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Chronic Pain Service

Our Service

The Chronic Pain service offers patients/services users face-to-face, telephone and Near Me clinic appointments – at University Hospital Wishaw or the Buchanan Centre.

A day surgery service is also be available for lignocaine injections at University Hospital Wishaw.

For any patient/service user enquiries, please contact:

Chronic Pain Co-Ordinator, Karen McGaw
Tel: 01698 754605

What does coming to the chronic pain service involve?

Patients Living Well With Chronic Pain

Chronic Pain Service Vision

NHS Lanarkshire

What is chronic pain?

Chronic pain is defined as pain which has persisted beyond the normal tissue healing time. Only the person experiencing pain can know exactly what pain feels like. Chronic pain can be associated with other diseases, but it is recognised as a long term condition in its own right.

Chronic pain is largely managed in the community. However, due to its often complex nature, some patients require a multidisciplinary approach, which includes specialist input from; Doctors, Nurses, Psychologists, Physiotherapists, Occupational Therapists, Pharmacists and Voluntary Support Organisations.

View our What is chronic pain? patient information leaflet for more information about how chronic pain is managed.

About the Chronic Pain Service

The NHS Lanarkshire Chronic Pain Service aims to assist patients to live as well as possible with their chronic pain, where the focus is on:-

  • Reducing their pain as much as is possible
  • Helping people to learn to live with their pain and improve their quality of life as much as possible

This will be done by:      

  • Facilitating patient self management
  • Multidisciplinary team working
  • Providing outpatient services
  • Providing patient centred care
  • Underpinning our recommendations with evidence based practice and guidelines

Our promise to patients

We will carry out an assessment of your pain (multidisciplinary where necessary) and will create an individual management plan taking into account your individual circumstances.

The management plan will be based on treatment of the ‘whole person’, focusing not only on the pain but the impact of the pain on the quality of your life.

In return we expect patients to fully engage in their own jointly agreed management plan.

Failure to attend one part of the service will result in discharge from the whole service. Patients will be able to opt out of parts of the service that are not for them as long as this is communicated and agreed in advance.

NHS Lanarkshire Attendance Policy

It is really important that you attend your scheduled appointments or let us know in advance if you cannot attend. Regular treatment along with you carrying out your agreed management plan is known to be the most effective approach to managing and improving your condition.

Missed or wasted appointments increase the waiting time for other patients who need our help and support. If you feel unable to attend your scheduled appointments please discuss this with your consultant.

  • If you fail to attend for your appointment you will not be contacted to arrange another. If you do not contact us within 14 days of your failed appointment, you will be discharged from the service.
  • Any requests for re-referral will result in your name being placed at the bottom of the waiting list.
  • Failing to attend or cancelling two appointments out of the first four appointments will result in discharge.
  • Over the course of treatment, if you fail to attend or cancel two appointments in a row, you will be discharged from the service.
Where is the Chronic Pain Service based?

The Lanarkshire Chronic Pain Service is based in the Buchanan Centre with other parts of the service located in other locations in Lanarkshire.

The list below gives the type of service and its location:-

  • Pain assessment clinics – Buchanan Centre and University Hospital Wishaw
  • A Mindfulness for Pain Course – Douglas Street Health Centre Hamilton
  • Individual therapy with a clinical psychologist that takes a broad third wave therapy approach – Buchanan Centre
  • Physiotherapy Led Pain Chronic Pain Course – Coatbridge Health Centre and Douglas Street Health Centre Hamilton
  • Individual therapy with the physiotherapists (which follows a CBT/ACT skills based approach) – Buchanan Centre
  • The Pain Management Programme (PMP) – Douglas Street Health Centre Hamilton
  • Various Procedures are carried out in University Hospital Wishaw
  • The Pain Association Scotland hold Monthly sessions in Coatbridge, Wishaw and East Kilbride

Pain Association Meetings

  • Coatbridge Community Centre, 9 Old Monkland Road, Coatbridge, ML5 5EA (Next to St Andrews High School)
  • Blacklaw Primary Community Wing, Glen Arroch, East Kilbride, G74 2BP
  • Houldsworth Centre Community Library Kenilworth Avenue, Wishaw, ML2 7LA

For further information about Lanarkshire groups visit: http://www.painassociation.com/1-2/glasgow-and-the-west-groups/

Useful links and information

Understanding Pain in less than 5 minutes, and what to do about it!

