A clinical guide to failed back surgery syndrome (post-laminectomy syndrome): how often back surgery fails to relieve pain, the preoperative, intraoperative and postoperative causes, how the workup narrows down the pain source, and what conservative, interventional and spinal cord stimulation options actually achieve.
supportedA practical decision guide comparing joint injections and joint replacement surgery for knee and hip arthritis, including what each option realistically achieves, how long relief lasts, injection timing before surgery, and the red flags that change the plan.
supportedHow a discogram (provocative discography) and other diagnostic pain injections work, what a positive result means, complication rates, and when these tests actually change treatment decisions.
supportedA genicular nerve block tests whether the sensory nerves around your knee carry the pain, and radiofrequency ablation extends relief if it does. Here is who they suit, how long relief lasts, what the evidence supports, and the warning signs to watch for.
supportedA lumbar sympathetic block numbs the sympathetic nerve chain beside the L2-L4 vertebrae to interrupt leg pain. Here is what it treats, how long relief lasts, what the evidence shows, and the warning signs to watch for.
supportedA clinician-reviewed guide to celiac plexus blocks for upper abdominal pain: how the injection works, who it helps, anesthetic block versus neurolysis, realistic relief duration, side effects, and red flags.
supportedA stellate ganglion block injects local anesthetic near the sympathetic nerves at the base of the neck to diagnose and treat CRPS and other sympathetically maintained arm, neck, and face pain. Here is how it works, what it feels like, and how long relief lasts.
supportedA cervical epidural steroid injection targets an inflamed nerve root in the neck to relieve arm pain from cervical radiculopathy. This guide covers what the evidence actually shows, interlaminar versus transforaminal approaches, the safety issues specific to the neck, and how to judge whether it worked.
supportedBotulinum toxin is an evidence-based treatment for chronic migraine and several muscle and nerve pain conditions. This guide explains what it is licensed for, how long results last, what it costs in side effects, and where the evidence is weaker.
supportedCancer pain is treatable in most people, yet it is routinely under-treated. This guide explains the three pain types cancer causes, the medication ladder, when nerve blocks and pumps outperform pills, and how bone metastasis pain is handled.
supportedWhen abdominal pain persists after investigations come back normal, the cause is often the abdominal wall nerves or a sensitised gut-brain pathway rather than a missed organ problem. This guide explains how each is identified and treated.
supportedMigraine, tension-type headache, cluster headache, and occipital neuralgia look similar from the outside and are treated very differently. This guide separates them and sets out acute, preventive, and interventional treatment for each.
supportedAn intrathecal pump delivers medication straight into spinal fluid, so tiny doses do the work of large oral ones. This guide covers candidacy, the trial, the drugs used, refill and maintenance realities, and the complications worth knowing about.
supportedKetamine infusions can reduce severe neuropathic and centrally sensitised pain when standard treatment has failed. This guide covers which conditions respond, typical protocols, how long relief lasts, and the real risks of repeated use.
supportedA medial branch block is a diagnostic test, not a long-term treatment. This guide explains what the injection numbs, why relief is meant to be temporary, how the result decides whether radiofrequency ablation will help, and what recovery actually involves.
supportedA pinched spinal nerve — radiculopathy — causes pain, numbness, or weakness that follows a specific path down the arm or leg. This guide covers how the level is identified, what recovery actually looks like, and which treatments change the outcome.
supportedMusculoskeletal chest wall pain is common and treatable, but it must be separated from cardiac and pulmonary causes first. This guide covers costochondritis, rib joint pain, slipping rib, intercostal neuralgia, and how each is treated.
supportedCoccydynia is pain at the very base of the spine, typically worse on sitting and on standing up from a chair. Most cases settle with conservative care; this guide covers the stepwise treatment ladder including injections.
supportedTendonitis is usually tendinopathy — a load and capacity problem rather than inflammation. This guide explains the staged loading approach, what injections do and do not do, and the realistic timeline for the shoulder, elbow, knee, wrist, and Achilles.
supportedTennis elbow and golfer's elbow are load problems, not inflammation problems, which is why rest and steroid injections disappoint. This guide covers diagnosis, the loading programme that works, injection evidence, and realistic timelines.
supportedTrigeminal neuralgia causes brief electric-shock facial pain that ordinary painkillers do not touch. This guide explains why carbamazepine is first-line, what the injection and radiofrequency options do, and when surgery offers the most durable relief.
supportedUpper and mid back pain is usually mechanical and treatable, but the thoracic spine is also where serious causes hide most often. This guide covers the common patterns, what treatment works, and the warning signs that change the plan.
supportedWhiplash is a soft-tissue neck injury from rapid acceleration and deceleration. Most people recover within weeks, but a minority develop persistent symptoms. This guide covers grading, the recovery timeline, and what genuinely helps.
supportedOsteoarthritis and inflammatory arthritis need different treatment, and telling them apart changes everything. This guide covers exercise, medication choices, injections, and interventional options for arthritis pain that persists.
