The Pain Medicine Service includes the Regional Anesthesia Service and Inpatient Pain Consultation and Follow-up Service, making up a significant portion of the pain-related services offered at Montefiore. The Pain Medicine Service team works directly with physicians in many specialties, including surgery, in treating patients suffering acute or chronic pain. The team is composed of fellowship-trained anesthesiologists, residents and nurse practitioners who perform consultations, follow-up visits and regional anesthesia techniques for more than 100 patients every month.
The Pain Medicine team offers inpatient consultation and follow-up for patients with acute and chronic pain issues. The Regional Anesthesia team provides consultations for pre- and postoperative pain consultations and for surgical procedures. Regional anesthesia techniques include single-shot and continuous thoracic and lumbar epidurals, as well as interscalene, supraclavicular, axillary, femoral, sciatic, popliteal and transverse abdominal plane peripheral nerve blocks.
Current pain-related research topics include opioid-induced hyperalgesia, post-thoracotomy pain, opioid usage in socioeconomical disadvantaged communities, and opioid usage in sickle cell disease.
The Outpatient Pain Center opened in the fall of 2011. Services offered at the Center focus on interventional treatments for long-term pain relief in the form of catheter or injection therapies, enabling patients to return home more quickly and with more functionality. Such treatments include lumbar epidural steroid injections for spinal pain, Botox injections for spasticity and joint/bursal/tendon steroid injections for musculoskeletal or joint pain.