The journey through pain is different for each patient. My commitment is to ensure that patients with chronic pain can live life and not just exist.

Physiotherapy for the treatment of pain


The initial evaluation of a patient’s pain must be as thorough as possible to form the basis for an effective, individualised treatment plan which then should be reviewed regularly. Cancer patients, in particular, may be experiencing pain at multiple locations due to a number of causes. Dr Ivanova-Stoilova’s clinical assessments will include a general medical history covering the patient’s pain history, a physical examination, psychosocial assessment and any diagnostic testing if required.

Medication Management of Chronic Pain Conditions


Medication is the most commonly used medical intervention for the management of acute and chronic pain, cancer pain and palliative pain relief. It can be highly effective, but it is essential that any medicines are frequently reviewed and adjusted to ensure both patient safety and effectiveness. Dr Ivanova-Stoilova will always ensure that you are fully informed about any prescribed medicines or changes to your current protocol, so you are an active partner in any decision made. However, not all pain is treated with opioids and Dr Ivanova-Stoilova can provide other medications and non-drug treatments for effective pain management.

Interventional pain procedure in theatre


If pain symptoms persist and do not respond to non-invasive measures, interventional pain management may be recommended. Some therapeutic injections are carried out in our outpatient clinic, but most patients are treated in a dedicated pain clinic theatre as a day case procedure. The aim of therapeutic injections, such as nerve blocks or joint injections, are to reduce pain and improve quality of life. Pulsed radiofrequency treatment for painful scars, disrupted spinal discs, intractable pain in neck, head, shoulders, thighs, knees and feet can be life changing. Radiofrequency ablation to painful spinal joints can give new lease of life to patients with long- lasting back pain and previous severe movement limitations. These procedures are always planned as part of a comprehensive treatment program.

Ambulatory minor pain relief treatments


A steroid injection is a minimally invasive procedure that Dr Ivanova-Stoilova can offer in clinic to diagnose and temporarily relieve pain caused by joint inflammation. The injection is composed of a corticosteroid and numbing agent such as lidocaine and it can be delivered into the facet joints of the spine and into the joint capsules at the hip, knee, shoulder, elbow and hand. Pain relief varies from patient to patient but can last from days to months, allowing the patient to pursue physiotherapy and other complimentary measures to improve their condition.

Complimentary Treatments for Chronic Pain Management


Dr Ivanova-Stoilova offers a holistic approach to pain management and, alongside medical intervention, can guide you towards complimentary therapies such as yoga, acupuncture and acupressure and neurostimulation treatments, such as TENS, PENS, and the PainGone painkilling pen, which work by altering pain signals as they travel to the brain. These therapies can increase your sense of control over your condition and improve quality of life. She will advise on the most appropriate TENS machine, teach you how to use the PainGone pen to gain control over you daily pain. Complimentary and integrative therapies typically have fewer side effects and long-term risks than conventional medical treatment.

Psychological support for chronic pain management


Pain is made up of two factors: the physical and the psychological. Stress and pain interact in a number of different ways and the persistent stress associated with chronic pain can further affect the nervous and immune system and can actually mean we feel more pain. Patients are taught to control their behavioural and physical reactions to everyday situations which helps them to manage stress-related chronic pain.