Pain Medicine
Comprehensive Pain Management for Long-Term Relief.
Interventional procedures, neuromodulation, and multidisciplinary rehabilitation—tailored to your pain journey.
The Pain Medicine Service provides individualized, guideline-aligned management of musculoskeletal, neuropathic, cancer, and headache pain. Services span diagnostic blocks, minimally invasive spine procedures, regenerative injections, advanced neuromodulation, intrathecal pump therapy, and a multidisciplinary chronic-pain rehabilitation program that integrates psychology and physiotherapy.
Common Conditions & Subspecialty Clinics.
- Fibromyalgia
- Centralized or nociplastic pain
- Failed back-surgery syndrome (FBSS)
- Pain associated with Ehlers-Danlos Syndrome (EDS)
- Chronic migraine
- Occipital neuralgia
- Trigeminal neuralgia
- Temporomandibular joint (TMJ) dysfunction-related pain
- Pain from bone metastases
- Chemotherapy-induced peripheral neuropathy (CIPN)
- Acute sickle-cell pain crisis (in collaboration with Hematology)
- Post-herpetic neuralgia
- Painful diabetic neuropathy
- Complex Regional Pain Syndrome (CRPS Types I & II)
- Meralgia paresthetica
- Knee and hip osteoarthritis
- Tendinopathies (e.g., Achilles, rotator cuff, gluteal)
- Adhesive capsulitis (frozen shoulder)
- Myofascial pain syndromes
- Lumbar and cervical radiculopathy
- Facet joint arthropathy
- Spinal stenosis (cervical/lumbar)
- Sacroiliac joint dysfunction or pain
Procedures & Treatments.
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Intra-articular PRP & Hyaluronic-Acid Injections
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Ultrasound-Guided Peripheral-Nerve Blocks (suprascapular, genicular, pudendal)
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Sacroiliac Joint Injection & Radiofrequency Ablation
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Transforaminal & Interlaminar Epidural Steroid Injections
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Fluoro-Guided Facet & Medial-Branch Blocks
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Occipital & Trigeminal Nerve Stimulators for chronic headache disorders
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Intrathecal Drug Delivery Systems (IT pumps) for refractory cancer pain and spasticity
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Peripheral-Nerve Stimulation (PNS) for post-amputation and shoulder pain
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Autologous Micro-Fragmented Adipose Injection
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Percutaneous Tenotomy & Tenex™ Micro-debridement
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Bone-Marrow Aspirate Concentrate (BMAC) for osteoarthritis and tendon tears
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Occipital & Trigeminal Nerve Stimulators for chronic headache disorders
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Intrathecal Drug Delivery Systems (IT pumps) for refractory cancer pain and spasticity
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Peripheral-Nerve Stimulation (PNS) for post-amputation and shoulder pain
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Spinal-Cord Stimulation (SCS)—trial and permanent implant (10 kHz HF, burst, and DRG targets)
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Botulinum-toxin Injections for chronic migraine and myofascial pain
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Superion™ Interspinous Spacer implantation
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COOLIEF™ Cooled-RF Ablation for chronic knee and hip pain
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Minimally Invasive Lumbar Decompression (mild®) for lumbar stenosis
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Vertebral Augmentation (Kyphoplasty) for osteoporotic compression fractures
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Nutrition and sleep-optimization counseling
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Mindfulness-based stress reduction and biofeedback
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Graded activity & pacing with physiotherapy
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Cognitive-behavioral therapy for pain (CBT-P)
Care Pathway & Coordination.
Comprehensive Pain Assessment
History, physical exam, imaging review, validated pain scales.
Multidisciplinary Case Conference
Pain physician, PT, psychologist, and pharmacist outline plan.
Stepwise Intervention
Diagnostic block → therapeutic injection → RF ablation or neuromodulation as indicated.
Rehabilitation & Behavioral Therapy
Integrated sessions during procedure recovery.
Outcome Monitoring
Pain, function, medication use tracked at 1 wk, 1 mo, 3 mo, 6 mo.
Maintenance & Device Follow-Up
SCS/PNS programming, pump refills, annual imaging as needed.
Technology & Facilities.
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Biplane Fluoroscopy Suites – Low radiation dose, 3-D rotational capability.
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High-Resolution Ultrasound Devices (18 MHz) – Precise peripheral nerve visualization.
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Neuromodulation Lab – Real-time evoked-compound action potential (ECAP) sensing and programming.
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Cryoablation & Cooled-RF Generators – Extended-duration nerve ablation.
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On-Site Compounding & Sterile Pharmacy – Custom injectate preparation under USP < 797>.
