Advanced Pain Treatment
When standard treatments have not worked, advanced options can help. Nerve blocks, spinal injections, and neuromodulation are real treatments that we use when medication and physiotherapy are not enough. Our team will assess whether any of these are right for you.
Interventional pain treatments can reduce chronic pain by 50% or more in many patients when used in the right situation.
Source: British Pain Society
Help is available, and you do not have to manage this on your own.
Symptoms
We offer evidence-based interventional procedures. Here are the main treatments we provide.
Steroid is injected into the space around the spinal nerves (the epidural space) to reduce inflammation and pain. Commonly used for nerve pain from the spine, such as sciatica or spinal stenosis. The aim is to calm down the irritated nerve so you can move and function better.
Local anaesthetic, sometimes with steroid, is injected near a specific nerve or nerve group to block pain signals. Used both to diagnose which nerve is causing pain and to treat it. Can give short-term relief and help confirm the source of pain before longer-term options.
Heat is applied to a small nerve that carries pain from a joint (for example facet joints in the spine). The nerve is temporarily disabled so it stops sending pain signals. Relief often lasts several months to a year or more. The nerve can regrow over time, so the procedure may be repeated if needed.
A small device is implanted under the skin and sends mild electrical pulses to the spinal cord. These pulses can reduce the pain signals that reach the brain. Used for certain chronic pain conditions when other treatments have not worked. You first have a trial to see if it helps before a permanent implant is considered.
Steroid or other medication is injected directly into a painful joint (e.g. shoulder, hip, knee, sacroiliac joint) to reduce inflammation and pain. Often done with X-ray or ultrasound guidance so the needle is in the right place. Can help with arthritis and other joint pain.
Various small procedures done through a needle or small incision, with minimal damage to surrounding tissue. Examples include nerve blocks, facet injections, and targeted steroid injections. We use imaging to place the needle precisely and keep the procedure as safe and effective as possible.
Causes
Advanced treatment is considered when standard care has not given enough relief.
Treatments
We use a clear approach: diagnose the source of pain, then offer the right procedure for you.
Explore TreatmentsWe use targeted injections to confirm which structure is causing your pain. For example, numbing a specific nerve or joint can tell us if that is the source. This helps us recommend the right longer-term treatment.
Once we know what is causing the pain, we offer procedures that treat it. These include epidural injections, nerve blocks, joint injections, and radiofrequency ablation. We explain what each involves and what to expect.
For selected patients, spinal cord stimulation can help when other treatments have not. We run a trial first so you can see if it reduces your pain before any decision about a permanent device. We support you through the process and programming.
How it works
Getting started is straightforward.
If you know the type of pain you're experiencing, you can request an appointment online or give us a call - it only takes a couple of minutes. If you're unsure where to start, please give us a call. Our team will be happy to listen, answer your questions, and help guide you toward the most appropriate next step.
Your consultation will usually last 30–45 minutes with one of our experienced pain specialists. This gives your doctor time to understand your symptoms, review your medical history, discuss any previous treatments, and consider the most appropriate next steps for you. The consultation fee is €350, payable on the day of your appointment.
We'll create an individual, tailored pain management plan based on your needs. We explain which procedures, if any, are appropriate and what to expect.
Common questions
A GP referral is required for insurance cover of any treatments or procedures. If you are self-paying, a GP referral may not be required. Please bring any relevant medical information, reports, scans, or medication details to your appointment. Our current waiting time is typically 1–2 weeks.
Interventional pain treatments are procedures such as injections (e.g. epidurals, nerve blocks, joint injections) and devices (e.g. spinal cord stimulation). They are used when standard treatments like medication and physiotherapy have not given enough relief.
Procedures are done with local anaesthetic to keep discomfort to a minimum. You may feel some pressure or brief discomfort. We will explain what to expect before any procedure.
It depends on the procedure and your condition. Some injections give relief for weeks or months; some need to be repeated. Spinal cord stimulation is designed for longer-term use. We will discuss likely duration with you before you decide.
We accept all the major insurers. Coverage for specific procedures can vary. We recommend checking with your insurer to confirm what is covered under your policy.
Your first visit lasts about 30 to 45 minutes. The specialist will review your history, examine you if needed, and discuss whether interventional treatments are appropriate for you. If so, we explain the options and next steps.
Conditions we treat
