
About Pain Management Solutions
Pain Management Solutions provide a community based treatment service for Persistent Pain
Patient referrals should only be made using the attached referral forms.
InHealth Pain Management Solutions
Multidisciplinary team: Physios (3), Occupational Therapist, Nurse, Well Being Practitioner (CBT) and Consultant in Pain Management
Locations:
- City Of Coventry Health Centre
- Holbrooks Heath Care
- Oasis Health Care, Cheylesmore
- Westside, Rugby
Assessment
Clinical Specialist 45 minute appointment to develop care plan with patient following which letter is sent to GP detailing outcome and copied to the patient
Adjustments can be made for patients if required including interpreting facilities, information provided in different languages, text changed for people with sight difficulties or dyslexia for example Care plans
Treatment pathways:
- Pain education/ self management – PMP 18 hour or individual session if patient unable to attend group session (anxiety in a group)
- CBT sessions (6) face to face or telephone
- Medical interventions following NICE guidelines and local Coventry CCG policy Medication reviews, normally telephone based unless due to hearing or language difficulties we can arrange face to face
COVID-19 response:
All team members mobilised to home working – telephone based reviews
All care pathways continuing apart from medical interventions
Medical interventions – on hold, patients being held on a waiting list
Future plans – piloting of Zoom sessions for 1:1s and Pain Management Programmes
Pain Management Programmes
18 hour – 6 week programme
Current venues:
- Moat House Leisure & Neighbourhood centre Winston Ave CV2 1EA
- Benn Partnership Centre, Railway Terrace, Rugby CV21 3HR
- Quinton Park Baptist Church, Quinton Park, CV 3 5PZ
Led by 2 members of the team
Usually invite 10-15 patients
Handbook provided
Promote self management and development of strategies
Basic exercises introduced, mainly stretches and gentle strength exercises
Relaxation, mindfulness and acceptance commitment therapy (ACT) approaches introduced
Pain education
Chronic pain mechanisms
Explain difference between acute pain and chronic pain and therefore why the treatment needs to be different
Helping the patient to understand the mechanisms of chronic pain:
- Understanding pain in 5 minutes Youtube
- Why things hurt – Lorimer Moseley TED talk
- Tame the Beast – www.tamethebeast.org
- www.livewellwithpain.co.uk ‘Life after Opioids’
- www.paintoolkit.org
Help patient to recondition
CBT/ Mindfulness
Medical interventions
Dr Yehia Kamal Consultant in Pain Management
Performed in mobile injection unit at Oasis Health Care
In line with NICE guidelines and local Coventry policy
Low back pain/ neck pain: Medial branch blocks only, currently if successful we then refer into secondary care for a Radiofrequency Denervation
Epidurals – only for acute (less than 12 weeks at point of referral) and severe sciatica
Interventions for other joints: Suprascapular nerve block, Genicular nerve block
Medication Reviews
Telephone based with an Independent Non-Medical Prescriber
Recommendation letter sent to GP
Common referral triggers:
- Current pain medication not effective – expectations of pain medication
- Causing side effects
- High doses of Opioids in excess of 120mg in 24 hours
- Patient keen to reduce pain medication and look at other ways of managing pain
Supporting patients to wean off Opioids at IPMS
Medication review triggered due to high dose, ineffective, GP has requested support and/or patient
Develop Opioid reduction plan – Faculty of Pain Medicine recommend a 10% reduction every 2 weeks
In reality there is no single right way to approach reducing Opioid medications (It is ideally done as gradually as possible, this might mean reducing your daily dose by the smallest amount possible every week or two)
Normalise withdrawal side effects and offer reassurance that they will ease
Normalise increases/ changes in symptoms but again these can settle, promotion of self management and self care.
Contact us:
Inhealth Pain Management Solutions Longfields Court Wharncliffe Business Park Middlewoods Way Barnsley S71 3GN
Tel: 0800 034 0406
Catherine.Campbell@inhealthgroup.com
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