Patients may self refer, however, all patients are required to be under the care of a primary care physician and we will need to obtain medical records to determine what treatment options have been attempted and what we can offer you in the future.If your insurance requires you to have a referral, you must also obtain an appropriate referral from your primary care physician.
To make an appointment for any of our locations, please call (508) 665-4344
We accept most major health care plans. Please call us at 508-655-4344 and speak with a representative to verify that we accept your insurance. We do not accept Motor Vehicle Accident Insurance or MassHealth.
You will be seen by various medical professionals during your visit. Since we are a full service clinic, there may be non-physician clinical staff involved in your care working under the direction of our physician. This offers the advantage of many clinicians thinking about your conditions and care. There will also be medical assistants who assist with your care during your visit.
We typically perform an initial consultation and then decide on the best course of treatment. This may include injections, medications, physical therapy, behavioral therapy (pain psychology), implants, enrollment in a research studies, or even no further clinic treatment. If we recommend certain pain medications, we may ask your primary care physician to assist us in prescribing them, especially once you have achieved a stable dose of medication. We strive to schedule injections or other procedures within two weeks of the initial consultation. If we have an opening in the schedule, we may be able to schedule an injection on the same day of your initial clinic consultation.
Your first visit will be an initial evaluation
that will involve reviewing relevant information such
as medical history, medications and previous treatments.
You should bring in all relevant medical records, imaging
reports and test results. The more information
you can provide at this visit, the quicker we can develop an appropriate recommendation for managing
your pain. At the first visit, we will talk with
you about your medical history and perform a physical
exam. We will discuss your pain and describe treatment
options with you. You may be asked to have further diagnostic
work up or obtain copies of medical notes or reports.
With your input, a multi-disciplinary treatment program
will be developed to help you return to you! For further
information about your first visit, click here.
We do not usually prescribe medications
on the first visit, especially opioid medications. If
you are seeking medical management for your pain, please
be aware that we will work with your Primary Care
Physician in managing prescriptions for opioids. We do
not take on patients who are exclusively looking for long-term opioid management.
If you are going to have a procedure done
in the head, neck or upper back, you should not eat or
drink after midnight the night before the procedure. You
should take your usual medications in the morning, in
any case, with a sip of water. For low back procedures,
except for lumbar sympathetic blocks, you can eat a light
meal prior to the procedure. Please tell the doctor if
you are on any blood thinners, like Coumadin or Plavix
as these must be discontinued up to one week before the
procedure. You must check with your prescribing physician
to be sure you can safely come off of these blood thinners.
In some cases, the procedure will not be able to be done,
because the blood thinners are too important to your health
to stop them. You will need to have someone drive you
home after any procedure, as they typically involve a
local anesthetic. It is best to limit your activities
for the remainder of the day. You should not drive a car
after a procedure as your reflexes may be temporarily
dulled and your muscles may be temporarily weaker. Keep
the injection site clean and dry on the day of the procedure. To download Pre Procedure Instructions, please click here
Some procedures may require sedation that prevents you from safely eating or drinking. Also, some procedures may inhibit movement in parts of your body that would make it difficult or unsafe for you to drive. Since we cannot be sure how the treatment will affect you, we require you to follow instructions that will be provided. Click here to download pre-procedure instructions
The injection site may be sore for a couple of days.
Applying ice to the area for 20 minutes at a time a
few times a day may be helpful in reducing any discomfort.
Most people experience improvement within a couple of
days, but it may take up to 2 weeks to experience full
pain relief. To download Post Procedure Instructions, please click here.
If you received a therapeutic injection using local anesthetic (numbing medication) and a steroid, it might take three to seven days and occasionally up to two weeks for the steroid to work. If you received only numbing medicine, this is a diagnostic injection, and the pain might return when the numbing medicine wears off. Sometimes pain is not relieved with one injection. Your clinician may recommend additional injections. For steroid injections, we recommend waiting two to four weeks between injections. If you have any additional questions or concerns, please call us at (508) 665-4344.
