Neck/Back pain and arm/leg pain are often separate

• Sometimes neck/back pain and arm/leg pain (brachialgia, sciatica) are caused by one problem such as a slipped disc and can be treated together
• For patients with mostly or only pain in the neck or back other causes and treatments need to be considered

Neck and back pain can be complex

• Several structures can be the source of neck/back pain including:
  Facet Joints
  Sacro-Iliac Joints
  Trapped or scarred nerves (e.g. 3rd occipital nerve causing headache)
  Damaged intervertebral discs

MRI Scans are necessary but not sufficient

• Scans rarely diagnose the source of pain directly
• Most neck/back pain patients will need diagnostic blocks (e.g. medial branch blocks)
• As Master Instructor for Spine Intervention Society, Michael is an acknowledged expert in the techniques required for full diagnosis of neck/back pain and can keep all of this management together “under one roof”

Resolving Neck/Back Pain:

• • Michael has over 20 years experience with various techniques of denervation procedures and intradiscal therapies
  • A comprehensive range of treatments are needed and all of them can be offered for a bespoke treatment, including CooledRF as the most effective tool for facet joint denervation or DISC-FX for discogenic pain
  • Some patients require open surgery: All surgical cases are discussed at the fortnightly London Spine Clinic MDT meetings and patients will be referred to the best colleague for the respective problem