Chronic Pain Management for Seniors Wheeling WV

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Samy Sakla, MD
(304) 234-8161
8 Stone Gate Dr
Wheeling, WV
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Ain Shams Univ, Fac Of Med, Abbasia, Cairo, Egypt (330-04 Pr 1/71)
Graduation Year: 1979

Data Provided By:
Hong Wang, MD
51339 National Road East 212 West Main Street
Saint Clairsville, OH
Specialties
Anesthesiology, Pain Management
Gender
Female
Education
Medical School: Peking Union/Capitol Med Coll, Beijing, Beijing, China
Graduation Year: 1982

Data Provided By:
John Tellers, M.D.
40 Medical Park #500
Wheeling, WV
 
Robert Vawter, M.D.
Wheeling Clinic
Wheeling, WV
 
Thomas Romano, M.D.
Medical Park Professional Center
Wheeling, WV
 
Lee R Bischof, DO
(304) 233-2455
291 Shawnee Rd
Wheeling, WV
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Wv Sch Of Osteo Med, Lewisburg Wv 24901
Graduation Year: 1991

Data Provided By:
David Liebeskind, M.D.
51 Shawnee Hills
Wheeling, WV
 
Srini Govindan, M.D.
Medical Park Professional Center
Wheeling, WV
 
Samy Sakla, M.D.
2000 Eoff Street
Wheeling, WV
 
Srini Bovindan, M.D.
40 Medical Park #304
Wheeling, WV
 
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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