Resolving Back Pain:
Non-surgical options
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:
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- 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

DISC-FX L4/5 with instrument in place for removal of disc nucleus.