Chronic pain is a complex and debilitating condition which can have a major impact on your levels of physical activity and quality of life. The Pain Doctors team of specialist physicians are able to provide the most advanced techniques available for the
treatment of pain in a supportive and compassionate environment. We will work with you to develop a management strategy to reduce your levels of pain, improve your function and restore your quality of life.
Specialist Pain Medicine Physician and Anaesthetist with a key interest in interventional techniques.
Dr Leigh Dotchin practices full time interventional pain management and is a Director of The Pain Doctors, Gold Coast, Australia. He is a Fellow of the Australian Faculty of Pain Medicine and the Australian College of Anaesthetists. Dr Dotchin co-founded and co-directed the Gold Coast public pain unit before moving into private practice. Dr Dotchin has been Supervisor of Training for the Faculty of Pain Medicine on the Gold Coast and has spent more than a decade working in Pain Medicine. He continues to be part of a dedicated team undertaking treatments, research and data collection to further the options for patients suffering for chronic pain conditions. He regularly presents on interventional techniques and pain management topics.
Qualifications
• Dr Dotchin trained initially trained in Auckland, New Zealand before completing further specialist training in the United Kingdom and Australia.
• Fellow of Faculty of Pain Medicine (FFPMANZCA) (Meritorious distinction) (Specialist qualification)
• Fellow of the Australian and New Zealand College of Anaesthetists (FANZCA) (Specialist qualification)
• Bachelor of Medicine and Bachelor of Surgery (MBChB) - Univeristy of Auckland.
• Bachelor of Human Biology (BHB) - Univeristy of Auckland.
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Professional Memberships
• International Association for the Study of Pain (IASP)
• Australian Pain Society (APS)
• International Neuromodulation Society (INS)
• Neuromodulation Society of Australia and New Zealand (NSANZ)
• World Institute of Pain (WIP)
Current Appointments
• Dr Dotchin is a cc-founder and Director of The Pain Doctors.
• VMO Specialist in Pain Medicine and Anaesthesia at Pindara Private Hospital
• VMO Specialist in Pain Medicine and Anaesthesia at John Flynn Private Hospital
• VMO Specialist in Pain Medicine and Anaesthesia at Gold Coast Private Hospital
Past Appointments
• Director Gold Coast Hospital Persistent Pain Unit.
• Supervisor of Training Gold Coast Hospital Persistent Pain Unit.
• Member of the Faculty of Pain Medicine Queensland Regional Committee.
• Treasurer – Faculty of Pain Medicine Queensland Regional Committee.
• Staff Specialist Gold Coast Hospital - Anaesthesia.
• Staff Specialist Gold Coast Hospital - Pain Medicine.
• Staff Specialist Gold Coast Hospital - Intensive Care.
• Acting Director of Intensive Care, Robina Hospital.
Specialist Pain Medicine Physician and Anaesthetist with a key interest in interventional techniques.
Dr Espinet is a highly trained and qualified anaesthetist and interventional pain specialist with extensive expertise in all facets of anaesthesia and pain management. He specialises in back and neck pain, cancer pain, complex regional pain syndrome and the use of spinal cord stimulators for pain management.Dr Espinet has been in practice for more than 33 years and is currently the Senior Consultant Pain Specialist, Senior Consultant Anaesthetist and one of the Directors of The Pain Doctors in Benowa, Queensland, Australia. He is also affiliated with the Pindara Medical Day Procedure Centre and the John Flynn Hospital in the Gold Coast.
Qualifications
• Dr Espinet’s career in medicine began in 1988 when he graduated with his Medical Degree (MBBS) and Postgraduate Diploma in Anaesthesia (DA) from the University of the West Indies. After graduating, Dr Espinet completed extensive post-graduate training in Edinburgh Scotland, England UK, Europe, Texas USA, and Australia, before entering into private practice in Queensland, Australia. Dr Espinet is a Diplomate (DA) and Fellow of the Royal College of Anaesthetists in UK (FRCA), and Fellow of the Faculty of Pain Medicine of Australia and New Zealand (FFPMANZCA). In addition to his clinical practice, Dr Espinet is a senior lecturer at the Griffith University School of Medicine and an Assistant Professor at Bond University.
Professional Memberships
• International Association for the Study of Pain (IASP)
• American Society Interventional Pain Physicians (ASIPP)
• International Neuromodulation Society (INS)
• Neuromodulation Society of Australia and New Zealand (NSANZ)
• World Institute of Pain (WIP)
Current Appointments
• Co-founder and Director of The Pain Doctors.
