Pain Management Department

How we can help you

We help you manage your pain and its impact on your life. We focus on the medical, physical, social, psychological and environmental factors associated with pain.

We can help you develop a plan to:

  • reduce how much pain you are feeling
  • increase what you can do
  • regain control of your life, and
  • improve the quality of your life.

We are a team of health professionals, based in the Hospital, who will work with you to help you manage your pain.

Our doctors specialise in pain medicine, anaesthesia, addiction medicine, psychiatry and rehabilitation. They will help you:

  • Understand your pain and what may be causing it.
  • Reduce your pain using medicines and other treatments.
  • Maximise what you are able to do when you have pain.
  • Understand how your pain is affecting your emotional health.
  • Use prescribed pain medicines safely.
  • Manage short term experiences of pain such as after having surgery.

Our nurses will assess your pain and give you education and pain treatments. 

Our physiotherapist will help you with exercises that increase your activity and help manage your pain.

Our clinical psychologists will explore how you are coping with pain and the impact it is having on your life (e.g. mood, sleep, family, work and leisure activities). They can help you with strategies such as thought management and relaxation so you can manage your pain better.

Our pharmacist will tell you about how to take your medicines and make sure your pain medicines work with your other medicines. 

Our occupational therapist will help you to be as independant as you can in your work and life. They may suggest some aids to help.

Our social worker is available to help you with practical social and emotional issues that you may experience. They can also provide you with information and education around what other community services are available.

We provide the following services:

Acute pain management

While you are in hospital, our team will help you deal with any pain you may experience related to your medical condition, trauma or surgery. Our team visits the wards each day and we are on-call 24 hours a day.

We use a range of medicines to relieve pain. Some of them you receive through an infusion. Sometimes you can manage this medicine yourself through a special machine. Other medicines we use include tablets you would take orally or injections which help with pain.

Our outpatient clinic for persistent (chronic) pain

Some people experience long term ongoing pain. Our team can work with you to find out what might be causing your pain, how best to minimise it and how you can develop some strategies to cope better with this pain. Treatments include medicines and injections, electrical stimulation, exercise therapies, pain education, practising meditation and relaxation techniques and reviewing your home, leisure and work environments. Some of these are offered to you individually. Others are offered on a group basis. They are generally undertaken in the outpatient setting but some treatments may require a brief stay in hospital.

Pain self-management programs

Our team offers pain management treatment programs in group and individual format to equip you with the knowledge and skills you need to manage your persistent pain, to improve your quality of life and to function as well as possible. Our pain specialist, clinical psychologist or psychiatrist, and physiotherapist will assess whether these programs would be suitable for you. Our programs include:

  • Persistent Pain Education Session – 2-hour presentation held monthly. Attendance is required before starting other programs.
  • Individual psychology, physiotherapy or occupational therapy appointments of 30-50 minutes to help you get started on active self-management.
  • Mindfulness-based wellness program with our nurse team – 1.5 hours per week for 8 weeks.
  • Walk and Talk with our psychologist and physiotherapist each Wednesday at the Coogee Coastal Walk.
  • Referral to online self-guided pain courses.
  • ACTIVE Pain Management Program – a low intensity group program with our psychologist and physiotherapist of 20 hours, 2.5 to 3.0 hours/week for seven weeks plus a 12-week booster session. Each session includes 45 minutes of supervised exercise and 15 minutes of mindfulness. Education targets the science of pain, and self-management skills for managing physical activity, stress, sleep, communication and flare-ups.
  • ACTIVE Exercise Group – a low intensity group program for people who have completed one of our Pain Management Group Programs. The number of sessions will be prescribed by our team. This is a stepping stone towards a community exercise program.

Cancer Pain Management

Our team will work with our Hospital's cancer and palliative care teams to help manage your pain from cancer.

Complex pain services

Our department is also a referral centre for patients requiring more complex pain assessment and management.

     

    We provide advice and care for people living in regional and remote areas through our telehealth clinic. This means that we communicate with you through a video link on your computer screen. Once we have your referral we will contact you and discuss how this works.

