Pain Referral Resource Guide for Massachusetts* · stress reduction. • Multidisciplinary and...

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Pain Referral Resource Guide for Massachusetts* - 1 - Created by the Massachusetts Pain Initiative (MassPI) Contact information: Web site: www.masspainintiative.org Email: [email protected] Disclaimer: The Massachusetts Pain Initiative does not endorse any of the Pain Clinics or Centers listed below. The list is not a comprehensive list and does not include individual pain physician practices. Most insurance plans are accepted unless otherwise noted; however, the consumer should verify insurance coverage individually. Many, and perhaps even most, of the Pain Clinics or Centers require a physician referral from the primary care physician. There are a wide variety of services and interventions offered at different clinics and even locations of the same clinic (many web sites will have the most current information about what is offered at the desired clinic and location). There are currently no inpatient facilities in Massachusetts for pain management. Information listed below is up- to-date as of January 2018. Note: If you have additional or new information about a Pain Clinic or Center and would like to add it to the Pain Referral Resource Guide, please e-mail it to [email protected] . Pain Clinic or Center Interventions Other Information BAYSTATE HEALTH SYTEMS PAIN MANAGEMENT CENTER 3400B Main Street, 2 nd Floor Springfield, MA 01107 Contact information: Website: https://www.baystatehealth.org/servic es/pain-management-center Phone: 413-794-4681 Fax: 413-794-9490 Chronic and acute pain including back and neck pain, nerve pain, cancer pain, headaches, arthritis pain, complex regional pain syndrome, reflex sympathetic dystrophy Interventional pain management (steroid injections , nerve blocks, etc) Transcutaneous Electrical Nerve Stimulation Behavioral Medicine Physical Therapy Acupuncture Medical Management Other modalities Multidisciplinary approach Rehabilitation services/referral Botox for migraines Baystate Health Systems Most insurance accepted with referral as required by insurance.

Transcript of Pain Referral Resource Guide for Massachusetts* · stress reduction. • Multidisciplinary and...

Page 1: Pain Referral Resource Guide for Massachusetts* · stress reduction. • Multidisciplinary and integrative team approach with Board ... chiropractic management and acupuncture Most

Pain Referral Resource Guide for Massachusetts*

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Created by the Massachusetts Pain Initiative (MassPI)

Contact information: Web site: www.masspainintiative.org

Email: [email protected]

Disclaimer: The Massachusetts Pain Initiative does not endorse any of the Pain Clinics or Centers listed below. The list is not a comprehensive list and does not include individual pain physician practices. Most insurance plans are accepted unless otherwise noted; however, the consumer should verify insurance coverage individually. Many, and perhaps even most, of the Pain Clinics or Centers require a physician referral from the primary care physician. There are a wide variety of services and interventions offered at different clinics and even locations of the same clinic (many web sites will have the most current information about what is offered at the desired clinic and location). There are currently no inpatient facilities in Massachusetts for pain management. Information listed below is up-to-date as of January 2018.

Note: If you have additional or new information about a Pain Clinic or Center and would like to add it to the Pain Referral Resource Guide, please e-mail it to [email protected] .

Pain Clinic or Center Interventions Other Information BAYSTATE HEALTH SYTEMS PAIN MANAGEMENT CENTER 3400B Main Street, 2nd Floor Springfield, MA 01107 Contact information: Website: https://www.baystatehealth.org/services/pain-management-center Phone: 413-794-4681 Fax: 413-794-9490

• Chronic and acute pain including back and neck pain, nerve pain, cancer pain, headaches, arthritis pain, complex regional pain syndrome, reflex sympathetic dystrophy

• Interventional pain management (steroid injections , nerve blocks, etc)

• Transcutaneous Electrical Nerve Stimulation

• Behavioral Medicine • Physical Therapy • Acupuncture • Medical Management • Other modalities • Multidisciplinary approach • Rehabilitation services/referral • Botox for migraines

Baystate Health Systems Most insurance accepted with referral as required by insurance.

