Pain Management and Palliative Medicine Treatment

We offer two tracks of medical management here:

1)      Pain management - this person is otherwise a healthy individual, with limited or no comorbidities (health problems), most often is working/ has a productive lifestyle. Some problems include chronic back pain, joint pain, headaches/migraines, and neuropathy.

2)     Palliative care - this person has a life-limiting illness (or multiple illnesses) or injury that significantly impacts multiple aspects of life (physical, emotional, social, interpersonal, etc.) and these persons may have problems with depression or anxiety, limitations of their activities of daily living (ADL) and a limited social support system. Some types of chronic illnesses that should be considered include cancer, dementia, kidney or liver disease, lung disease (COPD), HIV/AIDS, multiple sclerosis and Parkinson's disease to name a few. Basically, anyone that a healthcare provider feels needs an extra layer of support can apply for this specialty program.

When you are experiencing pain, it can interrupt your daily schedule. At Shenandoah Pain and Palliative Care Clinic, we work with you to create a customized treatment plan to help you regain your lifestyle. With many treatments available, please find important information about the pain and treatments offered below.

Understanding Pain

At some point in our lives, many of us have experienced pain to some degree. While we might understand what pain feels like, it may still be difficult to define. By understanding pain, you can take a stand against chronic pain. Learn More...

Types of Pain

Not all pain is created equal. There are three different types of pain that encompass different areas of the pain you might be feeling. Depending on the type of pain you are experiencing, your pain specialist will be able to create an appropriate treatment plan. Learn More...

Trigger Point 

Trigger point injection (TPI) is a procedure used to treat myofascial pain or painful areas of muscle. When muscles do not fully relax, knots that can be felt beneath the skin, can form and irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body. With this procedure, the trigger point deactivated and pain is relieved. Many times, with a short treatment course, sustained relief is possible.

Steroid Injections

Localized corticosteroid injections can be used to treat the inflammation of small (target) areas of the body. Examples of conditions for which local cortisone injections are used include:

  • inflammation of a bursa (bursitis) in joints like the hip, knee, elbow, or shoulder
  • inflammation of a tendon (tendinitis) in problems like tennis elbow
  • inflammation of a joint (arthritis).

This type of treatment can relieve symptoms for many months or even years.


Contact Us

Pain and Palliative
Office Hours
Monday:8:30 AM - 5:00 PM
Tuesday:8:30 AM - 5:00 PM
Wednesday:8:30 AM - 5:00 PM
Thursday:8:30 AM - 5:00 PM
Friday:8:30 AM - 5:00 PM

Office is closed from 12:00 PM to 01:00 PM daily.