Pain Specialist UK Services | Pain Specialist in UK

Pain Assessment

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.

Diagnosis and investigations

MRI
CT Scan
X-Ray
Ultrasound scan
Nerve conductions studies
Diagnostic nerve blocks

mri

Pain Medications

Musculoskeletal pain
Oral: Ibuprofen, Diclofenac, Naproxen, Co-codamol, Co-dydramol
Topical: Ibuprofen gel, Diclofenac gel

Neuropathic pain
Oral: Pregabalin, Gabapentin, Amitriptyline, Nortriptyline, Tramadol, Lamotrigine Duloxetine, Carbamazepine
Topical: Capsaicin cream and patches, Lignocaine patches

Mixed pain A combination of drugs can be used

Alternative treatments

Pain Intervention list

Spine Interventions

  • Facet joint injections: Lumbar, thoracic, and cervical
  • Diagnostic Medial branch blocks
  • Sacroiliac joint injections
  • Epidural: Caudal, Thoracic, Cervical
  • Transforaminal epidurals or Nerve root block
  • Radiofrequency denervation of Facets and Sacroiliac
  • Pulsed Radiofrequency of Dorsal root ganglia or Nerve roots

Joint injections

  • Upper limb: Shoulder joint, Acromioclavicular joint
  • Lower limb: Hip joint, Knee joint, Ankle joint
  • Radiofrequency treatment of joints

Nerve blocks

  • Occipital nerve
  • Ilioinguinal/iliohypogastric nerve
  • Genitofemoral nerve
  • Pudendal nerve
  • Lateral cutaneous nerve of thigh
  • Genicular nerve
  • Pulsed Radiofrequency of nerves

Sympathetic blocks

  • Stellate ganglion
  • Ganglion of Impar
  • Lumbar Sympathetic
  • Thoracic sympathetic
  • Paravertebral
  • Coeliac plexus
  • Hypogastric

Therapeutic infusions for Neuropathic pain

Quetenza patch treatment

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