For Healthcare Professionals
The following list represents the type of patients who may benefit from a referral to us:
Cancer PainWe can provide several options for patients with pain related to cancer. We can provide care beyond systemic analgesics, including:
•Epidural Steroid Injections
•Spinal Cord Stimulation
•Intrathecal Analgesia Systems
We provide the latest and most advanced interventional procedures for your patients. These include diagnostic blocks including:
- Occipital and paravetebral nerve blocks;
- Sympathetic nerve blocks such as stellate ganglion, celiac plexus, lumbar and thoracic blocks;
- Denervations when diagnostically indicated;
- Intrathecal pain pumps and
- Spinal Cord Stimulators - implant, explant, and revisions.
Consultation and Evaluations Services
Subacute (Pain < 3months)We can have great success with patients that have pain lasting less than three months. Patients that are appropriate for referral are patients with pain less than 3 months' duration that has failed conservative therapy (medications and physical therapy) with no evidence of improvement. Referral to us early can prevent a surgical intervention for your patient.
Chronic (Pain > 3 months)
Patients that have ongoing pain greater than 3 months' in duration, that has failed conservative therapy and where pain limits daily functioning, are appropriate to refer. We can provide consultative services, evaluation and management, or interventional procedures for patients that do not meet surgical criteria and have perhaps been evaluated by other specialists such as neurosurgeons, orthopedists, or neurologists.
We consult patients with back pain with evidence of facet or disc etiology or persistent radiculopathy. Many of these patients will have failed trials of systemic opioids and physical therapy.
We can consult on your patients with pain of uncertain etiology unrelated to substance abuse or psychiatric illness.
We can support your physician/patient relationship by providing treatment recommendations including medical management for ongoing chronic pain. This could include consult visits to ensure compliance with the Oregon Intractable Pain Act.
Neuropathic PainWe have physicians specifically interested in and conducting research to improve neuropathic pain. Patients with pain caused by herpes zoster, post–herpetic neuralgia, peripheral nerve injuries, complex regional pain syndrome (RSD), peripheral neuropathy, and post surgical nerve injury can greatly benefit from early intervention. We provide the latest in interventional procedures and medication management for nerve pain. These interventions can prevent nerve pain from becoming chronic or decrease the debilitating impact that these conditions can have your patient’s lives.
Psychological and Physical TherapyWe have three psychologists who are specially trained in treating patients with pain. Techniques such as visualization, learning pain coping skills, and life management strategies are utilized by our psychologists. We offer one-on-one and group classes, and our psychologists can treat your patient even if your patient does not see one of our physician or nurse practitioners.
We also have physical therapists on site to provide specific and targeted therapies for patients with all types of pain.
What makes our practice unique is that our physicians, nurse practitioners, psychologists, and physical therapists meet on a regular basis to have a care conference about the patients that they are treating to provide the best in coordinated care.