We shun the One Size Fits All approach

Individualising treatment is the key to successful pain management. At PainMed, our team formulates a plan, keeping you and your circumstances in mind. We incorporate a range of treatments from simple medications to advanced interventional pain techniques, along with psychological management and physical therapies. This helps to improve all aspects of life and not just pain.

Often we have patients who have tried most, if not all therapies prior to seeing us at PainMed. The difference lies in our unique ‘Patient Centered Pain Care’ approach. Where every intervention is tailored to you and we focus on identifying your goals and working together to meet your expectations.

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Our treatment options

Medication

Medications have an important role in reducing your pain levels and thereby improving your function. Finding the right combination of medications for you may sometimes be a challenge and regular close monitoring of your medications is required until a stable combination is achieved. Often it is a balancing act between the medication’s pain relieving effect and its side-effects. We ideally would like to you to take the least amount of medications needed to provide you good quality pain relief. This is usually done in combination with other therapies to reduce overall pain.

Injections & Infusions

Interventions can help you get back on track if you have severe debilitating pain. It also assists in giving you good quality pain relief while allowing you to engage in physiotherapy and help you reduce or rationalise your pain medications. Carefully choosing the right pain interventions is important and the best outcomes are achieved while used as part of a comprehensive inter-disciplinary pain management plan.

Psychological Support

We recognise that with pain that persists beyond the usual healing period, it not only affects you physically but can be emotionally draining. This results in depression or anxious feelings towards the future. In addition to the physical and psychological stress, social issues may start to surface such as isolation, reduced recreational activity, a loss of employment and financial stress.

There are a number of psychological techniques which have been proven to be effective in helping patients with persistent pain. This may be delivered as an individual session or in a group setting allowing patients to discuss their stress and pain.

Medication

Medications have an important role in reducing your pain levels and thereby improving your function. Finding the right combination of medications for you may sometimes be a challenge and regular close monitoring of your medications is required until a stable combination is achieved. Often it is a balancing act between the medication’s pain relieving effect and its side-effects. We ideally would like to you to take the least amount of medications needed to provide you good quality pain relief. This is usually done in combination with other therapies to reduce overall pain.

Injections & Infusions

Interventions can help you get back on track if you have severe debilitating pain. It also assists in giving you good quality pain relief while allowing you to engage in physiotherapy and help you reduce or rationalise your pain medications. Carefully choosing the right pain interventions is important and the best outcomes are achieved while used as part of a comprehensive inter-disciplinary pain management plan.

Psychological Support

We recognise that with pain that persists beyond the usual healing period, it not only affects you physically but can be emotionally draining. This results in depression or anxious feelings towards the future. In addition to the physical and psychological stress, social issues may start to surface such as isolation, reduced recreational activity, a loss of employment and financial stress.

There are a number of psychological techniques which have been proven to be effective in helping patients with persistent pain. This may be delivered as an individual session or in a group setting allowing patients to discuss their stress and pain.

Exercise and Reconditioning

Physical therapy is a vital component of any pain management approach. We all know how important it is to exercise and maintain a reasonable level of fitness for a healthy living. Persistant pain may cause a reduction in activity levels resulting in you being deconditioned and loosing fitness.

Our physiotherapist will help you gradually regain this by an individualised exercise program. It is important to note that a graded program is necessary while allowing your body to heal and regain the fitness levels. This may be either land-based techniques or water based techniques (Hydrotherapy) depending on your pain.

Lifestyle Modifications

Nothing is complete without addressing lifestyle changes. Pain can be influenced by your habits, for example, cigarette smoking, alcohol, diet and sleep patterns. This is emphasised as part of our management to help you maintain your health and regain control over your life.

This may take the form of dietary advice, education of sleep, hygiene or assistance with quitting smoking or even referrals to specialised services for patients with substance use.

Exercise and Reconditioning

Physical therapy is a vital component of any pain management approach. We all know how important it is to exercise and maintain a reasonable level of fitness for a healthy living. Persistant pain may cause a reduction in activity levels resulting in you being deconditioned and loosing fitness.

Our physiotherapist will help you gradually regain this by an individualised exercise program. It is important to note that a graded program is necessary while allowing your body to heal and regain the fitness levels. This may be either land-based techniques or water based techniques (Hydrotherapy) depending on your pain.

Lifestyle Modifications

Nothing is complete without addressing lifestyle changes. Pain can be influenced by your habits, for example, cigarette smoking, alcohol, diet and sleep patterns. This is emphasised as part of our management to help you maintain your health and regain control over your life.

This may take the form of dietary advice, education of sleep, hygiene or assistance with quitting smoking or even referrals to specialised services for patients with substance use.

Dr. Sally Wride

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

Education
MSc in Medicine Pain Management (Sydney University) Accreditations

Dr. Baraa Kassim

Dr. Baraa Kassim is a highly skilled rehabilitation and pain management specialist. With experience in treating patients with complex medical conditions, her expertise spans strokes, neurological, orthopedic, musculoskeletal, and geriatric conditions, as well as spasticity management and spinal and brain injury rehabilitation.

Dr. Adam Mir

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. 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:

Languages Spoken: English, Persian (Farsi), Dari

Dr. Alister Ramachandran

Dr. Alister Ramachandran, a dual specialist in Anaesthesia and Pain Medicine, boasts 20+ years of experience. FIPP-certified, he leads Westmead’s pain service, teaches at Sydney University, and is a Faculty of Pain Medicine examiner. His focus remains on delivering evidence-based chronic pain treatment, ensuring comprehensive and effective pain management intervention.

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