All fields are required.

Close Appointment form
slider loading
  • Slider image 0

    Treating Pain

    with compassion Learn More
  • Slider image 1

    If you have uncontrolled pain,

    there is an alternative solution Learn More
  • Slider image 2

    Individualized care with

    compassion and expertise Learn More
  • Slider image 3

    You have a choice

    4509 N ARMENIA AVE TAMPA FL 33603 & 4712 EXPLORATION AVE LAKELAND FL 33812 Contact Us
  • Slider image 4

    Hablamos Español

    Entendemos su Cultura
  • Slider image 5

    We accept

    most insurance plans Book an Appointment
  • Slider image 6

    Visit Our Blog

    For Great Content Information Learn More

Our Approach

Because each patient’s pain is unique, we design management plans to treat each patient individual needs.

LEARN MORE  

Our Procedures

A variety of interventional cancer pain management treatments are currently available, the majority of which can be performed on an outpatient basis

LEARN MORE  

Learning Center

Dr. Sarria believed that many patients inflicted with cancer pain were being undertreated, misunderstood or misinformed. With our Learning Center we want to help our patients and families to understand cancer pain management.

LEARN MORE  

What Do you Know about Cancer Pain Management?

Dr. Jose E. Sarria

An Introduction to the Institute

View Articles and Resources

Patient Services

Pain Management

Cancer Pain Management has become a free ­standing specialty of Medicine. Becoming a Fellowship ­Trained, Board­ Certified Pain Doctor requires subspecialty training beyond our primary specialty. It involves learning a multidimensional approach to the patient suffering from chronic pain and combining different treatment alternatives to obtain better results than the simplistic paradigm of giving pain pills. Further experience is required to expand into the realm of Palliative Care Medicine, which deals not only with pain but many other symptoms that coexist in serious illness conditions. Depression and anxiety, weight loss and lack of appetite, nausea, insomnia, chronic fatigue, shortness of breath, needs for rehabilitation, all of these can contribute to a poor quality of life. Cancer survivors may also suffer from these chronic ailments and it is Palliative Care doctors that help them get better and move on with their lives.

Supportive Care is the modern name for Palliative Care Medicine. It is an attempt to detach the negative perception of end-­of-­life care that has prevented so many patients from accessing the benefits of medical professionals that can help improve their lives. Supportive Care doctors will follow their patients at outpatient clinics, at the hospital and many even do routine house calls. I believe the services of these physicians are underutilized, frequently sought only in the late stages of disease, thus preventing the benefits of specialized cancer pain management from optimizing how patients afflicted with serious illness live their lives and frankly, how they die.

Hospice is not a place, certainly not a place for the dying but rather an institution organized around the concept of providing medical care toward the goal of maintaining the best possible quality of life for those who suffer from an illness unlikely to be cured. Most hospice care occurs in the patient’s home. When somebody is enrolled in hospice, they receive coordinated care in the form of visits to the patient’s location by the hospice physician, nurse, medical social worker, home-­health aide and chaplain/spiritual adviser.

  • Medication for pain relief and symptom control
  • Physical and occupational therapy
  • Medical equipment like wheelchairs or walkers and medical supplies like bandages and catheters
  • Dietary counseling
  • Short-­term inpatient care
  • Short-­term respite care (relief from care-giving to avoid “caregiver burnout”)
  • Grief and loss counseling for patient and loved ones

All of this is typically covered under the Hospice Program at no cost.

Most patients with terminal illness never enroll in hospice and the most common reason for that is they were not told about it, they just did not know. As a consequence, the moment of passing more commonly occurs at the hospital instead of at home surrounded by loved ones. An expert hospice team that addresses the symptoms and issues of end-of-life can ensure a better transition.

At The Peregrine Institute, we provide you with everything you need to know about hospice when the time is right. We help you make the decision of when to consider it and facilitate enrollment.

At The Peregrine Institute we treat chronic pain conditions, particularly those that have proved resilient to conventional cancer pain management.

  • Arthritis pain in the knees, shoulders, hips and other joints
  • Chronic postoperative pain
  • Phantom limb/post­amputation pain
  • Back pain and sciatica
  • Neck pain
  • Chronic abdominal or pelvic pain
  • Genital (penile, testicular, vaginal) pain
  • Rectal/anal pain
  • Intractable leg pain from insufficient blood flow
  • Reflex sympathetic dystrophy (RSD) or complex regional pain syndrome (CRPS)
  • Headaches
  • Facial Pain (Trigeminal Neuralgia)

We do not use pills only but a more individualized treatment plan for each case.

