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Understanding our approach to modern pain treatment
Our dedicated doctors are always fighting pain and constantly researching to find the latest cutting-edge technology to give our patients the best pain relief experience. We are pleased to share details of our innovative, non-invasive custom approach.
Featured Lecture Series:
Comprehensive Review Of Pain Medicine
CHAPTER 5 | DR. MICHAEL NGUYEN, MD

Surgical Pain Management: – A Complete Guide to Implantable and Interventional Pain Therapies.
Published: 2018 Jan;21(1):106-113.
About this publication: This book details a range of approaches from basic implant therapies to more advanced therapies, making it an ideal companion to an advanced training program in interventional pain management and a useful resource for developing a team that will optimize care for some of the most difficult to treat chronic pain patients.
Our Pain Experts Are Published In The Latest Hip Pain Treatments
AUTHORED BY DR. GEORGE HANNA, MD

Ultrasound-guided Radiofrequency Lesioning of the Articular Branches of the Femoral Nerve for the Treatment of Chronic Post-arthroplasty Hip Pain. Pain Physician.
Published: 2017 Feb;20(2):E323-E327
About this publication: Cooled (60°C) radiofrequency lesioning of the ABFN under ultrasound guidance is both an effective and minimally invasive intervention for chronic post-arthroplasty hip pain.
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Our patients walk away healthy and happy!
We’re the most experienced pain treatment healthcare provider and have one of the nation’s most robust network of pain doctors specializing in back, knee, and neck pain relief treatments.
PUBLICATION | 2025
Novel use of ultrasound-guided high-intensity focused ultrasound (HIFU) may enable the neuroablation of the sacroiliac joint in a swine model: a feasibility study.
PUBLICATION | 2024
Peripheral Nerve Stimulation for Post-Spinal Fusion Sacroiliac Joint Pain
PUBLICATION | 2024
Spinal Cord Stimulator Complication Rates: A Single-Institution, 22-Year Study (1999-2021).
IN THE PRESS | INTERVIEWS
What to expect with the Pain Treatment Specialists: Our Patients Share their stories
If you are in pain and unsure of how our pain treatment specialists can bring your health back, please let us introduce you to Jasmin, the office manager that loves dancing and working out. Our Pain Treatment Specialists helped her get back to her active lifestyle with non-invasive pain relief treatments.
More Articles | Intrathecal pump
Always looking forward to help you. Are you a Intrathecal pump candidate? These articles are for you.
AUTHORED BY DR. GEORGE HANNA, MD

Aberrant Intrathecal Pump Refill:
Ultrasound-guided Aspiration. Reg Anesth Pain Med.
Published: 2016 Feb; 19(2):E343-6.

Intrathecal pump exposure to electromagnetic interference: a report of device interrogation following multiple ECT sessions.
Published: 2016 Feb; 19(2):E343-6.
About this publication: Communication with multiple entities (patient, family, consulting physicians, and device manufacturer) and maintaining vigilance through device interrogation both before and after EMI exposure are appropriate safeguards to mitigate the risk and detect potential adverse events of EMI with intrathecal drug delivery systems.
TOP READ OF
THE MONTH
Development and Patient Satisfaction of a New Telemedicine Service for Pain Management at Massachusetts General Hospital to the Island of Martha’s Vineyard. Pain Medicine.

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More Articles | Latest In Pain Medicine

Peripheral nerve stimulation for post-spinal fusion sacroiliac joint pain
Published: 2024 Dec 12.
The sacroiliac joint (SIJ) plays a critical role in connecting the spine to the pelvis, facilitating weight transfer and absorbing impact during movement. Although the SIJ has a limited range of motion, dysfunction or degeneration of the joint can lead to significant pain and disability, affecting a patient’s quality of life. SIJ pain is a common cause of lower back pain and can be challenging to treat in patients who have undergone spinal fusion. These patients are at increased risk of SIJ dysfunction because of altered biomechanics after fusion. The incidence of SIJ pain in patients who have undergone spinal fusion is substantial, with rates reported as high as 52.6%.

Spinal Cord Stimulator Complication Rates: A Single-Institution, 22-Year Study (1999-2021)
Published: 2024 27:E909-E917
The rate of SCS-related complications decreased from one group to the next, with the most recent group demonstrating a statistically significant decrease in both device and biological complications. Our results are consistent with SCS literature trends that demonstrate decreasing complications, which may be due to technological advancements in SCS device technology and improved complication mitigation strategies. Further prospective research utilizing multicenter data is needed to better define the overall trend of SCS complications.

The Ethical Stewardship of Artificial Intelligence in Chronic Pain and Headache: A Narrative Review
Published: 2024 Aug;28(8):785-792.
We reviewed thirty-eight editorial and original research articles published between 2018 and 2023, focusing on the application of AI and ML to chronic pain or headache. The core medical principles of beneficence, non-maleficence, autonomy, and justice constituted the evaluation framework. The AI applications addressed topics such as pain intensity prediction, diagnostic aides, risk assessment for medication misuse, empowering patients to self-manage their conditions, and optimizing access to care. Virtually all AI applications aligned both positively and negatively with specific medical ethics principles. This review highlights the potential of AI to enhance patient outcomes and physicians’ experiences in managing chronic pain and headache. We emphasize the importance of carefully considering the advantages, disadvantages, and unintended consequences of utilizing AI tools in chronic pain and headache, and propose the four core principles of medical ethics as an evaluation framework.

