Pain Treatment Services - San Francisco VA Health Care System
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San Francisco VA Health Care System


Pain Treatment Services

The San Francisco VA Health Care System provides a variety of services to help Veterans address their pain issues. Services include self-care skills classes, alternative treatments, and physical and behavioral therapy sessions, among others.

Integrated Pain Team (IPT)

Integrated pain team graphicThe IPT works closely with your primary care provider to provide comprehensive, coordinated care to help you best manage your pain. You will meet with a group of medical providers, including a nurse practitioner or physician, a pain psychologist, and a pain pharmacist either in person or over video-teleconference. Please ask your primary care provider for more information and for a referral to IPT.

Contact: Andrea Lynn, RN Care Coordinator (415) 221-4810 x2-4627

Integrated Health

Integrated pain team graphicMind Body skills classes

Battlefield acupuncture

Contact: Chris Geronimo, Recreational Strength & Wellness Program; (415) 221-4810 x2-3471

Community care acupuncture and chiropractic
Contact: Thomas Mahoney, RN Care Coordinator; (415) 221-4810 x2-3377)

The Chronic Pain Clinic

Interdisciplinary team evaluations

Integrated pain team graphic

A board-certified pain specialist physician, pain specialist physical therapist, pain psychologist, and RN Care Coordinator will conduct a thorough evaluation with you. Following this team evaluation, you will receive a customized pain care plan that may include interventional procedures, physical rehabilitation options, pain psychology treatments, or a recommendation to enroll in the Intensive Pain Rehabilitation Program (IPRP).

Intensive Pain Rehabilitation Program (IPRP)

This is a comprehensive, interdisciplinary program, which meets for four hours per day, three times a week for 12 weeks. The program staff help you develop self-care skills and improve your quality of life. The program is based on the neuroscience of pain, includes elements supported by up-to-date research, and strives to teach participants how to successfully return to meaningful activities.

Image-guided interventional procedures

Integrated pain team graphic

These injections into the nerves, spine and joints may help your team better understand your pain and can help you improve your function by reducing pain symptoms.

*Services are primarily available to Veterans receiving care through the San Francisco VA Health Care System. However, in some cases, patients from other VA hospital systems may be referred and considered for IPRP and Spinal Cord Stimulator programs. Please note that this clinic administer medication. Please consult your primary care provider regarding prescriptions

Physical Therapy for Persistent Pain

Many people with persistent pain have seen multiple physical therapists along their journey. Others have seen the same physical therapist multiple times. If you have worked with a PT in the past, but continue to struggle with a pain condition that interferes with your ability to do the activities you value, consider working with a specialized physical therapist who understands (and teaches) about persistent pain.

Please ask your primary care provider for a referral to get started.

Education is Therapy

Integrated pain team graphic

Pain is complex and does not follow simple “biomechanical rules.” Humans are more like ecosystems than cars, so “fixing” a painful body part is rarely the answer when it comes to persistent pain conditions. Research tells us that when people know more about pain and truly understand how it works, recovery strategies work better. Join our monthly two-hour workshop to learn more about the complexities of pain and how to better understand it.

Offered from 12- 2 p.m. on the first Wednesday of most months at the San Francisco VA Medical Center, 4150 Clement Street, Building 203, Room 2A-41. No appointment is needed, but it is recommended to call ahead to confirm that the class is taking place. (415) 221-4810 x2-3041.

Pain Psychology

We provide both Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) for chronic pain. These treatments have been shown by research to be effective in the management of chronic pain. Treatment can be provided during individual sessions or in group/class sessions.

Please ask your primary care provider for a referral to get started.

Pain Pharmacist Telephone Visits

Pain pharmacists are available by telephone to explore safe medication options. They can also support those interested in decreasing or stopping their use of opioid pain medication. Examples of opioid pain medication include morphine, oxycodone, hydrocodone, methadone, hydromorphone, fentanyl, tramadol, Percocet©, Vicodin©, and Norco©.

Please ask your primary care provider for a referral to get started.

Prescription Opioid Safety Team/Addiction Consult (POST/AddCon)

Integrated pain team graphic

This multidisciplinary team helps people with addiction-related concerns, including problems related to opioid medications and safety. The team can connect you to ongoing medication management and behavioral treatment. Please ask your primary care provider to order an Addiction Consult if you are interested. The service is available at the San Francisco VA Medical Center and all the Community-Based Outpatient Clinics. Please note that the team does not assist with housing issues or placement at residential programs.

Naloxone (Narcan®)
is an antidote that can save the life of someone who is having trouble breathing or experiencing an overdose because of their opioid medication. Naloxone is recommended for all patients who are prescribed opioid therapy. Although we hope no one ever needs it, we recommend having a Naloxone rescue kit on hand in case of an emergency.

For more information on Naloxone, please visit click here.
If you would like to receive a prescription for Naloxone (free of cost), please talk to your provider.

Contact Info


  • San Francisco VA Medical Center and local VA Community-Based Outpatient Clinics

Contact Number(s)

  • 415-221-4810 Ext. 3509

Hours of Operation

  • 8 a.m. - 4:30 p.m., Monday - Friday