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Chronic Pain and Headache Management

Since 1985 the Tampa General Pain Management and Headache Program has provided efficient, coordinated, comprehensive interdisciplinary treatment for the effective management of all forms of chronic pain and headache with the ultimate goal of returning participants to a more independent, active, productive and healthy lifestyle.

Education and training is focused on providing participants with the strategies necessary to promote function while managing chronic pain or headache.  Services as appropriate, may address problems with coping, activities at home or work, your role at home and in the community, your medical status, cultural needs, and discharge needs.

Program Goals:

  • Maximize physical function and activity
  • Minimize medications to include only those necessary to enhance or maintain function
  • Improve self-management of pain/headache and related problems and reliance upon the healthcare system
  • Improve emotional function
  • Integrate individual, family and community support systems
  • Examine opportunity for vocational development
  • Increase individual’s awareness of his/her ability to cost-effectively manage his/her healthcare needs

Emphasis is placed on self-management of chronic pain and headache, and personal responsibility for long-term success.  The pain team will perform a comprehensive evaluation and develop a personalized treatment plan to meet the goals established with the patient’s input.

Our interdisciplinary team is designed to treat individuals with:

  • Headache
  • Migraine
  • Low back pain
  • Radiculopathy
  • Neck pain
  • Extremity pain
  • Trigeminal neuralgia
  • Abdominal pain
  • Fibromyalgia

The following specialized services may be offered:

  • Medical management includes evaluation and treatment of headaches and chronic pain. Interventions may include medication management, IV therapies, trigger point injections, Botox injections, and EMG’s.
  • Physical therapy may include postural and body mechanics education, cardiovascular training, trigger point self-massage, yoga, craniosacral therapy, soft tissue release and modalities (traction, ultrasound and electrical stimulation).
  • Biofeedback utilizes modern day computerized programs to teach relaxation and non-pharmacological pain management interventions for all ages.
  • Psychology helps people and their families cope with psychosocial issues related to their chronic pain utilizing a cognitive-behavioral approach. The goal is to reduce depression and anxiety, improve relationships with family and friends and improve quality of life.
  • Nursing works in conjunction with the physician to provide patient education, IV infusion therapy and case management.

For more information or to make a referral to our Interdisciplinary Pain Management and Headache Program:

TGH Outpatient Rehabilitation Chronic Pain and Headache Management Program (at TGH main campus)
6 Tampa General Circle
Tampa, FL 33606
(813) 844-7900


Chronic Pain and Headache Management Rehabilitation Services are now offered at two locations:

TGH Outpatient Rehabilitation at TGH Rehabilitation Center
6 Tampa General Circle
Tampa, FL 33606
TGH Outpatient Rehabilitation at TGH Medical Village
2333 W. Hillsborough Ave. 
Tampa, FL 33603
For referrals to either of our outpatient locations, please call (813) 660-6940. 

Services provided at the TGH Medical Village

Physical Therapy

Physical therapists play an important role in managing chronic pain by administering treatments that include strengthening and flexibility exercises, manual therapy, posture awareness, and body mechanics instruction. Physical therapists can also help patients understand the underlying causes of their pain, by educating them and giving them tools to self-manage their pain.

Biofeedback Therapy

 Biofeedback is a technique intended to teach patients self-regulation of certain physiologic processes not normally considered to be under voluntary control. Biofeedback methods include:

  • Heart rate. This type of biofeedback uses finger or earlobe sensors with a device called a photoplethysmograph or sensors placed on your chest, lower torso or wrists using an electrocardiograph (ECG) to measure your heart rate and heart rate variability.
  • Muscle. This method of biofeedback involves placing sensors over your skeletal muscles with an electromyography (EMG) to monitor the electrical activity that causes muscle contraction.
  • Sweat glands. Sensors attached around your fingers or on your palm or wrist with an electrodermograph (EDG) to measure the activity of your sweat glands and the amount of perspiration on your skin, alerting you to anxiety.
  • Temperature. Sensors attached to your fingers or feet measure your blood flow to your skin. Because your temperature often drops when you're under stress, a low reading can prompt you to begin relaxation techniques.

Pelvic Floor Physical Therapy (available ONLY at TGH Medical Village)

Pelvic Floor rehabilitation employs a variety of strategies to improve the capacity of the muscles through neuromuscular reeducation.  This treatment may include but is not limited to:

  • Exercise
  • EMG Biofeedback with
    • Internal and/or external surface electrodes
    • Rehabilitative ultrasound imaging
    • Instruction in the use of home EMG muscles monitors
  • Pelvic muscle electric stimulation
  • Electrical stimulation for pain relief/control
  • Vaginal weight training
  • Postural stabilization

Resources for Patients