Clinical Services

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NJ Pain Institute

At RWJUH you will be treated by physicians that are specialists with regard to the newest and latest innovations in the field of regional anesthesia and acute pain techniques.  Who’s goals of treatment are guided by their commitment to providing each patient with an individualized treatment plan to provide the best possible outcome for their surgical procedure and hospital stay.

Our Physicians and Staff

  • Geza Kiss, MD Director Acute Pain and Regional Anesthesia Division
  • William Grubb, MD, DDS, Director of Acute and Chronic Pain Services
  • Scott Mellender, MD Clinical Director New Jersey Pain Institute
  • Ashraf Sakr, MD Assistant Professor
  • Rose Alloteh, MD, Assistant Professor

Conditions We Treat

We provide regional anesthesia for many general, vascular, oncologic and orthopaedic surgical procedures.  Patients are advised to also discuss the possibility of many of our regional techniques with their surgeons during their consultation.

Procedures-Regional Techniques

Epidural Placement:

Thoracic - Placed for many thoracic and upper abdominal surgical procedues.  Patients will be appropriately sedated prior to placement to minimize any discomfort. 

Lumbar - Placed for many lower abdominal surgical procedures.

TAP Block - (Tranversus Abdominal Plane Block) Used for incisions at the umbilical level or below especially inguinal hernia’s.

Upper Extremity Blocks:

Interscalene Block - This is a block performed for invasive surgical procedures of the shoulder area.  It can be done as a single injection (pain relief for approx. 18 hours) or in some cases a catheter may be left in place to provide pain relief for 48-72 hours.  This block will numb the shoulder and bicep/tricep area of the extremity that is blocked.

Supraclavicular Block - This is a block that is performed for vascular and orthopaedic surgical procedures of the arm.  This is done as a single injection that will provide pain relief of the extremity injected for 6-18 hours depending on the procedure and surgical time needed by the surgeon.

Infraclavicular/Axillary Block - This is a block that is performed for similar procedures as the supraclavicular block, just providing better anesthesia of the hand/wrist.

Lower Extremity Blocks:

Femoral Nerve Block - This is a block that is performed for many orthropaedic procedures including but not limited to knee arthroscopy/replacement.  It can be done as a single injection or with  catheter placement for the management of intra/post operative pain management.  It will provide pain relief to the anterior thigh and medial leg.

Sciatic Nerve Block- This block typically is done in conjunction with femoral block for surgical procedures of the knee and lower extremity.  It is done as a single injection and depending on the medication and dosage used can provide pain relief for 6-18 hours.

Popliteal Nerve Block- This is a lower extremity block used to provide anesthesia/pain management for surgical procedures involving the ankle/foot.  It is done as single injections and can last for 6-18 hours.

Ankle Block- This is a large field block performed at the ankle to numb the 5 nerves that provide sensory innervation to the foot for procedures of the foot.

Medication Management of Acute pain:

  • Post surgical pain
  • Acute on chronic pain issues
  • Patient Controlled Analgesia- method of IV pain control where by patient is given a button that they push when they have pain and IV medication is delivered.