At PainMed, we understand the significant impact chronic pain can have on daily functioning, affecting mobility, sleep, emotional wellbeing, and even cognitive performance. For individuals who have not experienced sufficient relief from conventional therapies, neuromodulation offers a clinically supported and advanced treatment option.
Neuromodulation involves altering the way nerves transmit pain signals, aiming to reduce the perception of pain without addressing the structural cause directly. This is achieved through the precise delivery of low-level electrical stimulation to specific nerves or areas of the spinal cord, helping to calm overactive nerve pathways responsible for persistent discomfort.
While spinal pain is a common indication, neuromodulation is also used to manage a range of other complex pain conditions, including:
At PainMed, we utilise the latest in neuromodulation technology to ensure precise targeting, enhanced patient comfort, and optimised outcomes. This treatment may be appropriate for individuals with ongoing pain despite prior interventions, including spinal surgery or prolonged use of medications.
A comprehensive assessment by our chronic pain specialists will determine whether neuromodulation is suitable for your condition and how it may fit within your broader pain management plan.
We use advanced neuromodulation treatments to provide significant relief for a range of complex and persistent pain conditions.
Our specialists focus on precisely modulating nerve signals to improve your quality of life.
01
Failed Back Surgery Syndrome (FBSS)
Sometimes, surgery doesn’t relieve back pain, or it helps initially, but the pain returns. Neuromodulation can offer a way to manage this kind of lingering post-surgical discomfort.
02
Complex Regional Pain Syndrome (CRPS)
A condition that can cause intense, persistent pain, often in a limb, CRPS is notoriously hard to treat. Neuromodulation may help calm the hypersensitive nerves involved.
03
Post-Surgical Nerve Pain
Even routine surgeries can sometimes result in nerve damage or irritation. When this leads to long-term pain, neuromodulation may offer relief without the need for further operations.
01
Failed Back Surgery Syndrome (FBSS)
Sometimes, surgery doesn’t relieve back pain, or it helps initially, but the pain returns. Neuromodulation can offer a way to manage this kind of lingering post-surgical discomfort.
02
Complex Regional Pain Syndrome (CRPS)
A condition that can cause intense, persistent pain, often in a limb, CRPS is notoriously hard to treat. Neuromodulation may help calm the hypersensitive nerves involved.
03
Post-Surgical Nerve Pain
Even routine surgeries can sometimes result in nerve damage or irritation. When this leads to long-term pain, neuromodulation may offer relief without the need for further operations.
04
Spinal Cord Injuries
While it can’t reverse an injury, neuromodulation can sometimes help reduce the associated nerve pain, making daily life a little more manageable.
05
Occipital Neuralgia
A type of headache that starts at the base of the skull and can feel sharp or throbbing. If medications aren’t working, neuromodulation may help reduce the severity or frequency.
06
Diabetic Neuropathy
For some people with diabetes, nerve damage leads to chronic pain, particularly in the legs and feet. Neuromodulation provides a drug-free option for managing this.
04
Spinal Cord Injuries
While it can’t reverse an injury, neuromodulation can sometimes help reduce the associated nerve pain, making daily life a little more manageable.
05
Occipital Neuralgia
A type of headache that starts at the base of the skull and can feel sharp or throbbing. If medications aren’t working, neuromodulation may help reduce the severity or frequency.
06
Diabetic Neuropathy
For some people with diabetes, nerve damage leads to chronic pain, particularly in the legs and feet. Neuromodulation provides a drug-free option for managing this.
Neuromodulation encompasses several distinct therapies, each designed to modulate
nerve activity in specific ways to alleviate chronic pain.
01
Spinal Cord Stimulation (SCS)
02
Sacral Nerve Stimulation (SNS)
Mainly used for pelvic pain or certain types of bladder dysfunction, SNS targets the sacral nerves at the base of the spine.
01
Spinal Cord Stimulation (SCS)
02
Sacral Nerve Stimulation (SNS)
Mainly used for pelvic pain or certain types of bladder dysfunction, SNS targets the sacral nerves at the base of the spine.
At PainMed, we don’t rush into complex treatments without a complete picture. We take the time to assess, explain, and explore what makes sense for you. Neuromodulation is a significant decision, and we treat it that way.
