Painspa Case Study Series Pain Medicine — Knee Osteoarthritis Avoiding knee replacement with Arthrosamid injections A Pain Spa case series showing how ultrasound-guided Arthrosamid injections can provide long-lasting pain relief and improved mobility for selected patients with moderate to severe knee osteoarthritis. 5 Injections performed 4 Patients treated ~70% Meaningful...
Painspa Case Study Series Patient Case Report • ACNES • Abdominal Wall Pain • Ultrasound-Guided PRF A hidden cause of chronic abdominal pain — successfully treated with ultrasound-guided pulsed radiofrequency How careful abdominal wall assessment, diagnostic cutaneous nerve blocks and targeted pulsed radiofrequency helped restore function in a patient with...
Case Report: Successful Treatment of Refractory Cluster Headaches with Occipital Nerve Block and Pulsed Radiofrequency Patient: 36-year-old lady • Laterality: Right-sided • Intervention: Ultrasound-guided occipital nerve block → Pulsed Radiofrequency (PRF) Background Cluster headache is a trigeminal autonomic cephalalgia (TAC) and is widely recognised as one of the most severe...
⚡ Chronic Mechanical Low Back Pain: Successful Lumbar Radiofrequency Denervation (Case Report) Chronic low back pain related to age-associated degenerative spinal change can be profoundly limiting, particularly when symptoms persist despite conservative care. This case illustrates a structured, stepwise approach using diagnostic lumbar medial branch blocks followed by lumbar radiofrequency...
🧠 Refractory Chronic Migraine: A Specialist Pain Clinic Case Report Chronic migraine can be profoundly disabling and is often difficult to treat, even with specialist neurological care. This case illustrates how a structured, stepwise approach using ultrasound-guided occipital nerve interventions can provide meaningful relief when conventional treatments have failed. 🧩...
Background A 50-year-old woman presented to Pain Spa with a three-year history of persistent pelvic pain, consistent with pudendal neuralgia. Her symptoms included burning discomfort in the vaginal and perineal region, hypersensitivity on contact, pain on sitting, and intermittent bladder urgency. Pain tended to worsen throughout the day, particularly with...
Background An 81-year-old gentleman was referred to Dr Krishna at Pain Spa Bristol for specialist assessment and management of chronic low back pain. He had been suffering from mechanical lumbar pain for several years, worsening over the past 18 months. His pain was constant across the lower back, aggravated by...
A 36-year-old male with treatment-resistant PTSD experienced life-changing improvement following ultrasound-guided stellate ganglion block (SGB) treatment performed by Dr. Krishna at Pain Spa, Bristol. Introduction A 36-year-old gentleman presented with a long-standing history of severe post-traumatic stress disorder (PTSD) secondary to significant psychological trauma from childhood abuse. Despite extensive psychological...
A 57-year-old gentleman with chronic right-sided low back and buttock pain experienced long-lasting relief following sacroiliac joint radiofrequency denervation performed by Dr. Krishna at Pain Spa, Bristol. Introduction A 57-year-old male presented with persistent right-sided low back and buttock pain lasting over eight years. The pain was localised around the...
A 54-year-old lady with long-standing low back pain achieved excellent and lasting relief following bilateral lumbar radiofrequency denervation performed by Dr. Krishna at Pain Spa, Bristol. Introduction A 54-year-old lady presented with persistent low back pain lasting more than ten years following a previous injury. Her pain was al across...
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