We are a private pain management clinic based in Richmond, Melbourne Victoria, Australia.
We treat all forms of pain which include:
Spinal & limb pain - back pain, sciatica, spinal stenosis, spondylosis, degenerative disc disease, herniated discs, facet joint disorders, sacroiliac joint disorders, coccydynia, thoracic pain, pain after spinal surgery and spinal fusion (post laminectomy syndrome). We treat shoulder pain, knee pain, ankle pain.
Head & neck pain - pain and pain syndromes arising from the head and neck can be difficult to assess and treat. This should be done by experts. We treat whiplash and whiplash-associated disorders, neck pain, cervicogenic headaches, occipital neuralgia, migraines, tension type headaches, trigeminal neuralgia, facial pain, tempormandibular joint (TMJ) pain.
Neuropathic pain - pain originating from nerves is called neuropathic pain, which requires treatment by experts. We treat Complex Regional Pain Syndrome (CRPS), peripheral nerve damage (neuralgia), post herpetic neuralgia, phantom pain, diabetic neuropathy and pain that can arise from pretty much any nerve in the body that is damaged or sustains an injury.
Generalised pain syndromes - fibromyalgia, visceral pain, pelvic pain, abdominal pain, refractory angina, intestinal pain.
Treatments we use include:
1.Medications (chemicals) - we manage analgesic medications which include anti-neuropathic agents, opioids and opioid risk management, antidepressants, muscle relaxants and other relevant medication.
2.Joint blocks (needles) - we perform joint blocks to help diagnose and treat pain. This includes facet joints, sacroiliac joints, atlanto-occipital joints, atlanto-axial joints, shoulder and hip joint blocks and the TMJ.
3.Nerve blocks (needles) - we perform nerve blocks to help diagnose and treat pain. Nerve we treat include medial branch blocks, suprascapular nerve, occipital nerve, nerve root blocks (transforaminal epidural steroid), caudal epidural steroid, stellate ganglion, trigeminal nerve, lumbar sympathetic blocks, hypogastric and ganglion of Impar blocks.
4.Radiofrequency (temperature) - specialised equipment and needles are used to create heat lesions on nerves that interrupt nerve signals to the brain, which can provide long lasting pain reduction (6 months to a few years). These procedures include radiofrequency neurotomy of the lumbar, cervical and thoracic facet and sacroiliac joints and pulsed radiofrequency treatment of various nerves.
5.Neuromodulation (electricity) - this treatment alters and reduces nerve activity through the delivery of electrical stimulation to targeted sites of the body. Forms of neuromodulation include spinal cord stimulation, occipital nerve stimulation, peripheral nerve stimulation, transcutaneous electrical nerve stimulation (TENS).
6.Infusions (IV medications) - infusions of some analgesic medications have been reported to be safe and efficacious in certain pain conditions. In-patient ketamine infusions can be used in selected individuals to support pain management and provide pain relief as well as allow opioid medication reduction.
7.Pain management programs (the brain) - education on acute vs. chronic pain, stress and pain and appropriate use of medications. Self-management focuses on stress reduction, cognitive restructuring, behavioural modification, sleep improvement, self-confidence and dealing with pain flare-ups.
8.Exercise and function (the muscles and body) - reducing deconditioning, fear-avoidance, muscle reactivation (stretch, flexibility, strength, endurance, core stability), activity pacing and activity management, re-engagement into home based, social and work activities.