Pain management is a branch of medicine employing an interdisciplinary approach for easing the suffering and improving the quality of life of those living with chronic pain. Treatment approaches to chronic pain include pharmacological measures, such as analgesics, antidepressants andanticonvulsants, interventional procedures, physical therapy and physical exercise.
We believe in compassionate, comprehensive, multi-disciplinary pain management for acute and chronic pain conditions. Our goal is to offer the most up-to-date, evidence-based treatment options to our patients. We work collaboratively with providers from multiple different specialties to provide the fullest evaluation possible of your pain and an individualized treatment plan.
Conditions treated by our Phelps Medical Associates physicians include:
- Back pain
- Neck pain
- Joint and musculoskeletal pain
- Cancer-related pain
- Complex regional pain syndrome (CRPS)
- Post-surgical pain
- Neuropathic pain
X-ray: The Phelps Radiology Department is designated a “Diagnostic Imaging Center of Excellence” by the American College of Radiology. There are many locations where patients can undergo diagnostic X-ray procedures at Phelps, including in the main hospital and at satellite locations in Croton-on-Hudson and Dobbs Ferry.
Magnetic Resonance Imaging (MRI): An imaging modality that uses magnetic fields to create cross-sectional images of the body. The Phelps MRI Center, located on the hospital campus, features a 1.5 Tesla imaging system.
Computerized Tomography (CT) Scan: CT scans assist in diagnosis by providing a series of X-rays that are compiled together to give cross-sectional images of the body. Phelps Hospital’s CT scanners include the GE LightSpeed Ultra 16 and VCT 64 slice, which can scan up to 64 slices in less than one second.
Ultrasonography: Sound waves of different frequencies are used to create images of the body. Ultrasonography is utilized in the Pain Center to provide real-time imaging during certain therapeutic procedures. Diagnostic ultrasonography is available in various locations on the hospital campus and in the community.
Electromyography (EMG): A procedure performed and interpreted by certain specialist physicians that uses electrodes to diagnose the health of muscles and nerves.
Discography: An injection done into the spinal disc under X-ray guidance that provides imaging of the disc and information about whether the disc is contributing to a patient’s pain.
Myelogram: A procedure in which contrast dye is injected under X-ray guidance to look for problems within the spinal canal, including the spinal cord and nerve roots.
Trigger Point Injections: Injection of local anesthetic with/without steroid to relieve pain caused by myofascial tightness/spasm.
Epidural Steroid Injections: Injection of steroid under X-ray guidance into the epidural space of the spine. The objective is to reduce inflammation around nerves and disc.
Radiofrequency Denervation: Procedure that identifies small nerves that cause pain and then treats these nerves to quiet the painful signals.
Spinal Cord Stimulation: A procedure using electrical impulses that provide patients with a different sensation that can hide the unpleasant sensation of pain.
Joint Injections: An injection of steroid/local anesthetic into a joint to reduce inflammation or viscosupplementation injection to restore lubrication around an arthritic joint. This can be done by our physicians at the Pain Center under ultrasound guidance to optimize the success of the injection.
Peripheral Nerve Block: Injection around a nerve that is transmitting pain. The goal is to numb with local anesthetic. Providers may inject steroids as well. This is often done under ultrasound guidance to improve accuracy and safety of the injection.
Vertebral Augmentation: A minimally invasive procedure done under X-ray guidance using bone cement to stabilize a fractured vertebra and reduce a patient’s pain.
Medication Management: To reduce the intensity of pain, a variety of medication modalities may be employed.
Physical and Occupational Therapy: Exercise, tissue manipulation, aquatic therapy (on-site at Phelps), and other modalities are employed to improve and restore functional mechanics of the body.