Pain Specialist Hong Kong

Pain Center

Root-cause pain management treatment without drugs or surgery

 

What kind of pain are you experiencing?

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Ankle & Foot Pain

Significant body weight falls on the knee joint, making them susceptible to injury

Feet are complex structures designed to bear the weight of the entire body and make it possible for you to stand, walk, run and jump.

Foot and ankle problems can influence the way you walk and create stress on the joints of your legs, hips and lower spine. Foot dysfunction can cause the entire body to overcompensate, which can lead to headaches, back pain, discomfort and restricted motion.

 

Symptoms of foot problems include pain and dysfunction - for example, limping, favoring one foot or the inability to put weight on your heel or toes.

 

Causes

 

  • Broken bones or dislocations - after heavy impacts

  • Strained tendons or ligaments - can occur after accidents, overuse or ill-fitting footwear

  • Normal wear and tear - after years of supporting the weight of the body

  • Referred pain - pain in the foot may be referred from other areas of the body.

 

Non-surgical treatment options

 

Chiropractic Treatment

Chiropractic treatment is a non-surgical means of relieving foot pain through regular chiropractic adjustment. Chiropractic adjustments can relieve pain and help to restore range of motion in affected areas.

 

During an initial consultation, our chiropractors perform a series of diagnostic tests, examining your walking gait and foot/ankle function, and taking a history assessment to determine the best course of treatment or referral to a specialist. Alongside chiropractic adjustment and physical therapy sessions, we also help you supplement your recovery through specific prescribed physical exercises and nutritional advice.

Diamagnetic Therapy

Technological developments now make it possible to treat ankle and foot pain through the use of a high-intensity magnetic field device.

The treatment enables deep tissue penetration to accelerate tissue repair and pain reduction while avoiding direct interference with inflamed tissue.

This treatment is now available at Rin Spine Center. Find out more.

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Back Pain

Case Study: Neck and Upper Back Pain

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Patient A was suffering from chronic pain to the neck and upper back, and limited neck mobility, which was disrupting his work and daily life.

 

Read about his experience of our pain relief program.

Lower back pain is the leading cause of activity limitation and work absence worldwide

Upper and lower back pain can affect all age groups, while lower back pain is the leading cause of activity limitation and work absence worldwide [1]. Depending on the cause, the pain may be acute or chronic, and may be described as a 'dull ache', 'shooting' or a 'burning' sensation.

 

Causes

 

  • Posture - In particular, slouching when sitting or standing causes a gradual weakening of the muscles that support the spine

  • Presssure on spinal nerves - The soft, rubbery discs between the vertabrae can sometimes crack (known as herniated/ruptured/slipped discs), causing the inner cartelage to poke out of the disc and put pressure on the spine, causing pain in the back and possibly numbness or weakness in the arms or leg

  • Myofascial pain syndrome - Chronic pain of trigger points ('knots') and connective tissues anywhere on the body

  • Muscle strain - Possibly due to overuse or repetitive motion, which results in strain on the muscles, ligaments and discs supporting the spine

  • Traumatic injury - High force impacts to the back, such as during car accidents, improper lifting or slips and falls

  • Disease or infection - Osteoarthritis (a disease of the joints) and more rarely, cancers, gallbladder disease or infections can result in upper back pain.

 

Non-surgical treatment options

 

Chiropractic Treatment

Chiropractic treatment is a non-surgical means of relieving back pain through regular spinal adjustment. Chiropractic adjustments can relieve pressure on the spinal nerves, helping to restore range of motion and realign the spine.

 

During an initial consultation, our chiropractors are able to determine if your back condition is with minor and treatable or requires intensive, extended treatment or referral to a specialist. Alongside chiropractic adjustment and physical therapy sessions, we can also help you supplement your recovery through specific prescribed physical exercises and nutritional advice.

 

For further reading, see Case Study: How a patient with neck and upper back pain responded to the Pain Relief Program.

Diamagnetic Therapy

Technological developments now make it possible to treat back pain through the use of a high-intensity magnetic field device.

