Chronic Pain Management for Seniors North Augusta SC

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Todd D Cable, MD
820 Saint Sebastian Way Ste 8A
Augusta, GA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: St George'S Univ, Sch Of Med, St George'S, Grenada
Graduation Year: 1989

Data Provided By:
Hemant Kumar Yagnick, MD
(706) 724-1821
1355 Independence Dr
Augusta, GA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: J N Med Coll, Aligarh Muslim Univ, Aligarh, Up, India
Graduation Year: 1995

Data Provided By:
Ezra B Riber, MD
(803) 699-0420
519 Blackburn Dr
Martinez, GA
Specialties
Anesthesiology, Pain Management, Internal Medicine
Gender
Male
Education
Medical School: Marshall Univ Sch Of Med, Huntington Wv 25755
Graduation Year: 1984
Hospital
Hospital: Lexington Med Ctr, West Columbia, Sc

Data Provided By:
Dr.Todd Cable
(706) 722-6957
840 Stevens Creek Road
Augusta, GA
Gender
M
Education
Medical School: St GeorgeS Univ, Sch Of Med, St GeorgeS
Year of Graduation: 1989
Speciality
Pain Management
General Information
Hospital: University Hospital
Accepting New Patients: Yes
RateMD Rating
3.4, out of 5 based on 4, reviews.

Data Provided By:
Ralph D. Bruno
706 733-0188 X 3211
1706 Kings Ct
Grovetown, GA
Services
Stress Management or Pain Management, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Behavioral Health Intervention involving Medical Conditions/Disorder, Biofeedback, Behavioral Health Intervention involving Primary Care
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Southern Mississippi
Credentialed Since: 1982-02-03

Data Provided By:
Patrick A. Boudewyns
(706) 722-6491
One 7th St.
Augusta, GA
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Mood Disorder (e.g., depression, manic-depressive disorder), Stress Management or Pain Management, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: U of Wisc, Milwaukee
Credentialed Since: 2002-02-07

Data Provided By:
Richard Stuart Epter, MD
(256) 760-4012
2803 Wrightsboro Rd Ste 50
Augusta, GA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Miami Sch Of Med, Miami Fl 33101
Graduation Year: 1984

Data Provided By:
Jose Luis Armstrong, MD
(919) 781-3978
3880 Inverness Way
Augusta, GA
Specialties
Internal Medicine, Pain Medicine
Gender
Male
Languages
Spanish
Education
Medical School: Ponce Sch Of Med, Ponce Pr 00732
Graduation Year: 1986

Data Provided By:
James B Mayfield Jr, MD
(706) 721-2534
1399 Waterston Dr
Evans, GA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1992

Data Provided By:
Ralph Bruno, PhD
1355 Independence Drive
Augusta, GA
 
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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