Chronic Pain Conditions We Treat

At our chronic pain clinics in Sydney, Goulburn and Canberra, we provide comprehensive assessment and treatment for a wide range of persistent pain conditions. Chronic pain can significantly affect your daily life — but with the right plan, it can be effectively managed.

Our experienced pain specialists use a multidisciplinary, evidence-based approach to reduce pain, improve function, and enhance quality of life.

Chronic Back Pain

Chronic back pain is one of the most common pain conditions and may result from arthritis, disc degeneration, facet joint pain, muscular strain, or previous injuries.

Symptoms to be aware of:

Dull or sharp pain lasting more than 3 months
Stiffness or difficulty bending
Pain radiating to the legs (sciatica)
Flare-ups with prolonged sitting or activity

Common treatment options:

Physiotherapy and exercise programs
Medications (anti-inflammatories, neuropathic agents)
Image-guided spinal injections (facet blocks, nerve blocks, epidurals)
Radiofrequency ablation (RFA)
Neuromodulation techniques (in select cases)
Multidisciplinary pain management programs

Osteoarthritis Pain

Osteoarthritis is a degenerative joint condition affecting knees, hips, spine, and hands, caused by gradual cartilage wear.

Symptoms to be aware of:

Joint pain that worsens with activity
Stiffness after rest
Swelling and reduced mobility
Grinding or clicking sensations

Common treatment options:

Lifestyle and exercise therapy
Physiotherapy and hydrotherapy
Medications (NSAIDs, analgesics, topical agents)
Intra-articular corticosteroid injections
Platelet-Rich Plasma (PRP) injections
Viscosupplementation (gel injections)
Radiofrequency ablation for joint pain
Surgical referral in advanced cases

Neuropathic Pain

Neuropathic pain arises from nerve damage or dysfunction, often linked to diabetes, shingles, trauma, surgery, or compression.

Symptoms to be aware of:

Burning, shooting, or electric-like pain
Numbness or tingling
Hypersensitivity to touch or temperature
Pain persisting at rest

Common treatment options:

Neuropathic pain medications (e.g., pregabalin, duloxetine)
Nerve blocks and targeted injections
Pulsed Radiofrequency (PRF) therapy of targeted nerves
Spinal cord stimulation (in selected cases)
Physical therapy and desensitisation
Psychological support and education

Fibromyalgia

Fibromyalgia is a chronic condition that amplifies pain signals in the brain and nervous system.

Symptoms to be aware of:

Symptoms to be aware of:
Widespread muscle and joint pain
Fatigue and poor slee
Difficulty concentrating (“fibro fog”)
Heightened pain sensitivity

Common treatment options:

Individualised exercise and pacing
Medications (neuropathic agents, antidepressants)
Cognitive-behavioural therapy (CBT)
Sleep hygiene and stress management
Multidisciplinary pain programs

Chronic Neck Pain

Chronic neck pain may be caused by disc problems, arthritis, muscle strain, or posture issues.

Symptoms to be aware of:

Aching or stiffness
Pain radiating to shoulders or arms
Headaches at the base of the skull
Tingling or numbness in upper limbs

Common treatment options:

Physiotherapy and posture retraining
Medications and anti-inflammatories
Facet joint injections or medial branch blocks
Radiofrequency ablation (RFA)
Targeted strengthening and ergonomic interventions

Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome (CRPS) is a chronic, often debilitating condition that typically develops after an injury or surgery, affecting an arm, leg, hand, or foot. It involves abnormal nerve responses that lead to prolonged pain and changes in skin, circulation, and motor function.

Symptoms to be aware of:

Persistent, burning or throbbing pain in a limb
Skin temperature or colour changes (red, blue, pale)
Swelling and sensitivity to touch
Changes in hair or nail growth
Joint stiffness or muscle weakness
Limited movement or coordination

Common treatment options:

Early intervention with physiotherapy and graded movement
Neuropathic pain medications (e.g., amitriptyline, pregabalin)
Sympathetic nerve blocks
Mirror therapy and desensitisation techniques
Psychological support (pain-focused CBT, coping strategies)
Spinal cord stimulation (for refractory cases)
Multidisciplinary rehabilitation approach