Procedures we offer:

Musculoskeletal:

  • Trigger point injections
  • Join injections (knee, shoulder, hip, sacroiliac, TMJ and others)
  • Join injections to bursa

Facial Pain (Trigeminal Neuralgia) and Headaches:

  • Trigeminal nerve blocks and neurolysis:
    Main branches (mandibular and maxillary, gasserian ganglion) and
    peripheral branches (supraorbital, supratrochlear, auriculo ­temporal, occipital)
  • Sphenopalatine ganglion block and neurolysis
  • Botox injections for migraines and cervical dystonia
  • Occipital nerves neurostimulation
  • Trigeminal peripheral branches neurostimulation
  • Epidural blood patch
  • Synvisc injections

Spine:

  • Epidural steroid injections (caudal, interlaminar, transforaminal) at lumbar, thoracic and cervical levels
  • Nerve blocks
  • Radiofrequency ablation
  • Vertebroplasy/kyphoplasty and vertebral body RFA for pain control
  • Percutaneus disc decompression
  • Spinal cord stimulation
  • Intrathecal pumps
  • Sacroiliac joint injection

Pelvic and Genital Pain:

  • Superior hypogastric plexus block and neurolysis
  • Pudendal nerves block and neurolysis
  • Ganglion impar block
  • Ilioinguinal/genitofemoral nerves block and neurolysis

Chest and Abdominal Wall Pain:

  • Intercostal nerves block and RFA (post­mastectomy, post­thoracotomy, post-laparotomy)
  • Scar treatment with RFA for pain
  • Neurostimulation

Cancer Pain:

  • Celiac plexus block and neurolysis
  • Superior hypgastric plexus block and neurolysis
  • Tunneled implanted epidural catheters
  • Intrathecal pumps
  • Sacral nerve stimulation

RSD (Complex Regional Pain Syndrome)

  • Stellate ganglion block and neurolysis
  • Lumbar sympathetic block and neurolysis
  • Ketamine intravenous infusion

Neuromodulation:

  • Spinal cord stimulation for Post­laminectomy syndrome, painful peripheral neuropathy, CRPS type 1, peripheral vascular disease, intractable angina, upper and lower extremities intractable pain, post­-amputation pain
  • Peripheral nerve stimulation for intractable headaches (occipital and trigeminal), trigeminal nerve main branches stimulation, Neuropathies
  • Intrathecal pumps for intractable spasticity (Baclofen pumps), neuropathic pain and cancer pain
  • Implanted epidural analgesia for cancer pain

For years, Dr. Sarria has been at the forefront of the newest treatments for intractable headaches and facial pain, including:

  • Trigeminal Nerve Blocks and Neurolysis: Main branches (Mandibular and Maxillary, Gasserian Ganglion) and Peripheral Branches (Supraorbital, Supratrochlear, Auriculo­Temporal, Occipital)
  • Sphenopalatine Ganglion Block and Neurolysis
  • Botox Injections for Migraines and Cervical Dystonia
  • Occipital Nerve and Peripheral Nerve Stimulation. These techniques apply Pacemaker technology to the treatments of severe headache syndromes that have not responded to conventional treatment. Much information about this therapeutic modality can be found through this support group’s Facebook page: Occipital and Peripheral Nerve Stimulation

The Facial Pain Association (http://fpa­support.org) also offers information and support for patients afflicted with chronic facial pain such as Trigeminal Neuralgia.

Recent Posts from our Blog

icon

MEET DR JOSE E. SARRIA

icon

    After 10 years as Chief of the Pain Medicine Service at Moffitt Cancer Center, Dr. Sarria founded The Peregrine Institute in Wesley Chapel, Florida in order to fulfill the growing need in the community for comprehensive Pain and Symptom Management of Cancer patients as well as Chronic Pain patients.

    View profile

    Dr Jose E. Sarria

    Board-Certified Pain Medicine and Palliative Care physician.

    What patients are saying about The Peregrine Institute

    Providers & Partners

    The Peregrine Institute provides oncology pain management treatment for cancer patients of all ages. Services are provided at any stage of a cancer diagnosis, which includes survivorship. The talented team at The Peregrine Institute has aligned with best-in-class medical providers to offer the highest quality patient services.

    Our Institute has developed and is currently seeking contracting with hospice palliative care programs and hospital referrals through and an affiliation of Florida Hospitals, Bay Care, Tampa General Hospital and St. Joseph’s Hospital. TPI is also affiliated with Moffitt Cancer Center, Florida Cancer Affiliates, Florida Cancer Specialists and Orlando Health Care System.

    The Peregrine Institute is also part of oncology education seminars given to various cancer support groups and nursing groups.The Institute has also partnered with RN Cancer Guides which provides oncology nurse navigation to cancer patients and caregivers throughout the State of Florida. RN Cancer Guides also has a patient referral base from their Employee Cancer Assistance Program.

    If you are a physician or medical facility that would like to partner with The Peregrine Institute or would like to refer patients to our services, please CONTACT US for further information.

    icon