This is a great, easy to follow video about chronic pain. It helps you understand what current research has been saying about chronic pain.

Watch the video here: Understanding Pain in less than 5 minutes, and what to do about it!

Credit: http://www.hnehealth.nsw.gov.au/pain

Two in depth videos explaining about pain and what happens to your nervous system in chronic pain are available to watch here:

Coronavirus (Covid-19) Resources

Tips For Coping With Isolation – This advice is for you if you are self-isolating and experiencing much higher levels of distress than is normal for you, and you are struggling to cope with day-to-day things.

Managing Covid-19 Anxiety – It is normal to be feeling stressed, anxious and scared right now. Most of us haven’t experienced anything like this before. That’s true right around the world.

Further Covid-19 Anxiety Tips

Patient Leaflet Covid-19 Anxiety – This is advice is for anyone who is feeling heightened levels of stress and anxiety response to     especially related to the situation caused by Coronavirus (Covid-19).

Chronic Pain Physiotherapy Self-help Resources

Face-Covid ACT Coping Strategies – ‘FACE COVID’ is a set of practical steps for responding effectively to the Corona crisis, using the principles of acceptance and commitment therapy (ACT).

Community Resources List of Community Resources that may be useful for people during the COVID-19 crisis.

Chronic Pain – Scottish Government patient leaflet A patient information leaflet about Coronavirus (COVID-19) has also been published by the Scottish Government for people living with chronic pain.

Self-management
  • Pain Toolkit – a practical guide to self-management of chronic pain, with a detailed ‘toolkit’ which can be printed out.  It is also available in French, German and Italian
  • Moodjuice – Moodjuice Forth Valley is a web site designed to offer information and advice to those experiencing troublesome thoughts, feelings and actions. From the site you are able to print off other self-help guides covering conditions such as depression, anxiety, stress, panic and sleep problems. In the site you can explore various aspects of you life that may be causing you some distress and obtain information on organisations, services and other self-help materials, that can offer you support and information which will allow you to help yourself.
  • Reconnect 2 Life – an interactive programme to help you look at your pain and how it affects you. It consists of a number of different modules which can be completed in any order you please
  • Healthtalk.org – provides free, reliable information about health issues, by sharing people’s real-life experiences
  • SilverCloud – provides private and secure access anywhere, anytime to evidence-based, online programs that will help to teach you techniques that helps you reduce symptoms of stress, anxiety, low mood or depression associated with Chronic Pain or Diabetes Type 1 & 2. It’s also suitable for co-morbid long term health conditions. Based on cognitive behavioural therapy (CBT), mindfulness and positive psychology SilverCloud is very interactive and very flexible. The program can be run on a PC or laptop. It can also be used on your mobile phone or tablet device so that you always have access to it. The general recommendations of SilverCloud use are 40 minutes per week, over a 6 to 8 week period – typically spending 10-15 minutes on the programme, 3 or 4 times a week. For further information and referral form please visit the links below:
  • Supporting Self Management Plan

Pain Association Scotland

Joining a support group offers the opportunity to be listened to, to talk about how you feel, hear how others cope with similar problems and learn actively to control pain. The Association recognises that it is not only pain sufferers who experience distress, but carers, relatives and friends may also need support. Support groups are run throughout Scotland including Lanarkshire; taking place in Coatbridge, Wishaw and East Kilbride. For more information about these groups visit http://www.painassociation.com/1-2/glasgow-and-the-west-groups/

Low mood, anxiety, sleep difficulties and other problems
  • www.mind.org.uk – the National Association for Mental Health provides information on mental health difficulties.  The ‘Factsheets and booklets listed by subjects’ section contains free booklets on a wide variety of mental health issues, plus details of other resources and links to other useful organisations. 
  • www.mentalhealth.org.uk – The Mental Health Foundation website provides information on the UK’s leading mental health research, and the ‘Publications’ section offers a number of useful publications for purchase or download
Condition Specific Websites

For back pain

For fibromyalgia

  • www.fibromyalgia-associationuk.org – information on fibromyalgia and how to manage the condition, and details of local support groups and help lines within your area.

For arthritis

  • www.arthritisresearchuk.org – Arthritis Research UK (formerly the Arthritis Research Campaign) website.  Contains a very helpful section called ‘Arthritis Information’ with information on various aspects of arthritis and related musculoskeletal conditions including hypermobility and fibromyalgia, as well as low back pain.
  • www.arthritiscare.org.uk – Versus Arthritis (formerly Arthritis Care) website.  A website specifically for patients with lots of information on different arthritis related conditions, as well as a forum with trained workers, and a helpline.  There is also information on local support groups.

