Chronic Pain & Fatigue Management

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Where evidence-based medicine meets pain and fatigue management

At the Private Doctors, our Pain and Fatigue clinic offers a professor-led assessment and treatment for chronic pain and fatigue. We offer diagnosis, investigations and management of a range of conditions such as musculoskeletal conditions (joint pain, neck/back pain, muscle pain), work-related overuse injuries, fibromyalgia syndrome (FMS), Long COVID, myalgic encephalomyelitis/ chronic fatigue syndrome (ME/CFS), and Postural Tachychardia Syndrome (PoTS)

PRIORITY & PRECISION

Why Choose The Private Doctors

PROFESSOR LED EXPERTISE

Comprehensive and holistic assessment and rapid access to investigations and treatment.

IN-HOUSE DIAGNOSIS

Diagnostic ultrasound, blood tests, ECG, Autonomic Medicine Tests (including 10-min Lean Test and autonomic blood panel), access to Cardiology experts.

SPECIALIST KNOWLEDGE

World-leading clinician and researcher in physical and rehabilitation medicine, pain medicine and autonomic medicine.

CONSULTANT NETWORK

Priority referrals to leading consultants in the field of neurology, cardiology, gastroenterology, chronic pain and fatigue medicine.

TRUST & PRIORITY

Our Services

PAIN & FATIGUE ASSESSMENT

Specialist and comprehensive assessment of chronic pain or chronic fatigue or both conditions, offering a one-stop 1-hr comprehensive assessment, investigation and treatment session.


Initial Consultation £450

  • Service Information

    Prof Manoj Sivan, a world-leading clinician and researcher in this field, offers specialist consultation and investigation based on the latest emerging evidence which is available only at this clinic in the country. 


    The initial consultation includes holistic assessment of all symptoms, specialist blood tests, in-clinic tests for autonomic function, non-drug treatments, drug treatments and injection treatments when needed. The clinic also offers advice on emerging latest research in the area. Diagnostic ultrasound and guided-injections may be carried out if indicated. 


    Each patient gets a tailored individualised treatment based on their needs and enables them to improve their function in daily life, work performance and quality of life. The clinic offers managing the fluctuations of the condition and strategies to manage the long-term condition.

MUSCULOSKELETAL ULTRASOUND

Specialist musculoskeletal ultrasound for static and dynamic assessment of joints and muscles to understand underlying biomechanical and pathological abnormalities that lead to musculoskeletal pain, offering a one-stop diagnostic ultrasound and treatment session.


Diagnostic Ultrasound £200

  • Service Information

    Prof Manoj Sivan, holds a PgCert in MSK ultrasound and offers specialist diagnosis based on the initial consultation (see section on initial consultation) and findings of ultrasound imaging.  


    The ultrasound assessment includes joints, soft tissue, tendon, neovascularity (on doppler), dynamic testing during movement and using ultrasound to guide intervention.  


    The patient gets a tailored ultrasound scan of the relevant MSK area relevant to the painful condition. The specific anatomical areas include shoulder joint, elbow joint, writs and hand, hip joint, knee joint, ankle and foot. Assessment could include imaging of muscle, nerve and soft tissue lesions.  

MUSCOSKELETAL INTERVENTIONS

Specialist musculoskeletal ultrasound for guiding injection interventions, offering a one-stop diagnostic ultrasound and treatment session.


Interventions £500

  • Service Information

    Prof Manoj Sivan, holds a PgCert in MSK ultrasound and offers ultrasound guided interventions for musculoskeletal and neurological conditions causing pain.  


    Shoulder – joint steroid injection, subacromial bursa injection for impingement, hydrodistension for frozen shoulder, suprascapular nerve block for painful shoulder.

    Elbow – joint steroid injection, tennis elbow injection/ dry needling, golfer’s elbow injection/ dry needling.

    Wrist/hand – carpal tunnel steroid injection, trigger finger injection, small joint steroid injection

    Hip – trochanteric pain injection/ dry needling, joint injection.

    Knee – joint steroid injection, tendinopathy dry needling, bursa aspiration/ injection.

    Ankle/foot – joint steroid injection, tendinopathy dry needling/ high volume distension, neuroma injection, bursa aspiration/ injection


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About Professor Manoj Sivan

Professor Manoj Sivan MD FRCP Ed is a consultant in physical and rehabilitation medicine and a world leader in the assessment and management of chronic musculoskeletal problems. His expertise includes diagnostic and interventional musculoskeletal ultrasound, pain-relieving injections, assessment of autonomic dysfunction (such as PoTS), and management of chronic widespread pain (fibromyalgia), chronic fatigue (ME/CFS), and post-infection syndromes (such as long COVID).


He has served as president of the British Society of Physical and Rehabilitation Medicine (BSPRM) and consultant and advisor to the World Health Organisation (WHO) during the pandemic. He has published over 250 articles, secured research grants worth >£10 million, and is in the top 0.5% of scientists in his field globally. He is the Editor-in-Chief of the SAGE journal Advances in Rehabilitation Science and Practice. He is the recipient of the BMJ Clinical Leadership Team award, ISPRM Sidney Licht award, RACP George Burniston Medal, European Academy of RM award and Philips Nicols prize. 

YOUR Health FUTURE STARTS TODAY

Book An Appointment With Prof Sivan

Pain & Fatigue Form