Back Pain Treatment in Singapore

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Non-Surgical Back Pain Treatment

Dr. Bernard Lee Mun Kam (李文鉴医生)

Consultant Pain Specialist

MBBS (S’pore), MMed (Anaesthesiology), FFPMANZCA
Member, IASP | Member, PAS

Back Pain Treatment In Singapore

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Dr. Bernard Lee Mun Kam  
(李文鉴医生)

Consultant Pain Specialist

MBBS (S’pore), MMed (Anaesthesiology), FFPMANZCA
Member, IASP | Member, PAS

Overview

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Back Pain treatment in Singapore

Back pain treatment in Singapore ranges from physiotherapy and medication to minimally invasive procedures that target the precise source of pain without surgery. At Singapore Paincare, treatment begins with a thorough diagnostic assessment to identify whether your pain originates from a muscle, disc, nerve, or joint before any procedure is recommended.

Understanding Back Pain in Singapore

Back pain is one of the most common reasons adults in Singapore seek medical care. According to the Ministry of Health’s Clinical Practice Guidelines on Low Back Pain, lower back pain is among the leading musculoskeletal complaints managed in both primary care and specialist settings in Singapore. With an increasingly office-based workforce and a rapidly ageing population — by 2030, one in four Singaporeans will be aged 65 or older — the burden of back pain is expected to grow.

Common contributors to back pain in Singapore include:

  • Prolonged desk work and sedentary office jobs
  • Poor posture during laptop or mobile phone use
  • Long commutes on the MRT or bus
  • Lifting during caregiving or manual work
  • Age-related changes to spinal discs and joints
  • Previous injuries that were not fully resolved

These stresses accumulate over time and can affect muscles, discs, facet joints, and the nerves running through the spine. Understanding what is causing your pain — not just where it hurts — is the first step toward lasting relief.

What Causes Back Pain?

Back pain has several possible causes, which is why an accurate diagnosis matters before any treatment is started.

Muscle or ligament strain

This is the most common cause of acute back pain. It results from overstretching or micro-tearing of the muscles or ligaments supporting the spine — often triggered by a sudden movement, heavy lifting, or sustained poor posture.

Slipped disc (herniated disc)

Slipped disc (herniated disc) occurs when the soft inner material of a spinal disc pushes outward through a tear in the outer casing. This can press on nearby nerve roots, causing pain, numbness, or weakness that may radiate into the leg.

Facet joint degeneration

Facet joint degeneration affects the small joints connecting the vertebrae. Over time, wear and tear can inflame these joints and cause stiffness and localised pain, particularly in the lower back.

Spinal stenosis

Spinal stenosis is a narrowing of the spinal canal that places pressure on the spinal cord or nerve roots. It is more common in adults over 50 and often causes leg heaviness or pain when walking that eases with sitting.

Sciatica and nerve root compression

Sciatica and nerve root compression occur when a nerve in the lower spine is irritated or compressed — commonly by a slipped disc or bone spur — leading to shooting pain, tingling, or weakness along the path of the nerve.

Spondylosis and degenerative disc disease

Spondylosis and degenerative disc disease describe the gradual wear-and-tear changes to the spine’s discs and joints that occur with ageing. These changes are common and do not always cause symptoms, but when they do, the pain can be persistent and affect daily function.

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

How Back Pain Is Diagnosed?

An accurate diagnosis begins with a thorough clinical assessment — not a scan. Many people are told their scan “looks fine” while their pain persists, or they have age-related changes on imaging that are not actually causing their symptoms.

At Singapore Paincare, assessment starts with a review of your pain history, symptom patterns, and functional limitations. A physical examination evaluates your posture, spinal movement, nerve function, and strength. Imaging such as X-rays or MRI may be arranged to support the diagnosis when structural causes are suspected.

Painostic® Approach

Painostic® is a proprietary diagnostic methodology developed by Dr. Bernard Lee Mun Kam. It identifies the precise anatomical source of pain by combining a structured clinical examination with image-guided diagnostic blocks — targeted injections that temporarily block specific nerves or joints to confirm whether they are the true pain generator.

Where a standard assessment asks where the pain is, Painostic® asks why. This approach evaluates pain across four dimensions: pain patterns, underlying pathology, pain perception, and psychological factors. The result is a treatment plan built on confirmed diagnosis — not assumption.

Back Pain Treatment Options in Singapore

Conservative Treatments

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

Minimally Invasive Treatment

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 Injection 

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 pain 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

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 (RFA)

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.

When to See a Back Pain Specialist in Singapore

You should consider consulting a pain specialist if:

  • Your back pain has persisted for more than 2–3 weeks
  • Pain is radiating into your leg, buttock, or foot
  • You are experiencing numbness, tingling, or weakness in your legs
  • Pain is disrupting your sleep or daily activities
  • You have tried physiotherapy or medication without adequate relief
  • Back pain began after a fall, accident, or injury
  • You are managing a known spinal condition such as a slipped disc or spinal stenosis

Early specialist assessment can clarify the source of your pain and prevent it from becoming a long-term condition.

Speak to a pain specialist to find out which treatment option is right for you. Book a consultation with our team at Singapore Paincare.

Take the First Step Toward Back Pain Relief

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.

FAQs About Back Pain Treatment in Singapore

Yes. The majority of back pain conditions — including slipped discs, facet joint pain, nerve compression, and chronic muscle pain — can be managed effectively with minimally invasive procedures, physiotherapy, and medication. Surgery is generally reserved for cases where structural damage is severe and has not responded to all non-surgical options.

The most appropriate treatment depends on the confirmed source of your pain. Minimally invasive options such as radiofrequency ablation, epidural injections, and nerve blocks are commonly used for targeted relief. At Singapore Paincare, the Painostic® assessment is used to identify the exact pain source before recommending any treatment.

Some minimally invasive procedures for back pain may be Medisave-claimable depending on the diagnosis and procedure type. Patients are advised to confirm claimability with the clinic at the time of consultation, as eligibility is determined by the Ministry of Health and CPF Board guidelines.

No referral is required. You can book a consultation directly with our pain specialist team.

Yes. Minimally invasive procedures use small-gauge needles or tiny incisions rather than open surgery, which makes them appropriate for older adults who may not be suitable candidates for general anaesthesia or major surgery.

Hotline: +65 8777 9500

Singapore Paincare Centers

PARAGON MEDICAL CENTRE
Singapore Paincare Center @ Paragon
290 Orchard Road #18-03,
Singapore 238859

Clinic hours
Mon–Fri: 9am–1pm, 2pm–6pm
Sat: 9am–1pm
Sun & PH: Closed

Doctors on duty
Dr. Bernard Lee: Tuesday, Thursday, Saturday
Dr. Yoong Chee Seng: Monday, Wednesday, Friday
Dr. Chiam Tut Fu: Monday to Saturday

MOUNT ELIZABETH NOVENA SPECIALIST CENTRE
Singapore Paincare Center @ Novena
38 Irrawaddy Road #07-33,
Singapore 329563

Clinic hours
Mon–Fri: 9am–1pm, 2pm–6pm
Sat: 9am–1pm
Sun & PH: Closed

Doctors on duty
Dr. Bernard Lee: Monday, Wednesday, Friday
Dr. Yoong Chee Seng: Tuesday, Thursday, Saturday