The treatment enables deep tissue penetration to accelerate tissue repair and pain reduction while avoiding direct interference with inflamed tissue.

This treatment is now available at Rin Spine Center. Find out more.

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Headaches

Headache and Migraine Pain

Around 50% of adults have suffered from a headache in the past year [1]

"Headache has been underestimated, under-recognized and under-treated throughout the world." - World Health Organization [2]

 

What are headaches?

The term 'headache disorder' is used to describe a range of disorders of the nervous system that vary in cause, symptoms and severity. Someone suffering from a headache disorder typically (but not always) experiences pain in the head, face or neck.

 

Headache disorders can be categorised into two groups:

 

  • Primary headache disorders - where the headache is itself a condition (e.g. migraine, tension-type headaches, cluster headaches)

  • Secondary headache disorders - where the headache is a symptom that is triggered by another disorder (e.g. overuse of medication, concussion, disruption of blood vessels, high blood pressure, infection, stress).

 

How common are headaches?

 

According to the WHO [2]:

  • 50% of adults are estimated to have suffered from headache disorder within the past year

  • Of these sufferers, at least 30% have reported experiencing migraine

  • Between 1.7% and 4% of adults suffer from headaches for 15 or more days each month.

 

"Headache disorders are a worldwide problem, affecting people of all ages, races, income levels and geographical areas." - World Health Organization [2]

Symptoms and causes of headache disorders

Tension-type headache

 

Tension-type headaches are the most common primary headache disorder and are typically described as involving a dull, squeezing pain or tightness on both sides of the head.

 

In most cases, these headaches occur infrequently and cause mild to moderate pain from around 20 minutes to 2 hours. However, many people experience severe pain several days per week. People may also experience aching in the neck and shoulders.

 

They typically begin during the teenage years and are more common in women, affecting three women to every two men.

 

Tension-type headaches are generally classified as:

 

  • episodic - occurring fewer than 15 days per month

  • chronic - occurring at least 15 days per month

 

Possible causes of tension-type headaches include:

 

  • arthritis

  • depression

  • jaw clenching

  • musculo-skeleto problems in the neck, jaw or shoulders

  • posture

  • sleep disorders

  • stress

 

Migraine

 

Migraine is a primary headache disorder that is more common in women, affecting two women to every man.

 

People suffering from migraine typically experience headaches of moderate to severe intensity that pulsate on one side and can last anywhere between a few hours and 2-3 days. The frequency of such attacks is usually between once a week and once a year. The condition is often accompanied with feelings of nausea.

 

Causes of migraine are varied and very individual. As such, consider keeping a diary in order to try to individual what triggers your migraine. Triggers may be related to:

 

  • diet

  • emotions

  • environmental factors

  • hormones

  • medicinal factors

  • physical condition.

 

Cluster headache

 

Cluster headaches are primary headache disorders usually described as involving brief but extremely intense pain on one side of the head, often around the eye. They tend to come in groups (clusters) of headaches at a similar time each day and can last for between 6 and 12 weeks [3]. Other symptoms may include red or watery eye, a runny nose or a sagging eyelid.

 

These headaches are relatively uncommon, affecting less than one in a thousand people and typically developed after the age of 20. They are more common in men than women by a factor of six to one.

 

The exact causes of cluster headaches is not known. Unlike other primary headache disorders, cluster headaches are not generally associated with triggers such as stress or hormonal changes. However, patterns suggest a link to abnormalities in the body's biological clock.

 

Medication overuse headache

 

When medications are used on a regular or long-term basis, people can experience a medication overuse headache or 'rebound headache', which can prolong or exacerbate the original headache. This kind of headache is a secondary headache disorder that is experienced by 1-2% of the population [4].

Medication overuse headache has a prevalence of around 1% to 2% in the general population and should be suspected in anyone presenting with chronic headache (headache >14 days per month). - Pain Rep. 2017 Jul; 2(4): e612. [4]

Symptoms of medication overuse headaches often depend on the kind of original headache and the type of medicine used. However, they typically occur daily or near daily, improve with painkillers initially before returning once the medication wears off.

