Outpatient chronic pain service

The field of Pain Medicine specializes in the treatment of pain and it’s sequelae. The Pain Medicine Center of Columbia University consists of a group of professionals dedicated to alleviating pain and helping our patients’ live active and rewarding lives.'

We accomplish this through state-of-the-art clinical expertise spanning medical, behavioral, and surgical disciplines. We treat the whole person and emphasize  restoring the patient to optimal function  as well as reducing pain and distress.

The Pain Medicine Center is comprised of board-certified Pain Medicine physicians,  a clinical psychologist, support staff, and numerous affiliated specialists, all of whom are well trained and experienced with pain management.

Recognizing that pain affects people in many different ways, we attempt to approach  treatment from a biospsychosocial model. We recognize that pain not only causes physical discomfort, but it also interferes with a person’s ability to carry out normal activities, such as employment, housework, and recreation. Pain interferes with sleep, appetite and activity level and also affects emotional well-being. It is quite common for people in pain to experience increased feelings of depression, anxiety, anger, helplessness or hopelessness. These effects of pain can interact with each other and aggravate an already difficult situation by increasing the pain or distress or both. Our Center uses a comprehensive medical and behavioral approach to understand and treat pain.

CONDITIONS TREATED AT THE CENTER:

  • Arthritis pain
  • Cancer pain
  • Neuropathic pain
  • Headaches
  • Myofascial pain syndrome
  • Chronic pancreatic pain
  • Post-herpetic neuralgia
  • Phantom limb pain
  • Pelvic pain
  • Low back pain
  • Sympathetically maintained pain

PAIN MEDICINE TREATMENT MODALITIES
Our treatment approach is interdisciplinary and is likely to include more than one of the following modalities:
Medical Management

  • Opioids
  • Antidepressants
  • Anticonvulsants
  • Topical medications
  • Other Pharmacologic Therapy

Radiographically Guided (x-ray and CT scan) Spinal Injections

  • Epidural block
    • Translaminar (conventional)
    • Transforaminal
  • Selective nerve root block
  • Facet block
    • Intra-articular
    • Medial branch
  • Sacroiliac joint block

Other radiographically (x-ray and CT scan) guided injections

  • Celiac plexus block
  • Stellate ganglion block
  • Lumbar sympathetic block
  • Ganglion of impar block
  • Peripheral nerve blocks
  • Neuraxial blocks (including neurolysis)

Other injections

  • Trigger point injection
  • Subcutaneous infiltration

Intravenous infusions

  • Lidocaine
  • Phentolamine
  • Intravenous regional sympathetic block

Neuromodulation

  • Spinal cord stimulation
  • Transcutaneous electrical nerve stimulation

Implantable technologies
(in cooperation with specialized neurosurgical team)

  • Spinal cord stimulation
  • Intrathecal drug delivery system

Behavioral/Psychological Techniques:

  • Cognitive Behavioral therapy
  • Stress management techniques
  • Biofeedback
  • Group therapy
  • Family counseling related to pain and chronic illness
  • Management of mood disorders related to pain and chronic illness

Adult Outpatient Pain Center Doctors:

For more information or to contact us/make an appointment click here 

Our World Class Pain Experts Provide Top Notch Care With A Personalized Approach.  We Put Patients First. More >

Welcome to the Pain Center. More >

 

image
Columbia University Medical Center Department of Anesthesiology