Please note this guide was last updated in January 2018 so some information may no longer be accurate. An update is in development for early 2020.
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Pain Clinic or Center Interventions Other Information BAYSTATE HEALTH SYSTEMS PAIN MANAGEMENT CENTER 51 Sanderson St. Greenfield, MA 01301 Contact information: Website: https://www.baystatehealth.org/locations/franklin-medical-center/pain-management-center Phone: 413-773-2190 Fax: 413-773-2944

• Chronic and acute pain including back and neck pain, nerve pain, cancer pain, headaches, arthritis pain, complex regional pain syndrome, reflex sympathetic dystrophy

• Interventional pain management (steroid injections , nerve blocks, etc)

• Botox for migraines • Rehabilitation services/referral

Baystate Health Systems Most insurance accepted with referral as required by insurance.

BETH ISRAEL DEACONESS MEDICAL CENTER, ARNOLD-WARFIELD PAIN CENTER One Brookline Place, Suite 105 Brookline MA 01445 Contact Information: Website: http://bidmc.org/paincenter Phone: 617-278-8000 Fax: 617-278-8065

• Complex acute or chronic pain, including complex back or neck pain, myofascial pain syndrome, headache, cancer pain, fibromyalgia, nerve pain and post-surgical pain.

• Multidisciplinary team approach • Injection therapies, and nerve

blocks-lumbar, thoracic and cervical epidural steroid injections, sympathetic blocks, selective nerve root blocks.

• Non-surgical treatment for disc herniation.

• Spinal cord and peripheral nerve stimulation

• Radiofrequency and cryo-ablation • Minimally invasive decompression • Psychological Counseling • Biofeedback • Cognitive behavioral therapy • Physical therapy

Most insurance accepted with referral as required by insurance.

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Pain Clinic or Center Interventions Other Information BETH ISRAEL DEACONESS HOSPITAL – PLYMOUTH PAIN MANAGEMENT 275 Sandwich Rd. Plymouth, MA 02360 Contact Information Websites: http://www.bidplymouth.org/pain-management Phone: 508-830-2870

• Specialty: variety of pain conditions

• Interventional pain management (steroid injections, nerve blocks etc.)

• Multidisciplinary approach • Exercise programs • Trigger point injections • Spinal Cord Stimulation • Acupuncture • Botox TM • Psychological counseling

Most insurance accepted with referral as required by insurance

BOSTON MEDICAL CENTER PAIN MANAGEMENT GROUP Department of Neurology 88 East Newton St. Boston, MA 02118 Contact information Website: http://www.bumc.bu.edu/neurology/clinicalprograms/painmanagement/ Phone: 617-638-8456 Fax: 617-638-8465

• Specialty: chronic pain conditions such as headache, back and neck pain, cancer pain, arthritis pain, neurological pain, myofascial pain syndromes and others

• Peripheral neuropathy • Failed back surgery • Reflexive sympathetic dystrophy • Chest wall pain • Intervention pain management

(steroid injections, nerve blocks etc.) • Trigger point injections • Medication management • Multidisciplinary approach • Neuropsychiatric therapy • Rehabilitation services/referral • Complementary and alternative

therapies

Affiliated with the Boston University School of Medicine - Department of Neurology

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Pain Clinic or Center Interventions Other Information BOSTON PAIN CARE CENTER 85 First Avenue Waltham, MA 02451 Contact information: Website: http://www.bostonpaincare.com Phone: 781-647-PAIN (7246) (Main Office) Fax: 781-290-0720 Email: [email protected] Concord Office 200 Baker Ave, Suite 101 Concord, MA 01742 Phone: 781-996-6700 Natick Office 6 Union St. Natick, MA 01760 Phone: 781-895-7980

• Specialty: Chronic pain syndromes including fibromyalgia, CRPS (chronic regional pain syndrome), headaches and peripheral joint pain in addition to chronic low back and neck pain and other conditions.

• Interventional procedures (epidural steroid injections, nerve blocks, Botox, radiofrequency ablations, high frequency stimulation therapy, spinal cord stimulator etc.)

• Complementary and alternative therapies: Functional rehabilitation, physical therapy, cognitive behavioral therapy, acupuncture, graston therapy, stress reduction.

