Back Pain Treatment in Singapore

Back pain affects people from all walks of life. Long hours at the desk, extended screen time, daily caregiving duties, and age-related changes can all place ongoing strain on the spine. Over time, this strain may lead to stiffness, nerve irritation, or persistent aches that disrupt focus, sleep, or daily routines. 

Everyday habits play a major role: 

• Prolonged sitting at work 
• Slouched posture during laptop or phone use 
• Long MRT or bus commutes 
• Carrying children or caregiving tasks 
• Sedentary lifestyle 
• Age-related spinal degeneration
   

These stresses add up gradually, affecting muscles, joints, discs, and nerves. 

Understanding the nature of your pain helps determine the right treatment.

• Muscle or ligament strain: Often caused by poor posture or overuse.
• Nerve-related pain: Conditions such as sciatica or nerve root compression can cause numbness or tingling down the leg.
• Joint-related pain: Facet joints or the sacroiliac joint can become inflamed and stiff.
• Disc-related pain: Bulging or slipped discs can compress nearby nerves and cause radiating pain.

Each type of back pain responds differently to treatment, which makes accurate diagnosis important.

Your assessment begins with a detailed evaluation of your movement, strength, and nerve function. Scans such as X-rays or MRI may be recommended when structural issues are suspected. 

However, imaging alone doesn't always explain your pain. Many people show age-related changes on scans that may not be the real source of their symptoms. 

At Singapore Paincare, we use the Painostic® approach to find the real source of pain. The method brings together a thorough clinical examination and image-guided diagnostic blocks to pinpoint the exact structure causing your symptoms. By confirming whether the pain originates from the disc, joint, nerve, or muscle, our pain specialist can develop a treatment plan that is tailored to your back pain condition. This structured process gives you a clearer recovery path and often supports better long-term outcomes. 

Most patients begin with conservative options, especially when symptoms are mild or recent. Treatment options include:

• Medications for pain or inflammation
• Physiotherapy to improve posture and strengthen the back
• Stretching and ergonomic adjustments
• Activity modification and rest during flare ups

Singapore Paincare offers a full range of minimally invasive procedures designed for patients who want targeted relief with minimal downtime. These treatments are performed with image guidance to improve precision and safety.

Myospan injections target muscles, ligaments, tendons, joints, and nerves to break the pain cycle, reduce inflammation, and improve healing. Depending on the painful condition, different injections may be utilised to either remove the pain generator or stop the pain signals. Myospan treatments include: 

• Coreflex Injections: Coreflex injections combine local anaesthetic, anti inflammatory medication, and muscle relaxants to reduce inflammation and muscle spasm in the back. They are commonly used for muscle strain, facet joint irritation, and soft tissue injuries that contribute to lower back pain. 
• Platelet Rich Plasma Prolotherapy (PRP Prolotherapy):  PRP Prolotherapy uses concentrated platelets taken from the patient's own blood to support healing of injured tissues. By triggering a controlled healing response, PRP can strengthen weakened ligaments, improve tendon health, and support recovery for chronic back pain conditions. 
• Intra Articular Facet Joint Injections: These injections deliver medication directly into the small joints of the spine known as facet joints. They help reduce inflammation and stiffness in patients with back pain related to arthritis, facet joint degeneration, or repetitive load on the spine. 
• Myofascial Pain Injections:  Myofascial injections are used to treat sensitive muscle knots in the back that cause local pain or refer discomfort to the hip and leg. By relaxing tight muscle fibers and clearing irritating chemicals, they help restore normal muscle movement and improve posture. 
• Peripheral Nerve Block:  A nerve block involves administering local anaesthetic and anti inflammatory medication near specific spinal nerves that are sending abnormal pain signals. This targets nerve related back pain, providing pain relief while allowing the patient to continue rehabilitation and regain mobility

Neurospan treatments are designed for nerve compression, slipped disc, and radiating leg pain arising from spine related conditions that do not improve with conservative treatment. 

• Radiofrequency ablation (RF): RFA applies heat generated by radiofrequency energy to targeted nerves. This disrupts pain transmission and reduces inflammation in the facet joints, providing longer-lasting relief. 
• Pulsed Radiofrequency: Pulsed radiofrequency delivers short bursts of electrical energy to irritated nerves without generating high heat. This modulates abnormal nerve signals, helping reduce pain while preserving nerve structure. 
• Neuroplasty : Neuroplasty involves inserting a soft catheter into the spine to create more space around the affected nerve. The procedure breaks down adhesions and delivers medication to reduce inflammation and nerve irritation. 
• Nucleoplasty: Nucleoplasty uses controlled energy to remove a small portion of the nucleus within a herniated disc. By reducing disc pressure, the treatment helps relieve compression on nearby nerve roots. 
• Endoscopic Laser Decompression: Endoscopic laser decompression is a minimally invasive procedure using a tiny camera and laser to remove tissue pressing on spinal nerves. It helps reduce nerve compression, improving mobility and relieving radiating leg pain. 
• Epidural Analgesia: Epidural analgesia involves delivering anti inflammatory medication into the epidural space around the spinal nerves. This reduces pain and swelling caused by conditions such as disc bulge, spinal stenosis, or nerve inflammation. 
• Spinal Cord Stimulator: A spinal cord stimulator delivers gentle electrical pulses to the spinal cord to modify how pain signals are processed. This technique is suitable for severe, persistent back or leg pain when other treatments provide limited relief. 
• Intrathecal Pump Implants: An intrathecal pump implant delivers a small amount of medication directly to the spinal fluid. This provides strong, targeted pain control for chronic back pain conditions that require long term management under specialist care. 

Patients often want to know what to expect during their treatment. Our structured care pathway ensures clarity, comfort, and long-term results.

Step 1: Comprehensive Pain Assessment

Your care begins with a detailed evaluation using our Painostic® method. Our specialist reviews your medical history, posture, movement, and pain patterns. Imaging such as X-rays or MRI may be reviewed or arranged to confirm the diagnosis.

Step 2: Personalised Treatment Plan

Once the cause is identified, you will receive a treatment plan tailored to your condition, lifestyle, and recovery goals. Your doctor will explain the treatment options and expected outcomes clearly.

Step 3: Treatment Delivery

We offer a full range of minimally invasive procedures that are performed as outpatient or day-surgery treatments. Rehabilitation support such as physiotherapy or guided exercises may also be included to enhance recovery.

Step 4: Follow-up Care

Your progress is monitored closely. We adjust your treatment plan when necessary to help you achieve long-term relief and prevent the pain from returning.

You should seek medical attention if you experience:

• Pain lasting more than a few weeks
• Leg numbness, tingling, or weakness
• Pain that disrupts sleep
• Difficulty standing or walking
• Back pain after a fall or injury

Early treatment prevents complications and improves outcomes.

If back pain is affecting your daily life, help is available. Singapore Paincare offers accurate diagnosis and minimally invasive treatments designed to relieve pain and restore mobility. Book a consultation today to find out which treatment option suits you best and start your journey toward lasting relief.