Asian Pain Academy

What is MIPSI? Chronic pain remains one of the most complex and resource-intensive challenges in contemporary clinical practice. Beyond its impact on physical function, persistent pain significantly affects psychological health, quality of life, occupational productivity, and healthcare utilization. While pharmacotherapy, rehabilitation, and surgical intervention remain important components of multidisciplinary pain management, a substantial group of patients fall into an int

Knee pain is one of the most common musculoskeletal complaints seen in clinical practice, especially among athletes, active individuals, and patients following sudden twisting injuries. Among the less frequently discussed but clinically significant causes of lateral knee pain is LCL injury, also known as knee lateral collateral ligament sprain. At Asian Pain Academy, we bring practical, evidence-informed learning to clinicians through live procedural demonstrations, expert te

Chronic low back pain (CLBP) is one of the most common causes of disability worldwide and remains a major challenge for clinicians. While conventional imaging often focuses on discs, facet joints, and neural compression, growing evidence suggests that dysfunction of the lumbar multifidus muscle (LMM) plays a critical role in persistent spinal pain and instability. Musculoskeletal ultrasound (MSK-US) has emerged as a valuable imaging modality for evaluating multifidus morpholo

Core Concept - Role of Glial Cells in Chronic Pain Chronic pain is no longer viewed as purely a neuronal phenomenon. Current neuroscience firmly establishes that glial cells — once dismissed as passive support cells — are active orchestrators of pain chronification, neuroinflammation, and central sensitisation. Understanding glial biology is essential to every modern clinician practising pain medicine. Introduction: Why Pain Medicine Needed a New Paradigm For decades, pain wa

Chronic pain has traditionally been classified into two major categories: nociceptive pain and neuropathic pain. While this framework has guided clinicians for decades, a significant number of patients continue to experience persistent pain that does not fit neatly into either category. These individuals often have widespread pain, fatigue, sensory hypersensitivity, sleep disturbances, and emotional distress despite minimal tissue injury or clear nerve damage. To address this

Buttock pain is a common yet diagnostically challenging complaint encountered in pain clinics, spine practices, and rehabilitation settings. While sacroiliac joint dysfunction, lumbar radiculopathy, piriformis syndrome, and facetogenic pain are frequently considered, cluneal nerve entrapment remains an under-recognized cause of chronic buttock and low back pain. Failure to identify cluneal neuralgia can lead to prolonged suffering, unnecessary imaging, failed spine interventi