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Our services

York Chronic Pain Management Service

Pain is "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage".

At the York Pain Service, we are a team of professionals who specialise in helping patients manage their pain. Our team is led by Dr Philippa Armstrong, consultant anaesthetist and pain physician. The Service works with people with both acute pain and people with chronic or persistent pain. This can be as an inpatient (acute pain), the chronic pain service is outpatient based.


What we do

Chronic Pain Service

Many patients have tried a range of medications and physical interventions prior to coming to our service. Evidence has shown this works well in some areas but a different approach has been shown to be more beneficial in the management of chronic pain.

Our approach for all chronic pain conditions is using the biopsychosocial model, we are aware that that the experience of pain involves complex interactions with every part of life.

Everyone experiences pain in an individual way, how you experience the pain affects how you deal with it and the impact it can have on you.


What we offer

We provide individual assessments and tailor what we offer, according to your particular needs.

This could involve: 

  • Group work
    - Pain Management group programmes offer a “self-management” approach. They are not another attempt to “cure” pain but an opportunity to gain information and skills to challenge the way pain is controlled. This can enable you to make choices about the way you live despite the pain.
    - 4 session programme.
    - 12 session programme.
    - Physio led gym class

  • Medication advice and review

  • TENS provision and advice

  • Acute back pain management services

  • Epidural and nerve root block (acute pain)

  • Diagnostic nerve blocks and radiofrequency denervation (depending on current CCG funding and clinical need)

  • Spinal cord stimulation/dorsal root ganglion stimulation

  • Onward referral for further investigations if clinical need is present

  • You may speak to our admin team

What to expect when you come to see us

You will usually be referred to the team by your GP and will be sent an assessment appointment to meet with either a consultant or another member of the multidisciplinary team (MDT). Prior to this appointment you will be asked to complete an in-depth questionnaire to form the basis of the conversation about how the pain affects you and your life. Please also bring a list of your current medications including dosages.

This initial appointment will last approximately 40 minutes with the aim of formulating a plan for managing your pain.

After your initial appointment further appointments will be arranged, as appropriate.

If you are unable to attend any appointments, please telephone the Contact Centre on (01904) 726400. Due to the demand on our service, please contact us at least 48 hours before your appointment so that we can re-allocate your slot.

There may also be medical or other students present in any of our clinics. This is a valuable part of their training. If you would prefer them to leave during your consultation please let us know on the day.


How to find us

To get to the pain clinic, come into the hospital at the main entrance.  Turn to your left once you get inside, and the Outpatient Reception Desk will be in front of you.  Please tell the receptionist that you have arrived.

Our office is based on the first floor of the outpatient department.


Contact info

MDT Pain Clinic
1st Floor Outpatients
York Hospital
Wiggington Road
York
YO31 8HE

Phone number: 01904 725395


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Visiting cancelled

Due to the increasing number of cases of coronavirus across the UK, York Teaching Hospital NHS Foundation Trust has made the decision to cancel all visiting to all its hospital sites in order to ensure the safety of patients and staff.

There are three exemptions to the ruling which are for one parent of a sick child under 18, for the partner of a woman giving birth and end of life patients at the discretion of the ward sister.

We would ask people to respect this decision and to treat our staff, who will be enforcing the visiting restrictions, with courtesy and respect.  For more information visit our website.


Outpatient appointments

We know that NHS services will come under intense pressure as the coronavirus spreads, and as a Trust we need to redirect staff, free up staff for refresher training and carry out any works as necessary, so we are able to maximise capacity for patients for when the number of infections peak.  We also need to reduce the number of people coming into our hospitals to protect our patients, as well as keeping our staff safe, well and able to come into work.

To do this, with effect from Tuesday 24 March 2020, along with other trusts in the Humber Coast and Vale partnerships, we have made the collective decision to suspend all non-urgent routine outpatient appointments for at least three months.  Urgent and emergency cases and cancer appointments will be carrying on as normal.

These are unprecedented times and we thank you for your understanding.  We know many people waiting for treatment will be disappointed or worried but please not contact the hospital as we will be contacting everyone directly affected in the coming days and weeks.

If you do not receive a letter or a phone call from the hospital, please turn up for your scheduled appointment as normal unless you have symptoms of coronavirus, a cold, flu or norovirus in which case you should contact us to cancel your appointment by clicking here.


Coronavirus (COVID-19)

If you have symptoms associated with coronavirus including a new continuous cough and a high temperature, you are advised to stay at home for 7 days.

Please do not book a GP appointment or attend your GP practice.

If you live with other people, they should stay at home for at least 14 days, to avoid spreading the infection outside the home.  After 14 days, anyone you live with who does not have symptoms can return to their normal routine.

But, if anyone in your home gets symptoms, they should stay at home for 7 days from the day their symptoms start. Even if it means they're at home for longer than 14 days. The most up-to-date public guidance is always online at www.nhs.uk/coronavirus

If your symptoms are serious, or get worse, NHS 111 has an online coronavirus service that can tell you if you need further medical help and advise you what to do.  Only call 111 direct if you are advised to do so by the online service or you cannot go online.