Spinal Pain

Back and neck pain symptoms are some of the most common problems referred to the clinic but sadly account for considerable distress and disability for patients.
We combine clinical examination and scan results to assess causes and plan treatment pathways to deal with troublesome symptoms.

Low back and neck pain account for the vast majority of the spinal conditions we see and manage. This large group of patients are often caught in a cycle of pain and restrictive disability, which pain treatments can break to facilitate the restoration of function and mobility. We use localised interventions wherever possible, to achieve long-term results through injection and radiofrequency therapy.

This refers to nerve pain in the leg, usually but not always originating from the low back.  As there are several important causes for this type of pain, it is essential to identify the precise cause and treat this appropriately with the aim of therapy at the source of the symptoms whenever possible to aid diagnosis and prevent side effects from medications.

Radiographic imaging is a mainstay of diagnosis and treatment for this condition.

Shoulder, knee and hip pain cause considerable distress to patients.  Not all of whom will be amenable, or it is sensible to undergo surgery.

Improving pain and restoring movement are essential to retaining normal function.  We aim to stop the cycle of restricted mobility and reducing discomfort by treating the source of the problem and combining it with physiotherapy to strengthen muscles.

The two main types of treatable head pain are migraine and referred pain from the neck region.  Both can be treated with a mixture of medications combined with injection treatments where appropriate.  Botulinum toxin (Botox) and other forms of injection therapy can be used for both diagnosis and ongoing treatment of symptoms.

Occipital neuralgia is a common headache caused by irritation of nerves arising from the neck, which may be treated with radio-frequency pulses (neuromodulation) to desensitise the area.

This is a primary pain of nerve origin and can be spontaneous unrelated to any other pathology or related to chemicals (medications), diabetes, vascular (blood supply) issues, infections, e.g. shingles or pain after surgery.  We may carry out nerve function tests aimed to locate a precise cause for a peripheral nerve problem as well as MRI imaging.

The therapeutic options involve medications specifically designed to treat nerve hypersensitivity, nerve blocks or radiofrequency treatment.  This is a particularly challenging group of conditions that requires careful planning of therapy and coordination with other specialists and GPs.

Pelvic pain affects both sexes. The causes include male and female reproductive organs and bowel and bladder conditions. Pain can also arise from joints, muscles and nerves within the pelvis.

Treatments will vary dependant on the cause of the painful condition and include medications to treat the pain symptoms or the underlying condition, diagnostic and therapeutic injections, including radio-frequency treatments to desensitise nerves, and possibly surgery.