Painful Conditions & Treatment Options



"Pain may be inevitable in life,
but suffering is optional"



Specialist
Multi-disciplinary team approach

Understand your pain

Interventional treatments

To book an appointment at Total Pain Clinic, we require a referral letter from your GP or specialist, WorkCover approval if applicable, and completion of our pre‑appointment questionnaire (which will be emailed to you following contact). These steps ensure we have the essential clinical information needed to assess your condition thoroughly and provide the most appropriate care from your first visit.


Specialist multi-disciplinary team approach

At Total Pain Clinic, our specialist multi‑disciplinary team approach ensures that every aspect of your pain is understood and addressed with precision and compassion. Our experienced pain specialists work closely with physiotherapists, psychologists and other allied health professionals to deliver evidence‑based, coordinated care. By combining advanced diagnostic expertise with a broad range of interventional and non‑interventional therapies, we create a unified treatment plan tailored to your individual needs. This collaborative model allows us to consider the physical, psychological and functional impacts of chronic pain, ensuring you receive comprehensive support from a team committed to improving your quality of life.


Understand your pain

We recognise that chronic pain is complex, deeply personal and often affects far more than just the physical body. Understanding your pain begins with listening and taking the time to explore how your symptoms impact your daily life, movement, sleep, emotions and overall wellbeing. By combining thorough assessment with advanced diagnostic tools, we work to uncover the underlying contributors to your pain, whether they are physical, neurological or psychological. This holistic understanding allows us to design a treatment pathway that not only targets the source of your pain but also supports your ability to function, cope and regain control.


Interventional Treatments

Radiofrequency

Pulsed Radiofrequency and Thermal Radiofrequency

Radiofrequency

Pulsed radiofrequency delivers short bursts of electrical energy at lower temperatures (typically below 42°C) to alter how a nerve transmits pain without damaging its structure. Thermal radiofrequency heats the nerve to higher temperatures (60–90°C) to create a small lesion that disrupts pain signaling.

Infusions

Ketamine Infusions and Lignocaine Infusions

Infusions

Ketamine infusions involve administering low‑dose ketamine intravenously (through an intravenous (IV) line) to help manage conditions such as treatment‑resistant depression, anxiety disorders, and chronic pain. Lignocaine is a local anesthetic that blocks nerve signals in specific areas of the body. Lignocaine infusions involve administering lignocaine intravenously in a controlled medical setting.

Injections

Epidural Steroid Injections (ESI)

Injections

An epidural steroid injection delivers anti‑inflammatory medication (a corticosteroid) into the epidural space, the area surrounding the spinal cord and nerve roots.

Spinal Cord Stimulator

Trial, Implant, IPG change, and removal

Spinal Cord Stimulator

A SCS trial is a temporary test (7-10 days) run of a small device that sends mild electrical signals to the spinal cord. These signals aim to reduce chronic nerve‑related pain before committing to a permanent implant. A SCS implant is a permanent, surgically placed medical device that delivers mild electrical pulses to the spinal cord to help reduce chronic pain. The implant is only placed after a successful trial.

Nerve Blocks

Cervical Sympathetic Block, Lumbar Ganglion Block, and Sacroiliac Joint (SIJ) Block

Nerve Blocks

A Cervical Sympathetic Block is an injection of local anesthetic into the stellate ganglion. The stellate ganglion (or cervicothoracic ganglion) is a bundle of sympathetic nerves that are located at the base of the cervical spine or neck. A lumbar ganglion block (often called the lumbar sympathetic block) is an injection of local anesthetic into the lumbar ganglion. A sacroiliac joint block is where a combination of a local anesthetic and an anti‑inflammatory agent, is injected into or around the sacroiliac joint, the joint that connects the spine to the pelvis.