Asian Pain Academy

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

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

If you've been managing De Quervain's tenosynovitis in your clinic, you already know how frustrating it can be — both for the patient and for the treating physician. Conservative treatment helps many, but a significant number of patients continue to have pain that interferes with daily activities. When that happens, a corticosteroid injection into the first dorsal compartment is often the next step. The question is: are you injecting accurately? Landmark-based injections for