 

Other symptoms may include:

 

  • irritability

  • nausea

  • restlessness

  • difficulties with concentration or memory.

 

[Prescription or over-the-counter medications used to control pain] may decrease the intensity of the pain for a few hours; however, they appear to feed into the pain system in such a way that chronic headaches may result. - National Health Foundation, 2007 [5]

Treatment options for headaches

 

Emergency treatment

 

In some cases, a headache may indicate a condition that requires immediate emergency treatment. Consider seeking such treatment if you experience:

 

  • A very severe and sudden headache

  • A headache after a head injury or fall

  • A headache accompanied by symptoms such as: confusion, double vision, fever, rash, seizure, weakness, numbness or difficulty speaking.

 

Self-treatment

 

In many cases, typical headaches can be relieved through simple home remedies and self-action, such as:

 

  • ensuring you get sufficient water, food, exercise and rest (particularly when suffering from 'flu or cold)

  • relieving stress through relaxation

  • avoiding alcohol, eye-strain (through prolonged looking at a screen) and oversleeping [6].

Medication

 

The most common over-the-counter medications that people take to treat headaches are painkillers, including paracetamol, aspirin and ibuprofen.

 

However, as with all medications, care must be taken to carefully follow the instructions and dosage recommendations. As described above, overuse of painkillers can lead to a secondary medication overuse headache or 'rebound headache' that prolongs or exacerbates the original headache.

Chiropractic treatment

Chiropractic treatment is a non-medication means of relieving pain from headaches. Current evidence suggests that chiropractic care can be an effective treatment for migraine and headaches that originate from the neck [7].

"Evidence suggests that chiropractic care, including spinal manipulation, improves migraine and cervicogenic headaches." - Manipulative Physiol Ther. 2011;34(5):274-89. [7]

 

During an initial consultation, chiropractors are able to assess, diagnose and subsequently treat headaches through a range of treatment methods including:

 

  • chiropractic adjustments

  • soft tissue therapy

  • physical modalities, including dry needling, electrical stimulation and ultrasound

  • providing lifestyle advice.

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Jaw Pain (inc. TMJD)

Jaw Pain

TMJ disorder affects between 5% and 12% of people

The jaw is made up of the upper jaw (the maxilla) and the lower jaw (mandible), which connects to the skull at two joints called the 'temporomandibular joints' (TMJ). The joints work together to facilitate essential functions like chewing.

One of the most common causes of jaw pain is TMJ disorder (TMJD, TMD or sometimes just TMJ), which affects between 5% and 12% of people and is more commonly seen in women than men [8].

Symptoms may include clicking sounds, difficulty chewing or opening the mouth (including locking of the jaw), pain in the jaw, mouth or ears, headaches, dizziness or vision impairment.

 

Causes

 

  • Teeth clenching, grinding or opening too wide - due to regular habit when awake or asleep

  • Poorly fitting dental fillings, bridges, crowns or dentures - can lead to an irregular bite

  • Disc dislocation

  • Direct trauma - high force directly to the mouth can lead to fractures, sprains and strains

  • Medical conditions - such as arthritis, fibromyalgia, gout, headaches, hypothyroidism, Lyme disease, lupus, multiple sclerosis, nerve damage

 

Non-surgical treatment options for TMJD

 

Chiropractic Treatment

Chiropractic treatment is a non-surgical means of relieving jaw pain through regular chiropractic adjustment. Chiropractic adjustments can relax the associated jaw muscles and help to restore range of motion and realignment of the law.

 

During an initial consultation, our chiropractors perform a series of diagnostic tests, examining your jaw function, and taking a history assessment to determine the best course of treatment or referral to a specialist. Alongside chiropractic adjustment and physical therapy sessions, we also help you supplement your recovery through specific prescribed physical exercises and nutritional advice.

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Knee Pain

Knee Pain

Significant body weight falls on the knee joint, making them susceptible to injury

People of all ages may suffer knee pain at some point.

