When you have been living with chronic pain for a long time, it can feel as if you have tried everything to ease it. If this sounds like your situation, please contact us for an appointment because it is very likely that we will be able to help. Equally, if you are just starting to experience a problem with pain, quick action is best so please do not hesitate to get in touch with the clinic.[/caption]

Everyone has their own individual situation and preferences, and most people benefit from a combination of different treatment methods, in an approach known as multi-modal pain management. For these reasons, at Berkshire Pain Clinic we offer a full range of treatments for chronic pain, such as exercise and physiotherapy, pain management counselling, pain medication and advanced medical procedures.

We also believe that by gaining knowledge about your condition and the various treatment options, you can take control of the pain. So our website has information about many different pain conditions and treatments, including educational videos.We firmly believe that a detailed and extensive evaluation of the patient is the key to the success of any particular treatment plan. No matter what type of pain is interfering with your life, we want you to know that the Berkshire Pain Clinic have effective treatments that can help identify and treat the source of your pain, alleviating your symptoms and restoring you to a more active, fulfilling lifestyle.

At the pain clinic, we offer our patients all the sophisticated pain management procedures on an outpatient basis, so patients can receive their treatments and be back to their normal activities, sometimes on the same day. We have links with our in house physiotherapists and other healthcare practitioners to ensure that a holistic approach is provided throughout. The Berkshire Pain Clinic are able to offer a comprehensive pain treatment plan for a wide variety of pain conditions, diseases and disorders.

Conditions Treated:
The Berkshire Pain Clinic can be accessed from 3 very convenient locations in Reading. In the comfort of very well-equipped private hospital clinics, we are able to effectively diagnose and treat a variety of painful medical conditions. For a list of pain conditions that we treat and are able to help, please go to pain conditions treated
Spinal pain conditions are quite common such as spinal stenosis, facet joint arthropathy, degenerative disc disease and lumbar radiculopathy (sciatica) due to disc protrusion/prolapse.

Spinal Stenosis:

Spinal stenosis is a condition that results from a narrow spinal canal, resulting in pressure on the nerves in the spinal canal. The spinal canal is the tube within the vertebrae through which the spinal cord and spinal nerves run. While spinal stenosis can develop any place, it most often occurs in the lumbar (lower) spine and, to a lesser extent, the cervical spine (neck). The location and severity of spinal stenosis determines the type of symptoms such as leg pain or arm pain accompanied by tingling, numbness, cramping and sometimes weakness. For a video of the condition, please go to Spinal Stenosis video.

Facet joint arthropathy:

Facet joint pain can be responsible for up to 20-25% of back or neck pain. It can occur anywhere in the spine and usually develops in the small joints located between each vertebra called facet joints. These joints are in constant motion, providing the spine with both the stability and flexibility needed to walk, run, bend, sit, and twist. The joint surfaces are lined with cartilage and as we age, the cartilage gradually wears away. Friction between the bones leads to the tenderness, swelling, stiffness, and pain of arthritis. These joints usually respond very well to steroid injections with temporary relief. The Berkshire Pain And Spine specialist can offer more recent treatments such as radiofrequency denervation which can potentially give prolonged relief. For a video of the condition, please go to facet joint syndrome video

Degenerative disc disease:

Discogenic pain is responsible for up to 40-45% of all back pain. It is one of the most prevalent causes of acute or chronic back pain. You may experience only a few days of pain, or you may suffer prolonged, moderate to severe, recurrent pain. Most discogenic pain occurs in the lumbar spine (lower back). The most frequent symptoms of discogenic pain are lower back pain and spasm. Occasionally, pain may radiate to the buttocks, groin, or thighs. Typically, the pain is made worse by bending, sitting, or standing in a stationary position, and often relieved by lying down. When we are young, the discs consist predominantly of water (about 80%), but as we age, the discs lose hydration and become more susceptible to cracking and fissures called annular tears. These tears lead to inflammation and pain.

