Pain Management

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Welcome to the Department of Pain Medicine

Key Points:

  • Referral to a pain clinic should be considered after appropriate treatment strategies have proved unsuccessful.
  • When the patient has difficult-to-control pain.
  • When there are complex psychosocial influences in the pain presentation.
  • Professional roles in pain management clinics may vary.

At a pain clinic, patients will be seen by a pain medicine specialist and be offered a comprehensive and specialised assessment. This is likely to be multi-disciplinary. Disciplines represented include specialist nursing, pain medicine specialist, clinical pain counselor and acupuncturist. Professional roles in these clinics may vary or have some overlap.

The key to effective management- namely appropriate assessment, functional restoration and a biopsychosocial approach underpin any pharmacological or invasive therapies undertaken. The key to success is patient engagement, involvement and empowerment.

A multidisciplinary management plan will be developed for appropriate patients. Medication review is an important part, considering the appropriateness of existing medicines, withdrawing or reducing or introducing new medicines. This may be complemented with non-invasive therapies, such as TENs or acupuncture. Specialist or targeted physiotherapy- to challenge beliefs about pain, tissue damage or work; or to introduce elements of core stability- may be recommended; but are not currently provided by the clinic and will need to be supplied by the referring practice. This will be an important part of the treatment plan, and is necessary to ensure optimal response from any recommended treatment.

The management plan may include some interventional therapies, but rarely in isolation. To gain maximum benefit from any interventional treatment, the whole package of strategies should be implemented.

Key Challenges:

  • Treatment at a pain clinic should be limited, with discharge back to primary care with community support where appropriate.
  • The patient understands why they are being referred to the pain clinic.
  • Realistic expectations should be encouraged.
  • An appropriate medical assessment should have taken place.
  • A complete referral letter should be sent (SIGN Guideline 31).

The doctors and nurses at the West Suffolk Hospital Pain Clinic welcome interested members of community teams, both medical and non-medical, for observation of clinics and teaching in the long-term management of Chronic Pain. Observation can take place on any clinic, but should be arranged at least 4 weeks prior to requested date. Please arrange this through the Pain Clinic PAs.

Services Provided

  • Biopsychosocial and mechanical assessment
  • Investigation if appropriate (CT/ Uss/ MRI)
  • Medication review
  • Training for patients in non-pharmacologic approaches
  • TENs instruction and loan
  • Acupuncture
  • Transpersonal counselling
  • Interventional treatment
    • Diagnostic nerve blocks- nerve root blocks, facet joint injections, plexus blocks, trigger point
    • Therapeutic nerve ablation- radiofrequency denervation, pulsed radiofrequency
    • Therapeutic neurolysis – phenol celiac and splanchnic plexus ablation, selective neurolysis

All primary diagnostic work complies with 18 weeks target. Subsequent diagnostic procedures and therapeutic injections are classed as secondary treatments; and the 18 week target does not apply.

Main Contact Numbers

01284 713330, 01284 713580

Fax: (01284) 713183

Where are we?

Outpatient clinics are currently held in Ward F14 while a purpose-built unit is currently under construction. Patients attending for interventional treatments are currently admitted via the Endoscopy Unit on Level 2.

Members of the team

Dr Rajesh Munglani, Consultant

Dr Louise Jeynes, Consultant

Dr Marcia Schofield, Associate Specialist

Dr Michael Spencer, Honorary Consultant Psychiatrist

 

Christine Waters, Clinical Nurse Specialist

Alison Morris, Clinical Nurse Specialist

Dawn Pretty, Clinical Nurse Specialist

Heather Riggs, Clinical Nurse Specialist

Patricia Harris, Clinical Nurse Specialist

Jayne Sainsbury, Clinical Nurse Specialist

Jo Hunter, Clinical Nurse Specialist

Christine Kim, Acupuncturist

 

Vicky Perks, PA to Dr Munglani

Hayley Williams, PA to Dr Spencer and Christine Kim

Emma Jones, PA to Dr Schofield

Tina Causer, PA to Dr Jeynes

Appointments

All Outpatient appointments via paper referral sent via TAC

Tariff: pain specialist 8H69 (9N1k)

Access to Clinical Nurse Specialist, TENs/ Group Clinics, Acupuncture, Counselling and Interventional Treatment Clinics is by referral from Department personnel only.

Clinic Schedule

Outpatient Assessment

Mondays, Tuesday PM; Thursday PM and Friday AM

Clinical Nurse Specialist

Tuesday AM; Wednesdays

TENs/ Group Clinics

Wednesdays

Acupuncture

Thursday

Counselling

Friday

Interventional Treatment

Tuesday AM; Thursday AM; Friday PM

Patient Information

The Pain Service patients leaflets can be found in the PALS section of this website.

Good resources for information:

Support Groups

A useful list of support groups in the UK for people living with chronic pain can be found at:
www.britishpainsociety.org/patient_useful_addresses.htm

Additional information

The Department of Pain Medicine at the West Suffolk has a national and international reputation for research in novel pharmacotherapy and novel interventional procedures. For more information about current trials running at the Department, please contact us.

 

 
Last updated: 19 Mar 2015 09:31:14.367
 

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