At PainMed, we understand that dealing with chronic pain can be exhausting. Some days may be better than others, but when the discomfort just won’t go away or keeps returning, it truly begins to wear you down. That’s often the point where advanced options, such as Pulsed Radiofrequency Treatment, prove to be helpful.
This procedure, also known as pulsed radio frequency ablation, does not involve the traditional ablation or destruction of nerve tissue. Instead, we use precisely controlled, short bursts of low-temperature electrical energy to modulate the transmission of pain signals by affected nerves. The primary objective is not to permanently damage the nerve but to subtly disrupt these pain signals, thereby providing relief that can last for up to 18 months.
Although the technology involved in pulsed radio frequency ablation is advanced, the procedure itself is executed with precision and patient comfort in mind. Under the guidance of advanced imaging, our skilled pain specialists meticulously position a needle-thin probe adjacent to the targeted nerve, and the electrical pulses are delivered in a carefully regulated manner.
If you are uncertain about your suitability for this treatment, rest assured that a thorough assessment will be conducted by our chronic pain specialist during your consultation to determine the most appropriate course of care.
01
Chronic Back and Neck Pain
Long-standing discomfort in the spine often stems from irritated joints or nerves. PRF can help reduce pain signals without damaging those structures, giving you time to move more freely and start recovering function.
02
Nerve Root Irritation
When nerves exiting the spine become compressed or inflamed, pain can radiate into the limbs. PRF can help regulate this misfiring without affecting strength or sensation.
03
Arthritis-Related Joint Pain
In cases where arthritis affects joints such as the knees, shoulders, or spine, PRF may help by targeting the nerves that supply those joints without the invasiveness of surgery.
04
Peripheral Nerve Pain
Pain affecting the arms, legs, or face may originate from peripheral nerves. Pulsed Radiofrequency (PRF) treatment can modulate these nerve signals, providing relief without the need for long-term medication use.
05
Sacroiliac (SI) Joint Dysfunction
The sacroiliac (SI) joint, located at the base of the spine where the sacrum meets the pelvis, is a frequently overlooked source of lower back and pelvic pain. Pulsed Radiofrequency (PRF) targeting the nerves around the SI joint can assist in both diagnosing and managing this complex pain condition.
06
Complex Regional Pain Syndrome (CRPS)
Pulsed Radiofrequency (PRF) is one of several therapeutic options that may assist in managing persistent and complex pain conditions, particularly when conventional treatments have not achieved adequate relief.
01
Facet Joint PRF
Facet joints in your spine can become a major source of pain, especially with age or injury. PRF here targets the nerves supplying these joints, which may reduce inflammation-driven discomfort.
02
Sacroiliac Joint PRF
This treatment targets the nerves surrounding the sacroiliac (SI) joint—located where the lower spine connects to the pelvis. It is commonly considered when standard interventions, such as corticosteroid injections or physical therapy, have not provided sufficient relief. Pain originating from the SI joint is typically felt in the lower back, buttocks, or may radiate into the hips and thighs.
03
Spinal Nerve Root PRF
By targeting specific nerve roots, this method helps treat pain that radiates into the arms or legs, without affecting movement or coordination.
01
Facet Joint PRF
Facet joints in your spine can become a major source of pain, especially with age or injury. PRF here targets the nerves supplying these joints, which may reduce inflammation-driven discomfort.
02
Sacroiliac Joint PRF
This treatment targets the nerves surrounding the sacroiliac (SI) joint—located where the lower spine connects to the pelvis. It is commonly considered when standard interventions, such as corticosteroid injections or physical therapy, have not provided sufficient relief. Pain originating from the SI joint is typically felt in the lower back, buttocks, or may radiate into the hips and thighs.
03
Spinal Nerve Root PRF
By targeting specific nerve roots, this method helps treat pain that radiates into the arms or legs, without affecting movement or coordination.
04
Sympathetic Nerve PRF
Sympathetic nerve pulsed radiofrequency (PRF) is utilised in the management of conditions such as Complex Regional Pain Syndrome (CRPS) and certain forms of visceral pain. This technique targets the sympathetic nervous system, which is involved in the modulation of deep, poorly localised pain signals.
05
Peripheral Nerve PRF
Peripheral nerve pulsed radiofrequency (PRF) is used to address pain that does not originate from the spine, by targeting specific nerves in the limbs or other affected regions. This approach can offer effective symptom relief while minimising the need for systemic medications.
