Chronic Pain Management for Seniors Waterloo IA

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Advanced Spine & Extremity
(319) 242-7032
6015 University Ave
Cedar Falls, IA
Hours
Monday 9:30 AM - 12:00 PM
Tuesday 9:30 AM - 12:00 PM
Wednesday 9:30 AM - 12:00 PM
Thursday 9:30 AM - 12:00 PM
Friday Closed
Saturday Closed
Sunday Closed
Services
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, Pain Management, Pediatric Chiropractic, Personal Injury, Physical Therapy

Prodosh R Sengupta, MD
2710 Saint Francis Dr Ste 319
Waterloo, IA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Med Coll, Univ Of Calcutta, Calcutta, West Bengal, India
Graduation Year: 1983

Data Provided By:
Gene Stebbins Gessner, MD
(319) 235-5390
1753 W Ridgeway Ave
Waterloo, IA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1990

Data Provided By:
Naomi Beth McCormick
(319) 226-5301
Clinical Health Psychologists, PLC
Waterloo, IA
Services
Behavioral Health Intervention involving Medical Conditions/Disorder, Stress Management or Pain Management, Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Hypnosis or Hypnotherapy
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: University of California - Los Angeles
Credentialed Since: 1997-11-03

Data Provided By:
James H. Harding
(319) 234-2893
824 Maucker Rd
Cedar Falls, IA
Services
Individual Psychotherapy, PostTraumatic Stress Disorder or Acute Trauma Reaction, Stress Management or Pain Management, Hypnosis or Hypnotherapy, Biofeedback
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Nebraska - Lincoln
Credentialed Since: 1975-03-25

Data Provided By:
Hudson Family Chiropractic
(319) 429-7243
107 Eldora Rd
Hudson, IA
Promotion
Free consultation & exam for new patients when you mention this web site. A $74.50 savings!
Hours
Monday 8:30 AM - 5:30 PM
Tuesday 8:30 AM - 5:30 PM
Wednesday 8:30 AM - 5:30 PM
Thursday Closed
Friday 8:30 AM - 5:30 PM
Saturday 8:30 AM - 12:00 PM
Sunday Closed
Services
Acupressure, Applied Kinesiology, Auto Accidents, Chiropractic Laser Therapy, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Decompression Therapy, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Homeopathic Medicine, Orthogonal Chiropractic, Pediatric Chiropractic, Personal Injury

Farid Manshadi, MD
(319) 268-1608
3254 Kimball Ave
Waterloo, IA
Specialties
Physical Medicine & Rehabilitation, Pain Medicine
Gender
Male
Languages
Persian (Farsi), Spanish
Education
Medical School: Spartan Hlth Sci Univ, Vieux Fort, St Lucia
Graduation Year: 1986
Hospital
Hospital: Covenant Med Ctr, Waterloo, Ia; Allen Mem Hosp, Waterloo, Ia
Group Practice: Physical Medicine & Rehab-IA

Data Provided By:
Christopher Haymaker
(319) 226-5301
Clinical Health Psychologists
Waterloo, IA
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Stress Management or Pain Management, Eating Disorder (e.g., compulsive eating, anorexia, bulimia), Behavioral Health Intervention involving Medical Conditions/Disorder
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Education Info
Doctoral Program: Miami U/Ohio
Credentialed Since: 2009-07-24

Data Provided By:
Robert Nicholas Federhofer, DO
(319) 235-5049
516 Division St
Cedar Falls, IA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124
Graduation Year: 1977

Data Provided By:
Ashar Afzal, MD
(319) 235-5390
3023 Wellington Dr
Cedar Falls, IA
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Lytton Med Coll Mymensingh (160-04 After 7/72)
Graduation Year: 1992

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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