• Multidisciplinary and integrative team approach with Board Certified Interventional pain specialists, medication management specialists, physiatrist, physical therapists, behavioral health therapists (LICSW)

BRIGHAM AND WOMENS HOSPITAL PAIN MANAGEMENT CENTER 850 Boylston Street, Suite 320 Chestnut Hill, MA 02467 Contact information: Website: http://www.brighamandwomens.org/Departments_and_Services/anesthesiology/Pain/ Phone: 617-732-9060 Fax: 617-732-9050 E-mail: [email protected]

• Specialty: Chronic pain conditions • Interventional pain management

(steroid injections, nerve blocks etc)

• Non-interventional pain management (TENS, etc)

• Medication management • Multidisciplinary approach • Behavioral therapies • Complementary and alternative

therapies (Acupuncture etc.) • Rehabilitation services/referral • Psychological Services • Nursing Care

Most insurance accepted with referral as required by insurance

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Pain Clinic or Center Interventions Other Information BRIGHAM AND WOMEN’S FAULKNER HOSPITAL PAIN CENTER Suite 45 1153 Centre St. Boston, MA 02130 Contact information: Website: http://www.brighamandwomensfaulkner.org/programs-and-services/pain-clinic Phone: 617-983-7080

• Specialty: variety of acute and chronic pain conditions

• Interventional pain management (steroid injections, nerve blocks etc)

• Spinal cord stimulation • Venous ablation, minimally

invasive lumbar decompression procedures

• Medication management • Multidisciplinary approach • Behavioral therapies • Physical Therapy • Referral for complimentary

medicine, chiropractic management and acupuncture

Most insurance accepted with referral as required by insurance.

CARNEY HOSPITAL PAIN MANAGEMENT CENTER 2100 Dorchester Ave Dorchester, MA 02124 Contact information: Website: https://carneyhospital.org/services-directory/pain-management Phone: 617-296-PAIN (7246)

• Specialty: Variety of pain conditions including arthritis, myofascial syndrome, post surgical chronic pain, neuropathy, sciatica, herniated discs, cancer related pain, nerve pain.

• Multidisciplinary team approach • Physical Therapy • Education on specific chronic

pain syndromes.

New patients seen with physician referral. Most insurance accepted.

CHILDREN’S HOSPITAL PAIN TREATMENT SERVICE 300 Longwood Avenue Boston, MA 01801 Contact Information: Website http://www.childrenshospital.org/centers-and-services/pain-treatment-services-program Phone: 617-355-7040 Fax: 617-355-0199

• Includes an Acute Pain Treatment Service and Chronic Pain Management Clinic.

• Headache Program • Mayo Family Pediatric Pain

Rehabilitation Center • Psychology and Behavioral

Medicine • School Support • Multidisciplinary approach

Most insurance accepted with referral as required by insurance

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Pain Clinic or Center Interventions Other Information HOLY FAMILY CENTER FOR PAIN MANAGEMENT (formerly Merrimack Valley Hospital) 70 East St. Methuen, MA 01844 Contact information: Website: https://holyfamily-hospital.org/services-directory/pain-management Phone: 978-687-0151 (main) Toll Free: 866-698-7533

(Pain Center) Haverhill Location: 140 Lincoln Avenue Haverhill, MA 01830 Contact information: Phone: 978-374-2000 (main)

• Chronic pain problems treated include back pain, reflex sympathetic dystrophy, headache, neuropathic pain, fibromyalgia, cancer-related pain, arthritis, shingles, TMJ and a variety of other chronic pain conditions.

Most insurance accepted Physician referral required

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Pain Clinic or Center Interventions Other Information LAHEY HOSPITAL AND MEDICAL CENTER 41 Mall Road Burlington, MA 01805 Contact information: Website: http://www.lahey.org/PainManagement Phone: 781-744-5090 Fax: 781-744-5624 LAHEY MEDICAL CENTER PEABODY One Essex Center Drive Peabody, MA 01960 Phone: 978-538-4575 Fax: 978-538-4048

Specialty: Variety of pain conditions including abdominal pain, herpes zoster, shingles, atypical facial pain/trigeminal neuralgia, cancer pain, chest wall pain, diabetic and systemic neuropathy, migraines and other headaches, lower back pain, myofascial pain syndromes, neck pain, pelvic pain, pain associated with surgical incisions, peripheral entrapment neuropathies/ neuromas, peripheral vascular insufficiency/ischemic pain, post-laminectomy syndromes, post-stroke and central pain syndromes, Raynaud's syndrome, reflex sympathetic dystrophy/complex regional pain syndrome (CRPS), rib pain, spinal cord injury pain syndromes, stump and phantom limb pain, sympathetically mediated pain

• Botox injections • Chemical neurolysis • Cryoablation • Epidural steroid injections • Infusion pump implants (e.g.,

baclofen) • Nerve blocks • Radiofrequency ablation • Spinal cord stimulation • Spinal injections • Trigger joint injections

Most insurance accepted with referral by primary health care provider.

