Pain Management

The pain management program at The Sandra and Malcolm Berman Brain & Spine Institute addresses both acute and chronic pain. Our team of physical medicine and rehabilitation specialists focuses on functional restoration and improvement of quality of life for our patients.

Our comprehensive outpatient chronic pain program is designed for those who do not require additional surgery or invasive procedures, while our inpatient pain program is designed for those who may require additional treatment.

Conditions Treated

Our staff physiatrists offer consultation and treatment for a wide array of conditions for acute and chronic musculoskeletal disorders, including:

  • Back and neck pain
  • Pinched nerves (such as carpal tunnel syndrome) and nerve pain
  • Stroke
  • Amputation
  • Work-related injuries
  • RSD/CRPS (reflex sympathetic dystrophy/complex regional pain syndrome)
  • Fibromyalgia and myofascial pain
  • Spasticity and other movement disorders
  • Medical problems of musicians and dancers
  • Sports-related injuries
  • Brain injury
  • Spinal cord injury
  • Peripheral neuropathy
  • Chronic pain


We offer specialized procedures to treat these conditions, including:

  • Joint injections
  • Trigger-point injections
  • Other soft tissue injections
  • Botulinum toxin injections
  • Ultrasound-guided nerve blocks and joint injections

Those with cervical, thoracic and lumbar spine, and pelvis pain may be eligible for spinal injections performed under X-ray (fluoroscopic) guidance. These may include:

  • Epidural – a cortisone injection around the spinal nerves
  • Facet block – a cortisone injection into the spine facet joint
  • Radiofrequency neurotomy – a longer-duration nerve block using radio waves
  • Sacroiliac joint – a cortisone injections into this major pelvic joint
  • Hip joint – a cortisone and/or anesthetic injection for diagnosis or treatment
  • Discogram – a diagnostic disc injection used to evaluate disc pain that may not show on the MRI
  • Sympathetic block – administered in the neck or back to relieve nerve pain or RSD
  • Spinal stimulator trials – temporary spinal electrodes used for pain relief
  • Epidural lysis of adhesions – an injection procedure to break up scar tissue in the spine

Outpatient Chronic Pain Program

Our outpatient chronic pain program is a comprehensive approach to managing pain long term. It incorporates:

  • Medical management by a physiatrist will evaluate and treat pain, depression, anxiety and sleep problems.
  • Psychological treatment focuses on specific pain management strategies such as biofeedback, breathing exercises and imagery, as well as the emotional issues associated with chronic pain including depression, anxiety, coping skills and adjustment to disability.
  • Physical therapy utilizes exercise, manual techniques, thermal modalities including heat and cold, ultrasound and electrical stimulation to increase strength, flexibility, balance, endurance and mobility. Emphasis is placed on body mechanics, posture and gait training to reduce the need for aid devices for walking. Aquatic therapy is also provided.
  • Occupational therapy works to restore the patient's functional independence in activities of daily living, including eating, grooming and driving.
  • A driving evaluation assesses the feasibility of safe driving with or without adaptive automobile equipment.
  • Acupuncture may be used as an alternative to medication or injection to aid in relaxation.
  • Percutaneous neuromodulation therapy is an electrical stimulation modality used especially for complex pain syndromes that involve central nervous system sensitization.

Learn More

For more information about the pain program at The Sandra and Malcolm Berman Brain & Spine Institute, please call 410-601-5597.