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Clinic for Specialty Pain Services

Focused Care... Exceptional Quality... Experience and Expertise...

The Evolution of caring for Patients with Chronic Pain
The region's first clinic dedicated to the following specialty services for those with chronic pain:
Therapy for persistent pain in older persons
Therapy for painful neuropathies
Functional Diagnostics
Spinal Cord Stimulation (SCS)
Minimally Invasive Therapy (MIT)

Why Specialty Services?
Our Focus is Your Benefit.  Certain areas in the realm of chronic pain demand undivided attention.  By concentrating on these areas we are able to excel in the diagnosis and treatment of select chronic painful conditions and those they affect.

Special attention is given to the aspects of:
Accuracy of diagnosis
Overcoming challenging circumstances surrounding chronic pain in specific patient populations
Incorporating advanced and minimally invasive therapies into a multidisciplinary treatment plan

The Benefits of Focused Specialty Services
• Streamlined referral process
• Shortened wait times for referrals
• Treatment plans matched to specific needs
• Patient
• Referring Clinician
• More rapid turnaround from evaluation to achieving treatment goals
• Efficiency of interoffice communication between care providers
• Superior outcomes
• Improved patient satisfaction

Therapy for Persistent Pain in Older Persons
Services for the geriatric patient with chronic pain
Significant needs for a growing portion of the population

Therapy for Painful Neuropathies
Among the more common diagnosed and treated at our clinic:

Diabetic Peripheral Neuropathy (DPN)
Post Herpetic Neuralgia (PHN)
Complex Regional Pain Syndrome (formerly Reflex Sympathetic Dystrophy - RSD)
Chemotherapy or radiation induced
Occipital neuralgia
Trigeminal neuralgia
Post surgical

Functional Diagnostics
In order to successfully treat chronic pain, you must first identify the exact source
We focus upon identifying the
 “tissue of issue”
Static vs. Dynamic assessment
Not every disc protrusion is a problem

Spinal Cord Stimulation (SCS)
A highly specialized treatment indicated for various chronic pain conditions
Makes use of the body’s natural electrical impulses and modifies them, replacing a signal of pain with a pleasant sensation
Not a drug, so there are no chemically induced side effects
A treatment option that may first be trialed in order to determine how effective it is for a given patient

Minimally Invasive Therapy (MIT)
Procedures done on an outpatient basis
No incisions, minimal tissue irritation
Rapid recovery
Performed in two fully equipped, state of the art procedure suites
Exceptional accuracy optimized by fluoroscopic and/or neurostimulator guidance
Offering targeted and long lasting effects beyond tablets of medications
Advance patient progress beyond what has been achieved with conservative therapies
Facilitate patient participation in physical therapy and reconditioning programs

The mission of the Meadville Medical Center’s Clinic for Specialty Pain Services is to reduce pain and suffering, maximize functional capacity, and enhance personal control of the patients they serve by:
  • Providing a patient centered approach.
  • Creating an environment of respect, caring, compassion, and sense of understanding.
  • Working as a multidisciplinary team.
  • Fostering a spirit of collegiality with other health care providers.
  • Maintaining continuous learning and improvement.
  • Providing leadership in multidisciplinary pain management.
  • Contributing to discovery in the field of pain management.
List of the Interventional Services We Offer:
  • Lumbar Medial Branch Block or Cervical Medial Branch Block
  • Epidural Steroid Injection and transforaminal ESI
    • Lumbar
    • Cervical
  • Catheter Placement
    • Thoracic
    • Lumbar
  • Cervical and Lumbar Facet Denervation
  • Intra-articular injections
    • Facet
    • Sacroiliac
  • Lumbar Discography
  • Lumbar Sympathetic Block
  • Celiac Plexus block
  • Spinal Cord Stimulator Trial
  • Epidural Blood Patch
  • Stellate Ganglion Block
  • Spinal Cord Stimulator Implant
  • Intercostal Block
  • Select Nerve Root Block
  • Spinal Cord Stimulator Revision
  • Spinal Cord Stimulator Explant
  • Peripheral Nerve Block
    • Interscalene
    • Supraclavicular
    • Axillary
    • Lumbar plexus
    • Sciatic
  • Myofascial trigger point injections.
  • Provide the highest quality pain management in the region.
Scope of Service
Meadville Medical Center’s Clinic for Specialty Pain Services will provide a wide spectrum of treatments for patients with cancer, or chronic pain. The clinic includes a dedicated clinical team including physicians, behavioral therapist, physical therapists, and nurses who specialize in treating pain patients. Services range from sophisticated invasive treatments to rehabilitation with coordinated physical therapy, psychological treatments, and medical management. One of the unique strengths is the ability to coordinate invasive treatments with rehabilitative efforts to maximize pain control and function. However, not all patients require care by all disciplines represented at the clinic. Patients are triaged within the clinic to provide the best possible match of evaluation and subsequent treatment services to meet the patients' needs.

