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Multidisciplinary Pain Program

Our Approach to Pain Management

The Montefiore Einstein Multidisciplinary Pain Program (MMPP) is a leader in pain management, providing comprehensive, state-of-the-art, compassionate care for patients with a wide range of chronic pain conditions. Our multidisciplinary team includes world-renowned anesthesiologists, physical medicine and rehabilitation doctors, and emergency medicine physicians who are fellowship-trained and board certified in pain medicine. Our pain physicians regularly collaborate with each other and our clinical colleagues throughout Montefiore Einstein to develop personalized pain assessment and management plans tailored to the unique needs of each patient. Home to one of the most recognized academic pain practices and fellowship programs, we understand that pain is a complex and often debilitating problem that can significantly impact an individual’s physical, mental and financial well-being. At MMPP, our team specializes in patient-centered innovative treatments using the most advanced pharmacological, non-pharmacological and minimally invasive interventional pain management techniques and technologies to reduce pain, increase functionality and improve quality of life while reducing dependence on opioids. Montefiore Einstein is ranked in the top 1% of all hospitals in the nation for complex specialty care according to U.S. News & World Report.

We offer the most advanced diagnostics and treatments to reduce pain, increase functionality and improve quality of life for patients with chronic pain. We believe in addressing not just pain but also its underlying cause. Our team of physicians and nurse practitioners uses a multidisciplinary approach, which includes a thorough history and examination, an evaluation of past and present pain-control treatments and use of the latest diagnostic tests. This process helps our pain medicine physicians to identify the type and etiology of pain and determine optimal, personalized therapies.

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Conditions We Treat

According to the Centers for Disease Control and Prevention (CDC), approximately 50 million adults in the U.S. experience chronic pain lasting at least three months. Our team of specialists treats a wide range of chronic pain conditions, including the following:

  • Joint pain and arthritis
  • Back and neck pain due to conditions such as herniated disk, sciatica, spinal stenosis and failed back syndrome
  • Bursitis
  • Coccydynia
  • Neuropathic pain such as diabetic neuropathy, postherpetic neuralgia from shingles, complex regional pain syndrome (CRPS), stroke-related and other neuropathic pain disorders
  • Painful nerve injuries, including nerve entrapment syndromes
  • Abdominal and pelvic pain
  • Postamputation pain
  • Postsurgical pain

Advanced Diagnostics & Treatments

Our MMPP facility includes spacious exam rooms, advanced fluoroscopic and ultrasound imaging equipment and interventional suites that host the newest radiofrequency ablation technology, which can reduce a nerve’s conduction of pain sensations. Our specialists have expertise in interpreting plain radiographs and advanced imaging, including magnetic resonance imaging (MRI), computed tomography (CT), bone scans, ultrasound and electromyography (EMG) with nerve conduction studies.

We offer a full range of specialized treatments tailored to the unique needs of each patient. Our team uses the most advanced pharmacological, non-pharmacological, noninvasive approaches (such as transcutaneous electrical nerve stimulationTENS), rehabilitative, psychological, complementary and interdisciplinary approaches) as well as minimally invasive interventional pain management techniques and technologies.

Some of the advanced interventional treatments we offer for chronic pain relief include the following:

  • Cryoablation
  • Injection therapies including lumbar epidural steroid injections for spinal pain, steroid injections for musculoskeletal or joint pain and trigger point injections, platelet-rich plasma (PRP) injections, and botulinum toxin injections
  • Tenex, Intracept and Vertiflex procedures
  • Minimally invasive lumbar decompression
  • Neuromodulation, including spinal cord stimulation, peripheral nerve stimulation and dorsal root ganglion stimulation therapy
  • Percutaneous indirect decompression of lumbar spinal stenosis
  • Peripheral nerve blocks
  • Radiofrequency ablation
  • Ultrasound-guided percutaneous needle tenotomy
  • Vertebroplasty
  • Caudal epidural steroid injection
  • Discography/Intradiscal steroid injection
  • Dorsal root ganglion stimulator trial
  • Epidural lysis of adhesions
  • Ganglion of impar block/sacrococcygeal joint injection
  • Interlaminar epidural steroid injection—cervical/thoracic/lumbar
  • Medial branch nerve block—cervical/thoracic/lumbar
  • Medial branch nerve radiofrequency ablation—cervical/thoracic/lumbar
  • Minimally invasive lumbar decompression (MILD)
  • Percutaneous disc decompression
  • Spinal cord stimulator trial
  • Transforaminal epidural steroid injection—lumbar
  • Vertebroplasty/kyphoplasty
  • Carpal tunnel injection
  • Genicular nerve block and radiofrequency ablation
  • Greater trochanteric bursa injection
  • Hip injection
  • Knee injection
  • Percutaneous tenotomy
  • Sacroiliac joint injection
  • Shoulder injection
  • Subacromial injection
  • Trigger point injections
  • Baclofen pump trial
  • Blood patch
  • Botox
  • Celiac plexus block
  • Femoral-obturator block
  • Genitofemoral nerve block
  • Ilioinguinal nerve block
  • Intercostal nerve block
  • Lumbar sympathetic nerve block
  • Occipital, auriculotemporal, supraorbital and supratrochlear nerve block
  • Paravertebral block
  • Sphenopalatine ganglion block
  • Stellate ganglion block
  • Superior hypogastric plexus block
  • Suprascapular nerve block
  • Third occipital nerve, C2 dorsal root ganglion radiofrequency ablation
  • Transversus abdominis plane (TAP) block
  • Trigeminal nerve block

