Chronic Pain Clinic

The Clinic is focused on the safe management of chronic pain medications, for those patients whose current pain management regimen includes narcotic pain medications.  Recent national attention had highlighted the need for increased attention to these medication regimens. St. Peter’s Medical Group is moving to ensure our patients’ safety by applying the same guidelines now being used by centers of excellence across the country. At the same time, patients who visit the chronic pain clinic will be able to spend more time with the experienced nurse practitioners at the clinic to consider additional ways to better control their pain, drawing from a multi-disciplinary range of choices.
Program Goals

Pain is a multifaceted condition that impacts each person differently. We recognize that each patient is unique and develop an individualized plan to relieve suffering and restore functionality.  The goals of the center are to:

  • Develop long-term strategies for pain management, health maintenance and a balanced lifestyle
  • Recover the abilities to perform activities of daily living
  • Facilitate support from a network of care providers to promote continued participation in learned pain management strategies
  • Maximize individual-based pharmacotherapy for pain management


The Chronic Pain Clinic is located in the St. Peter’s Medical Group North.Patients will be seen by appointment only. Please call (406) 457-4180 to schedule your appointment.


Chronic Pain Clinic FAQs

Question:  Do I need a referral to be seen at the Chronic Pain Clinic?
Answer:  Yes, you need a referral from your primary care provider.  At this time, SPMG (St Peter’s Medical Group) is just starting the pain clinic.   Currently, the Chronic  Pain Clinic is only able to see patients who are currently seeing SPMG providers for chronic (long term) opiate medications (Percocet, oxycodone, hydrocodone,  tramadol, methadone, etc).  The services will expand in the future.

Question:  What is a pain contract and will I need to sign one?
Answer:  A pain contract is a written contract between you and your provider.  It is used for all patients on chronic opiate therapy.  It lists expectations for both you and  your provider.  It also explains the dangers associated with chronic opiate therapy.  This contract is not meant to single you out or show a lack of trust.

Question:  What is a urine drug screen?
Answer:  A urine drug screen is a test of the urine to check for medications, alcohol, and other drugs.  Everyone on chronic opiate therapy will be required to take this test. This is to protect both patients and providers and is not meant to show a lack of trust.

Question:  Do you prescribe medical marijuana?
Answer:  No, we do not write prescriptions for medical marijuana.

Question:  Do you provide interventions for pain such as injections?
Answer:  No, we do not provide these procedures at this time, but we hope to in the future.  We can refer patients to other providers to have these performed.

Question:  Why does my SPMG provider want to send me to the Chronic Pain Clinic?
Answer:  This frees up your provider to take care of your other health issues and helps decrease the risks associated with opiate medications.

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