The initial assessment will involve listening to your problems and the impact it has on your day to day activity. Clinical examination will be undertaken and relevant investigations will be ordered if needed.
We will discuss the different types of evidence-based treatment ranging from the medications to the interventions and agree on a treatment plan with you. Depending on your case, advice will be sought from other specialities to include Physiotherapy, Psychology Rheumatology, Surgery etc.
We will advise managing your daily activities to improve your overall quality of life. A follow-up assessment will involve looking into the results of the investigations and outcome of the agreed treatment options. We will discuss further management actions to achieve maximum benefit from the treatment.
Oral: Ibuprofen, Diclofenac, Naproxen, Co-codamol, Co-dydramol
Topical: Ibuprofen gel, Diclofenac gel
A combination of drugs can be used
Dr Sinha offers a range of interventions for spinal, musculoskeletal, and neuropathic pain. These procedures are performed with image guidance, utilizing either X-ray or ultrasound in the angiography suite or day theatres. Below are some standard options:
Upper limb: Shoulder joint, acromioclavicular joint
Lower limb: Hip joint, knee joint, ankle joint
Radiofrequency ablation of joints
Occipital nerve
Ilioinguinal/iliohypogastric nerve
Genitofemoral nerve
Pudendal nerve
Lateral cutaneous nerve of the thigh
Genicular nerve of knee and Hip
Pulsed radiofrequency of nerves
Stellate ganglion
Ganglion of Impar
Lumbar sympathetic
Thoracic sympathetic
Paravertebral
Coeliac plexus
Hypogastric
