Neck and back pain When to see a pain specialist?

Neck and back pain are very common and often resolve with simple measures. However, in certain cases, it is recommended to see a pain specialist. 

Pain management clinic Perth | Neck and back pain
Table of Contents

To understand neck and back pain we need to understand the spine

If you experience back and/or neck pain, we will need to take a look at your spine first. 

The spine is composed of 33 vertebrae that are stacked on top of each other. You’ve got

  • 7 vertebrae in your neck,
  • 12 thoracic vertebrae in your upper back,
  • 5 lumbar vertebrae in your lower back,
  • 5 fused sacral vertebrae,
  • and 4 fused coccygeal vertebrae at the base of the spine.

The vertebrae are held together by ligaments, muscles, discs, and small joints called facet joints and they all allow for movement between your vertebrae. The spine also has a network of blood vessels that supply nutrients and oxygen to the spinal cord and surrounding tissues.

There are many nerves that run through the spine, branching off from the spinal cord and extending to different parts of the body. These nerves are responsible for transmitting sensory information, such as pain or temperature. They also transmit motor impulses that control muscle movement and other bodily functions.

In summary, the spine supports your body, protects your spinal cord, and allows for movement and flexibility.

Types of neck and back pain

neck and back pain specialist perth

Neck and back pain diagnosis and treatment

neck and back pain specialist perth


At Pain Specialists WA we use a combination of methods to diagnose neck and back pain. 

First, we perform a comprehensive assessment. This includes:

  • Medical history. This part can take a bit longer as biomedical and psychosocial aspects of your condition need to be evaluated.
  • Physical examination. Assessing your range of motion, muscle strength and any signs of tenderness in the affected area.
  • Requesting imaging tests and reviewing the results.

Then, combining the information gathered from the assessment, we make a diagnosis and propose a treatment plan to help with your condition.


The suggested treatment plan varies depending on your circumstances.

A pain specialist can suggest a variety of treatment options, including:

  • Optimisation of medications
  • Identifying suitable allied health services for your condition
  • Pain interventional techniques and injections such as:
    • Cortisone injection
    • Rhizotomy (other names are neurotomy, ablation, and denervation)
    • Nerve root sleeve injection
    • Epidural
    • Peripheral nerve block
    • Injection into the joints such as sacroiliac joint
    • Facet joint injection
    • Ganglion impar block

Sometimes it is not possible to achieve complete pain relief, especially in cases of chronic pain. If that’s the case, we aim to manage and reduce your pain, enhance functionality and improve your quality of life. 

Dr Reza Feizerfan
Dr Reza Feizerfan

Pain Specialists WA for neck and back pain

Pain Specialists WA in Perth is a pain management clinic located in Nedlands and Murdoch. Consultations are available at Hollywood Medical Centre in Nedlands and at Wexford Medical Centre in Murdoch. 

Call Pain Specialists WA in Perth or request an appointment online.