Spinal Pain

CONDITIONS


  • Neck Pain

  • Low Back Pain

  • Sciatica Pain

  • Headaches

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Headaches


Struggling with similar pain symptoms?

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Headaches


What causes headaches?

There are many causes of headaches. When headaches persist, it is important to exclude sinister causes including encephalitis, meningitis, tumours and stroke. Other causes may include tension headache, migraine, cluster headache and cervicogenic headache.

Can headaches be treated without medications?

Migraine that is not responding to oral medication may respond to Botulinum toxin injections of the muscles of the face, head and neck.

Cervicogenic headaches arise because of abnormalities in the neck or cervical spine. Steroid injections or nerve blocks of the cervical facet joints or radiofrequency ablation of the nerve supply to the facet joints may help relieve cervicogenic headaches.

What is radiofrequency (RF) ablation?

RF ablation utilises RF energy that is generated through a machine to create heat. This heat is transmitted through a special RF needle to destroy the painful nerve branches of the cervical facet joints. This is a day surgery procedure that is performed under X-ray guidance with mild sedation.

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The Pain Clinic - Pain Management
Pain Management
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Anaesthesia
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The Pain Clinic The Pain Clinic - Dr. Ho Kok Yuen

Dr. Ho Kok Yuen

MBBS, MMed (Anaes), FAMS (Anaes), GDSM (Sports Med)
Specialist, Pain Management & Anaesthesiology
Credentials of Excellence
  • Fellow, Interventional Pain Practice (FIPP) with the WIP
  • European Society of Regional Anaesthesia & Pain Therapy Diploma of Pain Medicine (ESRA-DPM)
  • European Diploma in Pain Medicine (EDPM), European Pain Federation EFIC
  • Graduate Diploma in Sports Medicine (GDSM), Lee Kong Chian School of Medicine (LKCMed)
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Frequently Asked Questions (FAQs)

About Sciatica Pain

What does having sciatica feel like?

Sciatica typically feels like sharp, shooting pain radiating from the lower back into the hip and leg. It may be accompanied by numbness, tingling, or weakness in the leg or foot. The pain often worsens with movement, prolonged sitting, or activities like coughing or sneezing.

How is sciatica diagnosed?

Sciatica can be diagnosed from your medical history and physical examination. This includes walking observation,straight leg raise assessment, strength and sensory testing. Imaging studies like X-rays, CT scan, MRI, and nerve conduction studies may be needed to confirm the diagnosis.

What triggers a sciatica flare-up?

Common triggers of painful sciatica flare-ups include prolonged sitting, poor sitting or standing posture, heavy lifting, and sudden movements. Stress may also be a contributing factor, as are lifestyle aspects such as being overweight or frequently wearing high heels. Therefore, it is crucial to make relevant lifestyle and posture adjustments that can help prevent future flare-ups.

How long does sciatica take to fully heal?

Most cases of sciatica improve within four to six weeks. However, more severe cases with intense symptoms and pain may take several weeks or months to fully heal. Ongoing care and management may be required for long-term relief, depending on the severity of the condition.

Why does sciatica get worse at night?

Sciatica pain often worsens at night due to increased pressure on the sciatic nerve and difficulty finding a comfortable position.

What is the best position to sleep if I suffer from sciatica pain?

For sciatica pain relief during sleep, adopting a foetal position with a pillow between your knees is recommended. This position will help “open up” the spinal canal. Alternatively, lying on your back with a pillow under your knees may also potentially reduce pressure on the sciatic nerve.

Insurance and Health
Network Coverage

We work with various insurance partners to assist with your hospitalisation and surgery claims. In some instances, pre-approval from your insurer allows direct billing between the hospital and insurer so that you will have peace of mind during your treatment. We are MOH-accredited, so you may also utilise Medisave for your hospitalisation expenses.

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