supportedCarpal tunnel syndrome is median nerve compression at the wrist, causing night-time numbness and tingling in the thumb, index, and middle fingers. This guide covers splinting, injections, nerve testing, and when release surgery is the right call.
supportedChronic pain management works best as a combined plan: movement therapy, psychological support, targeted medication, and interventional procedures used in a stepped order. Here is what the evidence supports in 2026.
supportedChronic pelvic pain usually has more than one contributor — endometriosis, bladder pain syndrome, pelvic floor muscle dysfunction, or nerve sensitisation. This guide explains the work-up and the treatments that address each layer.
supportedComplex regional pain syndrome responds best to early, movement-focused treatment. This guide covers diagnosis by the Budapest criteria, the medication and interventional ladder, what stimulation offers, and realistic recovery expectations.
supportedDegenerative disc disease is age-related wear, not a progressive illness, and most people manage it well without surgery. This guide covers the treatment ladder, what the so-called stages actually mean, and how to keep flare-ups short.
supportedDiabetic neuropathy pain responds to a combination of glucose control, specific neuropathic medications, foot protection, and — in refractory cases — spinal cord stimulation. This guide sets out the ladder and realistic expectations.
supportedAn epidural steroid injection delivers anti-inflammatory medication around an irritated spinal nerve root. Here is how it works, how long relief lasts, what it costs, and who benefits most.
partially-supportedFacet joint injections are used to diagnose and treat pain coming from the small joints of the spine. Here is what recovery looks like, how long relief lasts, and what to do if the injection does not work.
partially-supportedFibromyalgia responds best to graded exercise, sleep repair, and cognitive therapy, supported by a small number of medications. Here is the evidence-based plan, the three commonly used drugs, and why opioids make things worse.
supportedA first pain management visit is an assessment, not a procedure day. Here is what the doctor asks, what exams and tests to expect, why you were referred, and how to prepare so you leave with a real plan.
supportedMost herniated discs improve without surgery, and many shrink on their own over months. This guide covers the non-surgical plan, when injections help, how discectomy decisions are made, and the symptoms that need urgent care.
supportedMost hip pain comes from one of three sources: the joint itself, the tendons and bursa on the outside of the hip, or the lower back referring pain downward. This guide explains how each is told apart and what treatment actually helps at every stage.
supportedCorticosteroid, hyaluronic acid, and platelet-rich plasma injections are all offered for knee osteoarthritis, but the evidence differs sharply. Here is what each does, how long it lasts, and what the guidelines recommend first.
partially-supportedKyphoplasty stabilizes painful vertebral compression fractures with bone cement, often reducing pain within days. This guide covers candidacy, the procedure, recovery time, success rates, risks, and how it compares with vertebroplasty.
supportedMost acute lower back pain improves within 4 to 6 weeks with movement, self-care, and non-opioid pain control. This guide walks the full treatment ladder in order, with realistic timelines, imaging rules, and the red flags that need urgent care.
supportedMost neck pain is mechanical and settles within days to weeks with movement, heat, and simple analgesia. This guide covers fast relief at home, what to do after sleeping wrong, and the symptoms that mean something serious.
supportedA nerve block interrupts pain signals from a specific nerve, for hours in surgery or weeks to months in chronic pain care. Here are the types, duration, wearing-off signs, and what it means when a block does not work.
supportedNon-opioid medications handle most chronic pain better than opioids over the long run. This guide maps which drug classes work for which pain types, realistic effect sizes, safety limits, and how to taper opioids safely.
supportedPlantar heel pain is the most common cause of a sore heel and usually improves with loading and stretching rather than rest. This guide covers the exercises that work, orthotics, injections, shockwave, and realistic timelines.
supportedGood post-surgical pain control uses several medications with different mechanisms rather than opioids alone. This guide covers what to expect week by week, how to taper safely, and the warning signs that pain is becoming chronic.
supportedPlatelet-rich plasma and stem cell injections are marketed heavily for joint and tendon pain. This guide separates what the evidence supports from what it does not, and explains costs, risks, and regulatory status.
supportedRadiofrequency ablation uses heat to interrupt the small nerves that carry pain from spinal joints. Relief typically lasts 6 to 12 months. Here is who qualifies, what recovery feels like, and what happens when nerves regrow.
partially-supportedMost sciatica improves within 6 to 12 weeks with movement, non-opioid pain control, and physical therapy. This guide covers the full treatment ladder, realistic timelines, and the red flags that need urgent care.
supportedNerve pain that persists after shingles is called postherpetic neuralgia. This guide covers which medications work, when nerve blocks help, how long pain usually lasts, and how antivirals and vaccination reduce the risk.
supportedRotator cuff problems, impingement, and frozen shoulder account for most shoulder pain, and each needs a different plan. This guide explains how they are told apart, what exercise and injections achieve, and the realistic recovery timelines.
supportedSacroiliac joint dysfunction causes up to a quarter of chronic low back pain and is often missed. This guide covers how it is diagnosed, which exercises help, what SI joint injections achieve, and when fusion is considered.
supportedNeed an overview first? Explore all topic hubs.