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Pain management

At a pain clinic, patients will be seen by a pain medicine specialist and be offered a comprehensive and specialised assessment. This is likely to be multidisciplinary. Disciplines represented include specialist nursing, pain medicine specialist, clinical pain counsellor and acupuncturist.

Services provided

Biopsychosocial and mechanical assessment
Investigation if appropriate (CT/ Uss/ MRI)
Medication review
Training for patients in non-pharmacologic approaches
TENs instruction and loan
Transpersonal counselling
Interventional treatment
- Diagnostic nerve blocks – nerve root blocks, facet joint injections, plexus blocks, trigger point
- Therapeutic nerve ablation – radiofrequency denervation, pulsed radiofrequency
- Therapeutic neurolysis – phenol celiac and splanchnic plexus ablation, selective neurolysis

All primary diagnostic work complies with the 18 weeks target. Subsequent diagnostic procedures and therapeutic injections are classed as secondary treatments; and the 18 week target does not apply.