Comprehensive Pain Management Center at UH Parma Medical Center

We offer nerve and joint injections and other forms of interventional pain management:

Nerve and Joint Injections

• Facet joint injections
• Radiofrequency ablation
• Transforaminal steroid injection
• Trigger point injection

Other Options:

• Intrathecal drug delivery
• Medications
• Neuromodulation (surgical placement of nerve stimulators)
• Surgical Ablation of the nerves inside the bone plates (radiofrequency ablation)
• Surgical spinal decompression (Vertiflex Procedure)
• Physical rehabilitation

Physical medicine and rehabilitation (PM&R) is used to evaluate and treat both acute and chronic pain, including physical and/or cognitive impairments and disabilities resulting from musculoskeletal, neurological and other conditions. Our PM&R services include:

• Muscular skeletal ultrasound assessment
• Spinal injections
• Treatment of traumatic brain injury and spinal cord injury:
  • Injections – joint, trigger, tendon, hydrodissections and spine (cervical, thoracic, lumbar)
  • MSK ultrasound assessment and US-guided procedures
  • Regenerative medicine/orthobiologic procedures
  • Osteopathic manipulative treatment

To complement our integrated approach to pain management, we offer chiropractic care, massage therapy and integrative/lifestyle health medical consults through University Hospitals’ UH Connor Integrative Health Network:

Chiropractic care helps restore proper balance and function to the body’s structural, spinal and neurological systems. Evidence supports this drug-free approach for a variety of conditions, including back pain, neck pain, headaches, sciatica and pain in the muscles and joints of arms and legs. Specific treatments in this area include:

• Spinal manipulation
• Manual therapies (soft tissue treatments)
• Dry needling
• Therapeutic exercise
• Kinetic taping

Massage therapy is a way to help patients, staff and visitors achieve mental and physical well-being. Massage has been used for thousands of years to relieve tension caused by a variety of conditions and factors. Massage treatments we offer include:

• Neuromuscular therapy
• Relaxation
• Trigger point therapy
• Deep tissue

Integrative/lifestyle medicine consults: Integrative health affirms the importance of the relationship between the patient and care provider and focuses on the whole person. It makes use of all appropriate therapeutic and lifestyle approaches, healthcare professionals and disciplines to achieve optimal health and pain management. Consultations are covered by most commercial insurance plans, Medicare and Medicaid. Consultations include:

• Discussion of lifestyle habits: nutrition, sleep hygiene, movement and stress management
• Review of health history, current health concerns, medications and supplements
• Creation of a personalized health plan: small and large steps to get you on track
• Scheduling follow-ups to help support and maintain better pain management control
• Also, a full complement of virtual services, including guided meditation, mindfulness and yoga, are offered through our Connor Resilience Center.

Physical therapists are mobility experts who maximizes a person’s quality of life through hands-on care, patient education and movement. The CDC recommends physical therapy as a safer alternative to other pain management techniques for certain conditions and circumstances. Occupational therapists are functional and upper extremity experts who focus on optimizing a person’s ability to perform everyday living activities, including working, self-care, home management and leisure. They help people of all ages with injuries, illnesses or disabilities by adapting the environment or task to fit the person, thereby promoting optimal health and better living. Physical and occupational therapies we offer include:

• Aquatic therapy
• Body mechanics
• Mobility training
• Exercise
• Strengthening
• Desensitization
• Dry needling
• Ergonomics
• Graded motor imagery/mirror therapy
• Hand therapy
• Manual therapy
• McKenzie approach
• Modalities such as functional electrical stimulation, kinesiotaping and fluidotherapy
• Orthopedic rehab
• Pain science education
• Pelvic floor therapy
• Work conditioning, work simulation or return-to-work rehab
• Dry cupping

Patients coping with chronic pain may also struggle with depression, anxiety or other behavioral health issues. Behavioral health specialists can help patients with these issues and even improve their perception of pain. Services we offer in this area include:

• Individual psychotherapy
• Family psychotherapy
• Activity pacing training
• Sleep hygiene training
• Assertiveness training
• Pain crisis planning
• Development of employment and pain-coping strategies
• Development of nonmedication coping strategies
• Addiction psychiatry
  • Outpatient detoxification
  • Psychotherapy (individual and group)
  • Intensive outpatient program

Some patients struggling with substance abuse also suffer from chronic pain. At the Comprehensive Pain Management Center, we offer adults, children and adolescents a number of outpatient addiction treatment services  designed to address the patient’s addiction, as well as other physical and emotional symptoms.