For pelvic pain

  • www.pelvicpain.org.uk – the Pelvic Pain Support Network provides information, plus a message forum for members where they can find support and ask advice of other members of the public.    Conditions covered include endometriosis, vulval pain, prostatitis, chronic pelvic pain syndrome, and interstitial cystitis.

For vulval pain

  • www.vulvalpainsociety.org – the Vulval Pain Society provides information and support for women suffering from vestibulodynia and vulvodynia.  It is a confidential service for women who suffer from vulval pain.  It also has details of support groups which operate in London and other areas of the U.K.

For endometriosis

  • www.endometriosis-uk.org – this charity provides information and support on many aspects of endometriosis, from causes to treatment. There is also a telephone helpline run by trained volunteers.  Until 2006, the organisation was known as the National Endometriosis Society.

For loin pain haematuria syndrome

  • www.kidney.org.uk – the National Kidney Federation website has useful information leaflets on loin pain-haematuria syndrome.
Apps & other resources
  • Headspace – guided meditations, animations, articles and videos (free basics pack)
  • Calm – an app for meditation, sleep, breathing and relaxation (free trial period & Offers In-App Purchases)
  • 3 minute mindfulness – the app contains meditations, breathing exercises to help you relax, reduce anxiety and improve sleep (Offers In-App Purchases)
  • Breathe – an emotional wellness and meditation app (free trial & Offers In-App Purchases)
  • Mindfulness North West – free resources to learn about mindfulness
  • Association of Contextual Behavioural Science – online learning and research community and resources
  • My Cuppa Jo – Making sense of pain through science and stories. Bridging the gap between patients and health professionals

CDs

Books

  • Overcoming Chronic Pain – Cole, MacDonald, Carus, Howden-Leach (CBT self help book- easy to read & understand, with exercises in each chapter £10)
  • Living Beyond your Pain: Using ACT to ease chronic pain – J Dahl & T Lundgren
  • Living well with pain and illness: The mindful way to free yourself from suffering – Vidyamala Burch
  • Full Catastrophe Living – Jon Kabat-Zinn
  • Things might go terribly horribly wrong: a guide to life liberated from anxiety – Kelly Wilson & Troy Dufrene (ACT self help £8)
  • Mind Over Mood – Greenberger and Padesky (CBT self help £17)
  • Manage your Mind – Butler & Hope
  • Overcoming Anxiety: A five areas approach – Chris Williams (CBT workbook £20)
  • Overcoming Depression – Paul Gilbert (CBT self help £8)
  • Chronic Pain the Drug Free Way – Phil Sizer

Increasingly people are listening to talking books. We know that many people have difficulty with reading. We also understand that a number of people who have moved to Lanarkshire can understand spoken English but not written English. With this in mind a CD with a self-help insert booklet has been produced in Lanarkshire with advice on how to stay mentally healthy, overcome and cope with stress, low mood, bereavement, sleep and includes relaxation exercises. This will be available from every Lanarkshire library as part of the Healthy Reading Programme. Some CD chapters can be listened to and downloaded at http://www.lanarkshirementalhealth.org.uk/Self-Help/

Useful Organisations

British Pain Society

Helpful information section for patients with pain conditions, and details of various support groups, including guidance supported by available evidence on clinical and other pain matters.

Pain Association Scotland

Joining a support group offers the opportunity to be listened to, to talk about how you feel, hear how others cope with similar problems and learn actively to control pain. The Association recognises that it is not only pain sufferers who experience distress, but carers, relatives and friends may also need support. Support groups are run throughout Scotland including Lanarkshire in Coatbridge, Wishaw, East Kilbride and Larkhall. For more information about these groups visit http://www.painassociation.com/1-2/glasgow-and-the-west-groups/

  • Phone:           0800 783 6059
  • Address:        Suite D, Moncrieffe Business Centre, Friarton Road, Perth, PH2 8DG
  • Website:        http://www.painassociation.com/

Breathing Space

Breathing Space is a free, confidential phone line you can call when you’re feeling down. You might be worried about something – money, work, relationships, exams – or maybe you’re just feeling fed up and can’t put your finger on why.

