Chronic Pain Management for Seniors Wichita KS

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Chandrasekhar Tokala, MD
1515 S Clifton Ave Ste 200
Wichita, KS
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Osmania Med Coll, Univ Hlth Sci, Vijayawada, Hyderabad, Ap, India
Graduation Year: 1993

Data Provided By:
Robert Jason Ain, MD
(316) 686-7327
817 N White Tail St
Wichita, KS
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1999

Data Provided By:
Gregory Chas Meister, MD
(316) 618-1515
1625 N Stagecoach Ct
Wichita, KS
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1989

Data Provided By:
Timothy Wolff, D.O.
1245 N. West Street
Wichita, KS
 
Amitabh Goel, M.D.
3311 East Murdock
Wichita, KS
 
Antero A Trujillo, MD
(316) 648-4759
513 S Woodlawn St PMB 808
Wichita, KS
Specialties
Anesthesiology, Pain Management
Gender
Male
Languages
Spanish
Education
Medical School: Univ Nac Mayor De San Marcos, Prog Acad De Med Humana, Lima, Peru
Graduation Year: 1961
Hospital
Hospital: Via Christi Reg Med Ctr -St J, Wichita, Ks
Group Practice: Pain IN Intervention Cnsltnts

Data Provided By:
Jeff D Fenn, DR.
(316) 722-4247
2548 N. Maize Ct. 104
Wichita, KS
Specialties
Pain Management
Gender
Male
Languages
English
Education
Graduation Year: 2007

Data Provided By:
Ronald Brown, M.D.
818 North Emporia #409
Wichita, KS
 
William Alexander, M.D.
1431 South Bluffview
Witchita, KS
 
Chandra Tokala, M.D.
1515 South Clifton
Wichita, KS
 
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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