Chronic Pain Management for Seniors Poughkeepsie NY

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Patrick M. Malouf, D.C.
(845) 288-0598
403 Main St
Beacon, NY
Promotion
Free consultation to see if you are a candidate for DRX9000 Non-surgical spinal decompression.
Hours
Monday 9:00 AM - 12:30 PM
Tuesday 9:00 AM - 12:30 PM
Wednesday 9:00 AM - 12:30 PM
Thursday 9:00 AM - 12:30 PM
Friday Closed
Saturday Closed
Sunday Closed
Services
Auto Accidents, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Emergency Chiropractic Care, Personal Injury

Nagendra P Upadhyayula, MD
(845) 452-0555
1 Webster Ave Ste 505
Poughkeepsie, NY
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Kakatiya Med Coll, Univ Hlth Sci, Warrangal, Ap, India
Graduation Year: 1987
Hospital
Hospital: St Francis Hospital, Poughkeepsie, Ny
Group Practice: Anesthesia Associates Of St Francis Pc

Data Provided By:
Michael A. Westerman
(845) 896-7787
12 Broad St
Fishkill, NY
Services
Individual Psychotherapy, Family Psychotherapy, Stress Management or Pain Management
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Education Info
Doctoral Program: University of Southern California
Credentialed Since: 1995-01-11

Data Provided By:
Shuangwu Zheng, Md
(845) 876-5701
91-93 MONTGOMERY ST
Rhinebeck, NY
Specialty
Pain Management - Interventional, Physical Medicine and Rehabilitation
Associated Hospitals
Boro Medical, P.C. , Comprehensive Pain Management Pc

Staten Island Chiropractic Assoc Pc
(347) 850-0959
2052 Richmond Rd
Staten Island, NY
Promotion
We do not accept: Health First, Medicaid or HIP insurances.
Hours
Monday 9:00 AM - 1:00 PM
Tuesday 9:00 AM - 1:00 PM
Wednesday 9:00 AM - 1:00 PM
Thursday 9:00 AM - 1:00 PM
Friday 9:00 AM - 1:00 PM
Saturday 8:00 AM - 1:00 PM
Sunday Closed
Services
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, Pediatric Chiropractic, Personal Injury

Robert E Tomkins, DO
(845) 452-0555
1 Webster Ave Ste 505
Poughkeepsie, NY
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Ny Coll Of Osteo Med Of Ny Inst Of Tech, Old Westbury Ny 11568
Graduation Year: 1991

Data Provided By:
Randy W. Green
(914) 226-2356
Creative Solutions
Hopewell Junction, NY
Services
Biofeedback, Stress Management or Pain Management, Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Couples Psychotherapy, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder)
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Children (3-12 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: U Toledo
Credentialed Since: 1991-10-23

Data Provided By:
Phat Tan Tran, MD
19 Laurel Ave
Cornwall, NY
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: St George'S Univ, Sch Of Med, St George'S, Grenada
Graduation Year: 1999

Data Provided By:
Carol Kessler, PhD
187 Pine Street
Kingston, NY
 
Krieger Chiropractic Offices
(716) 817-8488
5225 Sheridan Dr
Williamsville, NY
Hours
Monday 9:00 AM - 7:00 PM
Tuesday 9:00 AM - 1:00 PM
Wednesday 9:00 AM - 7:00 PM
Thursday 10:00 AM - 12:00 PM
Friday 9:00 AM - 7:00 PM
Saturday 9:00 AM - 12:00 PM
Sunday Closed
Services
Acupressure, Applied Kinesiology, Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Pain Management, 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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