 

The knee consists of four bones that work together to help us perform every actions such as walking, bending, lifting and climbing. As significant body weight falls on this joint, knees are particularly susceptible to injury, especially if you regularly take part in athletic activity.

Symptoms may include popping sounds, stiffness, swelling, redness, reduced range of mobility or weakness.

 

Causes of knee pain

 

  • Direct trauma - high force or twisting impacts from an accident or joint overuse can lead to fractures, sprains and strains

  • Medical conditions - osteoarthritis (from general wear and tear of the joints), gout, infection, tumours.

 

Non-surgical treatment options exist for knee pain?

 

Chiropractic Treatment

Chiropractic treatment is a non-surgical means of relieving knee pain through regular chiropractic adjustment. Chiropractic adjustments can relieve pain and restore function and range of motion in affected areas.

 

During an initial consultation, our chiropractors perform a series of diagnostic tests, examining your walking gait and knee function, and taking a history assessment to determine the best course of treatment or referral to a specialist. Alongside chiropractic adjustment and physical therapy sessions, we also help you supplement your recovery through specific prescribed physical exercises and nutritional advice.

Diamagnetic Therapy

Technological developments now make it possible to treat knee pain through the use of a high-intensity magnetic field device.

The treatment enables deep tissue penetration to accelerate tissue repair and pain reduction while avoiding direct interference with inflamed tissue.

This treatment is now available at Rin Spine Center. Find out more.

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Neck Pain

Case Study: Neck and Upper Back Pain

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Patient A was suffering from chronic pain to the neck and upper back, and limited neck mobility, which was disrupting his work and daily life.

 

Read about his experience of our pain relief program.

Neck Brace

Neck pain can indicate an underlying abnormal curvature of the neck.

Almost everyone experiences neck pain or stiffness at some point in their life. The pain ranges in severity - from a mild annoyance to a pain so severe it can be unbearable. In some cases, the pain may be a symptom of an underlying abnormal curvature of the neck - for example, straight/military neck.

 

Causes

 

  • Posture - when the head stays in an awkward position for too long (for example, while working, using a computer, watching TV or reading a book).

  • Trauma - from injuries such as 'whiplash' (from car accidents)

  • Other - disease, congenital malformation or progressive degeneration that can come with age

 

Non-surgical treatment options

 

Chiropractic Treatment

Chiropractic treatment is a non-surgical means of relieving neck pain and restoring the range of motion of the neck through spinal adjustment.

 

During an initial consultation, our chiropractors can determine whether your condition is either minor and treatable or requires a more intensive and lengthy treatment program or referral to a specialist. In addition to the chiropractic adjustment and physical therapy sessions, we can also help you supplement your recovery through specific prescribed physical exercises and nutritional advice.

Diamagnetic Therapy

Technological developments now make it possible to treat neck pain through the use of a high-intensity magnetic field device.

The treatment enables deep tissue penetration to accelerate tissue repair and pain reduction while avoiding direct interference with inflamed tissue.

This treatment is now available at Rin Spine Center. Find out more.

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Pelvic Pain

Pelvic Pain

14% to 32% of women of childbearing age have chronic pelvic pain

The pelvic region is the area between the abdomen and thighs. The joints of the pelvis (sacrioliac joints) help transfer weight from the upper part of the body to the lower areas. When these joints are overstressed, the surrounding muscles become inflamed and cause pain. The pain can stay in one place or move to other areas (such as the thigh) and may be accompanied by reduced range of hip motion and difficulties with regular physical activity.

 

Pelvic pain may be experienced by both men and women. However, women of childbearing age in particular are affected - with worldwide rates of chronic pelvic pain ranging between 14% and 32% [9].

 

Causes

 

  • Pregnancy - many women experience pain either during or after pregnancy, as the body adjusts in readiness for the baby's delivery.

  • Trauma - high force impacts to the pelvic region.

