Chronic Pain Management for Seniors Scarborough ME

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Dana George Crovo, MD
(207) 741-4055
16 Hunts Point Rd
Cape Elizabeth, ME
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ma Med Sch, Worcester Ma 01655
Graduation Year: 1993

Data Provided By:
David R Andrews, MD
(207) 879-3385
18 Woods Rd
Falmouth, ME
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1978

Data Provided By:
Thomas Mayo Bolles, MD
(207) 871-2520
106 Village Brook Rd
Yarmouth, ME
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1994

Data Provided By:
James Pisini, M.D.
335 Brighton Avenue
Portland, ME
 
Back in Balance Wellness Center
(207) 433-5965
16 Penn Plaza
Bangor, ME
Promotion
Explore the benefits to unlocking a healthier, energetic and stress-free lifestyle. Back in Balance makes it easy. Call today to schedule an introductory massage for only $39 dollars.
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 8:00 AM - 5:30 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 9:00 AM - 6:00 PM
Friday Closed
Saturday Closed
Sunday Closed
Services
Acupuncture, Auto Accidents, Chiropractic Treatment for Injuries, Chiropractors, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Massage Therapy, Pediatric Chiropractic, Personal Injury, Physical Therapy

Kenneth Louis Blazier, MD
(202) 879-3385
144 State St
Portland, ME
Specialties
Anesthesiology, Pain Medicine
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1986
Hospital
Hospital: Mercy Hospital, Portland, Me
Group Practice: Mercy Hospital

Data Provided By:
James V Pisini, DO
(207) 662-2526
13 Island Pond Rd
Cumberland Foreside, ME
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124
Graduation Year: 1991

Data Provided By:
John Ledbetter, M.D.
312 Grammont Street
Portland, ME
 
Kenneth Blazier, M.D.
144 State Street
Portland, ME
 
James V Pisini, DO
(207) 662-2526
13 Island Pond Rd
Cumberland Foreside, ME
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124
Graduation Year: 1991

Data Provided By:
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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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