Specialist Pain Physicians
Our team of physicians brings extensive experience in both advanced pain management technologies and patient care. They combine clinical expertise with a compassionate, patient-centred approach, ensuring that treatment decisions are guided by precision while remaining responsive to each individual’s needs and circumstances.
Innovative Technology
We utilise the latest neuromodulation systems, which feature advanced programming capabilities and customisable stimulation patterns tailored to each patient’s clinical presentation. Our commitment to excellence extends beyond technology. Several of our physicians regularly attend specialised workshops and national conferences to stay at the forefront of emerging developments in neuromodulation.
In addition, members of our medical team contribute to the broader medical community as university lecturers and examiners involved in the training and assessment of future doctors. This ongoing engagement ensures our clinical practice remains aligned with the highest standards of education, research, and innovation.
Comprehensive Support
At PainMed, we provide ongoing support throughout every stage of your neuromodulation journey. From your initial consultation, our team takes the time to understand your medical history, assess your pain condition thoroughly, and determine whether neuromodulation is a suitable option.
If treatment proceeds, we guide you through the trial phase, carefully monitoring your response and making any necessary adjustments to optimise outcomes. Should a permanent implant be recommended, we coordinate all aspects of the procedure in collaboration with surgical teams and ensure you are fully informed and prepared.
Post-implant, our care continues with regular follow-up appointments to fine-tune stimulation settings, assess progress, and provide multidisciplinary support, including input from physiotherapy, psychology, and pain education services where appropriate. Our goal is to ensure both the effectiveness of the therapy and your confidence in managing it over time.
Specialist Pain Physicians
Our team of physicians brings extensive experience in both advanced pain management technologies and patient care. They combine clinical expertise with a compassionate, patient-centred approach, ensuring that treatment decisions are guided by precision while remaining responsive to each individual’s needs and circumstances.
Innovative Technology
We utilise the latest neuromodulation systems, which feature advanced programming capabilities and customisable stimulation patterns tailored to each patient’s clinical presentation. Our commitment to excellence extends beyond technology. Several of our physicians regularly attend specialised workshops and national conferences to stay at the forefront of emerging developments in neuromodulation.
In addition, members of our medical team contribute to the broader medical community as university lecturers and examiners involved in the training and assessment of future doctors. This ongoing engagement ensures our clinical practice remains aligned with the highest standards of education, research, and innovation.
Comprehensive Support
At PainMed, we provide ongoing support throughout every stage of your neuromodulation journey. From your initial consultation, our team takes the time to understand your medical history, assess your pain condition thoroughly, and determine whether neuromodulation is a suitable option.
If treatment proceeds, we guide you through the trial phase, carefully monitoring your response and making any necessary adjustments to optimise outcomes. Should a permanent implant be recommended, we coordinate all aspects of the procedure in collaboration with surgical teams and ensure you are fully informed and prepared.
Post-implant, our care continues with regular follow-up appointments to fine-tune stimulation settings, assess progress, and provide multidisciplinary support, including input from physiotherapy, psychology, and pain education services where appropriate. Our goal is to ensure both the effectiveness of the therapy and your confidence in managing it over time.
Proven Results
While individual outcomes may vary, many patients experience significant improvements in their daily function, comfort, and overall quality of life following neuromodulation. For some, it represents a major turning point in the management of long-standing pain.
To ensure optimal results, the implanted system is regularly reviewed and adjusted as needed. In addition to medical follow-up, a dedicated technical specialist from the device supplier is actively involved in ongoing reviews, working closely with our clinical team to fine-tune stimulation settings and ensure the system continues to meet your needs effectively.
Multidisciplinary Support Team
We take a collaborative, multidisciplinary approach to care, working closely across specialties to ensure your treatment is coordinated, comprehensive, and centred around your individual needs. This includes regular communication between our pain specialists, allied health professionals (such as physiotherapists, psychologists, dietitians, and exercise physiologists), and our dedicated practice nurse, who plays a key role in supporting your clinical journey. Together, we aim to provide seamless, patient-focused care that addresses the full scope of your condition.
Proven Results
While individual outcomes may vary, many patients experience significant improvements in their daily function, comfort, and overall quality of life following neuromodulation. For some, it represents a major turning point in the management of long-standing pain.
