Tyrone Hospital

Keystone Headache and Pain Management

Center

John Johnson, M.D. Medical Director

John Schroth, PA-C

William Mazzocco, Jr, PA-C/RN

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 & Treating Your Pain

We Listen to You

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 treatmentis 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 o 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:

Selective Nerve Root Injections
Medial Branch Blocks for:
Sympathetic Nerve Blocks
Intercostal Nerve Blocks
Stellate Ganglion Blocks
Diagnostic Lumbar Puncture
Epidural Blood Patch
Ilioinguinal/Iliohypogastric Nerve Blocks
IV Sedation

Who Should Consult a Pain Management Professional?

Most routine pain can be treated effectively by your primary care physicain. You and your physician should discuss consulting a specialist in pain management when:

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. BOARD CERTIFIED ANESTHESIOLOGIST
JOHN SCHROTH, PA-C PHYSICIAN ASSISTANT
WILLIAM MAZZOCCO PHYSICIAN ASSISTANT

Our Mission History Physicians and Specialties Hospital Services Keystone Headache and Pain Management Center About Us Our Approach Pain Headache Services When to Contact a Professional Advantages for Patients Contact Us Hospital Auxiliary Development Council Employment Opportunities Health Resources Contact Us
	A small hospital with a big heart
	Keystone Headache and Pain Management Center John Johnson, M.D. Medical Director John Schroth, PA-C William Mazzocco, Jr, PA-C/RN 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 & Treating Your Pain We Listen to You 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 treatmentis 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 o 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 Who Should Consult a Pain Management Professional? Most routine pain can be treated effectively by your primary care physicain. You and your physician should discuss consulting a specialist in pain management when: 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. BOARD CERTIFIED ANESTHESIOLOGIST JOHN SCHROTH, PA-C PHYSICIAN ASSISTANT WILLIAM MAZZOCCO PHYSICIAN ASSISTANT KEYSTONE HEADACHE AND PAIN MANAGEMENT CENTER AT TYRONE HOSPITAL ONE HOSPITAL DRIVE TYRONE, PA 16686 PHONE: (814)684-6374
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