Exceptional Cases of Spinal Cord Stimulation for the Treatment of Refractory Cancer-Related Pain
Published: 2023 Jul;26(5):1051-1058.
Cancer pain has traditionally been managed with opioids, adjuvant medications, and interventions including injections, neural blockade, and intrathecal pump (ITP). Spinal cord stimulation (SCS), although increasingly used for conditions such as failed back surgery syndrome and complex regional pain syndrome, is not currently recommended for cancer pain. However, patients with cancer-related pain have demonstrated benefit with SCS. We sought to better characterize these patients and the benefit of SCS in exceptional cases of refractory pain secondary to progression of disease or evolving treatment-related complications.

A massive upper abdominal tumor:
An unusual mechanism of atelectasis and cardiac tamponade. Anesthesiology.
Published: 2012 Nov;117(5):1129
An upper abdominal tumor may compress the lung as well as the right atrium, resulting in atelectasis and cardiac tamponade. Increasing pericardial pressure reduces and offsets filling pressure (intracardiac minus pericardial pressure), leading to initial impairment of right heart function, and ultimately of all four cardiac chambers. Decompression and removal of the mass can restore pulmonary function and normalize stroke volume, thereby improving arterial blood pressure.

The use of proximal fixed modular stems in revision of total hip arthroplasty. J Arthroplasty.
Published: 2006 Jun;21(4 Suppl 1):112-116.
Proximally fixed femoral stems in revision of total hip arthroplasties (THAs) have had inconsistent results. Our aim was to determine the safety and efficacy of a new proximally fixed modular stem in THA revision. Fifty-three patients underwent THA revision with the Exactech AccuMatch M-Series (Gainesville, Fla) modular stem and were followed up prospectively for an average of 2.5 years with preoperative and postoperative Harris Hip Score and SF-12 scores. A small number of complications were reported. One stem was revised within 4 weeks due to subsidence. No later mechanical failure cases were reported. Postoperative Harris Hip Score and SF-12 improved significantly. The use of this modular stem system appears to be safe and efficacious regarding fixation and function in the short term.

Hip arthroscopy technique and indications. J Arthroplasty.
Released on: 2006 Jun;21(4 Suppl 1):68-73.

Anesthesia for Spine Surgery. In: Pino R. Clinical Anesthesia Procedures of the Massachusetts General Hospital (9th ed.)
Released on: Wolters Kluwer, 2015.
About this publication: Today’s best practices in anesthesiology! Relied on for over 30 years by practicing anesthesiologists and residents as well as nurse anesthetists, Clinical Anesthesia Procedures of the Massachusetts General Hospital offers you current, comprehensive, concise, consistent, and clinically relevant guidelines on all facets of anesthesia, perioperative care, critical care, and pain management from a host of seasoned experts.
Selected as Dr. Hanna’s favorite publication
Hypnotic Hypersensitivity to Volatile Anesthetics.
Published: 2012 Nov;117(5):1006-1017.
Adrenergic signaling is essential for normal emergence from general anesthesia. General anesthesia does not depend on inhibition of adrenergic neurotransmission.
Selected as Dr. Hanna’s favorite publication

More Articles | Scientific Researches

Medication safety in the perioperative setting. Anesthesiology Clinics.
Published: 2011 Mar;29(1):135-144.
About this publication: Drug administration errors are a major cause of morbidity and mortality in hospitalized patients. These errors result in major harm and incur dramatic costs to the delivery of health care. This article highlights this problem, especially as it deals with patients in the perioperative setting.

Sympathetically Maintained Pain in CRPS II: Human Experimentation. In: Schmidt RF, Gebhart GF, editors. Encyclopedia of Pain (2nd ed.)
Published: Springer Verlag, Berlin, Heidelberg, New York 2013.

Spinal Cord Stimulation. In: Brenner G. The Massachusetts General Hospital Handbook of Pain Management (4th ed.)
Released on: Wolters Kluwer, 2021.
In this publication: Offering expert guidance from seasoned clinicians at Massachusetts General Hospital, this bestselling handbook provides accurate, clinically essential information in a portable, quick-reference format.
Top Recommended Pain Treatments By Harvard-Trained Pain Experts For Most Common Conditions
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We utilize advanced pain management techniques to customize a plan specific for each patient, helping them avoid complicated surgeries. Our doctors specialize in fluoroscopic guided epidural steroid injections, facet injections, knee injections with viscosupplementation, and many of the latest pain treatment modalities available on the market. Pain Treatments are covered by most major medical insurances, including Medicare. We offer FREE insurance verification.
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Check out our complete article collection.
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Surgical Pain Management: A Complete Guide to Implantable and Interventional Pain Therapies
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Essential Clinical Anesthesia Review: Keywords, Questions and Answers for the Boards
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Anesthesiology: A Comprehensive Board Review for Primary and Maintenance of Certification
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TheAnswerPage.com Massachusetts Medical Society, Pain Medicine CME Module
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Intrathecal Drug Delivery System (IDDS) for Cancer Pain Management: A Review and Updates
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Pocket Pain Medicine (Pocket Notebook Series)