Conditions

Understanding Post-Traumatic Pain

Post-Traumatic Pain refers to ongoing or persistent pain following an injury — such as a fracture, crush injury, soft tissue damage, or surgery performed after trauma. While pain is expected during normal healing, in some people it persists beyond the usual recovery period (more than three months), becoming chronic and sometimes more severe than expected based on the original injury.

This prolonged pain can result from nerve injury, inflammation, altered joint or muscle mechanics, or central sensitisation, where the nervous system continues to send pain signals even after tissues have healed. The pain may remain localised or spread to adjacent regions, often accompanied by changes in sensation or muscle control.

Typical symptoms include:

  • Persistent aching, burning, or stabbing pain at or near the injury site
  • Sensitivity to touch, pressure, or temperature
  • Muscle weakness, stiffness, or swelling
  • Numbness, tingling, or electric-shock sensations
  • Reduced movement, coordination, or confidence using the affected area
  • Emotional distress, fatigue, or sleep disturbance due to chronic pain

Post-traumatic pain can develop after fractures, sprains, ligament or tendon tears, nerve trauma, or surgical repair.

Wessex Pain Clinic

How We Diagnose

 

At Wessex Pain Clinic, our consultants perform a detailed clinical assessment, exploring the nature, timing, and evolution of symptoms following the original injury.

We evaluate:

  • The site of pain, distribution, and presence of nerve symptoms
  • Range of motion and muscle strength
  • The impact of pain on function and daily activities

We may arrange:

  • MRI or ultrasound imaging to assess soft tissue healing, scarring, or ongoing inflammation
  • Nerve conduction studies or electromyography (EMG) to identify nerve injury
  • Diagnostic nerve blocks to confirm the pain source
  • Collaboration with orthopaedic, neurological, and rehabilitation specialists for complex trauma cases

 

Wessex Pain Clinic 68 of 242 websize
Lifestyle and Complementary Therapies

Our physiotherapists and rehabilitation partners play a key role in restoring strength, coordination, and movement confidence. Treatment includes:

  • Graded exercise and strengthening programmes
  • Posture correction and gait retraining
  • Desensitisation and mobility work to restore function

Our pain psychology partners help patients manage the emotional effects of trauma and chronic pain through Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness-based pain management.

This consultant-led, multidisciplinary approach ensures both the physical and psychological components of post-traumatic pain are addressed — reducing pain, restoring mobility, and rebuilding confidence. At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.

Medications

We may recommend:

  • Anti-inflammatory medicines (NSAIDs) to manage inflammation and pain
  • Neuropathic pain medications (amitriptyline, duloxetine, pregabalin, or gabapentin) to calm sensitised nerves
  • Topical treatments such as lidocaine or capsaicin patches (Qutenza) for localised nerve pain
Interventional Procedures

When medication and rehabilitation alone are insufficient, our consultants perform precision, image-guided procedures to relieve pain and improve mobility:

  • Local nerve blocks to calm irritated or trapped peripheral nerves
  • Trigger point injections for muscular pain or spasm
  • Joint injections (corticosteroid or hyaluronic acid) for post-traumatic joint inflammation
  • Radiofrequency denervation to provide longer-term relief from persistent joint or nerve pain
  • Lidocaine infusions to reduce widespread nerve hypersensitivity and central sensitisation
  • Pulsed radiofrequency (PRF) to safely modulate chronic nerve pain without damaging nerve function
Our management of post-traumatic pain is comprehensive and multidisciplinary, combining medical therapy, interventional pain procedures, rehabilitation, and psychological support to restore comfort and function.

Treatments at Wessex Pain Clinic

Treatments