The Institute for Interventional Pain Medicine

The Institute for interventional Pain Medicine provides patients who experience chronic pain with specialized care and treatment.

This service is an outpatient department of Brookville Hospital.

A comprehensive range of diagnostic procedures and treatments for people with chronic pain are provided. The major focus of this service is evaluation and treatment of back and neck pain.  The treatment approach emphasizes non-surgical, conservative management of patients with neck and back problems. Our goal is to return these patients to the highest level of functioning as quickly as possible and help them maintain that level of ability.

At the initial evaluation, the treatment plan will be discussed with the patient. All risks, benefits, and other treatments available will be presented. Communication with the referring physician about the treatment and the patient's progress occurs on a regular basis.

Services:
The Institute for Interventional Pain Medicine meets established treatment objectives through a multidisciplinary approach to pain management. Various modalities of pain control are used, including:

• Nerve blocks (with fluoroscopy if needed), including but not limited to:
  • Lumbar / Cervical / Thoracic Epidurals
  • Sacroiliac Joint Injections
  • Facet Blocks
  • Medial Branch Blocks
  • Selective Nerve Root Blocks
  • Caudal Blocks

• Trigger Point Injections
• Radiofrequency procedures
• Spinal cord stimulation
• Intrathecal infusion pumps
• Advice on various medications, most often anti-inflammatory, antidepressant, and anticonvulsant medications, in various combinations
• Physical therapy and Occupational therapy for functional capabilities evaluation, work integration and ergonomic intervention
• Rehabilitation  as appropriate for certain patients
• Psychological evaluation and treatment as indicated
• Patient education to encourage the patient's understanding, cooperation, and participation in treatment
• Sympathetic Blocks

All treatments are carried out in close collaboration with the referring physicians and with other specialists as required.

The treatment of chronic pain has been shown to be more successful when initiated in the early phase of the problem, i.e. before chronic nervous system changes have taken place. Physicians are encouraged to refer patients for treatment when the pain continues beyond the acute stage and the patient has failed to respond to available treatment.

 Hours of operation:

800 AM till 3:30 PM,  One to two days a week.

Location:

Outpatient Pain Clinic Department at Brookville Hospital:

The patient is registered and begins their evaluation and treatment process in the Outpatient Pain Clinic department located beside our Laboratory department.

The actual interventional procedure will take place in the Outpatient Pain Clinic department.

Any recovery time required for the patient will take place in the Outpatient Pain Clinic department, Short Stay Surgical department or Post Anesthesia Care Unit depending on the recovery time and procedures needed.

Physicians

Javaid A Malik, MD
Director CV Anesthesology & Peri-OP Tee
Du Bois Regonal Medical Centre
P.O. Box 447
Du Bois, PA 15801

Director of the Institute of Interventional Pain Management
Brookville Hospital
100 Hospital Road
Brookville, PA 15825
(Not a mailing address)

Staff: 

A board certified or board eligible Anesthesiologist with experience in pain management and interventional procedures as described above who has met all of the credentialing requirements for Brookville Hospital.

 A registered nurse who has completed orientation and competency validation in the care of the patient with chronic pain whose treatment plan includes the pain management procedures described above.

 For radiographic imaging of a patient’s anatomy during a procedure a hospital employed radiology technician is available. This individual has successfully completed radiology orientation and meets all required competencies for the use of a C-arm in radiographic imaging.