At a glance
What it is
Pain is a protective sensory and emotional experience associated with actual or potential tissue damage. Acute pain serves as a warning; chronic pain outlasts its usefulness and becomes a disease in its own right — driven by peripheral sensitisation, central sensitisation, neuroplastic changes, and psychosocial factors. Identifying the type, distribution, and mechanism of pain guides effective treatment.
Conditions treated
Headaches and migraine; neck pain; frozen shoulder; carpal tunnel syndrome; back pain; complex regional pain syndrome; osteoporosis pain; hip arthritis; trigeminal neuralgia; sports injuries; tennis elbow; fibromyalgia; myofascial pain; heel spur; intercostal neuralgia; and other musculoskeletal, neuropathic, and vascular pain syndromes.
Approach
Accurate diagnosis first — the treatment depends on the type of pain (nociceptive, neuropathic, nociplastic, or mixed) and the underlying cause. Management is multimodal: physiotherapy and exercise, interventional procedures (nerve blocks, radiofrequency ablation, joint injections), neuromodulation (rTMS, spinal cord stimulation), medications, and psychological support where appropriate.
Pain management at Alimran Medical Center
Pain is not a single entity — it is a symptom arising from dozens of distinct mechanisms. Effective management requires identifying which mechanism is dominant in a given patient and targeting it specifically.
**Types of pain**
*Nociceptive pain* arises from activation of pain receptors by tissue injury or inflammation. It is typically well-localised and proportionate to the degree of injury — musculoskeletal pain from fractures, arthritis, sprains, and surgical wounds is predominantly nociceptive.
*Neuropathic pain* arises from injury or disease of the somatosensory nervous system itself. Characteristics include burning or electric quality, allodynia (pain from non-painful stimuli), hyperalgesia, and distributions that follow nerve territory rather than tissue anatomy. Examples include sciatica, diabetic neuropathy, postherpetic neuralgia, and trigeminal neuralgia.
*Nociplastic pain* (formerly central sensitisation) arises from altered nociception despite no clear evidence of tissue or nerve damage. The nervous system has become sensitised — amplifying signals and generating pain without proportionate peripheral input. Fibromyalgia and many chronic regional pain syndromes involve nociplastic mechanisms.
**Principles of treatment**
- Match the treatment to the mechanism: anti-inflammatory strategies for nociceptive pain, neuromodulatory agents and interventions for neuropathic pain, central nervous system-targeted approaches for nociplastic pain - Multimodal care consistently outperforms single-modality treatment for chronic pain - Physiotherapy and active rehabilitation are essential components — passive treatments alone rarely produce durable improvement - Interventional procedures (nerve blocks, Botox, radiofrequency ablation) provide targeted, often prolonged relief for specific conditions
**Conditions treated**
Alimran Medical Center manages the full spectrum of pain conditions: - Headaches and migraine - Neck pain - Frozen shoulder - Carpal tunnel syndrome - Back pain - Complex regional pain syndrome - Trigeminal neuralgia - Sports injuries - Tennis elbow - Fibromyalgia - Myofascial pain - Heel spur - Intercostal neuralgia
Treatment options at Alimran Medical Center
Injection therapies
- Botox® injections
- Prolotherapy
- Ozone injection
- Trigger point injections
- Epidural steroid injections
Advanced therapies
Physiotherapy & rehabilitation
- Electrical stimulation
- Short and long wave therapy
- Laser therapy
- Ultrasound therapy
- Exercise therapy and functional rehabilitation
- SpineMED® system
- Sigma
Book a consultation
The secretary schedules first appointments during clinic hours; please have prior imaging, operative notes and a current medication list available at the time of the call.
This page provides general information about pain and is not a substitute for individual medical assessment. If your symptoms are severe or worsening, contact a clinician promptly.