The University of Miami Health System’s Pain Management Center is the leading multidisciplinary pain management facility in the Southeast.Florida. Our center is staffed by physicians from a variety of disciplines, nurses, psychologists, and other health care professionals trained and experienced in pain medicine.
Chronic pain affects more than 100 million American adults- -more than the total affected by heart disease, cancer, and diabetes combined. Pain also costs the nation more than $635 billion each year in medical treatment and lost productivity. So, there is no question that chronic pain is a major problem with a significant impact in patients’ and families’ lives, as well as in their physical, emotional and social function.
Our pain medicine group’s goal is to provide compassionate, prompt and effective care to patients with chronic pain, especially to patients who may have already been evaluated and treated elsewhere without success.
Our evaluation and treatment approaches utilize compassionate and comprehensive, interdisciplinary approaches that include partnering and contribution from specialists in pain medicine, neurology, neurosurgery, orthopedic surgery, oncology, gynecology, pediatrics, and alternative medicine, amongst others. In addition, our pain medicine center incorporates the Wellness Center services and staff as part of its comprehensive best practices clinical model. In order to produce the best possible outcomes, we work together with patients and their families to explore options designed to maximize quality of life and overall function.
We believe that chronic pain can be best understood and treated in the context of an interacting network of biological, psychological, and social factors, than purely in biological terms. It’s not only the medical conditions and diseases that can cause chronic pain and disability. Biological, psychological (thoughts, emotions, and behaviors), and social factors, all play a significant role in humans suffering from chronic pain. This is the reason why it is important to handle all components together in the context of chronic pain management. This notion reflects our philosophy, in our state of the art pain center, wherein in parallel with cutting-edge technology and procedural techniques we emphasize a comprehensive, multidisciplinary approach focusing in treating all components of the pain experience in the individual patient.
This approach is something so far missing from the health care services in Southeast Florida. Most pain clinics focus either on a purely interventional approach, or on pharmacological management (mainly using narcotic opioid drugs) with significant shortcomings and limitations. Our multidisciplinary pain clinic is a center of clinical excellence treating each patient as an individual by providing individualized, patient-centered, holistic and comprehensive care. This approach is based in offering interdisciplinary care in the same, state-of-the-art facility. Our team approach is based in an interactive participation of interventional pain physicians, physiatrists, neurologists and mental health specialists, nutritionists, physical therapists, and several other allied health specialists. The center is equipped with cutting edge equipment, including interventional procedure suites and state-of-art technology, as well as special facilities for physical therapy and rehabilitation. Function within the premises of an academic institution, adherence to the principles of sound, and ethical evidence-based medicine, and the enthusiasm and commitment of the participating physicians and providers are the constituents of success.
Residents or Fellows per year:
Postgraduate Training Required:
ACGME-accredited program in anesthesiology, neurology or PMR
Candidates must be eligible to sit for the American Board of Anesthesiology exam and have completed an accredited U.S. residency program.
Applications are accepted between October and January. Interviews are conducted between January and April.
Must have successfully completed an ACGME-accredited program in anesthesiology, neurology or PMR.
Jackson Memorial Hospital
UMHC/Sylvester Comprehensive Cancer Center Pain Management Clinic
Miami Veterans Administration Medical Center
Constantine Sarantopoulos, M.D., Ph.D., Program Director
Maria-Cristina Wells-Albornoz, MHA, MPH, Fellowship Coordinator
The Pain Management Center at JMH is a high-volume chronic pain clinic which emphasizes the medical and interventional management of chronic and cancer pain. Jackson Memorial Hospital provides a full spectrum of physician and ancillary consultative services, which are frequently employed on a referral basis by the pain management trainees. The fellow has the opportunity to participate in the scheduling of patients; initial consultation, diagnosis, and treatment plan development. Patients suffering from a large variety of pain problems are seen daily in the PMC. Fellows are expected to seek appropriate consultations from other services. All new patients and follow-ups are presented to and discussed with the attending physicians.
A wide variety of pharmacologic therapies and invasive techniques are utilized on a daily basis. A high quality fluoroscopic imaging system is available on a full-time basis. Some of the diagnostic procedures include epidural steroid injections, facet injections, SI joint injections, transforaminal injections, both cervical and lumbar sympathetic blocks, caudal catheter insertions (modified Racz procedures), nucleoplasty, discography, IDET procedure, intrathecal pump placement, spinal cord stimulator placement, intercostal nerve blocks, and other peripheral nerve blocks. Frequent consultations are received for various cancer related pain syndromes as well as neurolysis performed for various cancer pain i.e. Fluoroscopic or CT-guided celiac-plexus neurolysis. Many other pain management techniques (TENS, interferential stimulation, etc.) are also utilized in collaboration with the physical therapy department.
Our Pain Management Fellowship program participates in the NRMP. Please click here to apply to our program through ERAS.