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Pain Clinic or Center Interventions Other Information LOWELL GENERAL HOSPITAL PAIN MANAGEMENT CENTER 2 Hospital Drive Lowell, MA 01852 Contact Information Website: https://www.lowellgeneral.org/care-and-services/pain-management-center Phone: 978-937-6460

• Specialize in back pain, shingles, neuropathies, chronic pain, complex regional pain syndromes

• Work related injuries • Facet joint syndromes • Spasticity • Botox • Interventional pain management

(intralesional injections, nerve blocks etc.)

• Epidurals • Spinal cord stimulation • Joint injections

Most insurance accepted with referral as required by insurance

MARLBOROUGH HOSPITAL CENTER FOR PAIN MANAGEMENT – UMASS MEMORIAL 157 Union Street Marlborough, MA 01752 Contact Information: Website: https://www.umassmemorialhealthcare.org/marlborough-hospital/services-treatments/pain-management Phone: 508-481-6668 Toll Free: 855-862-7763

• Chronic pain problems treated include back pain, reflex sympathetic dystrophy, neck pain and a wide range of other conditions.

• Multidisciplinary approach • Epidural steroid injections • Nerve blocks for diagnosis and

treatment • Trigger point injections • Massage therapy • Other series such as

rehabilitation and psychiatric evaluation available by referral

Most insurance accepted with referral as required by insurance

MASS GENERAL CENTER FOR PAIN MEDICINE Wang Ambulatory Care Center Suite 340 15 Parkman St. Boston, MA 02114 Contact Information: Website: http://www.massgeneral.org/centerforpainmedicine Phone: 617-726-8810 Fax: 617-726-3441

• Specialty: Acute, chronic and cancer related pain syndromes

• Interventional pain management (steroid injections, nerve blocks etc.)

• Medication management • Behavioral therapies • Complementary and alternative

therapies (acupuncture) • Rehabilitation services/referral • Palliative Care Services

Most insurance accepted with referral as required by insurance

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Pain Clinic or Center Interventions Other Information MASS GENERAL HOSPITAL PALLIATIVE CARE SERVICE INPATIENT INFORMATION Founders 600 55 Fruit Street Boston, MA 02114 Contact information: Website: http://www.massgeneral.org/palliativecare/ Phone: 617-724-9197 Fax: 617-724-8693 OUTPATIENT INFORMATION Contact information: Yawkey Center for Outpatient Care Suit 7B 55 Fruit Street Boston,MA 02114 Phone: 617-724-4000 Fax: 617-643-9366

• Specialty: pain management in patients with advanced, life limiting disease

• Adult and pediatric population served

• Interventional pain management (steroid injections, nerve blocks, etc.)

• Medication management • Multidisciplinary approach • Behavioral therapies • Home visits and Hospice Referrals • Bereavement and support

programs

Most insurance accepted with referral as required by insurance

NEW ENGLAND BAPTIST HOSPITAL CHRONIC PAIN CLINIC 125 Parker Hill Avenue Boston, MA 02120 Contact Information: Website: https://www.nebh.org/departments-services/pain-management/ Phone: 617-754-5450 (scheduling)

• Specialty: Chronic pain conditions including spinal disorders, nerve injuries, arthritis and more.

• Interventional pain management (steroid injections, nerve blocks etc.)

• Medication consultation • Multi-disciplinary

Most insurance accepted with referral as required by insurance

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Pain Clinic or Center Interventions Other Information NEW ENGLAND PAIN CENTER OF BERKSHIRE MEDICAL CENTER 777 North St., 5th Floor Pittsfield, MA 01201 Contact Information: Website: http://www.berkshirehealthsystems.org/painmanagement Phone: 413-445-7246

• Chronic pain problems: back & neck pain, headache, arthritis, cancer related pain, nerve injury and spinal cord injury, reflex sympathetic dystrophy, fibromyalgia and a wide range of other conditions

• Multidisciplinary approach • Medical management including

evaluation for chronic narcotic therapy

• Physical therapy, including manual techniques

• Interventional pain management such as nerve blocks, epidural steroid injections & infusion therapies

