Chronic Pain Management for Seniors Opelika AL

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Dr Michael D. Jackson, MD
2130 Robin Dr
Auburn, AL
 
Aruna P Kancherla, M.D.
4800 48th Street
Valley, AL
 
Discover Chiropractic
(205) 202-0980
1423 Gadsden Hwy # 105
Birmingham , AL
Promotion
As a family wellness center, Dr. Mix offer's all his new patients a 2 week period where they may refer his or her family members and loved ones for a complimentary check-up. Please note, by law, free services do not apply to Medicaid, Medicare, or any Fe
Hours
Monday 8:00 AM - 6:00 PM
Tuesday 12:00 PM - 6:00 PM
Wednesday 8:00 AM - 6:00 PM
Thursday 8:00 AM - 6:00 PM
Friday Closed
Saturday Closed
Sunday Closed
Services
Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Holistic Chiropractic Care, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Kevin Gerald Johnson, MD
(256) 734-9472
PO Box 822
Cullman, AL
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of South Al Coll Of Med, Mobile Al 36688
Graduation Year: 1989
Hospital
Hospital: Woodland Community Hosp, Cullman, Al
Group Practice: P B C S

Data Provided By:
John Jerry Marsella Jr, MD
(334) 793-5105
1604 Tacoma St
Dothan, AL
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1986
Hospital
Hospital: Southeast Alabama Med Ctr, Dothan, Al
Group Practice: Anesthesia Consultant Medical

Data Provided By:
Aruna Kancheria, M.D.
4800 48th Street
Valley, AL
 
Alabama Chiropractic Back Pain Clinic
(256) 715-2268
4835 Sparkman Dr NW
Huntsville , AL
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 2:00 PM - 6:00 PM
Friday 9:00 AM - 6:00 PM
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, Pediatric Chiropractic, Personal Injury

Wallace Family Chiropractic
(256) 715-5034
3314 U.S. 431
Albertville, AL
Hours
Monday 9:00 AM - 5:30 PM
Tuesday 9:00 AM - 5:30 PM
Wednesday 9:00 AM - 5:30 PM
Thursday 9:00 AM - 12:30 PM
Friday 9:00 AM - 5:30 PM
Saturday 12:00 AM - 12:00 AM
Sunday 12:00 AM - 12:00 AM
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

Peter Anthony Saway, MD
(205) 933-0320
2145 Highland Ave S Ste 200
Birmingham, AL
Specialties
Internal Medicine, Rheumatology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduation Year: 1980
Hospital
Hospital: St Vincents Hosp, Birmingham, Al
Group Practice: Rheumatology Associates

Data Provided By:
John Patrick Couch, MD
(251) 478-4900
2001 Spring Hill Ave
Mobile, AL
Specialties
Pain Medicine, Anesthesiology
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1991
Hospital
Hospital: Mobile Infirmary Med Ctr, Mobile, Al
Group Practice: Physicians Pain Specialists

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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