Because back pain has so many different causes, it’s important to have a skilled practitioner properly diagnose your problem. At the Berkshire pain clinic, we conduct a thorough clinical evaluation beginning with a complete medical history, a physical examination, and an analysis of specific symptoms. For a video of the condition, please go to Degenerative Disc Disease video

This prevalent source of neck, arm, back, and leg pain is typically seen in adults between 30 and 50 years of age. It is usually as a result of a slipped disc or ruptured disc, it can occur anywhere in the spine. Most often, it occurs in the cervical spine (neck) or lumbar spine (lower back), typically causing “a pinched nerve." If you are experiencing pain or numbness in the neck, arm, lower back, or leg, you could be suffering from a herniated disc. At Berkshire Pain and Spine Specialist, we can help you alleviate your pain with accurate diagnosis and effective non-surgical therapy. To understand more about the condition and to see a video of sciatica, please go to sciatica video

Interventional procedures:
Imaging techniques and rapid advances in technology means that we are able to offer an expansive range of treatment options. Drawing on these resources, The Berkshire pain and Spine specialist can integrate precision diagnostics, sophisticated techniques, and innovative therapies into a comprehensive plan customized to resolve your pain without surgery. Your treatment plan may include normally offered injection treatments such as epidurals, nerve blocks, facet joint injections to newer techniques such as medial branch blocks and radiofrequency treatments. We are also able to offer regenerative therapies such as prolotherapy which is rapidly gaining popularity in this country. For more videos of the individual treatments offered at the Clinic, please go to interventions tab

Prolotherapy Injections in Reading and Berkshire County
The Berkshire Pain Clinic is proud to announce that we are able to offer regenerative therapies (Prolotherapy) in our Pain clinic. This is the first clinic in Reading and in Berkshire to be able to offer this exciting healing approach to muscular and joint pain.

Prolotherapy is an innovative technique that relieves pain by directly impacting the underlying condition causing that pain. Many medical treatments may provide only temporary benefit but this safe, proven treatment can sometimes offer lasting relief. Many conditions respond well to prolotherapy, such as facet syndrome (back and neck arthritis), whiplash, joint sprains, degenerative disc disease, osteoarthritis, tennis elbow, sprains, chronic tendonitis, and more.

The Berkshire Pain Clinic can determine if you are a candidate for this healing alternative and help you get your life back. Prolotherapy promotes long-term, often permanent pain relief by stimulating the body’s ability to repair itself. A solution of concentrated dextrose and local anaesthetic (steroids are not used) is injected into the affected ligaments, tendons, or joint capsules. This solution acts not as a nutrient, but by stimulating the body’s natural ability to repair these tissues, encouraging growth of new ligament or tendon fibres. Chronic low-back pain is a very common problem that can be often helped by Prolotherapy Injections.

Non-Surgical Spinal Interventions:
A predominant majority of patients that present to the Pain Clinic at the Royal Berkshire Hospital and at the Berkshire Pain Clinic are those with spinal pain ie lower back, upper back and neck pain. Most of them would have had multiple MRIs and other tests and lots of physiotherapy/ osteopathy and chiropractic help and sometimes even surgery in the form of decompression and fusion without any benefit. A number of non-surgical spinal interventions are performed at the Berkshire Pain Clinic. These would include epidurals both lumbar/cervical and transforaminal, facet joint injections, nerve blocks and appropriate radiofrequency procedures to provide temporary or long lasting benefit. A list of non-surgical interventions performed is listed here Lumbar epidural steroid injection, Caudal steroid injections etc.

Medication management:  
Medication management of pain is part of the multidisciplinary approach to treatment and is designed to enable the patient to resume normal daily activities.  Because the pain persists, extended drug treatment becomes necessary.  Even though several different drugs are used in managing chronic pain, the effectiveness of most medications has not been demonstrated by controlled clinical trials.  The Pain Specialist always considers these issues along with patient-specific factors, including other medical problems and side effects of medications, when selecting the most appropriate drug treatment for a patient with chronic pain. When it comes to medication management, every pain patient should ask themselves if they have any fears or concerns about pain medications.  Many people are reluctant to take pain medications because of concerns about side effects.  Others are worried they will become “hooked” or addicted. Several medications are available for treating chronic pain of varying intensity apart from opioids such as morphine.

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Resources Links

British Pain Society. This website provides valuable information for patients with pain conditions, and details of various support groups

Educational Video

Non surgical solutions to spine (back and neck) pain and nerve pain Many people with back and neck pain have suffered for a number of years