Pain Consultant Services

PAIN CONSULTANT
Brisbane: Banyo Beenleigh Corinda Taringa
Gold Coast: Mermaid Beach Southport Sorrento Tugun

We are an integrated healthcare provider specialising in pain management and rehabilitation for those suffering from complex, sub-acute musculoskeletal injuries and persistent pain presentations.

We offer multidisciplinary assessment and rehabilitation programs incorporating Group Education programs, Physiotherapy, Clinical Psychology, Exercise Physiology, Occupational Therapy, Clinical Pilates, Gym and Hydrotherapy services.

Our Pain Consultancy Services include rapid collaboration with leading Pain Physicians, Psychiatrists, Neurosurgeons, Orthopaedic Surgeons to provide patients and employers with a cohesive, interdisciplinary team approach for best outcomes.

TEAM

Drew Singleton

Drew Singleton is the Managing Director of Core Healthcare Group, a Physiotherapy and Occupational Rehabilitation provider based across South East QLD. Drew is a Consultant Pain Management Physiotherapist with seventeen years clinical experience in private practice, focusing on steering Core’s inter-disciplinary teams towards best-practice management of patients presenting with complex musculoskeletal injuries, and persistent pain presentations. Drew is an active member of several Australian Pain and Rehabilitation Organisations, holds guest lecturer roles at various professional organisations across Queensland, and has completed a Masters of Medicine (Pain Management) from Sydney University.

Dr Graham Rice

Dr Graham Rice is a Consultant Pain Specialist, Psychiatrist and Anaesthetist, and has presented at many national and international conferences with his ‘pathways’ method of managing persistent pain. Dr Rice has over forty years of medical experience in the field of pain medicine, pain psychiatry and the management of co-morbidities.

Dr Kym Boon

Dr Kym Boon is Pain Medicine Specialist and Psychiatrist, Senior Lecturer at the University of Queensland, over 20 years experience in clinical medicine with special interest in Pain Medicine, Pain Psychiatry, and Consultation Liaison Psychiatry. Dr Boon has presented in Pain Medicine, Psychiatry and Addiction Medicine conferences and has publications in areas of Medical Education and Addiction Medicine.

Asa Kenworthy

Asa Kenworthy is a Clinical Psychologist with excess of 20 years clinical experience working in both public and private practice settings. Asa has presented at international conferences and has been a regular guest lecturer in team/group processes at Griffith and Bond University.

Donna McCook

Donna McCook is a Physiotherapist and Exercise Physiologist with over two decades of experience in a multiple of settings including industrial rehabilitation, musculoskeletal physiotherapy, outpatient, the Institute of Sport, oncology rehabilitation, home healthcare, university teaching clinics and institutions, pre and post operative physiotherapy rehabilitation, multiple extensive trauma recovery physiotherapy and rehabilitation.

Donna specializes in the evaluation and treatment of spine and shoulder patients right through the spectrum from acute injuries through to pre and post operative, non operative and complex presentations.

Greg Stewart

Greg Stewart Pain Physiotherapist and Biomedical Scientist with over 10 years’ experience in clinical private practice in musculoskeletal, persistent pain and neurological rehabilitation. Greg also holds a degree in Biomedical Science previously working in both a hospital and research setting in cardiac sciences.

Greg specialises in the evaluation and treatment of spinal, shoulder and lower limb including pre and post operative rehabilitation protocol prescription. This includes progressive and individualised aquatic and gym and home based exercise programs.

Meghan Dean

Meghan Dean is Pain Management Physiotherapist and Clinical Pilates Instructor with a special interest in spinal and work related injuries, chronic pain management, and shoulder injuries. Meghan has completed further training in complex chronic pain management, advanced shoulder assessment and management, and spinal exercise programs.

Joel McPhee

Joel McPhee is Physiotherapist and Exercise Physiologist, Joel clinically utilises a range of clinical hands on techniques, and rehabilitation to optimise recovery. Management of spinal, shoulder, hip and lower limb exercises are all part of his clinical repertoire. Joel has created strong links to local industry and his advanced exercise skills means the follow through with rehabilitation to get workers back to function, even in heavy industry roles is always successful. Specialises in recovery from both acute and chronic injuries and post operative rehabilitation (spinal,orthopaedic)

Jonathan O’Dwyer

Jon O’Dwyer is an Exercise Physiologist with over 10 years of experience working in rehabilitation, athletic and normal population settings. Jon has a successful track record of creating and delivering effective exercise interventions for post-operative orthopaedic rehabilitation, chronic disease management and industrial strengthening & work hardening for injured workers.

