The Manchester Pain clinic offers some of the most comprehensive private pain medicine clinic services in the Northwest. 

Dr Rajan has built on a strong legacy of training throughout the UK, including Manchester, London, Edinburgh, as well as Europe. Both he and his team seek to provide a service which combines cutting-edge interventional techniques with medicines management, rehabilitation where required and integration with physiotherapy care both before and after treatment.  In addition, Dr Rajan works in close collaboration with a range of colleagues from sports medicine, neuroradiology, spinal surgery, and rheumatology to offer an outstanding service to patients with a range of different pain complaints. 

So what does that mean in practice? Let’s take a closer look. 

Medicine management

The medical management of pain is complex and involves a range of different classes of drugs. The aim is often to rationalise medicines, to prevent the frequent silent and unknown risk of certain drugs, including opioids and nerve-type painkiller medication.

By and large, nerve painkillers or neuropathic agents will only help around one in three patients. De-escalating these drugs in a considered manner can help with things like weight loss, cognitive dysfunction, balance issues, memory issues, and tolerance.

Whilst these agents undoubtedly have a place in certain pain conditions, they are often overprescribed, with the patient having little idea of the potential downstream deleterious effects. 

Morphine type drugs called opioids also come with a range of potential pros and cons. However, by and large, most patients will have a diminishing response over time, with many silent effects, including bone thinning and an increased risk of infertility and other hormonal issues, falls and fractures. 

Dr Rajan works with other colleagues and his team, utilising expertise to try and prescribe the best modality of drug to the right patient, at the right time. De-prescribing is also a key tenet of his practice, complemented by interventional procedures, investigations, and other treatments. 

Interventional Procedures 

Dr Rajan focusses on a range of interventional procedures for both arthritic or degenerative conditions, which can respond to techniques like joint injections, the use of regenerative medicine, or indeed, the use of ablative radio frequency technologies for issues such as hip, knee, shoulder, or back pain – both before and after surgery. 

Dr Rajan also treats conditions related to dysfunction or disease of the nervous system. Such so-called neuropathic pain may respond to targeted interventions in conditions like occipital neuralgia or sciatica, with the use of techniques including nerve root blocks and pulsed radiofrequency. 

Some of these conditions cannot be cured, but can be managed to reduce pain and improve function, whilst balancing out associated risks. 

The Orth Team centre MDT 

Dr Rajan works within a world-class facility at the OrthTeam Centre, delivering high-quality care with a range of colleagues from different specialities. As part of his practice, he contributes to the spinal multidisciplinary team. 

This is a meeting of expert professionals discussing various aspects of pain, including spinal pain, to optimise treatment for the patient. Patient case studies are reviewed along with cutting-edge imaging to refine the diagnoses, inform further treatment and optimise care. 

Interdisciplinary pain management

Dr Rajan works with a wider team integrated with community physiotherapy hubs, and where required, pain psychology to optimise, not just pain, but the understanding of the patient and their function. This service has been established for several years and has proven effective in dealing with several refractory and difficult-to-treat pain conditions, with great impact on patients’ lives. 

Whilst pain medicine and the treatment of patients can be gratifying in many instances, The Manchester Pain Clinic is also able to deal with more complex conditions. In addition, The Manchester Pain Clinic provides expedient treatment for a range of other more common conditions to get patients back on their feet and doing what they want to do.

Tel: 0161 327 4307  /  www.manchester-pain-clinic.co.uk

The Orth Team Centre