Ashford and St Peters Hospitals NHS Trust

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Pain Management / Chronic Pain
Reducing the Severity of Pain Print
Written by Director of Operations   
Sunday, 09 November 2008 13:14
 

 

Services Provided

 

 

Persistent pain leads to loss of physical, social and emotional well-being.

 

The consultant members of the Pain Management department help many sufferers of persistent pain by offering:

 

·          A full biopsychosocial assessment including red flag symptoms and signs investigated when appropriate, and recognition of blue flag psychological signs

 

·          Education and support

 

·          Rationalisation of medication to maximize pain relief whilst reducing side effects and interactions

 

·          Evidence based interventions to reduce the severity of pain including:

 

o         facet joint injections and radio-frequency denervations for low back ‘nerve root’ and neck pain,
o         epidurals for pain and stenotic pain,
o         nerve blocks and pulsed radiofrequency treatment for neuropathic pain
o         soft tissue, muscle and joint injections
o         sympathetic nerve blocks for complex regional pain syndromes after surgery or trauma

 

·          Optimisation of self-management

 

·          Access to the multidisciplinary Pain Management Programme including:

 

o         Medical consultant
o         Clinical Health Pschologists
o         Physiotherapists
o         Nurse Specialist
 

 

Pain Management Programmes (PMP)

 

·          After referral, patients are invited to attend an introductory session. At multi-disciplinary assessment, the patient and clinicians will decide together whether PMP represents the best next step in the patient’s treatment pathway. After this, patients will attend an appropriate programme

 

·          Outcomes include increased levels of fitness and physical function, less reliance on medication and aids, improvement in mood and relationships, and fewer contacts in primary and secondary care health services.

 

Chronic Pain Management Service

This service offers a variety of services to complement the medical consultants and other members of the interdisciplinary team.

This includes the following 8 nurse led clinics per week across site providing:

  • Review appointments to advise on further care and medication plans
  • Analgesic medication reviews
  • Support to develop a self management approach to managing persistent pain
  • Transcutaneous electrical nerve stimulation (TENS)
The aim is to relieve the patients' pain and disability, but where relief of pain is not possible then our aim is to provide appropriate support and advice to help the patient manage and cope with their pain.
 

 

 

Consultant

Specialist Interest

Clinic Location / Frequency

Dr Rose Block

 

·          Chronic pain management

·          Pain Assessment, education and information

·          Medication review and theatre interventions

·          Multidisciplinary rehabilitation for pain

 

 

·         Outpatients:
SPH: Mon and Tue AM

Daycase Treatments:
SPH: Tue PM
SPH: Thu AM

·         ASH: Wed AM (alt)

 

Dr Andy King

 

·          Outpatients:
SPH: Mon AM, Tue PM and Fri PM (alt)

Daycase Treatments:

·          SPH: Wed
SPH: Tue PM (alt)
SPH: Fri AM (alt)

Dr Ian Hart

 

·          Chronic pain relief

·          Symptom control pain clinic

 

·          
Outpatients:
ASH: Wed (alt)
SPH: Fri PM

Daycase Treatments:

·         ASH: Wed AM (alt)
SPH: Fri AM (alt)
 

Dr Gulam Kadiwal

 

·          Chronic pain management by interventional techniques (e.g. nerve blocks, epidurals, facet joint injections anddenervations, pulsed radiofrequencyneuromodulation)

·          Whiplash injuries

·          Sports injuries

·          Complex regional pain syndromes

·          Cancer pain

·          Difficult to treat pain

 

           
Outpatients:
ASH: Mon AM, Tue PM and Wed PM

·          
Daycase Treatments:
ASH: Mon PM, Tue PM and Thu AM (alt)

 

 

 

 

Contact Details

 

 

·          01932 722432

 

 

Location

 

 

At Ashford, the pain clinic is on the first floor of the A&E / Outpatients block.

 

The Pain Management service is located in Nightingale House, located near the St. Peter’s restaurant and day nursery.

 

 

Patient Leaflets

 

 

·          See documents below.

 

 

News Articles

 

 

 

Weblinks

 

 

The following websites related to this specialty may be helpful:

 

·          Pain Management Services

·          Surgical Services

·          Anaesthetics

·          Chronic Pain: The Self-Management Approach

 

·          DoH: Specialised Pain Management Services

 

·          BBC Health: Back Pain

 

 

 



Last Updated ( Monday, 15 June 2009 12:33 )
 



Ashford Hospital, London Road, Ashford, Middlesex, TW15 3AA
Switchboard: 01784 884488

St. Peter’s Hospital, Guildford Road, Chertsey, Surrey, KT16 0PZ
Switchboard: 01932 872000