During my initial visit to Boston PainCare, the doctor suggested that I might need functional rehabilitation after I had two or three injections. I have had two injections and I am feeling better. How do I know when I should schedule an appointment and what type of appointment I should schedule?
A: Regardless of how you are feeling after your injections, please stay in touch with us so we can monitor your progress and determine the next steps in your care plan. If you are unsure of what type of appointment to schedule with us, please call the office and speak to one of our nurses and tell them how you are feeling. They can review your records and the recommendations of your Boston PainCare physicians and help you schedule your next appointment.
Following up with your medical team after any procedure is important. Feeling better is wonderful, and that is our goal for all of our patients. But we want you to keep feeling better. That may also require functional rehabilitation and strengthening in order to avoid future injury.
David DiBenedetto, MD
I have had injections performed at other facilities without anesthesia. Why does Boston PainCare provide sedation?
A: At Boston PainCare, our surgery center is just like a hospital operating room suite. We can provide all types of anesthesia services. For injections, most patients elect to have a small amount of sedation. We have found that our patients are more comfortable and relaxed during injections when given sedation. If you would prefer not to have anesthesia medications during your procedure, it is not required. Please talk to your Boston PainCare physician if you have any questions or concerns about your procedure. Our objective is for you to be as comfortable as you can be.
Douglas Keene, MD
If your insurance plan usually requires a referral to see a specialist, then you will need a referral to come to Boston PainCare.
Your first appointment at Boston PainCare will take approximately 2 hours. You will meet with a number of specialists who will assess your pain and explain your treatment options.
Our physicians may provide prescriptions for non-opioid medications on your first visit. For prescription opioid medication, patients may be considered candidates for enrollment in Boston PainCare’s Medication Management program during the initial visit. This enrollment process takes 4-6 weeks to complete. Prescriptions for opioid medications will not be provided until the patient has been accepted into the program.
We currently have 9 physicians on our staff. Their specialties include Pain, Anesthesiology, Neurology, Internal Medicine, Chiropractic, and Sleep Medicine. We also have other specialists on staff including physical therapists and psychologists, advanced practice nurses, and nurse anesthetists who support and treat our patients as well.
Yes. Our Boston Headache Institute, headed by Dr. Zahid Bajwa, treats headaches. We also treat patients who suffer from neuralgia, TMJ, and other head, neck, and facial pain conditions.
Our practice is designed to treat chronic pain in all of its forms. However, pain is caused by a variety of different ailments and conditions. Instead of having patients travel to multiple specialists for individual treatments that may not be coordinated, we have a facility that has all of the relevant specialists under one roof. This allows our specialists to work closely together as a team to coordinate your care.
Recent medical studies have shown that approximately 60% of chronic pain patients have some type of sleep disorder. Studies have also shown that medications and treatments for chronic pain are more likely to be effective if the patient is sleeping well and is benefiting from high quality, restorative sleep.
Absolutely. Our staff will be happy to refer you to a facility that is more convenient for you. We may ask that you “check in” with our physical therapists from time to time so we can document and follow your progress.
An Epidural Steroid Injection (ESI) may provide some immediate relief to the patient as anesthetic medication is injected in addition to steroid medication. Some patients do not receive long-term relief from the steroids with a single injection. Often 2 or 3 injections, spaced several weeks apart, are required.
Zygapophyseal Joint Denervation (Facet) is another type of treatment that is routinely performed. It is used as both a treatment and as a diagnostic tool. A patient may feel some immediate relief with this injection, but it may take up to a week for patients to achieve maximum improvement.
Radiofrequency Ablation (RF) procedures can offer longer lasting relief for patients with facet joint pain. After an RF procedure, however, patients may feel a temporary increase in their pain during the first week. This is normal. After the first week their pain level will begin to decrease.
Every patient is different and may require a different number of injections to alleviate their pain. Some patients have one Epidural Steroid Injection and feel great for an indefinite period of time. Others need more frequent injections. Our pain specialists will recommend a variety of treatments that work together to help improve your pain.