Locations
Interventional Pain Management Associates
Elmira, NY
Phone
Practice website
About
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Anesthesiology
Licenses
United States: New York
Languages spoken
English
Doctor Q&A
49 Answers
5 Agrees
The number of answers this doctor has agreed with.
A 46-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Pain medication : Oxycodone is a narcotic pain medication. It comes in short acting immediate release & long-acting sustained-release formulations. Like any other n... Read More
3.5k viewsAnswered >2 years ago
A 16-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Sharp pains: See your doctor so you can have a proper physical examination and if necessary a chest x-ray. Your symptoms may be musculoskeletal, however, given you... Read More
4k viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
General Anesthesia : Current monitoring & medications used for general anesthesia make it a very safe experience. Smoking & co-existing medical problems may slight... Read More
4.1k viewsReviewed >2 years ago
A 19-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Buttock pain: The causes of your buttock pain may be numerous and can include bursitis, muscle, spinal disc related, and referred from lower lumbar facet and/or sac... Read More
4.3k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Pain Consultation : The pain management physician should obtain your past medical, surgical, pain ; prior pain management history, review pertinent diagnostic studies, an... Read More
4.3k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
RSD symptoms: The most common symptoms of RSD include: Allodynia: painful response to non-painful stimulation. Vasomotor symptoms: skin color & temperature chan... Read More
4k viewsAnswered >2 years ago
A 43-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Not at all: RSD commonly affects extremities, particularly in locations susceptible to trauma. The knee may be involved secondary to a blunt trauma or sports inj... Read More
4k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Pain Management : "Pain management" has different meaning depending on who you speak to. It may mean medication management, physical medicine & rehabilitation, inj... Read More
4k viewsReviewed >2 years agoMerged
A 38-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Depends : Totally up to your physician & the approach you take to reconcile the relationship. The doctor-patient relationship is one of trust & that of... Read More
4k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Spine inflammation: Inflammation of the spine may be related to the joints, desks, ligaments, and muscles.
4k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Know the plan: If possible exhaust your conservative options including time, home exercise, weight loss, physical therapy, chiropractic, injections, medication manag... Read More
4k viewsReviewed >2 years ago
1 comment
A 34-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
????: Need more information. Where are her stabbing pains?
3.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Pain Management : Options may include interventional pain management procedures, non-opioid analgesics, non-opioid neuropathic pain medications, physical therapy, cogn... Read More
4.3k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Shoulder blade pain: Could be respiratory, musculoskeletal, or nerve related. If it persists see your doctor for a history, physical exam and possible diagnostic testing.
4k viewsAnswered >2 years ago
A 47-year-old male asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Water on the knee: Orthopedic surgery consult & probable MRI imaging to possibly identify the cause. Could be a tone meniscus, arthritis, infection, etc
4k viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
No maximum dose : Fentanyl patches must be gradually titrated & monitored for maximum effectiveness while exercising vigilance and caution regarding side effects.... Read More
3.8k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
MRSA: MRSA is short for Methicillin Resistant Staphylococcus Aureus, a Staph bacteria that is resistant to the usual penicillin like antibiotics that kill t... Read More
4k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Possibly: A traumatic fall may result in vertebral compression fractures and/or fractures involving the bony roof over the spinal canal (spodylolysis) which may... Read More
4k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Hydrocodone: Not sure what total stealth detox is, but if you want the prescribed drug to show up in your urine drug test you should take it as prescribed for mode... Read More
4k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Belly pain : Your abdomen & low back symptoms can be from multiple causes: pregnancy, ovarian cysts, appendicitis, irritable bowel, inflammatory bowel disease,... Read More
4k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Sweet: They contain sugar & come in different colors and flavors depending on the manufacturer
3.5k viewsReviewed >2 years ago
A 43-year-old female asked:
What are the effects of stopping amitriptyline abruptly and do they also you it for pain management?
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Amitriptyline: Abrupt cessation of Amitriptyline can cause serotonin withdrawal symptoms, so discontinuation should be gradual and per your physician's recommendatio... Read More
4.3k viewsAnswered >2 years ago
A male asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Sedated : The procedure is usually done with local anesthesia with or without sedation through an IV. This question is more appropriately answered by the cardio... Read More
4k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Back cramps: Misalignment of the spine will cause compensatory muscle spasm & cramping. You should have a spine exam and possible imaging studies to better und... Read More
4k viewsAnswered >2 years ago
A 56-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Groin pain: Yes! pain medications, nerve blocks, tens therapy, cryotherapy ; peripheral nerve neuromodulation may all be helpful.
