Spinal Pain

CONDITIONS


  • Neck Pain

  • Low Back Pain

  • Sciatica Pain

  • Headaches

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Neck Pain


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Neck Pain


What causes neck pain?

Neck pain can result from muscle sprain, ligament strain, facet joint pain or slipped discs (discogenic pain). Facet joints are the small joints between the bones in the spine. Besides causing neck pain and headaches, slipped discs can also press onto nerves and lead to pain and numbness that radiate into the arms.

Whiplash injury and age-related degeneration are the common causes for neck pain. Poor workplace ergonomics and bad sleeping posture perpetuate the condition.

What is the treatment for neck pain?

In general, painkillers, exercises, physiotherapy and correction of poor posture are all that is necessary. Patients who do not recover despite conservative management may require interventional pain therapy.

What are the common types of interventional pain therapy?

These include muscle trigger point injections, epidural steroid injections, nerve root blocks, facet joint injections, disc decompression (nucleoplasty) as well as radiofrequency ablation.

Depending on the source of your pain, your doctor will advise you on the appropriate therapy.

Whiplash Injury


What is whiplash injury?

It is an injury to the neck which results from sudden forceful movement of the head forward and then backwards. This commonly occurs from a rear-end vehicle collision, but may also happen after physical trauma, sports injuries and even roller-coaster rides.

What are the symptoms of whiplash injury?

Symptoms may develop immediately or a few days after the incident. They include neck pain and stiffness, headache, dizziness or unsteady gait.

However, if you experience numbness and weakness of the arms or legs, and loss of bladder or bowel control, please seek immediate medical attention.

How is whiplash injury treated?

Most people will recover with rest, gentle stretching exercises, physiotherapy and painkillers. If you have severe pain or worrisome symptoms, you may need X-rays, CT or MRI scan of the cervical spine.

In some cases, cervical facet joint injections, epidural steroid injections or disc annuloplasty may be needed.

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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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