    You need a referral letter from your local general practitioner (GP) or specialist to make an appointment with our pain clinic. The referral letter should include your medical history, relevant scans or x-ray results and what medicines you are taking. It should be sent to the Department of Pain Management, Prince of Wales Hospital, Barker Street, Randwick, NSW 2031 or faxed to 9382 2870.  

    Once we have received your referral letter, we will send you questionnaires which you will need to complete and return to us. You can do these online if you include your email address in your referral. The questionnaires help us understand your pain and which team members you should meet in your appointment.

    Clinic days are Monday, Tuesday, Wednesday & Friday.

    Appointment Reminders

    If we have your mobile phone number in our system you will receive a text message reminding you of your appointment date and time 3 days before your appointment.

    You can register with the Telstra HealthNOW mobile application (app) to receive appointment details and reminders on your mobile phone. 

    HealthNow allows us to send you mobile text messages about your appointments. HealthNow provides you with:

    • Instant notification about appointment bookings
    • Calendar reminders about appointments
    • Google maps to help you get to the appointment safely
    • Internal hospital maps to help you find the clinic

    You may receive a text message from us asking you to download and register with HealthNow. This is not spam and it is safe to use.

    If you need to change your appointment time or you decide you do not want to attend the Pain Clinic, please ring us on 9382 2863. 

    You may also be contacted by our allied health staff (e.g. physiotherapist, clinical psychologist, and occupational therapist) regarding specific appointments.

    The Pain Management Clinic has doctor clinics, psychology clinics, physiotherapy clinics and nurse clinics at set times. We try to find an appointment time that allows you to attend.

    Waiting times

    Depending on what pain you are experiencing, we will prioritise your appointment. For example, if you have severe pain from cancer or an acute form of pain, we will try to see you within two weeks.

    In general, the waiting times can be up to three months or more but we will try to see you earlier if it is possible.

    On the day of your appointment every effort will be made to keep your appointment on time, however unavoidable delays may occur.  We trust you will understand in the event of this occurring.

      Please bring:

      • Your Medicare card or Veteran Affairs card.
      • A list of your medicines including any herbal or over the counter medicines.
      • Any recent x rays or medical images and their reports.
      • Insurer details if you are claiming workers compensation, public liability or third party insurance.

      In your first appointment, you may see either a pain specialist alone or a team of specialists including the doctor, clinical psychologist and physiotherapist. If we need to do further assessments, we will arrange another time to do this. We will work with you to develop a pain managment plan.

      Make an appointment with your local family doctor to talk to them first. If your local doctor needs some advice they can contact us.

      Websites on chronic pain

      Brainman brief educational videos:

      Books on pain

      Rewire your pain: an evidence based approach to reduce chronic pain. Davies S, Cooke N, Sutton J.

      Explain Pain. Butler, D. S., & Moseley, G. L.  

      Manage your pain: practical and positive ways of adapting to chronic pain. Nicholas M, Molloy A, Tonkin L, Beeston L.

      The Pain Book, finding hope when it hurts. Siddall P, McCabe C, Murray R.

       

      Research

      We are dedicated to learning more about what causes pain and more effective ways people can deal with pain. We are also interested in monitoring some of the medicines people use for their pain. We do this in partnership with other research teams and health services.

      We may ask you if you would like to be part of our research. You have the right to say no. If you do so, this will not impact on the services we provide to you.

      Training and Education

      Prince of Wales Hospital is a public teaching hospital. Our department is actively involved in teaching medical students, doctors, nursing and other health care staff about how to best manage pain.  We are also accredited with the Faculty of Pain Medicine of the Australian and New Zealand College of Anaesthetists to provide specialist training for doctors to specialise in the area of pain medicine. You may be asked to be involved in research or for a student to be present at your appointment. You have a right to say no. If you do so, this will no impact in any way on the services we will provide.

      Please let us know if you need an interpreter. You can contact us telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak and then ask the interpreter to set up a telephone conversation between you, an interpreter, and the healthcare professional you want to speak with.