Pain Management - Information for Health Professionals
We provide the following services:
Acute Pain Management
Care for inpatients who experience severe acute pain related to medical (e.g. sickle cell crisis), traumatic and post-surgical conditions. Ward rounds are conducted daily with after-hours cover.
We use a range of analgesic modalities such as patient controlled analgesia (PCA), opioid infusions, epidural infusions and nerve infusions, and other pharmacological interventions.
We also assist with the early recognition and management of neuropathic pain states and subacute pain conditions.
We provide training and education for other health professionals such as nurses and junior medical staff on pain management practices. Ward nurses are also accredited in the care of patients requiring advanced analgesic modalities.
Interventional Cancer Pain Management
We provide support and advice to the Palliative Care, Medical and Radiation Oncology teams for their patients whose pain is not controlled by standard treatments. Where appropriate, we may help with the use of local anaesthetic nerve blocks, neurolytic blocks, spinal analgesic therapy and other interventions. Local anaesthetic nerve blocks involve the injection of an anaesthetic, a corticosteroid and other agents near a nerve, for pain relief. A neurolytic block is a type of nerve block involving the deliberate injury of a nerve by freezing or heating ("neurotomy") or the application of chemicals ("neurolysis").
Chronic Pain Management in our Pain Clinic
We assess patients with complex persistent pain in a Multidisciplinary Pain Management clinic. Patients at this clinic will see the pain medicine physician, physiotherapist and psychologist who will then discuss and make recommendations on the best options for managing someone’s pain.
Patients with apparent straightforward persistent pain are also assessed by the pain medicine physician with further referral to the Multidisciplinary Pain Management Clinic if necessary.
We also conduct inpatient consultations for patients with severe pre-existing pain or if the pain they are experiencing increases.
If needed patients may be referred to see a psychiatrist, addiction medicine specialist or occupational therapist.
A wide range of interventional management strategies are used to diagnose and manage pain including:
- Diagnostic nerve blocks.
- Diagnostic infusions for the evaluation of pain.
- Therapeutic nerve blocks including radiofrequency neurotomy and neurolytic blocks.
- Intraspinal infusions of analgesics.
- Neuromodulation techniques including transcutaneous electrical nerve stimulation (TENS), transcranial direct current stimulation (tDCS), epidural spinal cord stimulation, dorsal root ganglion stimulation, peripheral nerve field stimulation and intraspinal analgesic infusion.
- Implantation of intrathecal baclofen pumps for the management of intractable spasticity.
Following a comprehensive assessment by our team, patients could be offered any of the following:
- Regular land based group exercise program.
- Specific tailored physiotherapy such as soft tissue techniques, joint mobilisation and muscle stretching/strengthening.
- Psychological pain management strategies such as cognitive-behavioural therapy, relaxation techniques and pain education.
- Pain Management Program - Conducted in a group setting utilising a combination of cognitive behavioural therapy and physical activation.
- Occupational therapy program involving support for work-related issues, functional assessment and pacing of activities.
- Mindfulness meditation in a group setting.
- Social work interventions and counselling.
We have access to teleconferencing facilities which link us to the Port Kembla and Shoalhaven Hospital’s pain clinics. We use these facilities to meet with other specialists to discuss complicated pain problems.
Refer your patient
Clinic days are Monday, Tuesday, Wednesday and Friday.
Dr Kok Eng Khor
Dr Teik Tay
Dr Chimene Bhar
Dr David Gorman
Dr Sachin Shetty
Dr Swapnil Sharma (Psychiatry)
Dr Apo Demirkol (Addiction Medicine)
Other health professionals
Nursing: David Begley, Bernadette Bugeja, James Tekiko, Rebecca Mallam and Rose Faisca
Clinical Psychologists: Tony Hollins and Josephine Wan
Physiotherapist: Skye Sadokierski and Edel O'Hagan
Occupational Therapist: Melissa Leong