Division of Pain Medicine

The Pain Management Center

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The University of Maryland Division of Pain Medicine employs a multidisciplinary team approach to provide compassionate and comprehensive services to reduce pain, promote coping strategies, and improve function and the quality of life. Faculty members encourage active involvement of patients in their treatment and tailor therapies to individual needs. Such therapy may include a combination of opioids, adjunctive medications, interventional therapies, psychological support, and physical therapy. The University of Maryland Pain Management Center, located at the University of Maryland Rehabilitation and Orthopaedic Institute, strives to improve the patient experience and is continually initiating performance improvement projects to enhance efficiency and improve patient satisfaction. Patients are surveyed about their level of satisfaction, and the results are used to drive process improvement initiatives. 

The Division of Pain Medicine offers an ACGME-accredited Pain Medicine Fellowship, offering education in the management of chronic pain using medication as well as fluoroscopic and ultrasound-guided approaches. Anesthesiology residents spend one to two months rotating through Pain Medicine. Both fellows and residents participate in a weekly lectures series. 

Consultations are provided with referral from the patient’s primary care physician or any specialist currently treating the patient. We also welcome referrals from physicians for specific procedures only. Referring physicians should complete the Physician Referral/Request Form and fax it to the Pain Management Center. The patient will then be called and scheduled for an appointment.

Pain Conditions Treated

  • Back pain with/without radicular pain
  • Headaches
  • Joint pain
  • teaching - pain med
  • Shoulder pain
  • Complex Regional Pain Syndromes
  • Myofascial pain
  • Neck pain with/without radicular pain
  • Cancer-related pain
  • Neuralgia
  • Pelvic and abdominal pain

Interventional Pain Procedures

  • Lumbar and cervical epidural steroid injections
  • Epidural blood patch
  • Lumbar selective nerve root block
  • Cervical selective nerve root block (diagnostic only)
  • Lumbar and cervical facet blocks
  • Lumbar and cervical radiofrequency ablation
  • Sacroiliac joint injection
  • Sacroiliac joint radiofrequency ablation
  • Lumbar and cervical discogram
  • kernan PMC
  • Kyphoplasty
  • Ganglion impar block
  • Stellate ganglion block
  • Superior hypogastric block
  • Celiac plexus block
  • Lumbar sympathetic block
  • Hip injection
  • Intercostal nerve block
  • Trigger point injections

Advanced Analgesic Techniques

  • Spinal cord stimulation (trial and implant)
  • Peripheral nerve stimulation (trial and implant)
  • Intrathecal therapy for cancer related pain (trial and pump implant)

The Acute Pain Management Service (APMS) provides comprehensive consultations for adult and pediatric inpatients. Patients with complex medical or surgical conditions that present with pain symptoms are treated by a team that includes attending anesthesiologists, pain medicine fellows, anesthesiology residents and pain management nurses. The majority of patients on this service are post-surgical; others have cancer pain, chronic pain or other painful conditions, such as pancreatitis, trauma, burns and sickle cell disease. Care may include intravenous patient-controlled analgesia (PCA), oral analgesics and co-analgesics (e.g. opioids, NSAIDS, antidepressants and anticonvulsants), various nerve blocks and continuous epidural/intrathecal analgesia (caudal, lumbar and thoracic). Pre-operative epidural catheters are placed for appropriate surgery patients (e.g. abdominal and thoracic surgery).

Postoperative analgesic care following elective total joint replacement and other orthopedic procedures is provided by the acute pain management service at University of Maryland Rehabilitation & Orthopaedic Institute. Nursing protocols for this service are written and followed under the medical direction of the University of Maryland Pain Management Center and in collaboration with the Anesthesiology Division at University of Maryland Rehabilitation & Orthopaedic Institute. Consultation is also provided to rehabilitation inpatients requiring analgesic modification. Complex pain management problems are referred to the Pain Management Center for inpatient evaluation. Pain Resource Nurses are available on off-shifts and week-ends to provide continuity of analgesic protocols.

Faculty

Nurse Practitioner: 

  • N. Janice Mewe- Pira, CRNP

Psychologists: 

  • Stephen Bono, Ph.D.
  • Natasha Durant, Ph.D.

Fellows: 

  • Juliet Gyebi-Foster, M.D.
  • Scott Kim, M.D.
  • Stephanie Thompson, M.D.

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