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Additional Services

Pain Medicine

Following evaluation, there may be recommendations for treatment in the Section of Pain Medicine or for treatment at home or by other physicians at Cleveland Clinic. Treatment options may include: physical rehabilitation, medications, referrals for such interventions as nerve blocks or spinal cord stimulation, and referrals for pain and stress management, including the use of biofeedback. An intensive interdisciplinary rehabilitation program is recommended for those with high levels of pain, suffering and functional impairment, and may vary in intensity from inpatient care to a few hours a day of outpatient care.

Interventional Procedures
  • Botox for headaches
  • Celiac plexus blocks
  • Combination of interventional procedures with intensive rehabilitation measures
  • Discography
  • Epidural Steroid injections
  • Facet injections
  • Intrathecal drug delivery
  • Knee, hip and joint injections
  • Lumbar sympathetic block
  • Neurolytic injections
  • Occipital nerve stimulation for headaches
  • Peripheral nerve blocks, including genitofemoral and inguinal nerve blocks
  • Peripheral nerve stimulation
  • Radio frequency ablation
  • Spinal cord stimulation
  • Splanchnic block
  • Stellate and sphenopalatine ganglion blocks
Psychophysiological Pain and Stress Management
  • Biofeedback-assisted pain and stress management
  • Educational classes about chronic pain and its treatment
  • Guided imagery
  • Individual or group counseling
  • Specialized groups for conditions such as abdominal pain and fibromyalgia
Medication Management
  • Anti-inflammatory
  • Membrane stabilizers
  • Opioids
  • Serotonin-norepinephrine uptake inhibitors
  • Sympathetic blocking agents
Physical Therapies
  • Functional capacity evaluations
  • Land and water based treatments
  • Personalized treatment plans to help patients move from pain, disability, and suffering to wellness and independence
Occupational Therapies
  • Assistance in addressing activities of daily living, including home and work
  • Ergonomic evaluation
Interdisciplinary Pain Rehabilitation
Chronic Pain and Addiction
  • The burden of pain is greater in the presence of addiction. We have a great deal of experience in evaluating and educating patients who suffer from this disease complex and in arranging appropriate treatment for them.

Headache and Facial Pain

Our goal is to tailor a regimen that effectively reduces the frequency and severity of headaches. Our team includes headache specialists, psychologists, headache clinical nurse specialists, physical therapists and dietitians work together to develop an individualized treatment plan for each patient.

Infusion Center

The nurse clinician is also in charge of our infusion suite, a treatment room devoted to intravenous infusions specific for headaches. Cleveland Clinic’s Headache and Facial Pain Clinic pioneered the development of the headache infusion service several years ago as a means to provide urgent, inpatient-type care to patients who would otherwise have visited an emergency room. 

This room, which is available Monday through Friday, 8 a.m. – 4:30 p.m., is under the guidance of our staff physician, and provides “same day” care for patients already in the CCHC program or patients new to the program. It also provides an accessible site for initiation of analgesic research studies and analgesic treatment programs.

In the latter regard, the infusion suite successfully functions as a site where patients can be detoxified from medications that perpetuate headaches. It functions as an alternative to hospitalization. Combined with innovative approaches developed at Cleveland Clinic, the headache team has successfully treated many chronic headache patients as outpatients.

Home Care Infusion Nursing

This service can be provided in an outpatient setting, allowing the patient to stay at home or at work, while still receiving aggressive medical therapy for headaches.

Physical Therapy

Physical therapists work closely with the Headache and Facial Pain Clinic where they employ their knowledge of anatomy, biomechanics, and ergonomics to assess and treat mechanical factors contributing to headaches. Therapists will assess mobility of the neck and upper body, posture, and physical environment of the home and work. Pain response to repeated movements and sustained positions is evaluated, and the patient’s general condition and activity level are considered.

Treatment focuses on educating and empowering the patient to participate in techniques and specific exercises to correct mechanical problems.

Dietary Therapy

A registered dietitian is available to analyze and review a patient’s eating patterns and medical history as they relate not only to the headache disorder but also to the patient’s general lifestyle and individual needs.