Capital & Coast DHB Pain Service - Regional Service
The CCDHB Pain Service
The Wellington Regional Pain Service serves the lower half of the North Island and the upper half of the South Island. The service is based at the Wellington Regional Hospital, and undertakes clinics at Wellington, Kenepuru, and Hutt Hospitals.
The service is a multidisciplinary service and is engaged in the various aspects of pain management, including multidisciplinary assessments and treatment, medication reviews, pain management programmes, functional assessments and interventional procedures.
Our aim is to facilitate both physical and emotional wellbeing and a return to a healthy and functional role in the family and community.
Our team members include:
- Clinical Psychologists
- Occupational Therapists
- Specialist Nurse
Pain, by definition, is an unpleasant sensory or emotional experience associated with actual or potential tissue damage or described in terms of such damage. It is both a physiologic sensation and an emotional reaction to that sensation. Chronic pain can be difficult to understand.
Some of the conditions treated in the clinic include the following:
- musculoskeletal pains - back pain, myofascial pain syndromes
- neuropathic pain
- functional pain syndromes
- complex regional pain syndrome - both types1 and 2
- amputation pain including phantom limb pain, stump pain, and phantom limb sensation
- orofacial pain, including trigeminal neuralgia
- post herpetic neuralgias
- abdominal pain
- pelvic pain including endometriosis related pain
- pain and pregnancy
- opiate use and or misuse in conjunction with the Regional Drug and Alcohol Addiction services
- cancer pain, in conjunction with the Palliative Care Unit, in the form of medications and interventions.
Note: Please note below that some people are not available at all locations.
Consultant Occupational Physician, Specialist
Available at Wellington Hospital - Nga Puna Waiora, Hutt Hospital
Pain Fellow, Specialist Anaesthetist
Available at Wellington Hospital - Nga Puna Waiora, Kenepuru Community Hospital - Te Hohipera o Kenepuru
Available at Wellington Hospital - Nga Puna Waiora, Kenepuru Community Hospital - Te Hohipera o Kenepuru, Hutt Hospital
Pain Specialist, Consultant Anaesthetist
Available at Wellington Hospital - Nga Puna Waiora
Outpatient Clinics are held Monday to Thursday: 9.00am - 4.00pm.
There are no clinics and the service is closed on public holidays and Wellington Anniversary Day.
You must have an outpatient appointment to attend these clinics. A clinic letter is sent out to prospective patients before the scheduled clinic date.
Access to this service is by a referral from your GP, specialist, or other health professional, or through the acute pain team of the Hospital.
As this service is a regional tertiary service, it is expected that your primary referrer has undertaken the relevant investigations and made the appropriate referrals. The management plan made will include your general practitioner.
There will be a waiting time before the hospital clinic appointment. We do try to keep the waiting times as short as possible within our limited resources.
All the referrals are prioritised by a triage committee. Based on the triage they are allocated for either a multidisciplinary assessment or medical only assessment.
Process for referrals to the Regional Pain Management Service
Non-ACC adult patients
1. Referral made by health professional. Please ensure that all patient details including all telephone numbers and email address are current.
2. Referral reviewed by pain service clinical staff - usually at this stage a request for further information in the form of a pain service questionnaire will be sent to the patient. This is done via emailed link to an online questionnaire; for patients without an email address we will post a paper questionnaire and return envelope.
A copy of the questionnaire can be found here which can be returned to us by:
-fax (04) 385 5509
-post to Pain Management Service, Level 10, Ward Support Block, Wellington Hospital, Riddiford Street, Newtown, Wellington
3. On receipt of the completed questionnaire, the pain service medical staff will review the referral and the questionnaire.
If the referral is felt to be appropriate, an appointment will be offered with the pain management service (Timeline will be as per Ministry of Health guidelines of a First Specialist Appointment within 120 days).
ACC adult patients
A different process exists for patients whose pain is the result of an injury covered by ACC.
In the first instance these patients should be referred to an ACC-funded multidisciplinary community pain management provider, details of which can be found here.
Referral to a tertiary provider such as ourselves can only be made with the approval of the patient’s case manager.
We do not offer a specialist paediatric pain service. However we can provide some medical advice on aspects of paediatric pain management. Paediatric patients requiring complex or multidisciplinary pain management should be referred to Starship Hospital.
No appointment will be rescheduled if patients do not attend without contacting the Department.
Procedures / Treatments
We follow the advice of the Faculty of Pain Medicine of the Australia and New Zealand College of Anaesthetists regarding cannabinoids and pain management, details of which can be found here.… More
Coeliac Plexus Block
Comprehensive Pain Assessment
A comprehensive pain assessment involves being assessed by a pain specialist, a clinical psychologist and either a physiotherapist or occupational therapist.… More
Epidural Steroid Injection - Patient Information
Facet Joint Injection - Patient Information
Back pain can have many potential causes. One of these is pain arising from the small joints between the adjacent bones (vertebrae) of the spinal column called facet joints (or zygapophyseal joints).… More
Following a full medical assessment, sometimes it is deemed that interventions are appropriate and the patients are booked for interventional procedures such as an epidural, caudal or facet joint injections, infusions of calcitonin or a sympathetic block for peripheral vascular disease.… More
Medication management involves a medical only assessment and review of the relevant medication that the patient is on.… More
Opioid Pain Relief
Outpatient physiotherapy sessions are provided by the department physiotherapist and she also is responsible for the TENS trials.… More
The clinical psychologist is responsible for cognitive input and this forms an important part of the pain management process.… More
Pain Management Programme
Various pain management programmes are run by the Clinic. The programmes are intensive and run from 8.30am to 4.30pm throughout the year. Patients are allocated to these programmes following various assessments. A good website with useful information about how to manage aspects of your pain is available. More
Pre-procedure Pain Management (Injections) - Patient Information
Pre-procedure Pain Management (Intravenous Infusion) - Patient Information
Stellate Ganglion Nerve Block
Sympathetic Nerve Blocks - Patient Information
Trigeminal Nerve Block
This service is free to all permanent residents of New Zealand. For visitors to the country, a service fee applies.
Patients seen under an ACC contract do not incur a charge; the cost of the service is paid by ACC.
You can purchase meals from:
- Fuel coffee bar located in the main corridor by the purple lifts
- Wishbone located in the Atrium of the main hospital
The hospital shop in located in the Atrium of the main hospital and is open:
Monday to Friday: 7:30am - 5:30pm
Saturday & Sunday: 9:00am - 3:00pm
For information about parking at Wellington Regional Hospital please click here
Wheelchair access is through the main entrance of Wellington Regional Hospital. Entry is via Riddiford Street, Newtown, or the underground carpark.
There are card and coin telephones in all the main corridors and foyers. If you cannot find one, please ask a staff member. Phone cards are available from the Atrium shop, main atrium foyer, Level 2 (entry via Riddiford Street, Newtown).
There is an ASB ATM cashflow machine in the main atrium foyer, Level 2 (entry via Riddiford Street, Newtown). This machine accepts most major cards. Branches of most banks can be found in Newtown, a five minute walk south from the Main Entrance on Riddiford Street.
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This page was last updated at 12:49PM on November 15, 2017. This information is reviewed and edited by Capital & Coast DHB Pain Service - Regional Service.