Clinical Trials

We are spearheading numerous clinical trials through which patients can access emerging technologies and innovative treatments that may otherwise not be available. One of the featured clinical trials we are currently conducting is a phase 3, multicenter randomized controlled trial (KALPAS) led by Shamantha G. Reddy, MD, Chief of Obstetric Anesthesiology, studying the effectiveness of ketamine in reducing chronic post-mastectomy pain (ID: NCT05037123). 

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Clinical Trials for Chronic Pain Management

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Research

Our team leads collaborative research, actively contributes to international and national conferences, and regularly publishes research findings in peer-reviewed journals. Our anesthesiologists are leading clinical research focused on developing new treatments for chronic pain to improve patient experiences and health outcomes.

Some of the main areas of our research include investigating non-opioid therapies for chronic nonmalignant pain, neuropathic pain, radiofrequency ablation and neuromodulation, studying the impact of social determinants of health on pain clinic attendance, and ethnographic research to enhance the ability to personalize chronic pain care.

As part of a multispecialty group of experts convened by the International Neuromodulation Society, we were also recently involved in establishing evidence- and consensus-based guidelines for intrathecal drug delivery on safety and therapy optimization when treating chronic noncancer pain.

Pain Management Education & Training

At Montefiore Einstein Anesthesiology, we are committed to training the next generation of pain management physicians. During the pain medicine rotation residents work closely with faculty who are fellowship-trained and board-certified in pain medicine, providing comprehensive services for the management of patients with acute or chronic pain. Trainees are provided extensive clinical and research opportunities, structured didactics, mentorship and broad exposure to a wide range of pain conditions. Residents participate in inpatient consultations with multidisciplinary teams, interacting with neurologists and neurosurgeons, orthopedic surgeons, oncologists, physiatrists, nurse practitioners and nurses, among other professionals.

At the MMPP, residents have the opportunity to work alongside our pain medicine fellows and attending physicians to perform outpatient treatments and procedures. Treatments include interventional treatments for long-term pain relief in the form of injection therapies, including lumbar epidural steroid injections for spinal pain, Botox injections and steroid injections for musculoskeletal or joint pain. Our goal is to foster the careers of our trainees, preparing them for modern clinical practice.

Our Regional Anesthesia and Acute Pain Medicine Fellowship was among the first Accreditation Council for Graduate Medical Education (ACGME)-accredited programs in the nation, and our Physical Medicine and Rehabilitation (PMR) Pain Medicine Fellowship Program is the largest ACGME-accredited PMR Pain Medicine program in the country.

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Your Multidisciplinary Pain Program Team

The Montefiore Einstein Multidisciplinary Pain Program team includes internationally-recognized anesthesiologists, physical medicine and rehabilitation doctors, and emergency medicine physicians. Our faculty are fellowship-trained and board certified in pain medicine who collaborate closely with medical and surgical specialists to provide comprehensive and personalized pain management plans. Our specialists use the latest interventional and non-interventional techniques to optimize pain control, enhance patient safety and provide the highest quality patient-centered care for each individual.

Meet Your Multidisciplinary Pain Program Team
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Montefiore Einstein Multidisciplinary Pain Program Location

Our Multidisciplinary Pain Program is located on the Montefiore Einstein Hutchinson Campus. To learn more about how the Montefiore Einstein Multidisciplinary Pain Program can help you and to make an appointment, call 718-920-7246 (PAIN).