Chronic nerve pain can be debilitating, impacting every facet of a patient’s life. As chronic pain specialists, we provide targeted, multidisciplinary care that addresses the root causes of nerve pain and empowers patients to regain control over their health and daily function.

Understanding Nerve Pain: The Role of a Chronic Pain Specialist

Nerve pain, or neuropathic pain, arises from damage or dysfunction in the nervous system. Unlike nociceptive pain, which results from tissue damage, nerve pain stems from problems in the nerves themselves. Common causes include:

  • Diabetic neuropathy

  • Sciatica

  • Postherpetic neuralgia (shingles)

  • Spinal disc herniation

  • Multiple sclerosis

  • Chemotherapy-induced neuropathy

A chronic pain specialist is equipped with the expertise to accurately diagnose the specific type of nerve pain and develop a tailored treatment protocol that may include pharmacological, interventional, physical, and psychological therapies.

Comprehensive Diagnosis and Individualised Pain Mapping

We begin with an exhaustive diagnostic process to understand the source, severity, and pattern of the nerve pain. This may include:

  • Clinical neurological exams

  • Electromyography (EMG) and nerve conduction studies

  • MRI and CT imaging

  • Quantitative sensory testing (QST)

  • Pain mapping using dermatomal analysis

The objective is not merely to treat symptoms but to trace the precise nerve pathways involved and determine the degree of nerve degeneration or sensitisation.

Multimodal Pain Management Approach

Chronic pain specialists offer an integrated, evidence-based strategy to address both the physical and emotional toll of nerve pain.

1. Pharmacological Management

We prescribe medications that specifically target nerve pain mechanisms, including:

  • Anticonvulsants: Gabapentin, pregabalin

  • Antidepressants: Amitriptyline, duloxetine

  • Topical agents: Capsaicin patches, lidocaine creams

  • NMDA receptor antagonists: Ketamine (for resistant cases)

2. Interventional Pain Procedures

When conservative therapies fall short, interventional methods provide substantial relief:

  • Nerve blocks (e.g., stellate ganglion block, lumbar sympathetic block)

  • Epidural steroid injections

  • Spinal cord stimulation (SCS)

  • Peripheral nerve stimulation (PNS)

  • Pulsed radiofrequency treatment

These minimally invasive options target the origin of pain and disrupt the transmission of pain signals.

3. Physical Therapy and Neuromuscular Rehabilitation

Tailored physiotherapy plans help reduce stiffness, improve range of motion, and enhance neural plasticity. Techniques include:

  • Gait training

  • Proprioception enhancement

  • TENS (Transcutaneous Electrical Nerve Stimulation)

  • Desensitisation therapies

  • Hydrotherapy

4. Psychological Support and CBT

Chronic nerve pain often leads to anxiety, depression, and cognitive decline. We integrate:

  • Cognitive Behavioral Therapy (CBT)

  • Mindfulness-based stress reduction (MBSR)

  • Biofeedback and relaxation therapy

These techniques enhance coping mechanisms and reduce pain amplification caused by stress and emotional distress.

Ongoing Monitoring and Pain Management Adjustments

Chronic pain is dynamic. We monitor patient responses closely through follow-up assessments, adjusting treatment plans based on:

  • Pain diaries and patient-reported outcomes

  • Functional assessments

  • Medication tolerability and side effects

  • Neuropsychological status

This ensures that therapy remains aligned with the patient’s evolving needs and goals.

Why Choose a Chronic Pain Specialist?

Our chronic pain specialists provide holistic, patient-centric care grounded in clinical expertise and innovative technologies. We go beyond generic solutions to deliver:

  • Advanced diagnostic tools

  • Access to the latest interventional techniques

  • A compassionate, multidisciplinary team

  • Long-term care plans tailored to each patient

  • Focus on functional restoration and quality of life

We are dedicated to walking beside patients every step of the way—reducing pain, restoring independence, and rebuilding hope.

Conclusion

Effective management of nerve pain requires the precision, knowledge, and compassion that only a chronic pain specialist can offer. By combining diagnostic accuracy, multimodal treatment, and ongoing support, we empower patients to move beyond pain and rediscover life.

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