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Thomas Bryce

  • ASSOCIATE PROFESSOR Rehabilitation Medicine
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Certifications

  • Physical Medicine & Rehabilitation - Pain Management

  • Physical Medicine & Rehabilitation

Clinical Focus

Education

  • MD, Albany Medical College

  • Internship, Internal Medicine
    Albany Medical Center

  • Residency, Rehabilitation Medicine
    Thomas Jefferson University Hospital

Biography

    Dr. Thomas Bryce came to The Mount Sinai Medical Center in 1997 and has served as Medical Director of the Spinal Cord Injury Program since 2001 and as Medical Director of Rehabilitation Ambulatory Services since 2008. He is an  Associate Professor of Rehabilitation Medicine at Mount Sinai School of Medicine.

    He received his undergraduate degree from Johns Hopkins University and his medical degree from Albany Medical College. He received specialty training in Rehabilitation Medicine at Thomas Jefferson University Hospital.

    Dr. Bryce is board certified in Physical Medicine and Rehabilitation and has sub-specialty certification in both Pain Medicine and Spinal Cord Injury Medicine. He has authored several chapters and scientific articles on pain and spinal cord injury.

    Dr. Bryce is involved with research related to spinal cord injury, multiple sclerosis , and pain. He is the principle investigator of several ongoing studies in these areas.  He has authored many chapters and scientific articles on pain and spinal cord injury.

    Dr. Bryce is on the steering committee of the Consortium for Spinal Cord Medicine, a consortium of national organizations which publishes clinical guidelines related to the care of individuals with spinal cord injury. He has been a research grant reviewer for the European Science Foundation and The Craig H. Neilsen Foundation.

    Dr. Bryce combines leading edge techniques, such as fluoroscopically guided spinal injections, intrathecal pump management, and botulinum toxin injections with proven traditional methods, such as individually designed physical therapy programs, to provide his patients with the best rehabilitation and pain management possible. He works closely with physical therapists, occupational therapists, neuropsychologists, and other medical and surgical specialists in order to provide comprehensive care.

    Some conditions that he treats include spinal cord injury, multiple sclerosis, and low back and leg pain.

Research

Dr. Bryce has been and continues to be involved in several international taskforces related to outcome measures for pain after spinal cord injury, the International Dataset Project, and the classification of pain after spinal cord injury. The last of which he chairs.

At Mount Sinai, Dr. Bryce has played a key role in federally funded the Model Systems for Spinal Cord Injury acting as a coinvestigator for the overall project since his arrival at Mount Sinai and as a principal investigator and designer of a subproject of grant: A randomized, double-blind, placebo-controlled, crossover trial of modified release morphine for the treatment of chronic neuropathic pain after spinal cord injury.

In addition, he has been either the principal investigator or site principal investigator for the following other funded studies:

Evoked neuropathic pain in spinal cord injury

A phase II, multiple dose, double blinded, placebo controlled  study of HP184 in chronic spinal cord injury patients

A multiple dose, double blinded, placebo controlled safety, tolerability and pharmacokinetic/ pharmacodynamic study of HP184 in chronic spinal cord injury patients

A multicenter, double-blind, randomized, placebo-controlled, parallel-group study of the safety and efficacy of repeat treatment with two dose levels of BOTOX (r) (Botulinum Toxin Type A) purified neurotoxin complex followed by a treatment with BOTOX(r) in patients with urinary incontinence due to neurogenic detrusor overactivity

Publications

Bryce T, Ragnarsson K. Rehabilitation after spinal cord injury. In: Devlin V, editor. Spine Secrets. philidelphia, hanley and belfus;.

Bryce T, Ragnarsson K. Pain management in persons with spinal cord disorders. In: Lin V, editor. Spinal Cord Medicine: principles and practice. New York, Demos;.

Bryce T, Ragnarsson K, Stein A. Spinal Cord Injury. In: Braddom R, editor. Physical Medicine and Rehabilitation, 3rd Edition. Philadelphia, Saunders Elsevier;.

Bryce T, Ragnarsson K. Pain after spinal cord injury. In: Kraft G, Hammond M, editors. Topics in Spinal Cord Injury Medicine. Physical Medicine and Rehabilitation Clinics of North America; pp157-168.

Bryce T, Apple D, Richards J. and classification of pain after spinal cord injury. In: Ragnarsson K, editor. Topics in Spinal Cord Injury Rehabilitation. pp1-17.

Bryce T, Sheth P, Chen B, Ragnarsson K. Spinal Orthoses. In: Slipman C, Derby R, Simeonw F, Mayer T, editors. Interventional spine: an algorithmic approach. philidelphia, Saunders Elsevier;.

Bryce T, Norrbrink Budh C, Cardenas D, Dijkers M, Felix E, Finnerup N, Kennedy P, Lundeberg T, Richards J, Rintala D, Siddall P, Widerstorm-Noga E. Pain after Spinal Cord Injury: An Evidenced-based Review for Clinical Practice and Research. Report of the National Institute on Disability and Rehabilitation Research Spinal Cord Injury Measures Meeting- Pain Committee. J Spinal Cord Med 2007; 30: 421-440.

Bryce T, Dijkers M, Apple D. Sipski M, editor. Assessment of pain after SCI in clinical trials. 2006. pp50-68.

Bryce T, Dijkers M, Ragnarsson K, Stein A, Chen B. Reliability of the Bryce-Ragnarsson SCI pain taxonomy. J Spinal Cord Med 2006; 29: 118-132.

Cardenas D, Bryce T, Shem K, Richards J, Elhefni H. Gender and minority differences in the pain experience of people with spinal cord injury. Arch Phys Med Rehabil 2004; 85: 1174-1181.

Industry Relationships

Physicians and scientists on the faculty of the Icahn School of Medicine at Mount Sinai often interact with pharmaceutical, device and biotechnology companies to improve patient care, develop new therapies and achieve scientific breakthroughs. In order to promote an ethical and transparent environment for conducting research, providing clinical care and teaching, Mount Sinai requires that salaried faculty inform the School of their relationships with such companies.

Dr. Bryce did not report having any of the following types of financial relationships with industry during 2012 and/or 2013: consulting, scientific advisory board, industry-sponsored lectures, service on Board of Directors, participation on industry-sponsored committees, equity ownership valued at greater than 5% of a publicly traded company or any value in a privately held company. Please note that this information may differ from information posted on corporate sites due to timing or classification differences.

Mount Sinai's faculty policies relating to faculty collaboration with industry are posted on our website at http://icahn.mssm.edu/about-us/services-and-resources/faculty-resources/handbooks-and-policies/faculty-handbook. Patients may wish to ask their physician about the activities they perform for companies.

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