Pain Medicine

Jack Friedman, M.D.
Specialist Medical Pain Management and Addictive Medicine

Diplomate American Board of Anesthesiologist
Diplomate American Collage of Anesthesiologist
Diplomate American Collage of Chest Physicians
Board Qualified Pain management
Certified American Society of Addictive Medicine

Sacramento, Ca
Marina Del Rey, Ca
Burbank, Ca
(310) 593-1330



Pain Medicine

The specialty of Pain Medicine is concerned with the prevention, evaluation, diagnosis, treatment, and rehabilitative needs associated with painful disorders. Pain Management has a defined body of knowledge and scope of practice and is recognized as a discrete specialty by the American Medical Association.


Pain Medicine Physician

The physician specializing in Pain Medicine often serves as an educator and a consultant to physicians and other primary care providers on the intricles of helping patients in pain. These physicians are specialty trained and certified as other specialists in medical practice.
Medicine physicians also provide direct care to patients with various conditions of prescribing medication and rehavilitiave services, performing pain-relieving procedures, and counseling patients and their families. Pain Medicine physicians also direct multidisciplinary teams, coordinate care with other healthcare providers and provide consultation to public and private agencies.

What is Pain?

  • Acute pain or warning pain is the discomfort or pain signal that alerts you to pay attention – something is wrong in your body. Pain can result from any condition that stimulates the body’s sensors. Examples of conditions that cause pain include but – but not limited to: infections, injuries, hemorrhages, tumors, and metabolic and endoctrine problems.
  • A variery of direct treatments for acute pain are available. Acute pain generally abates as the underlying causative problem is treated medically or surgically. Early management of acute pain itself may hasten recovery and reduce length of stay, thus reducing costs.
  • However, sometimes pain does not resolve after medical surgical treatment, and it becomes chronic in nature. This intractable pain has no relationship or warning of danger and often leads to dramatic changes in a person’s ability function, to stay positive, and to lead a normal family, occupational, and social life. The ongoing suffering from intractable pain can result in costly and ineffective medical treatments and needless waste in healthcare dollars. Timely referral for early treatment by a Pain Medicine physician often may dramatically decrease of ongoing care.
  • The intensity, frequency, and quality of pain that a person feels varies from person to person and may bear no relationship to the degree of illness of injury.


Pain Treatment

Once proper assessment has been accomplished, pain can be treated in a variety of settings. Treatment can include consultation only, or direct treatment ranging from prescribing a comprehensive interdisciplinary pain programs.
Benefits of appropriate pain treatment

Pain Treatment:

  • Saves lives – untreated pain may lead to death, often by suicide.
  • Decreases negative effects of various physiological systems, including the immune system.
  • Reduces suffering for patients and families.
  • Returns the patient to being in charge of his or her life.
  • Allows the patient to become more productive .
  • Reduces overuse of the medical system.
  • Shortens the patient’s hospital stay and recovery time.
  • Reduces the cost of medical care.

Consequences of mismanaged pain
Mismanaged of undermanaged pain can cause:

  • Extensive, costly, nonproductive workups and treatment
  • Dysfunction in family, vocational, and social life
  • Mental and physical suffering
  • Increased disability costs
  • Escalating healthcare expenditures

Pain Facts

  • Only one-third of persons suffering with chronic headaches seek treatment.
    Cancer pain responds to many forms of treatment in addition to medications.
  • Pain costs American people $120 Billion each year.
  • Sixty-five million Americans suffer from painful disabilities each year.
  • Nearly 90% of all diseases are noticed because of pain.
  • Unrelieved pain can lead to unemployment and decreased productivity.
  • Unrelieved pain is associated with alcohol and medication abuse.