Differential Diagnosis of Neck and Arm Pain with Management Options

Oryon Develop are pleased to welcome back Dr Serge Nikolic, Consultant in Pain Medicine, whose previous talks are always excellently reviewed. Indeed, one recent attendee said, "his knowledge and expertise are awe-inspiring. His engaging, informative and entertaining style make for a riveting educational experience."

In this talk Dr Nikolic will cover neck and arm pain, which are unfortunately common conditions in clinic. It is essential that the underlying pathology responsible for this is ascertained so that the appropriate management can be initiated as soon as possible.

The first part of the talk will focus on differential diagnosis, which includes taking a detailed history, as well as the examination and investigations (such as MRI scans, SPECT scans and EMG/NCS) that are used to evaluate the problem and reach the final diagnosis. This will cover confirmation/exclusion of red flags (such as trauma, infection and tumours) as well as cervical spinal pathology with or without neural compression, soft tissue and peripheral nerve compression pathology (such as thoracic outlet syndrome). 

The second part will focus on management. This will include various analgesic options, minimally invasive interventions, the role of surgery, and neuromodulation (spinal cord stimulation). It will also outline the onward referral guidelines.

To conclude, focus will be on the importance of appropriate and timely onward referral of patients who fail to improve with conservative treatment.


Session 1

  • Common causes of neck and arm pain with epidemiology
  • Differential diagnosis principles and the importance of a multidisciplinary approach
  • Detailed history and examination with neurological examination
  • Investigations – MRI scans, SPECT scans, EMG/NCS and blood tests

Session 2
  • Analgesic options and conservative management
  • Minimally invasive interventions (spinal injections, peripheral nerve injections, radiofrequency treatment)
  • Surgery and Neuromodulation (spinal cord stimulation)
  • Onward referral guidelines and summary


Serge Nikolic

Consultant In Pain Medicine | London Central

Dr Nikolic is a consultant in Pain Medicine. His NHS base is St Bartholomew’s Hospital and his main private consulting rooms are at the London Bridge Hospital. Dr Nikolic has admitting rights and works in most private hospitals within London area.

Dr Nikolic offers an individually-tailored, holistic service that includes interventional pain management, analgesia optimisation and comprehensive rehabilitation and psychological support when appropriate.

He offers a service of the highest clinical standards that is firmly founded on the principles of evidence-based medicine.

Dr Nikolic's main interests are:

  1. Spinal Pain management, in particular cervical pain with or without brachialgia.
  2. Myofascial pain syndromes
  3. Headaches
  4. Neuromodulation – spinal cord stimulation
  5. Neuropathic pain
The main interventions that he performs are:
  1. Diagnostic/therapeutic facet joint/medial branch blocks
  2. Radiofrequency treatment (rhyzotomy) to dorsal ramii – denervation procedures
  3. Pulsed radiofrequency treatment to nerve roots, trunks and peripheral nerves
  4. Sympathetic blocks with or without radiofrequency treatment.
Liona Van Eck painclinic.lbh@hcahealthcare.co.uk

What's included

Admission to course, 2 hours CPD, tea and coffee and light refreshments, handout booklet provided at registration containing speaker's slides / presentation, Certificate of Attendance.

Who should attend

Chiropractors,Osteopaths,Physiotherapists,Sports Therapists,Hand Therapists,Radiographers,Occupational Therapists,GP

Date and time

Monday 28th October

19:00 - 21:00


Serge Nikolic

Consultant In Pain Medicine


Doubletree by Hilton London Victoria

2 Bridge Place, London



£ 39 + VAT


Spaces available

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