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Ask The Experts - Premier Pain Centers

Ask The Experts - Premier Pain Centers

Premier Pain Centers
160Avenue AtThe Common, Suite 1
Shrewsbury, NJ 07702
(732) 380-0200

Scott E. Metzger is a board certified pain management physician and the founder of Premier Pain Centers.Dr. Metzger started the New  Jersey chapter of the American Society of Interventional Pain Practitioners. He is also the chair of the section of Pain Management at  Riverview Medical Center.Dr. Metzger attended the prestigious six year medical program at Boston University. His post-graduate work includes a residency and  fellowship at Johns Hopkins University School of Medicine in Baltimore. He is board certified in pain management by the American  Board of Pain Medicine and the American Board of Anesthesiology.

Born and raised in central New Jersey, the most rewarding part of Dr. Metzger's practice is the opportunity to practice in his community.  Dr. Metzger is known for achieving dramatic improvement in pain without major surgery.

Pain management is a branch of medicine employing an interdisciplinary approach for easing the suffering and improving the quality of  life of those living with pain. Effective management of long-term pain frequently requires the coordinated efforts of a management team.  The goal of pain medicine is to improve quality of life and help patients return to everyday activities without surgery. The American  Society of Interventional Pain Physicians represents physicians practicing in the field of pain medicine. As a medical specialty  society, ASIPP is involved in education, training, advocacy, and research in the specialty of pain medicine. Indeed, practitioners of pain  management - such as the staff of Premier Pain - are at the forefront of exploring this new specialty, as evidenced by their extensive  published works, including books, journals and peer-reviewed articles. They have served as editors for many prestigious journals in the  field of pain. Additionally, they have been founders and presidents of several national and regional pain societies. Premier Pain Centers'  Dr. Scott E. Metzger elaborates on all this and more for us as we Ask the Expert...

While pain management may be a common specialty to some, there are many of us who may not have a clear understanding of what it entails. Can you shed some light on what pain management encompasses for our readers?

Pain management is a relatively new specialty that treats acute and chronic painful conditions. Our goal is to come up with a diagnosis and strategy which helps relieve pain. In addition, we perform minimally invasive techniques and surgeries that get to the source of the problem with out extensive surgery.

Do patients generally visit pain management specialists because of a referring physician, or, if their insurance allows, can  they come to you directly? And, can they come to you first for a diagnosis in addition to the pain treatment?

Patients frequently come directly to a pain management specialist. Pain physicians provide a spectrum of care that includes physical  therapy on through more complicated approaches. We are also trained to understand when more invasive surgery is absolutely  necessary and then make the appropriate referral. We can also order whatever diagnostic testing is needed to come up with a clear  diagnosis.

What should our readers know about how to select a pain management specialist and what kind of credentials should they  be looking for when vetting their choice?

This is a great question. Patients should know that pain physicians are medical specialists with extensive training. In addition to  completing a residency in either Anesthesiology or Physical Medicine and Rehabilitation, they have also completed one or two years of specialized training in pain management at a teaching hospital. Patients should always confirm that their physicians have had the  appropriate training in pain management. For example, physicians in our practice received their advanced training at Johns Hopkins and  Harvard.

Are there any advances or anything being developed in the pain management specialty that you could share with our  audience?

As with any other field of medicine there is a trend towards minimally invasive approaches. There are very exciting innovations that are  changing the landscape of pain management. Our field is pushing the envelope towards more minimally invasive options, such as  peripheral nerve stimulation and minimally invasive decompression procedures for stenosis and percutaneous discectomies.


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