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Pain Management

The Pain Management Center at St. Charles Hospital features technologically advanced, interventional pain management techniques performed by some of Long Island's leading pain medicine physicians.

Procedures performed by the experts at St. Charles Hospital's Pain Management Center include:

  • All forms of nerve and facet blocks
  • Radiofrequency lesioning 
  • Epidural or Spinal injections (opioids or steroids)
  • Spinal cord stimulation
  • Implantable narcotic pumps
  • Baclofen pumps
  • Neurolytic blocks
  • Cryoneurolysis/cryoablation
  • Facet injections
  • Manometric Discography
  • Trigger point injections
  • Botox injection
  • Peripheral neurolysis
  • Interventional pain treatment for cancer
  • Epiduroscopy
  • Radiofrequency for headaches

Conditions that may benefit from interventional pain management include:

  • Chronic pain relief for pain that is unresponsive to conservative pain control measures
  • An increasing need for opioid medication to control pain
  • Pain that cannot be relieved surgically   
  • Pain that does not require surgery for sensory/motor loss or bowel and bladder dysfunction

Procedures are done on an outpatient basis so patients return home the same day.

Physicians performing these procedures are board-certified, fellowship-trained pain medicine physicians:

Steven J. Litman, MD, Director, Pain Management, St. Charles Hospital

Dr. Litman is one of the only pain management specialists in New York state with five board certifications in pain management, including a fellowship with the World Institute of Pain Certification. He has been listed by Castle Connolly as one of the Top 200 pain physicians in the United States. Dr. Litman is a surveyor for the American Academy of Pain Management accreditation program, which sets standards for pain management facilities and services.

Vlada Frankenberger, DO

Dr. Frankenberger graduated magna cum laude from the New York Institute of Technology and participated in a combined program with the New York College of Osteopathic Medicine. While in medical school she was inducted into the medical honor society and was awarded her Doctor of Osteopathic Medicine degree in 2002. Dr. Frankenberger completed a rotating internship at North Shore/LIJ Plainview Hospital, and then completed a residency in Physical Medicine and Rehabilitation at Stony Brook University Medical Center. She then went on to complete a fellowship in Interventional Pain Management in the Department of Anesthesiology at New York’s prestigious Mount Sinai Medical Center. She is an active member of the American Society of Interventional Pain Physicians, American Pain Society, and American Academy of Physical Medicine and Rehabilitation and has authored multiple articles in the field of interventional pain management as well and physical medicine and rehabilitation. She is fluent in Russian.

Dr. Frankenberger is a Clinical Assistant Professor at the New York Institute College of Osteopathic Medicine. She is board certified in Physical Medicine and Rehabilitation by the American Board of Physical Medicine and Rehabilitation. Dr. Frankenberger is also board certified in Interventional Pain Medicine by the American Board of Anesthesiology.

Dr. Frankenberger believes in a comprehensive multi-disciplinary approach to the treatment of painful conditions. Her training in physical medicine and rehabilitation and pain management allows her to treat pain utilizing the best techniques from both of these medical disciplines. Dr. Frankenberger’s fellowship training allows her to specifically target and deliver potent medications precisely to the locations that will have the greatest effect on easing pain. This is often done utilizing state of the art digital fluoroscopy.

For more information about the Pain Management Center at St. Charles Hospital, please call (631) 474-6797.