• VMO Specialist in Pain Medicine and Anaesthesia at Pindara Private Hospital
• VMO Specialist in Pain Medicine and Anaesthesia at John Flynn Private Hospital
• VMO Specialist in Pain Medicine and Anaesthesia at Gold Coast Private Hospital
Past Appointments
• Dr Espinet started the first public pain clinic at the Gold Coast Hospital in Southport in 2006 and later co-founded and co-directed the public Gold Coast Interdisciplinary Pain Centre. He served as the deputy director of the department of Anaesthesia at the Gold Coast Hospital for 2 years before moving into private practice. Dr Espinet has spent more than a 20 years working in Pain Medicine. He has conducted 3 international multicentre clinical trials in pain management and is the lead investigator for an ongoing clinical trial on the use of Etancercept in Alzheimers Disease. He has published over 20 papers and abstracts in scientific and medical journals. Dr Espinet lectures extensively to many scientific and medical audiences and when he is not assisting patients, he enjoys spending time with his family.
Accurate diagnosis using the latest imaging technologies coupled with clinical insight and experience is key to identifying the source of pain.
Pain, while it is a ubiquitous experience, is far from a simple phenomenon. The symptom of pain is the end product of a distressed or injured structure within the body which is then sensed by the nervous system.
By systematically identifying the key causes of pain we are able to better treat the underlying pathology and produce more dramatic and longer lasting improvements.
Individualised medication plans using the most recent clinical trial information provide the greatest benefit while reducing problematic side effects.
Pain medications, or analgesics, have been developed to try and reduce pain by acting on nerves and other tissues within the body. Their actions reduce chemicals and nerve transmission which conduct the pain signals to the brain. Each medicine can cost billions of dollars to develop.
As there are an extensive array of analgesics which can be trialled it is important to have a clear understanding and plan of how these agents work and how they interact with other medications and your medical conditions.
Interventional treatment techniques are used to reduce pain directly. These often produce the most dramatic results as they target the source of pain.
Interventional pain treatments typically involve the placement of a needle, probe or catheter into the area where the pain is thought to be coming from. This is usually performed under anaesthesia. A fluoroscope or ultrasound is used to help guide the device to the target area.
Once at the target the Pain Physician can use a number of treatment techniques to reduce pain, inflammation and sensitivity in the area.
Inpatient or daystay pain rehabilitation is aimed at providing physical therapy to improve muscle tone, posture, movement and balance.
One of the key ways of preventing pain and maintaining any improvement is to try develop a regular physical therapy routine. This ideally tries to improve muscle tone and posture. Finding the right physical therapy can be challenging.
Some exercises or treatments can exacerbate discomfort and it is important to have guidance about what strategies are likely to help and how to undertake it.
Medications are commonly used for chronic pain conditions. Using them effectively and avoiding side effects can be challenging and careful planning and monitoring are key.
Medications can work naturally in the sense that they mimic some of our bodies own neurochemicals to reduce pain. They can be a useful part of a larger pain management strategy, particularly in the short to medium term.
Unfortunately there are side effects which limit their use and effectiveness. If you use medications we will work with you to manage these medications, emphasizing safety and finding the most beneficial regimen.
Relieve pain, be yourself again
Let us help you reduce your levels of pain, improve your level of activity and restore your quality of life.
Interventional or direct treatment of pain is achieved by targeting the source of the discomfort. Diagnostic blocks followed by more definitive radiofreqency or cryotherapy treatments can be used to reduce inflammation and sensitivity in sensitive and injured tissue.
We will evaluate all aspects of your condition using the latest investigations and techniques to treat all aspects of your pain condition.
Friendly
Our friendly staff have all worked in pain medicine for over a decade here on the Gold Coast. We enjoy getting to know our patients and their families.
Experienced
Over the last 15 years Dr Leigh Dotchin and Dr Anthony Espinet have provided more than 14000 consultations and 25000 treatments.
Those who do not feel pain seldom think that it is felt.
Some of the conditions we treat
Pain can be caused by a wide variety of problems ranging from simple wear and tear through to complex neurological and hypersensitivity phenomenon. We tailor management strategies to treat the different components of the pain and its underlying cause.
The simplest first step is just to call or email our friendly reception staff and they will talk you through how we can arrange an appointment for you.
We aim to help with all types of pain ranging from simple wear and tear related symptoms through to complex neurological and hypersensitivity disorders. The individual nature of a persons pain means that we will tailor treatments options for you.
We commonly work together with other specialists (e.g. spinal and neuro surgeons, general surgeons, neurologists, rheumatologists) to optimise your care.