The pain clinic is held at the Buchanan Centre, Coatbridge.
The staff do not always have access to all hospital and electronic records and hence completion of the form will assist in patient management.
Please attach any relevant hospital clinic and investigation letters/reports from Docman
Please state if a patient requires ambulance transport. As there are no facilities for this at Coatbridge, ambulance patients will be seen at WGH.
| Services | Lanarkshire Chronic Pain Service provides out-patient multi-disciplinary assessment and treatment for adults with chronic pain. LCPS Aims & Objectives The team consists of two consultants in pain medicine, two specialist nurses, one specialist physiotherapist and one clinical psychologist. The Pain Management Programme is based at the Douglas Street Health Centre in Hamilton Rehabilitative & psychological approach to pain self-management The Pain Clinic, based at the Buchanan Centre (Coatbridge) and Wishaw General Hospital, has a more medical approach: TENS, medication, acupuncture, Diagnostic and medication advice and review Occasionally other procedures will be arranged at the day surgery unit at Wishaw General Hospital |
| Who to refer | Patients over 16: With pain for longer than 6/12 With a chronic painful condition or Whose pain is causing significant distress Who have been fully investigated, For whom no further investigation or treatment is planned, Whose lifestyle is significantly disrupted, Who find standard analgesia is ineffective and Who accept, during discussion, that a cure may not be possible. See Pain management algorithm |
| Who not to refer | Patients under 16 (without initial discussion with Yorkhill (Glasgow) paediatric chronic pain clinic Patients who would not tolerate the journey reasonably well Patients with back pain should initially be assessed through MSK or back pain service pathways Patients with: Red Flags Pain for less than 6/12 Awaiting investigations or specialist opinion, or invasive treatment Alcohol / drugs dependency Somatisation disorder Caution in relation to the following:- Active mental health problems where initial referral to mental health service or medication may be more appropriate: Depression: major Post Traumatic Stress Disorder: major Personality disorder: high level or primary Somatisation Disorder Bereavement: significant unresolved issues Abuse: unresolved issues Obsessive compulsive disorder: major Eating disorder: major Psychosis: active psychosis or delusions See Pain management algorithm |
| Resources | The British Pain Society The British Association Scotland Pain Pathway Guidance for GPs Pain Management manual Patient information leaflets (PILs) See Patient support groups |