  • Phone:           0800 83 85 87
  • Address:        Clyde Contact Centre , Beardmore Street , Clydebank
  • Website:       http://www.breathingspace

Pain Concern

Charity working to support and inform people with pain and those who care for them, whether family, friends or healthcare professionals. Provides a helpline, free factsheets and leaflets on different aspects of chronic pain and self-management and Airing Pain, a series of regular podcasts on living with pain, which can be downloaded for free.</li>

Action on Pain

Action on Pain is a growing and vibrant national charity which was founded in 1998 to provide practical help and support to people living with or affected by chronic pain, irrespective of type, cause or origin, in order that they are able to still enjoy life to the full.

  • Phone:           0845 6031593
  • Address:        Action on Pain , 20 Necton Road , Little Dunham , Norfolk
  • Website:       http://www.action-on-pain.co.uk/

The Pain Relief Foundation

The Pain Relief Foundation was established as a registered charity in 1979, in response to the need for specialised research into the causes and treatment of chronic pain in humans. Incorporated into the charity’s trust deeds are its aims and objectives, which are:- to carry out research leading to the alleviation of chronic pain. to find improved methods of treating chronic pain. to disseminate the results of such research throughout the world. to work in co-operation with the NHS and Universities to provide post-graduate scientific education in chronic pain relief.

BackCare

BackCare is a registered charity that aims to reduce the burden of back pain by providing information and support, promoting good practice and funding research. BackCare has a range of tips on what to do when back pain strikes. With the right measures, many people find that they can reduce their pain.http://www.painrelieffoundation.org.uk/foundation/foundation.html

Samaritans

Samaritans provides confidential emotional support, 24 hours a day for people who are experiencing feelings of distress or despair, including those which may lead to suicide. You don’t have to be suicidal to call us. We are here for you if you’re worried about something, feel upset or confused, or you just want to talk to someone.

General web links
  • Royal College of Anaesthetists – Good practice in prescribing opioid medicines for pain should reflect fundamental principles in prescribing generally. The decision to prescribe is underpinned by applying best professional practice; understanding the condition, the patient and their context and understanding the clinical use of the drug. This resource, developed by UK healthcare professionals and policymakers, provides the information to support a safe and effective prescribing decision.
  • Live well with pain – Developed by clinicians, for clinicians to help you support your patients towards better self management of their long term pain. This site has a good section on opioids de-prescribing which is a priority. The site was developed by a GP/pharmacist/physiotherapist who are recognised experts on chronic pain management.
  • Sheffield Persistent Pain – This website has been put together by hospital consultants, GPs, physiotherapists, people living with persistent pain, volunteer organisations, and clinicians with a special interest in managing persistent pain. The site represents their agreed approach to sharing knowledge and skills for people living with persistent pain and takes into account the latest national and international best practice guidelines on pain management. It should be used in conjunction with advice given to you by your GP, physiotherapist or pain specialist.
    There is a section of the website is directed towards health professionals working with patients living with persistent pain. It pulls together useful tools, local referral information and pathways designed to be used during consultations, as well more detailed educational resources and a range of patient information leaflets.
  • Knowledge Network – Up to date, comprehensive information and resources for patients and professionals in Scotland.
  • Living Life to the Full – Lots of people struggle at times in life. Living Life to the Full teaches a range of life skills that are based on the tried and trusted CBT approach, to aim to improve wellbeing and resilience as you go through the journey of life. The website provides useful information and resources that can act as tools to use on your own life journey.
  • healthtalk.org – provides free, reliable information about health issues, by sharing people’s real-life experiences.
  • Scottish National Residential Pain Management Programme – This service has been developed to run pain management programmes for groups of adults from all over Scotland.

TRAVEL DIRECTIONS

Buchanan Centre 126, 130 Main Street Coatbridge ML5 3BJ

By public transport

Plan your journey by bus or train using the Traveline Scotland website or call Traveline Scotland on 0871 200 22 33 for advice.

This is a modern building which has automatic doors if you enter via Coatbridge Main Street. There are two lifts that take you to any of the floors required including the car park in the basement area.

By car

This is a modern building which has automatic doors if you enter via Coatbridge Main Street. There are two lifts that take you to any of the floors required including the car park in the basement area.

There are free public car parking spaces around the Buchanan Centre. If you are a Blue Badge holder or have mobility issues please call us for information about suitable parking on 01236 703493.

Near Me Lanarkshire