'Every human being has a right to a life without pain'

Eighteen years of delivering excellence in spinal care

Book an appointment: 01642 782 245

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Referral Guidelines

Referral Guidelines


Bed Rest More than 2 days not recommended Manipulation shown to be beneficial

    PRACTICAL TIPS IN PAIN MANAGEMENT
  • Empathise : Patients often complain that GP’s do not take their pain seriously
  • Reassure and Educate: Often pain creates anxiety as to its cause. Use Animations on the website
  • Paracetamol and NSAIDs : have an addictive effect.
  • Opiates: Use sparingly , in adequate doses for acute pain. Refer before starting long term opiates for chronic pain. It’s quite difficult to get patients off these opiates later on. Beware addiction.
  • Watch for constipation and Rx.
  • Try Fentanyl or Morphine patches for better tolerance and compliance.
  • For radicular pain try Amitryptilline or Gabapentin.
  • Use of short term (4 week) tapering dose of steroids good for acute back/neck pain with or without sciatica. Try Prednisolone 30mg OD for 7 days, then 20mg OD for 7 days , then 10mg OD for 7 days and finally 5mg OD for 7 days and stop. If dose not tolerated, try a smaller dose.
  • Use Lansoprazole 30mg OD for 4 weeks with the steroids.







    A HIGH INDEX OF SUSPICION IS NEEDED TO AVOID MISSING SPINAL INFECTIONS


    Via fax on 01642 889564
    A high index of suspicion is needed to avoid missing these cases



Book an Appointment

Please contact my secretaries on 07813 568 585/01642 782 245 or email secretary@spinalsurgeon.com to book an appointment.

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