4.3k viewsReviewed >2 years ago
A 58-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Absolutely: The facet joints are what become arthritic in the spine. Pain management may be conservative with weight loss, exercise, physical therapy & manipu... Read More
4k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
IPM: "The discipline of medicine devoted to the diagnosis & treatment of pain & related disorders by the application of evidenced based interventio... Read More
3.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
RSD SYMPTOMS: The most common symptoms of RSD include: Allodynia: painful response to non-painful stimulation. Vasomotor symptoms: skin color & temperature chan... Read More
4k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Shoulder blade pain: Your pain may be muscular, but may also be related to heart or lung problems. You should see your primary care doctor for a history, physical exam and... Read More
4k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Stress: Exercise is terrific. You can walk, run, hike, bike, rollerblade, kayak, etc. Alternatively, you can take up a hobby such as gardening, painting, bird... Read More
4k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Post op fever: Low grade post-op fever is fairly common. The most common early post-op cause of fever is lung atelectasis (collapse of the tiny gas exchange sacs) wh... Read More
4k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Yes: The fentanyl patch is the maintenance long acting drug & oxy- IR is intended for moderate-severe breakthrough pain in rescue doses typically 2-4 t... Read More
4k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Neuropathy : There are numerous causes ; some potential pain management procedures for neuropathy pain. However, the cause must be established before proper treatm... Read More
4.3k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Views: AP refers to Anterior-posterior & lat refers to lateral views of the spine; nothing too fancy, just radiology terminology.
4k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Serotonin : Most opioids have no direct effect on serotonin. However, a newer opiate called Nucynta (tapentadol) acts on the usual narcotic receptors in the cent... Read More
4k viewsReviewed >2 years ago
A 39-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Dextroscoliosis: Dextroconvex scoliosis means right convex curve of the spine. The severity, pain & functional compromise are more important than the terminology.
4k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
NMS: Neuroleptic malignant syndrome is a life-threatening neurological disorder most often caused by an adverse reaction to neuroleptic or antipsychotic dr... Read More
3.5k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Stronger Meds: Make an appointment with your pain management doctor ; explain that your pain is not currently optimally controlled. Your medication regimen may be ad... Read More
4.3k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
No: Provided the patch is used as directed & prescribed, one lidoderm 5% patch will not cause toxicity. An adult may use up to 3 patches in 24 hours; ... Read More
3.8k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Mixing narcotics : Yes, provided the drugs are prescribed & monitored by your physician. Vicodin (hydrocodone/acetaminophen) is a short acting oral narcotic analgesi... Read More
4k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Intrathecal pump : Intrathecal therapy risks may be related to implantation, drug filling, drug side effects and chronic placement within the subarachnoid space. Implant... Read More
4k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Anesthesia: She may have pseudocholinesterase deficiency which can be hereditary by autosomal recessive genetics. This enzyme metabolizes muscle relaxants such as... Read More
3.9k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
No set answer : There is no set answer to this question. However, prolonged use of all narcotics will result in tolerance & apparent loss of effectiveness. Addit... Read More
4k viewsAnswered >2 years ago
A 16-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Get help: Sorry to hear about your problem. Your feelings are justified & normal. I would recommend you talk to a guidance counselor at your school and see ... Read More
4k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
As Directed: They may be take safely together as prescribed and according to the directions on the bottles. The maximum daily dose of acetaminophen for short term ... Read More
3.9k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
POSSIBLY: Provided your chest wall pain is musculoskeletal it should improve with Prednisone and as soon as 24 hours after the first dose. The differential dia... Read More
4k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
RSD: The most common symptoms of RSD include: Allodynia: painful response to non-painful stimulation. Vasomotor symptoms: skin color & temperature chan... Read More
4k viewsAnswered >2 years ago
A 37-year-old member asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Norco (hydrocodone and acetaminophen) & Percocet: They are both short acting narcotic analgesics that may be taken every 4-6 hours as needed for moderate-severe pain only. Assuming you are discontinu... Read More
4k viewsReviewed >2 years ago
A 39-year-old male asked:
Dr. Robert Maddenanswered
Specializes in Anesthesiology
Back/flank pain: Very possibly a urinary tract infection and/or kidney stone. You should get evaluated by your primary care doctor to determine what's going on & ... Read More
4k viewsReviewed >2 years ago
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TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
48
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Madden is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Madden is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Yes I will find another therapist thank you for your kind words
HealthTap member
thanks,I was really nervous about the procedure but now Idont feel wor
HealthTap member
My pcp prescribed this but not sure how helps with my pain.
Education & Training
Medical/Graduate school
New York Medical College, NY
MD
Awards
Top Doctor, Second Place, Elmira Region - Summer
2014
Top Anesthesiologist, Third Place, New York - Summer
2014
Thought Leader Doctor, Third Place, Elmira Region - Summer
2014
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