To ensure optimal results, the implanted system is regularly reviewed and adjusted as needed. In addition to medical follow-up, a dedicated technical specialist from the device supplier is actively involved in ongoing reviews, working closely with our clinical team to fine-tune stimulation settings and ensure the system continues to meet your needs effectively.
Multidisciplinary Support Team
We take a collaborative, multidisciplinary approach to care, working closely across specialties to ensure your treatment is coordinated, comprehensive, and centred around your individual needs. This includes regular communication between our pain specialists, allied health professionals (such as physiotherapists, psychologists, dietitians, and exercise physiologists), and our dedicated practice nurse, who plays a key role in supporting your clinical journey. Together, we aim to provide seamless, patient-focused care that addresses the full scope of your condition.
PainMed is a dedicated pain management clinic offering a range of interventional therapies for complex and chronic pain. We serve patients throughout Sydney, combining modern treatments with a calm, supportive approach.
Whether you’re dealing with nerve pain, musculoskeletal injuries, or post-surgical complications, we focus on evidence-based and realistic treatments. That means clear communication, no unnecessary procedures, and tailoring care to the individual’s needs.
Neuromodulation is one part of what we do. We also provide injections, pulsed radiofrequency, and personalised pain programs because pain is rarely simple, and the treatment shouldn’t be either.
If you require assessment or management for complex spinal pain and are seeking advanced treatment options, our team at PainMed in Sydney is available to assist.
Some neuromodulation devices produce a mild tingling sensation (known as paresthesia), while newer systems can deliver stimulation below the sensory threshold, meaning you may not feel any sensation at all. Programming is tailored to your comfort and clinical response, with your input playing a key role in optimising the settings. You will also have ongoing access to a dedicated technical specialist, who works closely with our clinical team to ensure your device remains well-tuned to your needs over time.
For some, it significantly reduces pain. For others, it might simply make the pain more manageable. It’s not a cure, but it can be a powerful part of a broader pain management strategy.
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Originally from England, Sally graduated from St George’s Hospital, University of London in 2004 with a BSc (First Class Hons) in Physiotherapy. Since settling in Australia, Sally has worked in private practice and in the public hospital setting across Sydney.
Sally gained a Masters in Medicine Pain Management from the University of Sydney in 2019 and is a Titled Pain Physiotherapist (as awarded by the Australian Physiotherapy Association).
In addition to private practice, Sally currently works as a Senior Physiotherapist at Westmead Hospital Pain Management Service.
Sally is highly skilled in assessing, diagnosing and treating people who experience chronic pain. She enjoys working with injured workers and CTP claimants. She has a deep understanding of the impact of pain on the whole person and on their functioning in daily life. In partnership with her colleagues, Sally enjoys applying her knowledge and clinical skills to provide a safe space for exploration of the physical and emotional meaning of pain and for recovery of function.
Qualifications and Experience
Dr. Adam is a Fellowship-trained Pain Medicine Specialist with a Fellowship from the Faculty of Pain Medicine (FFPMANZCA) and a Master of Pain Medicine from the University of Sydney. He is dedicated to the comprehensive management of chronic pain across all age groups.
Dr. Adam trained in adult pain medicine at Liverpool Hospital, Nepean Hospital, and the Department of Pain Medicine, and completed additional training in paediatric chronic pain at The Children’s Hospital at Westmead. He currently serves as a Staff Specialist at Westmead and St George Public Hospitals (NSW Health), and is a Visiting Medical Officer (VMO) at Liverpool Public Hospital, St George Private, Sydney Southwest Private, Holroyd Private, Norwest Private, and Nepean Private Hospitals.
He adopts a whole-person, multidisciplinary approach rooted in the socio-psycho-biomedical model, utilising both pharmacologic and interventional techniques. These include:
Dr. Adam is an Authorised Prescriber of Medicinal Cannabis and holds a Diploma in Medicinal Cannabis. He is also certified in Opioid Treatment Programs, including Methadone, Suboxone, and Buprenorphine injections. His areas of interest include opioid dependence management, medicinal cannabis, and interventional pain procedures.
He also completed advanced training in Virtual Reality Therapy for chronic pain and mental health disorders in Barcelona, Spain, and has further qualifications in Focused Psychological Strategies, Cognitive Behavioural Therapy (CBT), and Clinical Hypnosis.
Qualifications:
