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Wake Forest Pain Control Center
Cleveland Clinic
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Wake Forest Baptist Medical Center - Pain Control Center
(formerly, Bowman-Gray School of Medicine) Dept. of Anesthesiology, Medical Center Blvd. Winston-Salem, NC 27157-1077
(336-716-5530) www.wfubmc.edu/anesthesia
Contact: Dr. William Spillane, Nancy Flynt - Clinic Coordinator This pain treatment facility, begun in 1986, today operates with a staff of 6 – 4 full-time fellows and 1 attending physician (one also for acute pain service). The Pain Control Center at Baptist Hospital operates as a multidisciplinary treatment center within the Department of Anesthesia and treats both outpatient and inpatient referrals. The staff consists of anesthesiologists, psychologists, physical therapists, nurse clinicians, occupational therapists and consultants in orthopedics, neurology, neurosurgery, oncology, psychiatry and rheumatology. Presently, the center is involved in all facets of pain management including acute, chronic, and cancer pain. The Pain Control Center is a well rounded multi-modal treatment center. Recently, it averaged approximately 690 total nerve-blocking procedures, 690 trigger point injections and 620+ outpatient visits per month. The total volume of patient visits for was 7,527. The active acute pain management service had 1,750 patient visits. Their physicians are expert in placing nerve blocks and use advanced techniques, such as fluoroscopy, to improve block effectiveness. They are also experienced in surgically placing permanent pain relief devices in the operating room. The specialized year of training (fellow) at the Pain Control Center focuses on training an anesthesiologist to become a pain practitioner. Clinical training centers on patient care. The fellow must understand how to approach routine and complex pain management problems whether they exist in the acute, chronic benign, or malignant patient. The fellow must learn how to take a complete history, perform a thorough physical exam, and make an accurate diagnosis. The fellow is expected to know when nerve blocks are considered appropriate and which are appropriate for any given patient. He should know the modalities used by other disciplines, particularly physical therapy and medical psychology. Finally, the fellow is expected to learn the operational framework of a multidisciplinary clinic. He should learn how to set up and direct a pain management clinic. Residents in the Department of Anesthesia rotate through the Pain Control Center for one month during their initial 24 months in the program. They attend lectures, morning and evening inpatient rounds, and actively participate in all pain management therapies. Acute pain: The Pain Control Center functions as a consultant service managing referrals on post surgical patients, trauma patients, and other appropriate inpatient pain-related illnesses. Cancer pain: The Pain Control Center runs a consultant service for cancer pain management within the hospital. The Pain Control Center manages cancer patients with both oral medications and chronic indwelling narcotic delivery devices such as subcutaneous morphine pumps, IV pumps, and permanent epidurals. Chronic pain, Outpatient clinic: All areas of pain are addressed. A multidisciplinary approach is taken to the management of pain including physical therapy, medical treatment, nerve blocking procedures, and psychological therapy. Some of the most common problems include: Chronic back pain Fibromyositis Reflex sympathetic dystrophy Headache Post surgical or trauma neuralgia Post herpetic neuralgias Many other pain problems and syndromes are treated less frequently. The fellows learn a multifaceted approach to the treatment of pain which includes addressing the psychological as well as physical problems leading to pain. Outpatient nerve blocks procedures performed include: Lumbar epidural steroids
Cleveland Clinic
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