Condition We Treat > Musculoskeletal Pain
Neck and back pain
(Neck, Thoracic, Lumbar, and sacral pain)
Peripheral joints
(shoulder, elbow, Hip and knee pain)
Neck Pain
Neck
pain is a common condition that affects millions of people worldwide,
significantly impacting their daily lives and overall well-being. It can result
from various causes, ranging from muscles, spinal joints, herniated discs and
pressure over the nerves to underlying medical conditions. It is very common
presentation in patients with motor vehicle accident / Whiplash injuries.
What we can offer at the Pain Masters clinic
Pharmacological management and review of the medications
Psychological and Physical Therapy
Pain Interventions:
- Nerve injections/block/ Radiofrequency
- Facet joints Nerve block and Radiofrequency
- Spinal Cord Stimulation
Upper and Lower Back Pain and Sciatica
Upper and lower back pain, along with sciatica, are common conditions that can severely impact daily life. They are among the leading causes of disability and work absenteeism worldwide. Approximately 80% of people will experience back pain at some point in their lives. Back pain affects about 1 in 6 Australians, with lower back pain being the most prevalent.
With the aging population and the increasing number of individuals experiencing persistent back pain following spinal surgeries, “Persistent Post Laminectomy Pain” is a common condition among patients referred to pain clinics.
Different pathologies in various anatomical locations can contribute to back pain including conditions affecting the posterior and anterior columns of the spine.
Upper and lower back pain, along with sciatica, are common conditions that can severely impact daily life. They are among the leading causes of disability and work absenteeism worldwide. Approximately 80% of people will experience back pain at some point in their lives. Back pain affects about 1 in 6 Australians, with lower back pain being the most prevalent.
With the aging population and the increasing number of individuals experiencing persistent back pain following spinal surgeries, “Persistent Post Laminectomy Pain” is a common condition among patients referred to pain clinics.
Different pathologies in various anatomical locations can contribute to back pain including conditions affecting the posterior and anterior columns of the spine.
Posterior Column
The posterior column of the spine includes structures like the vertebrae, intervertebral discs, facet joints, ligaments, and muscles. Causes of back pain originating from the posterior column include:
1. Muscle Strain: Overuse, poor posture, or sudden movements can strain the muscles and ligaments in the back.
2. Facet Joint Arthritis: Degeneration of the facet joints can cause localized pain and stiffness.
3. Herniated Discs: When a disc protrudes or ruptures, it can compress nearby nerves, causing pain.
4. Spinal Stenosis: Narrowing of the spinal canal can compress the spinal cord or nerves, leading to pain.
5. Spondylolisthesis:
A condition where a vertebra slips out of place, potentially causing pain and
nerve compression.
Anterior Column
The anterior column primarily includes the vertebral bodies and the intervertebral discs located at the front of the spine. Causes of back pain originating from the anterior column include:
1. Degenerative Disc Disease: Age-related wear and tear on the intervertebral discs can lead to pain and reduced flexibility.
2. Osteoarthritis: Degeneration of the cartilage within the vertebral bodies can cause pain and inflammation.
3. Compression Fractures: Osteoporosis or trauma can cause vertebral fractures, leading to significant pain.
4. Discitis: Inflammation or infection of the intervertebral disc can cause severe pain.
5. Ankylosing
Spondylitis: A type of arthritis that causes inflammation in the vertebrae,
leading to pain and stiffness.
Sciatica
Sciatica is characterized by pain that radiates along the path of the sciatic nerve, which extends from the lower back through the hips and buttocks and down each leg. Causes of sciatica include:
1. Herniated Disc: A common cause where the disc compresses the sciatic nerve.
2. Spinal Stenosis: Narrowing of the spinal canal in the lower back.
3. Piriformis Syndrome: When the piriformis muscle irritates the sciatic nerve.
4. Spondylolisthesis: Slippage of a vertebra can compress the sciatic nerve.
What we can offer at Pain Masters clinic
Pharmacological management and review of the medications
Psychological and Physical Therapy: To address musculoskeletal issues, improve pain and function.
Pain Interventions:
- Vertebral dorsal rami (medial branch) nerve block/radiofrequency.
- Sacro iliac joint injection, Sacral lateral branches block and radiofrequency
- Epidural injections and dorsal root ganglion pulse radiofrequency
- Spinal cord stimulation
- We collaborate with spinal surgeons for cases that require surgical intervention.
Joints Pain and Arthritis
shoulder pain, Hip and Knee pain
Joint pain and arthritis are prevalent conditions affecting Around 3.6 million Australians and approximately 350 million people globally.
What we can offer at the Pain Masters clinic
Pharmacological management and review of the medications:
Psychological and Physical Therapy: To address musculoskeletal issues and improve function.
Pain Interventions:
- suprascapular/ articular branch of axillary nerve for shoulder
- Femoral/Obturator articular branches for Hip
- Genicular nerves for Knee
Nerve block/ Radiofrequency
Joint injection