Conditions & Treatments

Pain Management

When pain gets in the way, we'll help you regain your life.

Therapist with pain management patient

Pain impacts all aspects of a person’s life, which is why Spaulding integrates medical, rehabilitative and cognitive-behavioral approaches to pain management. Drawing from a unique blend of expertise that spans neurology, rheumatology, musculoskeletal/sports medicine, cognitive behavioral therapy and mind-body techniques, our experts can help you to restore function after illness, injury or surgery.

Spaulding’s approach addresses your sleep, mood, cognitive functioning and relationships. We empower you by giving you specific tools to return to the activities that are important to you.

Many musculoskeletal pain conditions, including back, neck, and joint problems, may be managed over time through conservative treatment using a variety of specialized modalities to enhance mobility and avoid surgery, or to optimize your function before or after surgery. Following a comprehensive evaluation, our team will develop an individualized, interdisciplinary treatment plan that may include medical management, therapeutic injections, psychological support, physical, occupational or speech therapy, or lifestyle modification.



Advanced Pain Management Care

Our extensive pain-relieving services are best described under two categories: Interventional and Functional Pain Management. Spaulding is committed to finding the most effective combination of therapies for your individual needs.

Chronic Pain Management and Functional Restoration Program
When pain persists over time it can have a severe impact on all aspects of a person’s life. Interdisciplinary treatment has been shown to be the key in successful treatment of chronic pain.

Functional Pain Management includes:

  • Biofeedback – Specialized equipment allows the patient to control body responses such as muscle guarding and spasm, temperature, and overall levels of physiological arousal.
  • Adaptive Fitness Equipment – can minimize stress on the joints or place the patient in a comfortable starting position, which makes greater movement possible.
  • BTE Work Simulator – equipment designed to help patients practice the specific movements.
  • Mirror Therapy – technique helps to re-train your brain to develop a new body map.

Spaulding Outpatient Center Medford and Spaulding Hospital Cape Cod offer the area’s only Comprehensive Pain and Functional Restoration Programs. All treatments are provided at one site and integrate medical, psychological, physical and occupational therapies that stress education, exercise and cognitive behavioral approaches to pain management. Our objective is to help people improve function, better manage pain and enhance their quality of life.

Who can benefit?
Individuals with persistent pain that interferes with daily function, sleep, and quality of life which has not responded optimally to previous treatment and who are motivated and committed to finding alternative, non-pharmocological approaches to enhance function and manage their pain.

All patients receive a comprehensive interdisciplinary evaluation including MD, psychology, physical therapy and occupational therapy. A treatment plan is then formulated to address mutually agreed upon goals, such as:

  • Increasing tolerance for daily activities
  • Improving sleep, mood, and cognitive function
  • Rebuilding family and social support systems
  • Resuming work and family roles as appropriate
  • Managing pain through a variety of non-medication approaches


Interventional Pain Management

Interventional Pain Management can include the following:

  • Sacroiliac Joint Injection – An injection of an anesthetic and steroid in the body’s largest joint may help relieve back and leg pain.
  • Platelet Rich Plasma (PRP) – Blood is drawn from you and processed to produce platelet-rich plasma, which is then injected into painful ligaments, joints tendons weakened by injury.
  • Acupuncture
  • Radiofrequency Nerve Ablation (also known as Facet Joint Radiofrequency) – Radio waves produce heat which is directed at a specific facet joint nerve; the heat destroys the nerve and relieves pain.
  • Botulinum Toxin Injections – By interrupting the messaging between nerves and muscles, botox can reduce pain and muscle hyperactivity.
  • Viscosupplementation – If cartilage in a joint has broken down due to osteoarthritis, injections of viscosupplementation gel can help lubricate the joint, reduce pain, and improve function.
  • Prolotherapy (also known as Proliferation Injection Therapy or regenerative therapy) – When a specialized solution is injected near tendons or ligaments, connective tissue is strengthened and musculoskeletal pain is reduced.
  • Trigger Point Injections (TPI) - A small needle containing a local anesthetic is inserted into a knot of muscle (or “trigger point”), making it inactive and alleviating pain. TPI is often used to treat fibromyalgia, tension headaches, and cervicogenic headache, and muscle pain syndromes.
  • Epidural Steroid Injections - Epidural injections deliver anti-inflammatory medication (steroids) into the space surrounding the membrane that covers the spinal cord and nerve roots near the lower spine.
  • Nerve Blocks – Using fluoroscopic guidance for precise targeting and optimal safety, nerve blocks inject medication onto or near nerves.


Pain Management Therapy Services

Our physical and occupational therapists provide a multitude of services that help our patients manage or reduce their pain and resume their daily activities. Individual treatments programs are designed to:

  • Address the structural issues contributing to the pain.
  • Improve movement patterns and postural alignment.
  • Reduce inflammation and muscle spasm by through therapeutic modalities and soft tissue mobilization.
  • Utilize safe exercise to improve strength, flexibility, and activity tolerances.
  • Help patients resume their daily activities more comfortably.

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Inpatient: 1.617.952.5350

Outpatient: 1.888.SRN.4330

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