Pain management treatment involves a combination of therapies aimed at reducing or controlling chronic or acute pain. This can include medications, physical therapy, injections like corticosteroids or PRP, and in some cases, surgical interventions. A personalised approach is often used to address the specific needs and underlying causes of each patient’s pain.
We’re a pain relief treatment service based on the Isle of Man. Book a consultation with us today to take the first steps in your journey for a pain-free life.
Platelet Rich Plasma (PRP) injections
PRP (Platelet-Rich Plasma) injections use your body’s own healing cells to naturally reduce pain and promote tissue repair in joints, muscles and tendons.
Arthrosamid Injections
Arthrosamid injections offer long-lasting relief from knee osteoarthritis by cushioning the joint with a soft, hydrogel-based treatment.
Joint injections for pain relief
Joint injections (steroid, Ostenil and Synvisc) are commonly used to treat joint pain caused by conditions like arthritis, bursitis, tendonitis, or injuries.
Our other pain relief treatments
Are you experiencing pain in another area? Whatever the cause, we’re here to support your recovery. Below is a list of the most common pain management treatments available at Manx Pain Clinic.
Joint injections (steroid, Ostenil and Synvisc)
A facet joint injection is a minimally invasive procedure in which a mixture of local anaesthetic (to numb the area) and often a corticosteroid (to reduce inflammation) is injected directly into or around these joints.
The anaesthetic provides short‑term relief, while the steroid can reduce inflammation for weeks to months.
Learn more about this type of treatment on the official Faculty of Pain Medicine website.
Botulinum Toxin (Botox)
Botulinum toxin, commonly known as Botox, is used in pain management to help relieve chronic pain conditions by reducing muscle tension and interrupting nerve signals that transmit pain. It is particularly effective in treating conditions such as chronic migraines, myofascial pain syndrome and spasticity-related pain. By targeting overactive muscles or nerves, botulinum toxin can provide significant and prolonged pain relief for many patients.
Coeliac Plexus Block
A coeliac plexus block is used in pain management to relieve abdominal pain, especially from cancers like pancreatic cancer or chronic pancreatitis. It works by interrupting nerve signals from the abdominal organs to reduce pain. This procedure can provide significant relief when other treatments are ineffective.
Epidural Injections (Lumbar and Sacral)
Learn more about this type of treatment on the official Faculty of Pain Medicine website
Platelet Rich Plasma (PRP) Injections
Platelet-Rich Plasma (PRP) injections are used in pain management to treat chronic joint, tendon, and muscle pain. The injections use a concentration of the patient’s own platelets to promote healing and reduce inflammation. PRP is used for conditions like osteoarthritis, tendonitis and sports injuries.
Exercise Advice
We offer expert advice and personalised physical therapy guidance to ensure you have a clear, detailed exercise plan to follow after your treatment.
Facet Joint Injections
Facet joint injections are used in pain management to relieve pain caused by arthritis or inflammation in the small joints of the spine. They deliver a combination of steroid and anaesthetic directly into the affected joints to reduce inflammation and block pain signals. These injections are commonly used for neck, mid-back, or lower back pain that worsens with movement.
Learn more about this type of treatment on the official Faculty of Pain Medicine website.
Lumbar Sympathetic Block
A lumbar sympathetic block is used in pain management to relieve chronic leg or foot pain, often caused by conditions like complex regional pain syndrome (CRPS) or nerve injuries. The injection targets the sympathetic nerves in the lower back to block pain signals and improve blood flow. It can help reduce pain, swelling, and sensitivity in the affected area.
Nerve Root Block
Pharmacological (Drug) Treatments
We use a variety of pharmacological treatments to reduce or control pain. These can include pain relievers like NSAIDs, opioids, muscle relaxants and nerve pain medications. Drug treatments help manage both acute and chronic pain, improving comfort and quality of life.
Qutenza (8% Capsaicin)
Qutenza (8% Capsaicin) patches and radio-frequency lesioning are used in pain management to treat chronic nerve pain. The Qutenza patch works by reducing pain signals from affected nerves, while radio-frequency lesioning uses heat to disrupt nerve pathways causing pain. Both treatments help provide long-lasting relief for conditions like neuropathy and complex regional pain syndrome.
Patch Radio-Frequency Lesioning
Patch Radio-Frequency Lesioning (Patch RF Lesioning) is a specialised medical procedure used primarily for pain management, particularly for treating chronic or neuropathic pain. It’s a variation of Radiofrequency Ablation (RFA) or Radiofrequency Neurotomy, which involves the use of radio-frequency (RF) energy to produce heat and disrupt nerve function.
Sacroiliac Joint Injection
Sacroiliac joint injections are used in pain management to relieve pain and inflammation in the sacroiliac joint, which connects the lower spine to the pelvis. The injection delivers steroids and anaesthetics directly into the joint to reduce inflammation and block pain signals. This treatment is often used for lower back and buttock pain caused by sacroiliac joint dysfunction or injury.
Learn more about this type of treatment on the official Faculty of Pain Medicine website.
Stellate Ganglion Block
A stellate ganglion block is used in pain management to relieve chronic pain and improve blood flow in the head, neck and upper limbs. It is commonly used for conditions like complex regional pain syndrome (CRPS), nerve pain and vascular disorders. The injection blocks sympathetic nerves to reduce pain, swelling and abnormal sweating.
Transcutaneous Nerve Stimulation
Transcutaneous Electrical Nerve Stimulation (TENS) is used in pain management to reduce acute and chronic pain by delivering mild electrical impulses through the skin. These impulses help block pain signals and stimulate the release of natural pain-relieving chemicals called endorphins. TENS is commonly used for conditions like arthritis, muscle pain, and nerve pain.
Trigeminal Neuralgia Treatments
Trigeminal neuralgia treatments are used to manage the intense, sudden facial pain caused by irritation or compression of the trigeminal nerve. Treatment options include medications, nerve blocks and sometimes surgical procedures to reduce or block pain signals. These treatments aim to provide relief and improve quality of life for those suffering from this severe nerve pain.
Trigger Point Injections
Trigger point injections are used in pain management to relieve muscle pain and stiffness caused by tight knots, known as trigger points. The injection typically contains a local anaesthetic and sometimes steroids to relax the muscle and reduce inflammation. This pain relief treatment helps improve mobility and decrease discomfort in affected areas.
Learn more about this type of treatment on the official Faculty of Pain Medicine website.
Common conditions
Back Pain
Our expert back pain treatment services are designed to provide lasting relief and restore your mobility.
Neck Pain
Our neck pain treatment is designed to target the root causes of your discomfort and provide fast, effective and lasting relief.
Knee Pain
Whether your pain stems from injury, arthritis, or overuse our experienced team offers personalised care plans tailored to your needs.
Knee Pain
Whether your pain stems from injury, arthritis, or overuse our experienced team offers personalised care plans tailored to your needs.
Would like to book an appointment?
Get in touch today.

Dr Adrian Dashfield
Consultant Anaesthetist & Pain Management Specialist
MB ChB MSc MSc MD FRCA FFPMRCA FAcadMEd
