PONOS CLINIC · SPINE
Spinal pain
Specialist assessment of persistent or complex low back, thoracic and neck pain when usual treatments are no longer enough.
When spinal pain needs specialist assessment
Spinal pain may arise from several structures: posterior joints, discs, nerve roots, muscles, sacroiliac joints or postsurgical changes. Pain location alone does not always identify the source.
The assessment integrates history, examination, available imaging and targeted tests when indicated. Procedures are proposed only when the clinical correlation is sufficiently strong.
Main areas of assessment
Low back pain
Persistent low back pain, facet pain, disc pain, radiculopathy, stenosis and sacroiliac pain.
Neck pain
Neck pain, cervical arthrosis, cervicogenic pain and symptoms radiating to the shoulders, head or arms.
Thoracic spinal pain
Intercostal or postsurgical pain, costovertebral joint pain and persistent symptoms requiring clarification.
The PONOS pathway
- Clinical assessment: analysis of symptoms, aggravating factors and goals.
- Review of investigations: integrated review of MRI, CT, X-rays and previous reports.
- Target confirmation: diagnostic or infiltration tests only when they may change the decision.
- Personalised plan: interventional treatment, rehabilitation and follow-up are coordinated.
Selected procedures
When the indication is documented, ultrasound- or fluoroscopy-guided injections, radiofrequency of posterior joints, neuromodulation and other targeted techniques may be considered. The choice depends on diagnosis, anatomy, test response and risk profile.
The result of a test or treatment is interpreted together with symptoms and clinical examination.
Frequently asked questions
Is MRI always needed?
Not always. The clinician decides which investigations are useful for the clinical question and procedure safety.
Must pain be severe?
The decision depends on duration, limitation, diagnosis and response to previous treatments, not intensity alone.
Can more than one site be assessed?
Yes, when symptoms and examination suggest a multifactorial picture. The pathway follows diagnostic priorities.
Let us discuss your spinal pain
Bring available reports and images: they help define the clinical question.
This information is educational and does not replace an individual medical assessment.