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The Pain Management Clinic at G-CMC

The Pain Clinic at G-CMC Hospital provides a variety of treatment options for patients suffering from acute or chronic pain. Treatment options are based on patient complaints and general diagnosis.

    Pain Conditions Treated

    Pain Conditions

    Our staff of six anesthesiologists specialize in the care of patients with complaints of back and neck pain that may radiate to the limbs. We also treat neuropathic pain resulting from diabetes or vascular insufficiency, nerve entrapment, scar neuroma, facial pain or complex regional pain syndrome. Treatment options may include epidural, nerve root, or facet injections of an anesthetic and/or steroids, radiofrequency, cryotherapy or implantation of spinal cord stimulators.

    We also treat patients with pain caused by malignancies with a variety of procedures best suited to the type of disease process, including implantation and management of morphine pump.

    Patients with herpes zoster (shingles) are seen as early as possible to initiate nerve blocks and/or medications to lessen pain and to reduce the risk of developing post-herpetic neuralgia.

    The Pain Clinic provides interventional pain management for the evaluation and treatment of:

    1. Non-Malignant Pain:

    • Epidural, transforaminal or selective nerve root injections
    • Facet injections or radiofrequency
    • Neuropathic pain management for CRPS I and II, phantom limb pain, Herpes Zoster
    • Injections of local anesthetics for nerve entrapment, scar neuroma and muscle spasm
    • Neuromodulation by spinal cord stimulator

    2. Malignant Pain:

    • C.T. guided procedures
    • Implantation of narcotic pumps

    Providers and Staff

    ProvidersOur staff consists of physicians who are Board Certified and Fellowship trained in pain as well as registered nurses to assist with patient care. Our entire staff of physicians and nurses provides extensive education of patients and families to encourage more active and productive lives.

    • Kishor Vekaria, MD – Subspecialty of Pain Medicine by American Board Of Anesthesiology, Board Certified In Anesthesiology, Board Certified in Transesophogeal Echocardiography
    • P.K. Prahalad, MD – Certified By American Board of Pain Medicine, Board Certified Anesthesiology, Board Certified in Transesophogeal Echocardiograph
    • Cynthia Jose, MD – Subspecialty of Pain Medicine by American Board of Anesthesiology, Board Certified In Anesthesiology
    • Jamshid Khademi, MD – Board Certified In Anesthesiology, Board Certified in Transesophogeal Echocardiography
    • Rafi Punekar, MD – Board Certified in Anesthesiology, Certified in Transesophogeal Echocardiography
    • Rohit Singh, MD – Fellowship in Pain Medicine. Board Certified In Anesthesiology. Board Certified in Pain Management by American Board of Anesthesiology

    Referrals

    The clinic provides a referral base for physical, occupational and aqua therapy as well as psychological support in dealing with chronic pain.

    Patients are referred to our clinic by either primary care physicians or consultants. In order to expedite the process, referral information should include:

    • Patient demographics including address, phone number, insurance information, and appropriate referral forms
    • Office notes pertaining to patients complaint of pain
    • All supporting MRIs, Cat Scan or X-rays
    • Current medication list

    Upon receipt of the above, our office assistant will contact the patient with the date and time of appointment.

    Initial Visit

    Your first visit to the Pain Clinic will involve:

    • Filling out an assessment form
    • Review of medical records by our anethesiologist
    • Physical exam related to your pain
    • Detailed discussion of treatment options
    • Prepping for procedure, if it is to be done, which may include IV-blood pressure, heart rate monitoring
    • Procedure will be completed by the anesthesiologist
    • A brief period of post-procedure monitoring (15 to 30 minutes)
    • Detailed instructions for home care

    Upon receipt of the above, our office assistant will contact the patient with the date and time of appointment.