Anesthesiology and Perioperative Medicine

Pain Management Center

Reducing the toll pain takes on you

Chronic pain or cancer pain can really take a toll on you physically and emotionally. At the Pain Management Center at Tufts Medical Center in Boston, we can help. Our team specializes in eliminating or reducing your pain so that you can start enjoying a normal life once again.

We focus primarily on chronic pain of the back and neck, such as lumbar and cervical disc disease along with spinal stenosis. Our expertise also spans management of:

  • Cancer pain
  • Myofascial pain syndrome
  • Complex regional pain syndrome (RSD)
  • Post-thoracotomy and post-mastectomy pain syndromes
  • Diabetic neuropathy
  • Post-herpetic neuralgia (a complication of shingles)

The Pain Management Center sees patients on an outpatient basis. Pain management for people staying overnight at Tufts MC is handled separately.

Please note: The Pain Management Center does not prescribe narcotics. However, we are available for narcotics consultation and can work closely with your referring doctor on determining your medication plan.

Which therapy is right for you?

Everyone's experience with chronic pain or cancer pain is different, as is everyone's response to therapy. Our team works closely with your referring doctor to understand your pain and develop a treatment plan that's right for you.

In order to ensure the best results possible, we consider the full range of treatment options. Some patients, for example, benefit from oral medications or referral to a physical therapist or behavior specialist. Others require interventions for pain management, such as:

  • Epidural steroid injections
  • Selective nerve root injections
  • Lumbar facet injections
  • Sacroiliac (SI) joint injections
  • Ultrasound-guided nerve blocks
  • Radiofrequency lesioning

In most cases, we're able to get pain under control to help people avoid surgery. But if surgery remains an option for you, we can refer you to Tufts MC neurosurgeons for further evaluation and even administer injections that help your neurosurgeon decide on a surgical plan.

Our team is also well-versed in a variety of approaches for managing cancer pain. For instance, we can use a celiac plexus block in patients with pancreatic cancer. This technique destroys the nerve fibers leading to the pancreas, thus interrupting that pain pathway and significantly lessening your pain.

We realize that dealing with chronic pain or cancer pain is often a long-term struggle. Whatever form your therapy takes, we'll be here to monitor your pain and adjust your medications as necessary.

Meet our director, Dr. Wilfred Hynes

Wilfred Hynes, MD has directed the Pain Management Center since 2005. He has devoted his career to treating pain originating in the spine and exploring nonsurgical treatments to help patients with chronic back and neck pain.

Dr. Hynes and the rest of our physicians are board-certified in pain medicine and anesthesiology. Unlike with similar programs at most major Boston hospitals, our attending physicians are more intimately involved in caring for every patient, from making evaluations to performing injections. As a result, you'll receive the expert, compassionate brand of care for which Tufts MC is so well-known.

Watch Dr. Hynes discuss chronic pain, it's impact on patients' lives, when to see a pain management specialist and possible treatment options:

To make an appointment, please call 617-636-6208.

Adriana Desillier, MD

Adriana Desillier, MD

Title(s): Anesthesiologist; Assistant Professor, Tufts University School of Medicine
Department(s): Anesthesiology and Perioperative Medicine
Appt. Phone: 617-636-6208
Fax #: 617-636-9993

Treatment of complex regional pain syndrome (RSD), neuropathic pain, work related injuries, sports related injuries, ultrasound guided nerve blocks, interventional pain procedures and perioperative pain management, rhizotomy, epidurals, opioid tapering, abdominal pain, pelvic pain, PTSD management via US guided stellate ganglion blocks, refractory VT treatment via US guided stellate ganglion block, refractory chronic plantar fasciitis

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Wilfred L. Hynes, MD

Wilfred L. Hynes, MD

Accepting New Patients

Title(s): Director, Pain Clinic; Assistant Professor, Tufts University School of Medicine
Department(s): Anesthesiology and Perioperative Medicine
Appt. Phone: 617-636-6208
Fax #: 617-636-9993

Anesthesiology, pain management

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To make an appointment with the Pain Management Center at Tufts Medical Center, please call 617-636-6208.

We are located on the 5th floor of the South Building at Tufts Medical Center, 800 Washington St., Boston, MA 02111. 

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