Pain Rehabilitation Center

Referral process

Physician referral is required for admission to any Pain Rehabilitation Center (PRC) program. The person's primary care professional or referring professional will be responsible for arranging other healthcare services if need arises. Referring healthcare professionals can contact the PRC at:

• Arizona campus: 480-342-6240
• Florida campus: 904-956-1780
• Minnesota campus: 507-266-5100

Referring physicians will need to provide the following information:

• Current general medical examination documentation.
• Current list of medications.
• Medical records pertinent to chronic pain condition.

Admission to any of Mayo Clinic's PRC programs begins with an evaluation, during which PRC staff will assess whether a rehabilitation approach is appropriate for the person with chronic pain.

If the pain rehabilitation approach is appropriate, staff will help the person decide which program may be most beneficial. Once a tentative admission date is scheduled, insurance prior authorization will be needed, as many health insurance plans require approval prior to admission.

Admission criteria

A person may be considered a candidate for admission if he or she has:

• Pain of more than three months' duration affecting functioning. If pain duration is less than three months, there must be a clinical indication that the pain will likely develop into a chronic condition.
• Medical clearance to participate in a daily aerobic exercise regimen (for Arizona or Florinda participants).
• No pending medical work-ups for a pain-related condition. The person is no longer seeking a medical cure for pain.
• Psychiatric stability. That means the person has no psychosis, no recent (past six months) suicidal or self-injurious or aggressive behavior, and no recent (past three months) psychiatric hospitalization, unless evaluated and approved by PRC consultant staff.
• Willingness to taper opioid medications and other controlled substances, and to participate in all program activities.

Applicants must be able to perform activities of daily living (toileting, dressing and bathing) and have the ability to walk or transfer from a wheelchair. They also need to have adequate concentration and memory function to learn and apply new information. Full-day participation is required.

People who are accepted into a three-week PRC program in Rochester, Minnesota will need a medical clearance for exercise form completed by their medical professional prior to beginning the program.

Exclusionary criteria

A person may not be considered a candidate for admission if he or she has:

• Been unwilling to discontinue use of pain medications and other targeted medications affecting cognition or substances that would prevent meaningful participation in the program.
• An intrathecal opioid delivery system in place (for Rochester, Minnesota, participants).
• Shown insufficient motivation to participate in medication management, physical and occupational therapy, or group therapy.
• An acute physical condition or illness that would prevent his or her adequate participation in the program.
• Demonstrated disruptive behavior that prevents that person or other participants from fully benefiting from treatment.

Referring provider follow-up

Coordination with healthcare professionals in each participant's local community is an integral part of a successful return home. A healthcare professional who has been authorized to receive information will receive a written dismissal summary outlining an individual's care during the program.

This summary will include the person's PRC treatment course, medication changes, laboratory tests and consult notes. It also will outline behavioral strategies the person was taught for coping with chronic pain and offer specific follow-up recommendations.

PRC staff encourages each person's healthcare professional to discuss the rehabilitation program with the individual to reinforce the functional goals and progress accomplished during the program.

If indicated, a care conference may be held, either in person or via a telephone conference call. After the three-week program ends, PRC nurse coordinators are available for consultation with individuals and their healthcare professionals.