Clinical Specialties

Pain Management

The Pain Management department at CareMount Medical consists of three board-certified anesthesiologists who devote their time to treatment of chronic pain. Our providers are recognized by the American Board of Anesthesiology for their subspecialty in Pain Management. Both physicians were chosen by their peers as Top Doctors of Westchester and Putnam County.

Symptoms and Conditions Treated

The most common conditions treated in the pain clinic include:

  • Lower back pain
  • Sciatic pain
  • Neck pain
  • Neuropathic pain
  • Cancer related pain
  • Pain due to reflex sympathetic dystrophy

Treatment and Services Offered

Treatment options include spinal injections such as fluoroscopically guided epidural steroid injections and facet joint injections for treatment of lower back pain, sciatic pain and neck pain. Radio frequency ablation of spinal nerves is often used to treat chronic back pain, which offers patients many months or even years of pain relief.

Reflex sympathetic dystrophy pain can be treated by blocking sympathetic nerves under fluoroscopic guidance or ultrasound guidance.

For selective pain syndromes caused by the damaged nerves, an electrical catheter can be inserted into the spinal canal to reduce painful sensations. This device is called Dorsal Column Stimulator.

Chronic pain can also be treated by a variety of pain medications, such as anti-inflammatory medications, muscle relaxants, opioid analgesic when appropriate, and many other medications.

Physical Therapy, acupuncture and surgical treatment options are available through a referral within the group.  Selective group of patients can be referred for implantation of spinal catheter for direct delivery of pain medication, also known as a morphine pump.

Pain: Acute versus Chronic

Pain is one of the body’s most important communication tools. It is one way the body tells you something is wrong and needs attention. Even though the experience of pain varies from one person to the next, there are three categories of pain.

Acute pain typically lasts up to 6 weeks and can happen for any number of reasons. Acute pain can be due to physical damage to your body such as a cut, infection, or musculoskeletal injury (such as an ankle sprain). Sometimes, pain can occur for seemingly no reason at all. In the case of low-back pain, up to 90% of cases of acute pain are “non-specific” pain. This means the source of pain could not be identified in a medical exam.

Subacute pain continues without a break for 6–12 weeks. If your pain continues longer than 6 weeks and you have not reported it to a medical provider, it’s very important to make an appointment and have your symptoms evaluated as soon as possible.

Chronic pain persists without a break for 12 weeks or longer. Such pain can be extremely difficult because it can impact your well-being, mood, ability to do your job, and do normal daily tasks such as getting out of bed and getting dressed. If pain progresses to the chronic phase, it is sometimes more difficult to treat than acute and subacute pain.

Chronic pain is linked to conditions including:

  • Headache
  • Arthritis
  • Cancer
  • Nerve pain
  • Back pain
  • Fibromyalgia pain

When to see your Doctor

Pain is complex, so there are many treatment options — medications, therapies, and mind-body techniques. Book your appointment online at caremountmedical.com/247 to schedule a visit with a CareMount Medical primary care provider.  CareMount Medical also has specialized pain management experts who can provide treatment options based on your primary care provider’s initial consultation.