• Non-interventional therapies such as TENS

• Referrals for neurosurgery, orthopedic surgery, acupuncture, chiropractic, psychiatric and addiction treatment

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Pain Clinic or Center Interventions Other Information NEWTON WELLESLY HOSPITAL PAIN MANAGEMENT SERVICES AT THE NEWTON-WELLESLY HOSPITAL AMBULATORY CARE CENTER 159 Wells Avenue Newton, MA 02459 Contact information: Website: https://www.nwh.org/medical-services/pain-management/welcome-to-pain-management-services Phone: 617-243-6142 Fax: 617-243-6078

• Comprehensive pain evaluations inclusive of medical, behavioral and rehabilitation assessments

• Conditions treated: cancer-related pain, acute and chronic low back pain, neuropathic pain, complex regional pain syndrome, fibromyalgia, chronic pelvic pain, post-surgical pain, peripheral joint pain and sacroiliac joint pain.

• Interventional Procedures: Neural blockade, radiofrequency ablation, epidural steroid injections, ultrasound guided procedures, sympathetic blockade, spinal cord stimulator trials, sacroiliac joint injections, trigger point injections, acupuncture

• Medication Consultation: alternative pain medications, consultation to primary care physicians for safe and effective opioid pain medication prescribing, monitoring and adjustment of medication trials

• Psychological therapies: cognitive –behavioral, mindfulness basted therapy, hypnosis, relaxation, group therapy , stress management and sleep skills training

• Rehabilitation therapies: physical therapy, occupational therap , conditioning and strengthening, functional restoration, manual therapy ,aqua therapy, education and counseling.

Most insurance accepted Physician referral required

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Pain Clinic or Center Interventions Other Information NORWOOD HOSPITAL PAIN MANAGEMENT CENTER 800 Washington St. Norwood, MA 02062 Contact information: Website: https://www.norwood-hospital.org/services-directory/pain-management Phone: 781-278-6591 Fax: 781-278-6905

• Specialty: variety of pain conditions including shingles, back and neck pain, fibromyalgia, chronic regional pain syndrome, neurologic pain and spine pain

• Interventional pain management (steroid injections, nerve blocks etc.)

• Non-interventional pain management (TENS etc)

• Medication management • Multidisciplinary approach • Behavioral therapies • Rehabilitation services/referral • Patient education

Most insurance accepted with referral as required by insurance

PAIN AND WELLNESS CENTER 10 Centennial Drive Peabody, MA 01960 Contact information: Website: https://www.painandwellnesscenter.com Phone: 978-826-7230

• Specialty: chronic pain conditions • Interventional pain management

(steroid injections, nerve blocks etc)

• Non-interventional pain management (TENS etc)

• Medication management • Multidisciplinary approach • Behavioral therapies • Complementary and alternative

therapies (acupuncture, massage) • Personal training • Physical therapy • Stem cell therapy

Affiliated with New England Pain Care (NEPC) at the same location

SOUTH SHORE HOSPITAL PAIN MANAGEMENT CENTER 2 Pond Park Hingham, MA 02043 Contact information: Website: http://www.southshorehospital.org/pain-management-324 Phone: 781-624-8352

• Specializing in chronic pain due to back injury , muscle strain or illness such as arthritis, cancer or reflex sympathetic dystrophy

• Multidisciplinary approach

Physician referral required

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Pain Clinic or Center Interventions Other Information SPAULDING REHABILITAION HOSPITAL OUTPATIENT PAIN SERVICE Contact information: Web site: http://spauldingrehab.org/conditions-and-treatments/pain-management Braintree 300 Granite St. Braintree, MA 02184 617-952-6100 Framingham 570 Worcester Rd. Framingham, MA 01702 508-872-1205 Medford 101 Main Street, Suite 101 Medford, MA 02155 781-391-7518 Orleans 65 Old Colony Way Orleans, MA 02653 508-240-7203 Plymouth 1 Scobee Circle Plymouth, MA 01360 508-771-1300 Sandwich 311 Service Road Sandwich, MA 02537 508-833-4000

• Interdisciplinary team: physiatrists, physical and occupational therapists, psychologists, massage therapists, nutritionists, psychiatrists and acupuncturists

• Expertise in pain conditions including sports injuries, back pain, head and neck pain, fibromyalgia, arthritis, complex regional pain syndrome Medford and Sandwich locations provide comprehensive Pain Rehabilitation treatment for acute, sub-acute and chronic pain. Functional pain management with an emphasis on functional improvement and self-management of pain

Primary care referral and the primary care physician/s agreement to assume care once an effective pharmacological regimen is established is required.

