Chronic Pain Management for Seniors Wyoming MI

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Wilcox Family Chiropractic
(616) 284-1932
935 52nd St SE
Kentwood, MI
Hours
Monday 9:00 AM - 6:00 PM
Tuesday 7:30 AM - 6:00 PM
Wednesday 9:00 AM - 6:30 PM
Thursday 2:30 PM - 6:00 PM
Friday 9:00 AM - 6:00 PM
Saturday Closed
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Massage Therapy, Pediatric Chiropractic, Personal Injury

Kashif Zia Khan, MD
(616) 752-6741
300 Lafayette Ave SE
Grand Rapids, MI
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Allama Iqbal Med Coll, Univ Of Punjab, Lahore, Pakistan
Graduation Year: 1992
Hospital
Hospital: Memorial Healthcare Center, Owosso, Mi
Group Practice: Memorial Healthcare Center

Data Provided By:
Jeffrey Mark Ricketts, DO
(616) 252-7943
1919 Boston St SE
Grand Rapids, MI
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Des Moines Univ, Coll Osteo Med & Surg, Des Moines Ia 50312
Graduation Year: 1978
Hospital
Hospital: Metropolitan Hospital, Grand Rapids, Mi
Group Practice: Metropolitan Anesthesia Assoc

Data Provided By:
Mark Louis Gostine, MD
(616) 940-2662
4100 Lake Dr SE Ste 305
Grand Rapids, MI
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1978
Hospital
Hospital: Holland Community Hospital, Holland, Mi; Spectrum Health, Grand Rapids, Mi
Group Practice: Michigan Pain Consultants

Data Provided By:
Richard J. Meschino
(616) 956-9610
1870 Leonard, NE
Grand Rapids, MI
Services
Individual Psychotherapy, PostTraumatic Stress Disorder or Acute Trauma Reaction, Behavioral Health Intervention involving Medical Conditions/Disorder, Stress Management or Pain Management, Group Psychotherapy
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Languages Spoken
Italian
Education Info
Doctoral Program: Biola University
Credentialed Since: 1996-03-25

Data Provided By:
Peak Performance Chiropractic
(616) 818-7328
4150 E Beltline Ave Ne Suite 3
Grand Rapids, MI
Promotion
Receive your evaluation and first 2 treatments for $37 (normally $160).

Not valid for medicare patients.
Hours
Monday 7:30 AM - 6:30 PM
Tuesday 7:30 AM - 6:30 PM
Wednesday 7:30 AM - 6:30 PM
Thursday 7:30 AM - 6:30 PM
Friday 7:30 AM - 6:30 PM
Saturday Closed
Sunday Closed
Services
Applied Kinesiology, Auto Accidents, Chiropractic Neurology, Chiropractic Traction Therapy, Chiropractic Treatment for Injuries, Chiropractors, Disc Herniation Treatment, Emergency Chiropractic Care, Flexion-Distraction Therapy, Holistic Chiropractic Care, Massage Therapy, Orthogonal Chiropractic, Pain Management, Pediatric Chiropractic, Personal Injury

Rex Alan Fouch, MD
(616) 752-6445
200 Jefferson Ave SE
Grand Rapids, MI
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1989

Data Provided By:
Fred N Davis, MD
(616) 774-1749
4100 Lake Dr SE Ste 305
Grand Rapids, MI
Specialties
Pain Medicine, Anesthesiology
Gender
Male
Education
Medical School: Rush Med Coll Of Rush Univ, Chicago Il 60612
Graduation Year: 1977
Hospital
Hospital: Spectrum Health, Grand Rapids, Mi; Metropolitan Hospital, Grand Rapids, Mi
Group Practice: Michigan Pain Consultants

Data Provided By:
Thomas Michael Basch, MD
(616) 752-6445
7421 Treeline Dr SE
Grand Rapids, MI
Specialties
Anesthesiology, Pain Management
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1990
Hospital
Hospital: St Marys Health Services, Grand Rapids, Mi
Group Practice: Pain Management

Data Provided By:
Marvin Martin John, MD
(541) 567-3089
3200 Eagle Parks Drive South
Grand Rapids, MI
Specialties
Family Practice, Pain Management
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1954
Hospital
Hospital: Good Shepherd Comm Hospital, Hermiston, Or

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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