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Keystone Headache and Pain Management Center

John Johnson, M.D. Medical Director
Gary Benke, M.D.
Mohammed-Hazem Ibrahim Ahmad-Sabry, M.D.
John Schroth, PA-C
William Mazzocco, Jr, PA-C/RN
Amy Bell, PA-C
Elizabeth Kline, CRNP
John Karageanas, RN, PA-C

Please click on one of the links below for more information regarding the Keystone Headache and
Pain Management Center.

We Can Help You Regain Control of Your Life
People who battle pain on a daily basis know that it can become a controlling factor in their lives. Pain can interfere
with work, rest, sleep, recreation and daily tasks. Even when pain is a symptom of a serious underlying condition,
managing severe pain can overshadow all other concerns. Pain management is about regaining control of your life
so you can be as functional as possible, given your overall state of health and well-being. The Keystone Headache
and Pain Management Center at Tyrone Hospital provides a wide variety of treatments to address the needs of those
who suffer from pain.

Assessing and Treating Your Pain
At Tyrone Hospital, we understand that pain is different for each person. Listening carefully to how you describe
your pain is an important part of our ability to treat it successfully. We will ask you many questions about where you
feel pain, when it starts, how severe it is and what helps to relieve it. In other words, you are our most important partner
in the pain management process.

We Perform an Assessment
We will perform a physical examination and review your medical records. We may also perform diagnostic studies
which may range from asking you detailed questions to using X-ray imaging, monitors and tests with local anesthetics.
While we want to treat your pain, we also want to determine the source of your pain.

We Prescribe the Most Appropriate Treatment
Because Pain is different for every person, your treatment will be specifically designed to meet your needs and
condition. We strive to use a multi-disciplinary approach to your care. We may even prescribe a combination of
treatments or procedures.

Types of Pain
Acute Pain
Pain may occur during recovery from surgery or may be caused by trauma or injury. While such pain may be severe,
it can be expected to go away through treatment or because of your body's own natural abilities.

Chronic Pain
Pain may persist for weeks, months, even years. It may have been caused by an initial injury, accident or illness from
which you've recovered or there may be an ongoing cause of pain, such as arthritis or infection. Some people suffer
chronic pain in the absence of any past injury or damage to the body. Whatever the cause, we recognize that chronic
pain is real and can be relentless and miserable.

Cancer-Related Pain
Pain can result from the tumor growth or the spread of cancer cells into other organs. Pain may also result from
radiation treatment or chemotherapy.

Headache
People who suffer from headaches know that it can become a controlling factor in their lives. Headaches can
interfere with work, rest, sleep, recreation and daily tasks. Coping with headaches can overshadow all other concerns.
Headache treatment is about regaining control of your life so you can be as functional as possible, given your overall
state of health and well-being.

Tension Headache
Most common headache. Due to chemical, neurological or muscle imbalances. Pain is pressing or tightening.
Tension headaches are divided into three categories based on the frequency of headache attacks:

• Episodic: Occurs monthly
• Frequent: Occurs up to 15 times per month
• Chronic: Occurs more than 15 times per month

Migraine Headache
A throbbing head pain often accompanied by nausea and sound and light sensitivity. Can last for hours or days.
Migraine sufferers may exhibit certain symptoms before and after actual headache.

Cluster Headache
Similar to migraine. Headaches occur in groups or clusters. Headache periods can last several weeks or months
and then disappear for months or years. Pain is generally on one side and usually localized behind the eye in the
eye region.

Hormone Headache
Affects women. Triggered by hormone changes associated with menstruation and pregnancy.

Other Types of Headache
Headaches that are a symptom of a disease or illness.

We Provide Treatment For:

• Low back
• Pain Neck
• Pain Whiplash
• Thoracic Pain
• Chest Wall Pain
• Leg Pain
• Arm Pain
• Shoulder Pain
• Shingles
• "Pain After Shingles"
• Cancer Pain
• Fibromyalgia
• Headaches
• Arthritis
• Auto Accident Related Pain
• Work Related Pain Syndrome
• Chronic Joint Pain

Treatments We Provide:

• Cervical/Thoracic/Lumbar Epidural Injections
• Trigger Point Injections
• Major Joint Injections
• Cervical/Thoracic/Lumbar Facet Injections
• Sacroiliac Joint Injections
• Radiofrequency Lesioning of:
• Cervical/Thoracic/Lumbar Facets
• Sacroiliac Joints
• Selective Nerve Root Injections
• Medial Branch Blocks for:
• Cervical/Thoracic/Lumbar Spine
• Sympathetic Nerve Blocks
• Intercostal Nerve Blocks
• Stellate Ganglion Blocks
• Diagnostic Lumbar Puncture
• Epidural Blood Patch
• Ilioinguinal/Iliohypogastric Nerve Blocks
• IV Sedation

• You have experienced no relief and your normal functioning is impaired after two consecutive months of therapy.
• Your pain is inconsistent or upredictable, occurring with no known cause or pattern.
• The treatment provides only temporary pain relief.
• You are becoming dependent on pain medication.
• You are experiencing emotional or psychological difficulties caused by long-term, unrelieved pain.
• Pain persists for a long period after surgery or after an injury has healed.

You and your physician should discuss consulting a specialist in headache management when:

• Headache is sudden and severe.
• Headache occurs with fever, stiff neck, or uncontrollable vomiting.
• You have not had headaches before and develop a persistant headache.
• Headaches is accompanied by numbness, weakness, or vision loss.
• Begins afer the age of fifty.
• Begins after head injury or other trauma.
• Interferes with your ablility to function normally at work or in daily life.
• Requires medication more than two days per week.

Advantages for Patients
Timely Appointments
Our goal is to accommodate patient needs. Therefore, we offer patients timely appointments. When a patient is
referred to us, we make their appointments promptly and see them within one week.

Concious Sedation
We offer patients the option of added comfort through conscious sedation when they have procedures and treatment
for chronic pain. Concious Sedation is anesthesia administered to patients to help them tolerate the injections used in
the treatment of chronic pain.

Hospital Based
We are hospital based and therefore offer patients the support and full backup of any hospital services that may be
needed.

Headache Treatment
We offer treatment for headache in addition to other pain management services.

Contact Us:

John Johnson, M.D.
Boad Certified Anesthesiologist

Gary Benke, M.D.
Anesthesiologist

Mohammed-Hazem Ibrahim Ahmad-Sabry, M.D.
Anesthesiologist

John Schroth, PA-C
Physician Assitant

William Mazzocco, RN, PA-C
Physician Assistant
Registered Nurse

Amy Bell, PA-C
Physician Assistant

Elizabeth Kline, CRNP
Certified Registered Nurse Practitioner

John Karageanas, RN, PA-C
Physician Assistant
Registered Nurse

Keyston Headache and Pain Management Center
at Tyrone Hospital
187 Hospital Drive
Tyrone, PA 16686
Phone: (814)-684-6374