Pain Management Services
The Division of Pain Management at New York Methodist evaluates and treats patients with acute and/or chronic pain. The Division works to decrease pain, to decrease the use of potent drugs and to increase well being in patients. Pain management services at NYM include specialists from fields such as anesthesiology, neurology, orthopedics, neurosurgery, psychiatry, rehabilitation, and rheumatology.
Following a comprehensive evaluation including medical history and laboratory data, a doctor discusses a plan of treatment with the patient and/or family members.
Treatment options can include medications such as analgesic drugs, narcotics, tranquilizers and anti-depressants.
Another treatment option is nerve blockades, which use a portable ultrasound machine which allows the doctor to deliver local anesthetic directly to the nerve with thin, minimally invasive, catheter tubes. Local anesthetics produce prompt temporary pain relief and allow patients to increase their activities, minimize the use of medications, and cooperate more fully in physical and emotional rehabilitation.
Electrical Nerve Stimulation (ELS)
NYM also offers electrical nerve stimulation (ELS), which uses an electrical current to treat pain. There are two types of ELS: peripheral nerve stimulation, in which electric pulses are sent through the peripheral nerves; and spinal cord stimulation, in which the electrical pulses are sent through the spinal cord. These pulses interfere with the nerve impulses that cause pain.
Patients with intractable pain need continuous encouragement and positive reinforcement. Occasionally, patients may need formal psychotherapeutic intervention. At NYM, we provide biofeedback, relaxation training, and hypnosis to patients struggling with intense pain.
The ultimate goal of pain management is rehabilitation to a more productive life style and a better quality of life.
- Trigger Pain – myofascial syndrome; ill-defined pain in muscles, tendons, fascial planes, after trauma or surgery
- Phantom Limb Pain – after the amputation of a limb
- Chronic Back Pain – disogenic pain, non-specific pain, pain from osteophytes
- Post-Herpetic Neuralgia
- Shingles – or acute herpes zoster
- Meralgia Paresthetica – pain on outer side of thigh
Causalgia and Reflex Sympathetic
Dystrophies – chronic severe burning pain, automatic dysfunction and atrophic changes
Chronic Bursitis/Arthritic Pain
Neck and Lower Back Syndromes - whiplash, sciatica, etc.
For more information, please call 718.780.PAIN (718.780.7246).