Pain Conditions We Treat

Lower back discomfort with stiffness or pain on bending or prolonged sitting. We assess facet, disc, and muscle sources then use directed exercise, medications, epidural or other facet injections, and radiofrequency ablation as appropriate.

Back or neck pain with potential arm/leg symptoms. We clinically establish the diagnosis, use radiology if it alters treatment, and offer conservative care, epidurals, and precise nerve-targeted therapies.

Pain with walking, going up and down stairs, or squatting—usually osteoarthritis. In addition to strengthening and/or weight strategies, we can offer intra-articular treatment, a genicular nerve block, and genicular RFA to provide longer relief.

Stiff, swollen, or grinding joints. Care includes lifestyle modification measures, optimisation of medications, image-guided joint injections, and nerve-targeted interventions (eg genicular RFA for the knees) to reduce pain and improve function.

Sharp pain in heel on first steps, or after standing: tendon pain with activity. We have a common-sense approach combining loading programs or footwear change, with ultrasound-guided injections if conservative care does not meet the needs.

Pain that presents as burning or an electric shock has come from sensitised nerves. Our general approach is to titrate prescribed neuropathic medications most effectively and when appropriate use focal nerve blocks or other interventions for difficult or persistent cases.

Widespread pain with fatigue and poor sleep - we develop a gradual and sustainable individualized plan that includes education, paced activity, sleep management strategies, and support with medications; sometimes using trigger-point options for symptomatic relief when appropriate.

Sudden back pain after a trivial strain, often in older adults. We manage pain safely with bracing and medicines, consider targeted injections for associated facet pain, and arrange referrals for vertebral procedures when indicated.

Leg pain, tingling, or numbness from an irritated nerve root. Management ranges from activity and physiotherapy to epidural steroid injections and, if necessary, further imaging-guided options.

Neck stiffness, headaches, or pain that radiates to the arm. Management involves ergonomics or posture correction, physiotherapy, cervical epidural for radicular pain, and facet/medial branch blocks with RFA as appropriate.

From bursitis to tendon irritation and early arthritis. We combine targeted rehab with ultrasound-guided injections (bursal, tendon-sheath, or joint) to quiet pain and restore movement.

Muscle stiffness, spasms, and immobility due to joint pain. We aim for comfort and functional improvement using tone-reducing medications and therapy plans as well as effective nerve/trigger-point injections; we work closely with rehabilitation specialists.

Persistent headaches: cervicogenic and migraine with neck triggers. Our assessment allows us to differentiate headache type and address accordingly with targeted therapy; occipital nerve blocks can sometimes help suitable patients.

Pain in tendons, ligaments, and bursas from overuse or strain. Expect a straightforward explanation of the diagnosis, discussion of load management, and when required ultrasound guided procedures; fractures or surgical injuries are referred.

Relief that helps with alertness and day to day function. Options include nerve or plexus blocks (e.g., celiac, stellate), possible use of epidural techniques in appropriate circumstances, and coordinated care with supportive oncology and palliative care support options.