Chronic Pain Management for Seniors Reno NV

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Paul Matthew Mailander, MD
(775) 348-1313
1005 Terminal Way
Reno, NV
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1982
Hospital
Hospital: St Marys Reg Medctr, Reno, Nv; Washoe Med Ctr, Reno, Nv
Group Practice: Sierra Anesthesia

Data Provided By:
Susan Loring
(775) 843-2846
3732 Lakeside Drive
Reno, NV
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Stress Management or Pain Management, Psychological Assessment
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: Loma Linda University
Credentialed Since: 2005-10-31

Data Provided By:
Brian William Dubois, MD
(775) 853-3545
604 Rabbit Ridge Ct
Reno, NV
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1995

Data Provided By:
Gerald Peterson, D.O.
4600 Kietzke Lane
Reno, NV
 
R. Gary Holt, M.D.
4600 Kietzke Lane
Reno, NV
 
Richard Joseph Kroening, MD
(775) 797-2431
Reno, NV
Specialties
Pain Medicine
Gender
Male
Education
Medical School: Univ Of Ca, Irvine, Ca Coll Of Med, Irvine Ca 92717
Graduation Year: 1962

Data Provided By:
Christopher John Hussar, DO
(775) 826-1200
9408 Double R Blvd
Reno, NV
Specialties
Pain Medicine
Gender
Male
Education
Medical School: Mi State Univ, Coll Of Osteo Med, East Lansing Mi 48824
Graduation Year: 1986

Data Provided By:
Jerry Matsumura, M.D.
300 S. Arlington Avenue
Reno, NV
 
Michael Lewandowski, PhD
3312 S. McCarran Blvd
Reno, NV
 
Charles Filippini, M.D.
81 S. Mills Street
Reno, NV
 
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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