Many medications prescribed to treat pain,
may cause fatigue, sedation or dizziness. Please do not
drive the first time you take a new medication or are
prescribed a higher dose of a usual medication. Most medications
will reach stable blood levels after a few days, but some
can take as long as a week to two weeks. If you are
experiencing any side effects that may impair your ability
to drive, do not get behind the wheel or operate machinery
that may cause harm to you or someone else. When you
receive a prescription for a new medication, we will counsel
you about side effects and will provide you with information
about the medication. We will also answer your questions.
Often, after a few days on a new dose or medication, side
effects will diminish. Usually, by two weeks on a new
medication or a higher dose of a usual medication, blood
levels are stabilized and side effects are minimal. If
you feel sedated or dizzy from a new dose/medication,
please contact your doctor. The medication or dose may
be changed. After all, our goal is to have you more functional,
not dizzy and sedated. Please use good judgment.
If you are a current patient of Complete Pain Care and have been seen fairly recently, you should call the pain center directly at (508) 665-4344 and after the prompt for medication refills, leave a message. Please include the name of the medication, and the dose and frequency of the medication takes as well as the pharmacy you use. The prescription will be “called in” within 48 hours of the request and is available for pick-up on the third business day after leaving the message. Patients are advised to call at least 72 hours prior to the date of refill.
It may take some time to see the benefits of new medications; however, if you have been on your new medicine for 14 days and it isn't helping your pain, please make an appointment in the clinic. We cannot make changes to medication or prescriptions over the phone.
If you have symptoms such as hives or trouble breathing, stop taking the medicine and call 911. Less serious side effects such as nausea, increased tiredness or mild dizziness usually get better within a few days. If they do not, please schedule an appointment at the clinic.
All procedures scheduled in advance are submitted to your insurance company before the procedure. If medications are not covered by insurance, your pharmacy should fax us at (508) 665-4355 to start the prior authorization process with your insurance company. If a prior authorization is needed, this may take one to two weeks to complete. We will notify your pharmacy once we receive the decision.
The office is open Monday - Friday, 8 am
- 4 pm, for scheduling appointments or for follow up issues.
However, there are times when you should contact your
doctor urgently. You should call the doctor immediately
and go to the emergency room if you experience severe
back pain, numbness or weakness in your legs, or loss
of bladder or bowel control after a procedure. Additionally,
if you develop a fever or notice any signs of infection
(redness, warmth and swelling) near the injection site,
call the doctor. You should also call the doctor if you
feel you are suffering from a side effect from a medication
that the doctor prescribed for you. If at any time, you
experience chest pain, difficulty breathing, or feel you
are suffering from an allergic reaction, call 9-1-1.
The office is open Mon-Thursday from 8AM
to 4PM, and Fridays from 8AM to 3PM. The office is closed
weekends, and most US holidays.
If your call is of an urgent nature and it is after hours,
call (508) 665-4344 and follow the prompts for paging
Dr. Pearl. If this is an emergency, call 9-1-1, or have
someone take you to an emergency room.
We will evaluate your list of medications during the initial visit and provide our recommendation about continuing opioid therapy. We may recommend another course of treatment that does not include opioids. We do not write prescription for opioids on the first clinic visit, so please do not arrive with the expectation that we will automatically refill your prescription.
If your test was ordered through Complete Pain Care, we will discuss results with you during your next clinic visit. If your primary care clinician ordered the test, please contact that office for results.
Discuss any questions or concerns with your provider at your clinic visit. We suggest you come with a list of your questions in preparation for your appointment. You can also look at the Patient Education links we have provided. Click here for Patient Education
Forms typically require two weeks to process and need to be discussed with your provider at your clinic visit to clarify documentation requirements and responsibility. If you have an attorney or third party requesting forms or a letter, the request needs to come from the attorney's or third party's office in writing.