04
Sympathetic Nerve PRF
Sympathetic nerve pulsed radiofrequency (PRF) is utilised in the management of conditions such as Complex Regional Pain Syndrome (CRPS) and certain forms of visceral pain. This technique targets the sympathetic nervous system, which is involved in the modulation of deep, poorly localised pain signals.
05
Peripheral Nerve PRF
Peripheral nerve pulsed radiofrequency (PRF) is used to address pain that does not originate from the spine, by targeting specific nerves in the limbs or other affected regions. This approach can offer effective symptom relief while minimising the need for systemic medications.
Precision-Guided Techniques
Every procedure is performed using imaging guidance, ensuring we reach the right spot without guesswork.
Minimally Invasive Approach
There’s no cutting, no stitches. Most patients are in and out within a few hours, with little downtime.
Personalised Treatment Plans
We don’t just perform procedures; we tailor every step of the plan to your history, symptoms, and goals.
Precision-Guided Techniques
Every procedure is performed using imaging guidance, ensuring we reach the right spot without guesswork.
Minimally Invasive Approach
There’s no cutting, no stitches. Most patients are in and out within a few hours, with little downtime.
Personalised Treatment Plans
We don’t just perform procedures; we tailor every step of the plan to your history, symptoms, and goals.
Proven Pain Relief Outcomes
When appropriately applied, Pulsed Radiofrequency (PRF) has demonstrated sustained pain relief across a range of clinical conditions, with evidence supporting its effectiveness in reducing symptoms and improving function in suitable patients.
Comprehensive Care
Pulsed Radiofrequency (PRF) is integrated as part of our multidisciplinary Aspire Pain Program, which includes tailored rehabilitation planning, pain education, psychological support, physiotherapy, hydrotherapy, and dietetic input. This comprehensive approach ensures that PRF is not a standalone procedure, but part of a broader recovery plan designed to address your physical, functional, and emotional well-being.
Proven Pain Relief Outcomes
When appropriately applied, Pulsed Radiofrequency (PRF) has demonstrated sustained pain relief across a range of clinical conditions, with evidence supporting its effectiveness in reducing symptoms and improving function in suitable patients.
Comprehensive Care
Pulsed Radiofrequency (PRF) is integrated as part of our multidisciplinary Aspire Pain Program, which includes tailored rehabilitation planning, pain education, psychological support, physiotherapy, hydrotherapy, and dietetic input. This comprehensive approach ensures that PRF is not a standalone procedure, but part of a broader recovery plan designed to address your physical, functional, and emotional well-being.
PainMed is a specialist pain management clinic dedicated to supporting individuals in restoring their quality of life. Our multidisciplinary team, comprising experienced physicians, interventional pain specialists, and allied health professionals, works collaboratively to gain a comprehensive understanding of your pain, considering both the physical symptoms and the broader contributing factors.
We prioritise accurate diagnosis, transparent communication, and personalised treatment planning tailored to your individual needs. Our aim is to provide clarity and support throughout your pain management journey.
Our services include a range of evidence-based interventional treatments, such as pulsed radiofrequency (PRF) therapy, targeted nerve blocks, and other advanced modalities. These interventions are designed to reduce pain, improve function, and minimise reliance on long-term medications or invasive surgical procedures.
PainMed is committed to delivering precise, patient-centred care to help you manage pain more effectively and improve overall comfort.
PRF treatment is generally well tolerated. A local anaesthetic is typically used to numb the area, and while some patients may experience pressure or brief discomfort during the procedure, most find it manageable.
Some individuals prefer to have the procedure performed in clinic rooms under local anaesthetic, while others may choose to undergo it in a hospital setting under general anaesthesia, depending on personal preference and clinical considerations. Your pain specialist will discuss the most appropriate option for your needs.
The duration of pain relief following pulsed radiofrequency (PRF) treatment can vary between individuals. Some patients experience significant relief lasting up to 18 months. For others, the effects may be shorter, and repeat treatments can be considered if needed. PRF often provides a valuable window of reduced pain, supporting improved function and engagement in rehabilitation.
Mild soreness or discomfort at the injection site is common and typically resolves within a few days. Most people can return to normal activities shortly after the procedure.
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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: