Private pain management clinic in London

Pain medicine specialists are doctors who are specially trained and qualified to offer integrated, expert assessment and management of pain using their unique knowledge and skill set within the context of a multidisciplinary team.

Management of pain aims to reduce the pain, addressing the emotional impact of pain, helping patients move better and increase well-being through a variety of therapies including drug therapy and interventions. 

If you're living with pain which has persisted longer than three months and is impacting your ability to carry on with everyday life, you are likely experiencing chronic pain.

Our pain management expert doctors in London work closely with other specialists as part of a multidisciplinary team to provide a holistic approach and optimal outcome to chronic pain, whatever the cause.

The techniques used in pain management will depend on the nature and severity of the pain but our pain management Consultants have special expertise to help with chronic pain. 

Diagnosing chronic pain

Acute and chronic pain are two different conditions. Acute pain will normally last for a short amount of time and resolve on its own. Chronic pain does not go away on its own and can have a severe impact on your ability to live life to the full.

Chronic pain can be referred to as a biopsychosocial phenomenon - it has layers. Diagnosing the exact cause involves a comprehensive assessment of multiple factors in your life, looking at you as a whole person and not just one specific condition.

Your pain management specialist will go through these with you to gain an understanding of your pain, so that an effective course of treatment can be put in place.

  • Biological factors: medical history and genetic predisposition to physical injury. Is the physical  pain radiating from a specific location?
  • Psychological factors: following initial stress from an injury, has it had an impact on your emotional or mental wellbeing? Have emotional factors resulted in fear avoidance, changes in behaviour or altered your perception of pain?
  • Social factors: getting to know your lifestyle, your working habits, your overall socioeconomic behaviours. Do you live a sedentary life or an active one?

During your consultation, your pain management specialist will ask questions to gain a real understanding of who you are, what you do and what is going on – so they understand best how to manage the problem.

They will take a full medical history, carry out a physical examination and complete appropriate investigations to make a treatment plan.

More about chronic pain and associated conditions

Chronic pain is a persistent pain, which continues after healing or is the result of ongoing damage.

This includes spinal pain, post-traumatic pain (e.g. after amputation or surgery), pain involving the central or peripheral nervous system (e.g. post stroke pain, complex regional pain syndrome, diabetic neuropathy, post herpetic neuralgia and sciatica) and pain associated with other chronic diseases such as angina, arthritis, migraine, endometriosis, headache and pancreatitis. 

Chronic back pain symptoms

While acute back pain most often goes away without treatment, if you have experienced ongoing pain for over 3 months, it is essential you seek specialist advice and treatment as soon as possible.

Symptoms you should watch out for include:

  • Ongoing pain or ache
  • Inflammation or swelling in the back
  • Persistent pain with rest or activity
  • Ongoing pain that radiates down the legs
  • Numbness or tingling
  • Persistent pain following injury
  • Persistent pain with no injury noted

Private pain clinic at Schoen Clinic London

Get back to living life to the full

If left untreated, chronic pain can have a severe impact on your everyday life. If it affects your sleep, your relationships, your career or your ability to complete even simple tasks it is essential you find treatment.

Early diagnosis and treatment of chronic pain is the best way to get back to your normal life. Our pain management specialists at Schoen Clinic London are experts in treating all aspects of pain, and passionate about getting you back to enjoying life again.

Conservative management of chronic back pain

The majority of patients are managed with good physiotherapy and in some instances, osteopathy or a chiropractor.

For most patients presenting with chronic back pain, all that is required to relieve the symptoms is a combination of movement based therapy and lifestyle modifications. There are five main modalities when treating chronic pain and which of the five will be used to treat each patient will differ dependant on how the patient is presenting.

Our aim is to resolve the pain by addressing the negative biopsychosocial factors uncovered during the consultation and these vary from patient to patient.

Physical therapy: Movement to manage pain

As sedentary lifestyles have a large role to play in the impact of chronic pain, exercise is one of the first treatment methods which should be employed.

Our pain management team in London work closely with our physiotherapists to formulate a unique physical therapy plan tailored to target your specific pain.

This physiotherapy plan can involve:

  • Retraining your posture
  • Aerobic exercise
  • Strengthening your core
  • Flexibility and stretching
Psychotherapy: Changing your behaviours and introducing mindfulness

There are many different types of psychotherapy but the aim is to help you gain control of your life by learning about your thoughts and behaviours.

As chronic pain is long lasting it can have an impact on your mental health as well as your physical health, so a multifaceted approach to tackling it is beneficial.

Psychotherapy can help you to manage the emotional aspects of chronic pain, ranging from mood swings and depression to stress and anxiety.

Pain management medication: Getting your pain under control

Anti-inflammatory medications, muscle relaxants and other medications for pain relief can be used in cases of chronic pain.

It is important to note that while they can provide relief for pain symptoms, they do not resolve the underlying issue and should be used in conjunction with other methods (e.g. physiotherapy) to combat the root cause of your chronic pain.

Neuromodulation & Injections: Targeted relief

There are a number of different injection therapies that can be useful in treating the symptoms of chronic pain.

Nerve blocks, nerve ablations and epidural steroid injections can help to relieve pain symptoms if the source of the pain is known, but they do not resolve the cause of the pain and should not be used as a long term solution alone.

Neuromodulation can be non-invasive or minimally invasive through external or implanted devices. This form of therapy is designed to deliver stimulation to specific nerves to provide pain relief and restoration of function.

Diet & lifestyle modifications: You are what you eat and you feel what you do

Your diet could be a contributing factor to your chronic pain.

Processed foods or foods high in trans fats or sugar can be inflammatory. Being overweight can put strain on your body and have a negative impact on your joints increasing your risk of heart disease, diabetes and many other associated health problems.

Maintaining a healthy weight can assist in reducing the levels of pain you experience. Making changes to your lifestyle is key to addressing some cases of chronic pain too.

Listening to your body and taking breaks to rest when you need to is also essential. Activities which aggravate your pain should be minimised and understanding what those activities are is an important part of your treatment plan.

Our private pain management experts in London

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Our highly specialised private hospital in London

Schoen Clinic Orthopaedic and Spinal Hospital London
66 Wigmore Street
London W1U 2SB