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PROLOGUE

 

"Knowledge is of two kinds. We know a subject ourself
or we know where we can get information on it."
- Author unknown

Due to a high prevalence and incidence of both chronic pain and acute pain, as well as high failure rate in treatment of the pain patient, it has become important to make available medical information and educational resources to the population of potential pain patients as well as actual pain patients. The problem in chronic pain is that in order to make a complete and accurate diagnosis most (over 60%) require one or more highly specialized diagnostic pain management block(s) in addition to the comprehensive physical examination, laboratory and radiology testing as well as nerve conduction studies. These delicate and highly revealing pain management blocks can only be done by a trained, skilled and experienced pain management physician, without which an accurate and complete diagnosis is unlikely to be made.


Without a complete and accurate diagnosis following a comprehensive
evaluation and appropriate non-interventional and interventional work-up,
no pain syndrome can be adequately treated.


This brings to the forefront the need for the selection of a knowledgeable and experienced physician in the field of Pain Management and Interventional Pain Management in particular. Interventional Pain Management is a relatively new specialty and is under-served and under-represented today in the field of medicine when compared to the population in need of care.

This website is dedicated to the many chronic pain patients who have sought for help in vain, knocking on all the wrong doors for both cure and information. Through this web site I hope that they can truly find the help and information that they need. You do not have to live with it (the pain) as you have been told. Things have changed for the better and there is true help available today. Patients in general, and pain patients in particular may need specialized technology services but they also need to have addressed the psychological, social and economic implications of having the burden of chronic pain and cancer pain. After making the diagnosis, a good pain management specialist should be able to offer a highly sophisticated array of options available today in Interventional Pain Medicine (and growing) designed to alter the pain generating source in a minimally invasive approach. In addition offer dignity, caring, education, as well as appropriate sympathy and support to patients and their families.

Pain has been a problem since the ages and even the Hippocratic oath made references to the need to control pain. John Bonica (USA), known as the founder of modern pain management, was able to envision a pain management field that is multidisciplinary and includes psychological treatment when needed, interventional pain management, physical medicine & rehabilitation, as well as appropriate medication treatment on a case-by-case basis. This practice is dedicated to such standards.


Bentley A. Ogoke, M.D.

The arrival of interventional pain management as a discipline has opened previously closed doors to millions of chronic pain sufferers, who often have done the full range of “doctor shopping” seeking elusive cures. Rapid advances in interventional pain management in the past decade or two has been breathtaking and it continues to grow. In 1998 Michael J. Cousins, MD (Australia), and Philip Bridenbaugh, MD (USA), once wrote,

“Interest in the causes and treatment of chronic pain has been more intense than in any field of medicine.”

So much has happened since then and continues to do so. Our center was established in 1996 in Springfield, Massachusetts, and has a multidisciplinary approach to the treatment of Chronic, Acute and Cancer pain. Our approach includes the following:
 

  • Comprehensive evaluation
  • Interventional pain management procedures
    (fluoroscopy guided)
  • Advanced physical therapy evaluation and treatment
  • Neuro-diagnostic studies and testing
  • Medication, including neuro-psychiatric medication and appropriate use of narcotics
  • Appropriate minimally invasive surgery
  • Referrals to area surgeons as appropriate

Bentley A. Ogoke, M.D.

 

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