Leanne Casey

Leanne Casey is a Vocational Psychologist who has worked in public and private health settings and has experience working with adults and older adolescents with a wide range of psychological presentations including chronic pain and adjustment to injury problems.

PROGRAM

Our 3 or 4 day Group Functional Rehabilitation Programs will be best suited and utilised, as well as most effective for candidates who:

  • Are 6-26 weeks post injury/incident and there has been a failure or lack of progress with medical, allied health and/or surgical treatments;
  • Where further surgery and investigations aren’t indicated; and
  • Further Specialist Back/Pain Programs aren’t necessary or suitable, given certain exclusion criteria or other considerations.

For specifically differentiating between each type of our interventions the following further suitability criteria would include:

3 DAY GROUP FUNCTIONAL REHABILITATION PROGRAM:
DAYS 2, 3 AND 5

  • There has been a failure of medical and surgical treatments;
  • Patients’ have a poor understanding of their situation/Injury;
  • Flag signs;
  • No flags but complex multitrauma

4 DAY GROUP CBT PAIN MANAGEMENT AND FUNCTIONAL REHABILITATION PROGRAM:
DAYS 2-5

  • Belief that condition is harmful or potentially disabling;
  • Avoidance and reduction of activities including RTW in anticipation of pain;
  • Low mood, self-efficacy or altered behavior responses, and withdrawal from social interaction;
  • Expectation that passive rather than active treatment will help the pain;
  • Severe injury/Multi-trauma with complications;
  • There has been a failure of medical and surgical treatments;
  • Improve patients’ understanding of their situation;
  • Flag signs.

PAIN MANAGEMENT PHYSICIAN LEAD GROUP PROGRAMS

5 DAY GROUP SPECIALIST PAIN MANAGEMENT AND FUNCTIONAL REHAB PROGRAM:
DAYS 1-5
and
6 DAY GROUP SPECIALIST PAIN MANAGEMENT AND FUNCTIONAL RTW PROGRAM:
DAYS 1-6

These programs are more appropriate for individuals requiring more specialised interdisciplinary management. Typical candidates include those with the following presentations:

  • Belief that condition is severely harmful or potentially significantly disabling;
  • Avoidance and reduction of activities including RTW in anticipation of pain;
  • Low mood, self-efficacy or altered behavior responses, or withdrawal from social interaction;
  • Catastrophic tendencies inclusive of significantly altered cognitive-behavioral function;
  • Expectation that passive rather than active treatment will help the pain;
  • Significant issues with Medications and or other General Health concerns i.e. Addiction, Tolerance, Contraindications or Ineffective medication regime;
  • Severe injury/Multi-trauma with complications and > 26 weeks since onset of injury;
  • There has been a failure of medical and surgical treatments;
  • Improve patients’ understanding of their situation;
  • Flag signs.

INDIVIDUALLY TAILORED PAIN MANAGEMENT/FUNCTIONAL REHAB PROGRAMS
6-12 weeks of multiple 1:1 Pain Physician/Psychologist/Exercise Rehabilitation sessions combined with progressive SDP

Whilst current research is not favorable to these approaches, several factors which may indicate an individual part-time program may more beneficial for a particular candidate. These factors may include RTW/availability considerations, willingness to participate in group scenarios, psychological factors, and particular rehabilitation time frames. These programs are devised according to each candidates particular presentation and biopsychosocial considerations.

POST-GROUP PROGRAM COMPONENT

Individual functional exercise, cognitive and work-hardening program recommendations are devised and tailored with appropriate health professionals and all relevant stakeholders as required. This will generally span over a six to twelve week period following the intervention, based on current best practice evidence to allow for implementation of ‘tool box’ strategies in the RTW phase, including motor-control development and behavioural change.

Consultation Fees

Initial appointment
$175 (60min including assessment summary Pain Formulation Report)
OR
$125 (40 minutes assessment/education no report) (required amount of time for `new patients’)

Subsequent appointment
$110 (30minutes) OR $90 (20minutes) (patient can choose amount of time preferred)

All consultation services are eligible for Medicare EPC or Private Health physiotherapy rebates*
(contact your health fund).

Any future report writing, communication and case conferencing required is time costed in line with these fees as well.

UNDERSTANDING PAIN

Pain is complex, here it is explained in some short and informative video:
Understanding pain in 5 minutes

Explaining pain to your Patients
Lorimer Moseley, Pain Researcher and Physical Therapist explains pain


FURTHER READING: blog articles

“It’s time for change with the management of non-specific chronic low back pain”
Peter O’Sullivan

Exploring the underlying mechanisms associated with disabling Non Specific Chronic Low Back Pain disorders and their development across the lifespan.

READ MORE

MORE BLOG ARTICLES