  • Prolonged bending or lifting - possibly work-related

 

Non-surgical treatment options

 

Chiropractic Treatment

Chiropractic treatment is a non-surgical means of relieving pelvic pain through regular spinal adjustment. Chiropractic adjustments can relieve pressure on the spinal nerves, helping to restore range of motion and realign the spine. In doing so, the body's weight is distributed more evenly onto the pelvic region.

 

During an initial consultation, our chiropractors perform a series of diagnostic tests and history assessment to determine the best course of treatment or referral to a specialist. Alongside chiropractic adjustment and physical therapy sessions, we also help you supplement your recovery through specific prescribed physical exercises and nutritional advice.

Diamagnetic Therapy

Technological developments now make it possible to treat pelvic pain through the use of a high-intensity magnetic field device.

The treatment enables deep tissue penetration to accelerate tissue repair and pain reduction while avoiding direct interference with inflamed tissue.

This treatment is now available at Rin Spine Center. Find out more.

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Shoulder & Arm Pain

Shoulder & Arm Pain

Shoulder and arm pain sometimes comes with fatigue, insomnia, numbness or tingling

Shoulder and arm pain ranges from a mild ache to acute pain that restricts the use of the injured arm. It can sometimes extend to other joints in the body and may be accompanied by fatigue, fever, insomnia, numbness or a tingling sensation.

 

Causes

 

  • Broken bones or dislocations - after heavy impacts

  • Strained tendons or ligaments - can occur when overlifting, overreaching, overexerting, or resting your arm/shoulder in an awkward position (for example, while sleeping)

  • Referred pain - pain in the shoulder or arm may be referred from nerves associated with the joints in the upper spine or 'trigger points' in the back

  • Other - from conditions such as arthritis, bursitis, gout and tendonitis

 

Non-surgical treatment options

 

Chiropractic Treatment

Chiropractic treatment is a non-surgical means of relieving shoulder and arm pain through regular spinal adjustment. Chiropractic adjustments can relieve pain and help to restore function and range of motion to affected areas.

 

During an initial consultation, our chiropractors are able to determine if your condition is: a) minor and treatable, or b) more serious and requiring intensive, extended treatment or referral to a specialist. Alongside chiropractic adjustment and physical therapy sessions, we can also help you supplement your recovery through specific prescribed physical exercises and nutritional advice.

Diamagnetic Therapy

Technological developments now make it possible to treat shoulder and arm pain through the use of a high-intensity magnetic field device.

The treatment enables deep tissue penetration to accelerate tissue repair and pain reduction while avoiding direct interference with inflamed tissue.

This treatment is now available at Rin Spine Center. Find out more.

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1. World Health Organisation - https://www.who.int/medicines/areas/priority_medicines/Ch6_24LBP.pdf

2. World Health Organization. Headache Disorders. https://www.who.int/news-room/fact-sheets/detail/headache-disorders

3. National Institute of Neurological Disorders and Stroke. Headache: Hope through Research. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Headache-Hope-Through-Research#3138_5

4. "Preventing and treating medication overuse headache", Karl B. Alstadhaug, Hilde K. Ofte, Espen S. Kristoffersen. Pain Rep. 2017 Jul; 2(4): e612. Published online 2017 Jul 26. doi: 10.1097/PR9.0000000000000612

5. National Health Foundation (US). Analgesic Rebound (Medication Overuse Headache). https://headaches.org/2007/10/25/analgesic-rebound-also-known-as-medication-overuse-headache/

6. National Health Service (UK). Headaches. https://www.nhs.uk/conditions/headaches/

7. Bryans R, Descarreaux M, Duranleau M, Marcoux H, Potter B, Ruegg R, Shaw L, Watkin R, White E. Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiological Therapeutics 2011;34(5):274-89.

8. National Institute of Dental and Craniofacial Research - https://www.nidcr.nih.gov/research/data-statistics/facial-pain/prevalence

9. Mathias, S. D., Kuppermann, M., Liberman, R. F., Lipschutz, R. C., & Steege, J. F. (1996). Chronic pelvic pain: Prevalence, health-related quality of life, and economic correlates. Obstetrics & Gynecology, 87,321–327.

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