Pain Management and Interventional Services
Collaborative, multidisciplinary and targeted image guided treatments for complex pain conditions
I provide multidisciplinary and collaborative care. I provide specialist interventional pain management focused on diagnosis, minimally invasive treatment and functional restorative outcomes.
My practice supports referrers in managing persistent symptoms despite optimal disease-based treatment.
What I offer to your patients
𖠣 Spine and Neurosurgery
Conditions
- Cervical, thoracic, and lumbar radiculopathy
- Disc herniation and spinal stenosis
- Facet joint mediated pain
- Sacroiliac joint dysfunction
- Persistent pain following spinal surgery
- Deep gluteal syndrome
Procedures
- Epidural steroid injections (interlaminar, transforaminal, caudal)
- Medial branch blocks
- Radiofrequency ablation for facet joint pain
- Sacroiliac joint injections and radiofrequency treatment
- Gray communicans radiofrequency for discogenic pain
- DRG pulsed radiofrequency for radicular pain
- Sciatic nerve (intragluteal, infragluteal, popliteal) and piriformis botox
Clinical role
To assist with diagnosis, provide targeted pain relief, and support avoidance or optimisation of surgical pathways.
🦴 Orthopaedics
Conditions
- Knee, hip, and shoulder pain
- Osteoarthritis related pain
- Post operative joint pain
Procedures
- Image guided intra articular injections
- Genicular nerve blocks and radiofrequency ablation for knee pain
- Suprascapular nerve block and radiofrequency treatment for shoulder pain
- Peripheral nerve pulsed radiofrequency for nerve pain
Clinical role
To support patients awaiting surgery, those not suitable for surgery, or those with persistent post surgical pain.
🧬 Rheumatology and Rehabilitation
Conditions
- Tendinopathy and enthesopathy
- Bursitis
- Myofascial pain syndromes
- Chronic regional musculoskeletal pain
Procedures
- Ultrasound guided tendon and bursa injections (PRP, hyaluronic acid)
- Trigger point injections or botox
- Peripheral nerve blocks
- Hydrodissection with glucose
Clinical role
To provide targeted local therapy when systemic or conservative management has not achieved adequate control.
🧠 Neurology and Headaches
Conditions
- Chronic migraine
- Occipital neuralgia or cervicogenic headaches
- Trigeminal neuralgia
- Post herpetic neuralgia
- Cluster headaches
- Orofacial pain syndromes
Procedures
- Occipital nerve blocks (steroid or radiofrequency)
- Trigeminal nerve blocks (V2)
- Sphenopalatine ganglion blocks and pulsed radiofrequency
- Botulinum toxin injections
- Stellate ganglion blocks
- Peripheral nerve stimulation of supraorbital, supratrochlear, infratrochlear, mental nerves
Clinical role
To complement pharmacological therapy in refractory headache and neuropathic pain conditions.
🔪 Surgery (Colorectal, Breast, Plastics, Cardiothoracics)
Conditions
- Post thoracotomy pain
- Post mastectomy pain
- Abdominal wall pain
- Neuroma related pain
- Chronic pancreatitis
Procedures
- Intercostal nerve blocks
- Paravertebral blocks
- Transversus abdominis plane blocks
- Neuroma injections and ablation
- Peripheral nerve stimulation
- Splanchnic/celiac plexus blocks
Clinical role
To manage chronic post surgical pain and improve functional recovery.
🩺Oncology and Palliative care
Conditions
- Cancer related pain
- Visceral abdominal and pelvic pain
- Pancreatic pain
Procedures
- Celiac plexus or splanchnic block and neurolysis
- Superior hypogastric plexus block
- Ganglion impar block
- Neurolytic procedures
- Methadone
- Ketamine
- Lignocaine
- Psychostimulants
Clinical role
To provide advanced analgesia and reduce systemic medication burden in complex pain states.
𖣂 Complex pain and neuropathic syndromes
Conditions
- Complex regional pain syndrome
- Peripheral neuropathic pain
- Phantom limb pain
Procedures
- Sympathetic blocks including stellate ganglion, splanchnic and lumbar sympathetic blocks
- Dorsal root ganglion stimulation
- Ketamine or lidocaine infusions
Clinical role
Early intervention aimed at reducing central sensitisation and restoring function.
🧑⚕️Urology, Gynaecology and Colorectal
Conditions
- Chronic pelvic pain
- Pudendal neuralgia
- Perineal pain
- Coccygeal pain
Procedures
- Pudendal nerve blocks
- Ganglion impar block
- Superior hypogastric plexus block
- Peripheral nerve stimulation
Clinical role
To support multidisciplinary pelvic pain management and reduce need for repeated surgical intervention.