Musculoskeletal pain

Spine pain specialist in Singapore: causes and treatment

Pain in the neck or back can come from the discs, joints and nerves of the spine. At Alleviate Pain Clinic, we help you work out the source of your pain and offer minimally invasive pain treatments where they are likely to help.

At a glance

Common signsNeck or back pain, sometimes spreading into an arm or leg, with tingling, numbness or weakness.
See a specialist ifPain lasts longer than 2 weeks, keeps coming back, or comes with numbness or weakness.
What often helpsStaying active, exercise, medicines and, for some people, image-guided injections or other minimally invasive procedures.
Our roleDr Liu is a pain physician. We find the source of your pain and treat it with minimally invasive options.
Visit usFarrer Park Hospital (Connexion), Singapore. Mon–Fri 9am–5pm, Sat 9am–1pm, by appointment.
Written and reviewed by Dr Christopher Liu, Pain PhysicianLast reviewed: 3 November 2026About Dr Liu

What is a spine pain specialist?

A spine pain specialist diagnoses and treats pain that comes from the spine, from the neck down to the lower back. Dr Liu is a pain physician with over 20 years of experience (more about Dr Liu). He looks for the source of your pain in the discs, joints and nerves of the spine, and treats it with medicines, exercise guidance and image-guided, minimally invasive procedures.

Most spine pain can be managed without an operation. Care usually starts with simple measures and moves to targeted procedures when they are needed.

What causes spine pain?

Spine pain has many possible sources, and more than one can be involved at the same time.1

  • Discs. A disc can bulge, tear or wear down and irritate nearby nerves. See disc herniation.
  • Facet joints. The small joints at the back of the spine can become stiff and painful. See facet joint pain.
  • Nerves. A nerve can be irritated or compressed, causing pain, tingling or weakness in an arm or leg. See sciatica.
  • Muscles and ligaments. Strain is a common cause of back pain and often settles with time and staying active.
  • Narrowing of the spinal canal. This can press on nerves, usually later in life.

When should you see a pain specialist?

Consider an assessment if:

  • Neck or back pain has lasted more than two weeks or keeps coming back
  • Pain spreads into an arm or leg, or you have tingling, numbness or weakness
  • Pain wakes you at night or is not eased by rest
  • Treatment you have tried has not helped enough

Seek urgent medical care if you lose control of your bladder or bowels, have numbness between your legs, or have weakness that is getting worse quickly.

Doctor examining the back of a patient in a clinic

How is spine pain diagnosed?

Diagnosis starts with your history and an examination. Scans such as X-ray, CT or MRI are used when they will help guide treatment, because findings on a scan do not always explain pain. Nerve tests, or injections that numb a suspected source of pain to confirm it, may be used for some people.

How is spine pain treated?

Most spine pain improves with simple measures. The right plan depends on the cause and how long the pain has lasted.

  • Staying active and guided exercise. Gentle walking is usually better than prolonged rest, and a physiotherapist can guide you.
  • Medicines. These can ease pain and nerve irritation, and we review them with you.
  • Image-guided injections. Epidural steroid injections and facet joint injections place medicine near the source of pain under imaging guidance.
  • Minimally invasive procedures. For selected people, options include facet joint denervation and intradiscal procedures.
  • Surgery. A small number of people need surgery, for example for significant nerve compression with worsening weakness.

Visit our services page to find out more.

What to expect at your visit

At your consultation, Dr Liu will ask about your pain and how it affects your daily life, examine you and review any scans or reports you bring. He will explain what he thinks is causing your pain and the options available, so you can decide on a plan together.

Dr Christopher Liu, pain physician at Alleviate Pain Clinic

Dr Christopher Liu, Pain Physician

MOH accredited Pain Specialist and Medical Director of Alleviate Pain Clinic at Farrer Park Hospital. He completed an interventional pain fellowship at the University Health Network in Toronto and was previously a Senior Consultant in Pain Medicine at Singapore General Hospital.

Read more about Dr Liu

References

  1. Hartvigsen J, Hancock MJ, Kongsted A, et al. What low back pain is and why we need to pay attention. The Lancet. 2018;391(10137):2356–2367. doi:10.1016/S0140-6736(18)30480-X
  2. National Institute for Health and Care Excellence. Low back pain and sciatica in over 16s: assessment and management. NICE guideline NG59. 2016 (updated 2020).

This page gives general information and is not a substitute for medical advice. Please see a doctor about your own symptoms and treatment options.

Common questions

What is a spine pain specialist?

A spine pain specialist diagnoses and treats pain that comes from the spine, from the neck down to the lower back. Dr Liu is a pain physician who uses medicines, exercise guidance and image-guided, minimally invasive procedures when they are likely to help.

How is a spine pain specialist different from a spine surgeon?

A spine pain specialist focuses on finding the source of spine pain and treating it with medicines, rehabilitation and minimally invasive procedures. A spine surgeon performs operations on the spine. Many people with spine pain never need an operation.

When should I see a spine pain specialist?

Consider an assessment if neck or back pain has lasted more than two weeks, keeps coming back, spreads into an arm or leg, or comes with tingling, numbness or weakness. Seek urgent medical care if you lose control of your bladder or bowels, have numbness between your legs, or have weakness that is getting worse quickly.

Do I need an MRI scan for spine pain?

Not always. Most back pain does not need a scan at first. Imaging is considered when symptoms persist, when there are warning signs such as leg weakness, or when the result would change your treatment.

Can spine pain be treated without surgery?

In most people, yes. Care usually starts with staying active, exercise and medicines, and may include injections or other minimally invasive procedures once the source of the pain has been identified. Surgery is generally kept for specific problems, such as significant nerve compression with worsening weakness.

Does insurance cover interventional pain treatments in Singapore?

Interventional pain procedures are covered by the Ministry of Health’s Table of Surgical Procedures (TOSP). They are therefore reimbursable by all Integrated Shield Plans and most corporate insurance plans. However, it is advisable to obtain preauthorisation from your insurer before the procedure. Our clinic staff will guide you through this process.

Ready to talk about your pain?

Book a consultation, or call us on 8655 5722.
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