

Sami Elias Moufawad, MD
(302) 245-7908
701 Savannah Rd Ste C
Lewes, DE
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Med Sch Of Peres, Antonins, Beirut, Lebanon (Lebanese Univ Coll Of Med)
Graduation Year: 1994
Hospital
Hospital: Beebe Med Ctr, Lewes, De
Group Practice: Cnmri; Center For Neurology & Pain Management Pa

Data Provided By:
Kelly A Fanto, M.D.
112 Cutter Ct
Lewes, DE
 
Lantana Chiropractic
(302) 569-9937
310 Lantana Dr
Hockessin, DE
Hours
Monday 8:00 AM - 7:00 PM
Tuesday 8:00 AM - 6:00 PM
Wednesday 8:00 AM - 7:00 PM
Thursday 2:00 PM - 6:00 PM
Friday 8:00 AM - 12:00 PM
Saturday 9:00 AM - 11:30 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, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Mobile Chiropractic Care, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury

Newark Chiropractic
(302) 319-9607
1536 Kirkwood Hwy
Newark, DE
Hours
Monday 8:45 AM - 7:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 8:45 AM - 7:00 PM
Thursday 9:00 AM - 6:00 PM
Friday 8:45 AM - 6:00 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, Mobile Chiropractic Care, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury

Gabriel John Somori, MD
(302) 645-2664
34453 King Street Row
Lewes, DE
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1981

Data Provided By:
Margaret Goodwin, DR.
(302) 561-0290
32711 Long Neck Road
Long Neck, DE
Specialties
Pain Management
Gender
Female
Languages
English
Education
Graduation Year: 1950

Data Provided By:
Jonathan Hall, M.D.
1636 Savannah Rd. #C
Lewes, DE
 
First State Physicians
(302) 956-9958
12 Fox Hunt Dr
Bear, DE
Hours
Monday 10:00 AM - 7:00 PM
Tuesday 10:00 AM - 7:00 PM
Wednesday 10:00 AM - 7:00 PM
Thursday 10:00 AM - 7:00 PM
Friday 10:00 AM - 1:00 PM
Saturday Closed
Sunday Closed
Services
Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Massage Therapy, Mobile Chiropractic Care, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Midway Chiropractic
(302) 380-4130
18585 Coastal Hwy
Rehoboth Beach, DE
Hours
Monday 8:30 AM - 7:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 8:30 AM - 7:00 PM
Thursday 9:00 AM - 6:00 PM
Friday 8:30 AM - 6:00 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, Holistic Chiropractic Care, Homeopathic Medicine, Massage Therapy, Mobile Chiropractic Care, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury

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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