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Pain Management

Care for chronic and complex pain that affects daily life

Care for Pain That Interferes with Daily Life

At Lahey Clinic, pain management care focuses on understanding the cause of pain, treating it effectively and helping people manage symptoms over time. Care is designed to support daily function and quality of life, not just short-term relief.

Chronic pain is pain that lasts a long time or comes back again and again, and it can interfere with work, sleep and everyday activities. 

What Is Interventional Pain Management?

Interventional pain management uses targeted procedures to diagnose or treat pain at its source. These treatments are performed by trained pain specialists and may involve image-guided techniques. 

Conditions We Treat

Our Interventional Pain Management Center offers comprehensive care for many pain-related conditions, including:

  • Back, neck and spine-related pain, including muscle, joint and spinal cord concerns
  • Cancer-related pain, including pain caused by cancer or its treatment
  • Headaches and migraine pain
  • Nerve-related pain, including neuropathy, which refers to nerve damage that can cause burning, tingling or numbness
  • Pain after surgery
  • Pain related to stroke
  • Vascular-related pain, including circulation concerns such as vascular insufficiency and Raynaud’s syndrome

Pain management may also be part of a broader palliative care plan to support comfort and quality of life.

Providers at the Interventional Pain Management Center do not fill or refill prescription pain medications.

Diagnosing and Treating Your Pain

Evaluation begins with a review of symptoms, medical history, and prior treatments. You may have lab tests or imaging studies to better understand the cause of pain. 

Pain Treatment Options

Pain treatment plans are personalized and may combine several approaches to support relief and function.

Treatment approaches may include:

  • Image-guided injections and nerve blocks
  • Minimally invasive procedures designed to reduce pain signals
  • Rehabilitation services, including physical and occupational therapy
  • Education and strategies to improve movement and daily activity

More About Pain Management

How To Access Care at the Pain Management Center

Care at the Interventional Pain Management Center begins with a referral from a provider already involved in your care. This may be your primary care provider or another specialist.

Once the referral is received, scheduling staff will help arrange your appointment and explain what to expect. Before your visit, you will receive a pain center questionnaire to complete. This helps the care team understand your symptoms, medical history and treatment goals. You can also get support for referrals and appointment preparation.

A Multidisciplinary Approach to Pain Management

Pain care often works best when providers collaborate. Pain management specialists may work with other clinicians involved in your care, including those outside Lahey, to help ensure treatment plans are effective and coordinated.

Care teams may include:

  • Pain management anesthesiologists, board certified in pain medicine.
  • Nurses.
  • Physical medicine and rehabilitation providers (physiatrists).
  • Physical and occupational therapists.
  • Behavioral and mental health care providers.
  • Surgeons, including neurosurgeons and orthopedic surgeons.
Supportive Care for Pain

Pain can affect mood, sleep and emotional well-being. Some people benefit from counseling, mental health support or behavioral health services as part of their care. 

Meet the Team

Pain management specialists at Lahey use targeted procedures to diagnose or treat pain.

Erica B. Balfour, PA
Erica B. Balfour, PA Anesthesiology Pain Management
Robert N. DeMatteo, MD
Robert N. DeMatteo, MD Pain Management Anesthesiology
Kameel H. Garas, MD
Kameel H. Garas, MD Anesthesiology Pain Management
Marina K. Garas, DO
Marina K. Garas, DO Pain Management Anesthesiology
Andrew G. Kowal, MD
Andrew G. Kowal, MD Anesthesiology Pain Management
Michael C. Lubrano, MD
Michael C. Lubrano, MD Anesthesiology Pain Management
Daniel D. Vardeh, MD
Daniel D. Vardeh, MD Neurology Pain Management

Additional Services

Your pain management team coordinates your care with other specialty providers throughout our medical center. This ensures you receive comprehensive, streamlined care.

Division of Pain Medicine

The Division of Pain Medicine provides anesthesia, perioperative and pain management services, while also supporting education, research and academic training.