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Pain Clinic or Center Interventions Other Information SPINE AND PAIN INSTITUTE OF NEW ENGLAND Dedham 606 Providence Highway Dedham, MA 02026 781-326-8888 Contact information: Website: http://www.spinepaindocs.com Duxbury 104 Tremont St., Unit 1 Duxbury, MA 02332 781-326-8888 Framingham 436 Worcester Rd. Suite 205 Framingham, MA 01701 781-326-8888 Mashpee 34 Bates Rd. Suite 202 Mashpee, MA 02649 508-790-7000 Yarmouth 10 East Main St. 2nd Floor W. Yarmouth, MA 02673 508-790-7000

• Variety of pain including chronic and intractable pain syndromes

• Minimally invasive spine and pain management procedures to diagnose and treat back and neck pain, headache, RSDD, joint pain nerve pain and many others

• Epidural steroids, facet joint injections, trigger point injections

• Multidisciplinary approach

Most insurance accepted Primary Care Physician referral required

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Pain Clinic or Center Interventions Other Information ST. ANNE’S HOSPITAL CENTER FOR PAIN MANAGEMENT Fall River Office 795 Middle St. Fall River, MA 02721 Swansea Office 440 Swansea Mall Drive Swansea, MA 02777 North Dartmouth Office 537 Faunce Corner Rd North Dartmouth, MA 02747 Contact information: Website: https://saintanneshospital.org/services-directory/pain-management Phone: 888-675-7246

• Chronic pain syndromes • Physical conditioning and

rehabilitative programs to improve or restore functional capacity

• Behavioral medicine components including relaxation training, stress management and pain reduction training

• Psychological interventions to address components of depression and anxiety and to foster pain-coping responses

• Medication management • TENs • Diagnostic facet injection • Spinal stimulation

Most insurance accepted with referral from primary healthcare provider

ST. ELIZABETH’S MEDICAL CENTER’S PAIN CENTER 736 Cambridge Street Boston, MA 02135 Contact Information Website: https://www.semc.org/services-directory/pain-management Phone: 617-789-3100

Specialty: Variety of pain conditions • Interventional pain management

(steroid injections, nerve blocks etc)

• Arthritis, Cancer pain, Chronic Pain Syndromes, Neuropathy, Work Related syndromes

• Non-interventional pain management (TENS etc)

• Medication management • Multidisciplinary approach • Behavioral therapies • Rehabilitation services/referral • Referral for complementary and

alternative therapies

Most insurance accepted with referral from primary healthcare provider

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Pain Clinic or Center Interventions Other Information TUFTS MEDICAL CENTER PAIN MANAGEMENT CENTER ZISKIND BUILDING 800 Washington Street Boston, MA 02111 Contact Information Web Site: https://www.tuftsmedicalcenter.org/patient-care-services/Departments-and-Services/Anesthesiology/Clinical-Care-Services/Pain-Management-Program.aspx Phone: 617-636-6208 Fax: 617-636-8384

• Our expertise spans management of:

• Cancer pain • Myofascial pain syndrome • Complex regional pain syndrome

(RSD) • Post-thoracotomy and post-

mastectomy pain syndromes • Diabetic neuropathy • Post-herpetic neuralgia (a

complication of shingles) • Interventional pain management

(steroid injections, nerve blocks etc.)

• Multidisciplinary approach

TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE CRANIOFACIAL PAIN CENTER One Kneeland Street, 6th floor Boston, MA 02111 Contact Information Website: https://dental.tufts.edu/patient-care/teaching-clinics/craniofacial-pain-center Phone: 617-636-6817 Fax: 617-636-3831

• Specialty: diagnosis and management of temporomandibular disorders and chronic head, neck and facial pain.

• Dental bite appliance and other dental therapies

• Medications • Trigger point therapy • Neurological treatment for

headaches • Acupuncture • Physical therapy

Select insurances accepted: self- pay accepted