About Dr Paul Quin
Areas of Specialisation
Musculoskeletal Medicine including Interventional Pain Procedures
Musculoskeletal and interventional pain medicine involves the diagnosis and treatment of disorders of the musculoskeletal system (bones, muscles, cartilage, ligaments, tendons and other connective tissue). These disorders may occur as the result of injury or of a gradual onset condition such as osteoarthritis and may cause chronic (long term) or acute disability and pain.
Management of musculoskeletal disorders includes a wide range of treatments including patient education, pain management strategies, manipulative techniques, exercise and rehabilitation programmes, acupuncture, specialised injection techniques and appropriate medication.
More complex pain problems such as neuropathic pain syndromes and complex regional pain problems will be addressed as necessary.
I am a contracted ACC specialist which means that if you have been referred to me for diagnosis and/or management and your problem is related to the registered accident, your consultation will incur no charge to yourself either in the form of an additional fee or surcharge.
I am particularly interested in: -
management of chronic spinal pain
interventional pain medicine
neuropathic pain management
complex regional pain syndromes
Common Conditions, Procedures, Treatments:
Management of Acute or Chronic Pain Problems and Syndromes
Epidural Steroid Injection - Transforaminal Approach
Peripheral Nerve Blocks
Facet Joint Injection
Sacroiliac Joint Injection
Occipital Nerve Blocks
Trigger Point Injection
Advanced Pain Management Procedures
Chronic Pain Syndromes including Fibromyalgia, Neuropathic Pain & CRPS
Carpal Tunnel Syndrome
Services & Treatments
I have been involved in musculoskeletal medicine since 1980 and conduct my practice from my rooms at 247 Remuera Rd, Remuera.
My interventional x-ray guided pain practice is conducted at Specialist Radiology Group at Ascot Office Park, 95 Ascot Ave, Greenlane.
Patients should arrange a referral note from their primary provider wherever possible. A referral note from a medical practitioner is obligatory for ACC referrals.
Patients are requested to bring in their x-rays, CT scans and MRI results which are relevant to the problem. I prefer to view the actual films (or CDs) rather than just the reports.
Patients with spinal problems who make an appointment will be sent a questionnaire to be filled out. Please bring it with you to the consultation. It includes an explanation of the assessment which is copied below.
THE EXAMINATION: Musculoskeletal medical evaluation requires a good understanding of what is happening within the musculoskeletal system – that is, the muscles, bones, joints and nervous systems, including how these structures are performing and how they inter-relate. Adequate exposure is important for the doctor to see what is going on in the musculoskeletal system, in order to gain a thorough objective assessment of the problem, and in many circumstances the patient will be examined while walking and standing as well as lying on the plinth. This differs from the usual medical consultation for non-musculoskeletal problems.
It is important for patients, especially women, to feel comfortable with the examination and the following is a recommendation.
For examination for any problem below the ribs (including low back pain), female patients may feel more comfortable bringing with them a pair of shorts and this is recommended. Three-quarter length or long trousers are not suitable for this examination, but better than nothing if no other available. An examination of the groin region also may be included.
For examination for any problem above the waist (including neck pain), patients will be asked to remove clothing such as shirts/blouses. Women will not be required to remove a bra, but they are invited to use a sports bra if they wish.
Any patient may bring a companion if he or she so wishes. Gowns are not provided as they prevent adequate inspection of the patient.
MBChB 1967, Dip MSM 1996, FAFMM 2000
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Definitions of Services
Musculoskeletal medicine concerns the diagnosis and treatment of dysfunction, diseases and disorders of the musculoskeletal system. This includes bones, muscles, ligaments, tendons, cartilage and other connective tissue. Musculoskeletal disorders are very common, and people usually suffer pain and disability as a result of injury or dysfunction affecting the spine, pelvic or shoulder girdle, or to the upper and lower limbs. These may have occurred as a result of injury or of a gradual onset condition, such as osteoarthritis. There is a wide variety of treatments, including medication, pain management, exercise and rehabilitation programmes, education and support.more
Migraine is a chronic neurological disorder characterised by recurrent moderate to severe headaches often in association with a number of autonomic nervous system symptoms. Typically the headache is unilateral (affecting one half of the head) and pulsating in nature, lasting from 2 to 72 hours. Associated symptoms may include nausea, vomiting, photophobia (increased sensitivity to light), phonophobia (increased sensitivity to sound) and the pain is generally aggravated by physical activity.more
Pain Management Specialists
Pain management is the process of providing medical care that reduces pain. Mild to moderate pain can usually be treated with common analgesic (pain-killing) medications, such as aspirin or paracetamol. For chronic (long-term) or severe pain, opiates such as morphine are often used, sometimes together with analgesics. Steroids or non-steroidal anti-inflammatory drugs (NSAIDs) may be used when the pain is related to inflammation. Antidepressants can improve the effect of some pain medications, and affect the brain’s perception of pain. Massage, acupuncture and acupressure are also useful for pain control in some patients.more
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