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Lower back pain
Understand how symptoms, examination and selective imaging fit together.
Pain Specialist & Anaesthesiologist · Singapore
Pain specialist · Singapore
Dr Thor Timothy assesses back, neck, joint and nerve pain, helping you make an informed decision about your care. Your symptoms, daily function and personal goals guide the next step.
Care may include rehabilitation, medicines or selected image-guided procedures. Some conditions need surgical assessment.

Novena Pain Management Centre
Novena · Mount Alvernia · Farrer Park
MBBS (Singapore) · MMed (Anaesthesiology)
FFPMANZCA · FIPP · EDPM · FAMS
Start with what you feel
Similar symptoms can have different causes. These guides explain what an assessment may involve, the options to discuss and the warning signs that need prompt attention.
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Understand how symptoms, examination and selective imaging fit together.
02
Explore leg pain, tingling and numbness associated with spinal nerve irritation.
How a decision is made
A treatment plan should make sense to you: what it aims to achieve, what remains uncertain and how progress will be assessed.
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Discuss your symptoms, previous treatment and what pain stops you doing. Examination comes first; scans are considered when their results are likely to change care.[1]
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Agree on practical goals: walking further, sleeping more comfortably or returning to an activity. Review progress and reconsider the plan when symptoms or priorities change.

Your daily life matters
A walk with your family. A better night’s sleep. A more comfortable working day. Bring your own priorities to the appointment so the conversation stays focused on what matters to you.
Treatment decisions
Procedures have different purposes and different levels of evidence. These guides explain patient selection, potential benefits, limitations and important risks.
Thermal ablation and pulsed radiofrequency explained
Disc decompression for selected circumstances
The technique, uncertainty and alternatives
What research can and cannot tell us
A procedure is an option to evaluate, not an automatic next step. Benefit is not guaranteed. Different clinical guidelines sometimes reach different conclusions; the individual guides explain those differences.
PAIN RESEARCH NEWS
Read what recent trials found about pain treatments, with the benefits, limitations and original sources explained.
A brief research update for patients considering radiofrequency treatment: how to read a technique comparison and discuss it with your clinician.
A short guide to a new stimulation study and the questions to discuss when diabetic nerve pain continues despite an existing care plan.
Before your visit
You do not need to know your diagnosis before asking for an appointment.
Bring any scan reports and images, your medicine and supplement list, and details of previous treatment. A short note on what the pain stops you doing can help focus the discussion. Tell the clinic about allergies and blood-thinning medicines; do not stop prescribed medicines without individual advice.
Neither is automatic. For back pain and sciatica, imaging is usually considered when it is likely to change management. Treatment depends on your history, examination, previous care and goals. Some people need rehabilitation or medication review; others may need an intervention or surgical assessment.[1]
Yes. Ask the clinic to check your insurer, plan and any referral or pre-authorisation requirements. Panel participation and claim eligibility can vary. Confirmation for your own policy is more useful than assuming an insurer logo guarantees cover.
Clinic locations are at Mount Elizabeth Novena, Mount Alvernia and Farrer Park. Contact the clinic to confirm the venue, available appointment and directions before travelling.
Evidence sources checked 10 November 2026. General information; your care needs an individual assessment.
1. NICE NG59: Low back pain and sciatica — assessment and management.
2. WHO (2023): Guideline on chronic primary low back pain. This guidance addresses chronic primary low back pain.
Make the next step simple
Ask about an appointment, the most convenient location or what to prepare for your visit.
38 Irrawaddy Road, #07-51
Mount Elizabeth Novena Hospital
Singapore 329563
820 Thomson Road, #06-54
Mount Alvernia Medical Centre D
Singapore 574623
Please confirm your appointment and venue with the clinic. Routine enquiries are not an emergency service. WhatsApp opens an external messaging service; avoid sending sensitive medical details in an initial enquiry.