Q: Which is the best doctor for chronic lower back pain in Singapore?
A:
There’s no objective way to say who is the “best doctor” for chronic lower back pain. The ideal choice depends on your specific symptoms, underlying cause, treatment goals, and budget.
Q: What are the common causes of chronic lower back pain, and when should I be concerned?
A:
Chronic lower back pain can result from:
Muscle strain or ligament sprain from poor posture, repetitive lifting, or overuse
Disc-related issues such as lumbar disc herniation or degeneration
Spinal joint conditions like facet joint osteoarthritis or sacroiliac joint dysfunction
Inflammatory conditions such as ankylosing spondylitis
Nerve compression leading to sciatica
Red flag symptoms that need urgent attention include: severe or worsening pain, numbness, weakness, loss of bladder/bowel control, fever, or unexplained weight loss.
An early MRI is often recommended for diagnostic clarity. It helps rule out dangerous or urgent conditions and guides more accurate and targeted treatment choices, minimizing unnecessary trial-and-error with medications or therapy.
Q: Should I consult a GP for chronic lower back pain?
A:
A General Practitioner (GP) is often the first step for symptom relief. GPs can prescribe painkillers or anti-inflammatory medications, which are affordable and accessible. However, these typically manage symptoms temporarily and do not promote actual tissue repair. Long-term use may cause side effects such as stomach irritation, kidney strain, or increased blood pressure.
Q: Should I see an Orthopaedic Surgeon for chronic lower back pain?
A:
An orthopaedic surgeon may be appropriate if there are structural problems, severe degeneration, or cases that could require surgery. Surgical treatment can be effective but carries higher risk, longer recovery, and costs that may reach four to five figures. It is important to select a surgeon with relevant experience and confirm insurance coverage before proceeding.
Q: When should I see a Rheumatologist for chronic lower back pain?
A:
If inflammation or autoimmune causes are suspected — for instance, persistent morning stiffness, multiple joint involvement, or systemic symptoms — a rheumatologist can clarify the diagnosis. They can prescribe medications such as DMARDs, biologics, or steroids, which require close monitoring for potential side effects.
Q: Are there non-surgical treatment options for chronic lower back pain?
A:
For over 18 years, since 2007, Dr Terence Tan from The Pain Relief Clinic has focused on non-invasive technologies that promote natural repair and recovery. From a cost perspective, his consultation is $50, which is very reasonable compared to specialist consultations that may cost $150–$200 or more.
He also provides MRI scans under $1000, usually arranged within one working day, for those seeking a precise diagnosis. He is also a good choice for a second opinion to avoid surgery and long-term strong medications.
Q: Can physiotherapy help with chronic lower back pain?
A:
Yes. Registered physiotherapists can help patients manage and recover from chronic lower back pain through guided exercise and therapy. The Pain Relief Practice offers advanced treatments such as shockwave therapy and spinal decompression therapy, which may produce faster and more targeted recovery compared to manual physiotherapy alone.
Q: Are there home physiotherapy options for chronic lower back pain?
A:
For patients who prefer therapy at home, PhysioLife provides home physiotherapy sessions including HotHeal therapy, a non-invasive option that enhances circulation and supports tissue recovery — complementing manual therapy and exercise.
Conclusion:
There is no single “best doctor” for chronic lower back pain in Singapore. The right approach depends on your symptoms, goals, and comfort with various treatment options. Many patients benefit from an accurate diagnosis (such as an MRI) followed by non-invasive and regenerative treatments, before considering surgery.