Patients Who May Benefit From the Clinic
The following list represents the type of patients who may benefit from a referral to the Meadville Medical Center’s Clinic for Specialty Pain Services:

Cancer Pain
Pain related to cancer or cancer related treatments unresponsive to systemic analgesics.

Specific Diagnostic or Therapeutic Procedure/Technology
Rationale: Clarify presence of surgical problem or as an alternative treatment to surgery.

Examples: Diagnostic Sympathetic Blockade, Discography, Nerve Root Injection, Spinal Cord Stimulation, Transforaminal Epidural Steroid Injection.
Resistant Angina/and or Pain Related Peripheral Vascular Disease
Emerging evidence that Spinal Cord Stimulation is an effective treatment in resistant cases.

Back and Leg Pain
Subacute (Pain < 3months)
Back or leg pain less than 3 months' duration that has failed conservative therapy (medications and physical therapy) with no evidence of improvement. The goal is to prevent surgical treatment.
 
Chronic (Pain > 3 months)
Back or leg pain greater than 3 months' duration that has failed conservative therapy. Felt not to be a surgical candidate. Pain limits function. Primarily back pain with evidence of facet or disc etiology or persistent radiculopathy. Many of these patients will have failed trials of systemic opioids and have undergone evaluations by specialists such as neurosurgeons, orthopedists, or neurologists.

Neuropathic Pain
Acute, early treatment may prevent development of chronicity or effective treatments of established pain can decrease impact of debilitating pain.
Examples: herpes zoster, post herpetic neuralgia, peripheral nerve injury, complex regional pain syndrome (RSD), peripheral neuropathy, post surgical nerve injury.

Diagnostic Evaluation
Pain of uncertain etiology unrelated to substance abuse or psychiatric illness.

Consult Only
Treatment recommendations including medical management for ongoing chronic pain.
Appointments are scheduled from physician referrals only. The first visit is a consultation and evaluation. You will need to register and provide insurance information at each visit. If you have a managed care insurance, you will need a referral form. Bring with you any x-ray films or reports if available, copies of previous treatment records, and the completed questionnaire (this will be sent to you when the appointment is scheduled).

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Frequently Asked Questions
What type of services are provided at the Meadville Medical Center’s Clinic for Specialty Pain Services?
The major injections include: epidurals- cervical, thoracic, and lumbar. Also there are injection procedures called sympathetic blocks, radio-frequency neurolysis, spinal cord stimulators and fluoroscopy.
Minor injections include: posterior division nerve blocks, trigger point injections, bursa injections, sacra-iliac injections and occipital nerve blocks.

Behavioral services include relaxation therapy, stress management, bio-feedback, pain management education, individual therapy and group therapy.

Physical therapy includes a therapy assessment, treatment plan, follow up and home exercise programs.

What can I expect when I come to the Meadville Medical Center’s Clinic for Specialty Pain Services?
You will first be evaluated by a physician, nurse practitioner or physician assistant. This evaluation will include discussions about past medical history, pain history, and treatments prior to coming to the Meadville Medical Center’s Clinic for Specialty Pain Services. Prior diagnostic studies will be reviewed. A physical assessment will be completed. Treatment options will be reviewed using a multi-disciplinary plan of treatment. You will be given follow up appointments and instructions to carry out the plan of treatment.

What should I expect if I am given an injection?
Sedation is often given at the time of injections to promote relaxation and comfort. If receiving sedation, the patient needs a ride home. Patients are asked to avoid aspirin seven days before their appointment to avoid bleeding complications from injections.

Will the injections hurt?
The injections can be uncomfortable but sedation is offered to provide comfort and relaxation at the time of injection therapy.

Do I need a physician referral?
Meadville Medical Center’s Clinic for Specialty Pain Services requires a physician referral.

Will my insurance cover my treatment?
Most insurance accepted by the hospital are accepted by the clinic's physicians. Most insurances cover treatment, but it is recommended that you check with your insurance carrier to see what your plan covers. There will be two bills generated from your visit to the Meadville Medical Center’s Clinic for Specialty Pain Services. One is for the professional services of the physician and the other is a facility charge by the hospital.

What information will I need for registration?
If you have not been contacted by telephone prior to your office visit you will need to report to the registration office at Grove Street to provide your insurance.

Contact Information

Location
Meadville Medical Center
Grove Street Facility
1034 Grove Street
Ground Floor
Meadville, PA 16335
Office Hours
Monday through Friday
8:00 am to 4:00 pm

Phone Number
(814) 333-5736
Fax Number
(814) 333-5819

We Care

Collectively, our staff has over 30 years of experience in the successful treatment of chronic pain.

Team Members
Anthony J. Colantonio, MD
Diplomate American Board of Anesthesiology
Diplomate American Academy of Pain Medicine
Certified Member International Spine Intervention Society

Clinical Specialists
Diane Horneman, CRNP
Marilyn Gushard, MA
Leah Arlington,CRNP

Staff
Full time Nursing support
Radiology technician
Office Manager
Receptionist
Copyright 2013 by Meadville Medical Center & Subsidiaries