Dr Jeremy Steinberg - Musculoskeletal Specialist Service
Private Service, Musculoskeletal
Dr Jeremy Steinberg is dual trained in Musculoskeletal Medicine and General Practice. He splits his time between Musculoskeletal Medicine at Marua Medical Specialist Health Centre, and General Practice at Ellerslie Medical Centre.
At Marua Medical Specialist Health Centre Jeremy sees patients aged 13 and older referred for primary musculoskeletal or pain problems. He has particular interests in chronic musculoskeletal problems that have been difficult to diagnose, spinal pain and sciatica, tendon problems, and complications from hypermobility. He is also trained to do image guided procedures such as injections with steroid, platelet rich plasma, and hypertonic dextrose if indicated. He works closely with other local Musculoskeletal Medicine specialists, as well as colleagues in the Allied Health fields.
What is Musculoskeletal Medicine?
Musculoskeletal medicine involves the diagnosis and non-surgical treatment of disorders of the musculoskeletal system (bones, muscles, cartilage, intervertebral discs, ligaments, tendons, and other connective tissue). Musculoskeletal disorders may occur as the result of injury or be gradual in onset such as osteoarthritis and tendinopathy.
Management of musculoskeletal disorders includes a wide range of treatments such as: patient education, pain management strategies, manual therapy, exercise and rehabilitation programmes, specialised diagnostic and therapeutic injection techniques, and medication.
There is overlap between Musculoskeletal Medicine, Rheumatology, Sports Medicine, Pain Medicine, and Orthopaedic Surgery. Your GP or allied health provider will be able to guide you on the best type of doctor to see for your problem.
- Musculoskeletal Medicine Specialists usually see patients with problems due to injury or the ageing process and there is an emphasis on diagnostic accuracy.
- Rheumatology has a focus on joint pain that is due to a problem with the immune system such as Rheumatoid Arthritis but may also see patients with injury and age related conditions.
- Orthopaedic Surgeons are the only specialists able to provide surgical options for pain.
- Sport and Exercise Medicine is the medical care of the exercising person.
- Pain Medicine has an emphasis on complex pain where the problem isn't directly treatable with the aim of improving function and quality of life. Most Pain Medicine physicians work in the hospital chronic pain clinics.
Youth / Rangatahi, Adult / Pakeke, Older adult / Kaumātua
How do I access this service?
A referral is required from either another doctor, nurse practitioner, or allied health provider (physiotherapist, osteopath, chiropractor, etc). Self referrals aren't accepted. If the problem is very complex, for example…
Your GP or allied health provider will have referred you for the consultation. A three page form will be sent to you to fill out which has questions about your health and pain problem. Please send it to email@example.com so that an appointment time can be given. The questionnaire is very important because it allows us to have a better baseline understanding before seeing you and it means that it is less likely we miss something significant.
If you have previously been seen by a private specialist please send the clinic letter to us beforehand. If it was a public specialist then we can access the letters online with your permission.
Clinic appointments last 50-60 minutes for an initial consultation and 20-30 minutes for a follow-up consultation. In some cases a longer 90 minute initial consultation is required. This includes taking a history, performing a thorough physical examination, and forming a plan for either further investigation (such as scans or diagnostic injections) or management.
Musculoskeletal medical evaluation requires a good understanding of what is happening within the musculoskeletal system – that is, the muscles, bones, joints and nervous systems, including how these structures are performing and how they inter-relate. Adequate exposure is important for the doctor to see what is going on in the musculoskeletal system, in order to gain a thorough objective assessment of the problem. For example for low back pain the upper buttocks need to be exposed while lying on your stomach.
A copy of the specialist's report is routinely sent to both your referrer and to yourself. We are available for any queries regarding the report.
You may have ongoing follow-up in our clinic or be discharged back to the care of your GP. In most instances your GP would be able to continue prescribing any new medications, which would be specified in the report to the GP after the consultation. You may also be referred to an allied health provider or another specialist.
ACC: The service is ACC registered and accredited.
Southern Cross: Jeremy is a Southern Cross Affiliated Provider for 30 and 60 minute appointments and most procedures. This means we can process your prior approval and invoice for you if you have your membership number and referral letter.
If your problem is very complex (e.g. a long history of unresolved widespread pain) there is a limited availability of longer 90 minute initial appointments. The referrals are triaged to determine if this is needed.
Other: If you have medical insurance with another insurance company we recommend that you contact them to arrange prior approval. Otherwise, and if you are not insured, your account will be required to be paid in full at the time of service.
Platelet rich plasma injections are excluded from ACC and Southern Cross funding.
Please contact the clinic for details of our consultation and procedure charges if required.
Marua Medical Centre: Mondays and Wednesdays for consultations and certain procedures (landmark guided, ultrasound guided, and PRP injections)
SRG Radiology: Thursday mornings for fluoroscopically guided (x-ray guided) procedures.
Conditions / Procedures / Treatments
Chronic Spinal Pain
Back disorders (e.g. chronic neck pain, chronic low back pain, sciatica, etc) are the 7th leading cause of disability in New Zealand and 6th leading cause globally amongst all medical conditions.… More
Sciatica is a term that generally refers to nerve pain in your leg caused by a problem in your lower back.… More
OA occurs when there is a breakdown of the cartilage, leaving the bones unprotected. It is very common and usually affects people as they get older. You can get it at any age and are more likely to if you have previously injured a joint, or are overweight.… More
Tendons are the structures that connect muscle to bone to allow movement.… More
Most headaches are not due to significant underlying problems but you may be referred if your GP is worried about the nature of your headaches or you are having difficulty controlling them with standard treatment.… More
Nerve Compression Syndromes
There are many types of nerve compression syndromes that can cause chronic pain.… More
Management of Acute or Chronic Pain Problems and Syndromes
Management of musculoskeletal pain problems may require reassurance, time, manual therapy, medication, injections, referral to allied health professionals including physiotherapists, osteopaths, chiropractors, psychologists, psychiatrists, occupational therapists and physicians, ACC programmes etc. More
Peripheral Joint Injections
Any joint in the limbs may be a source of pain, and an intra-articular injection may be a treatment option. Often these can be done as an office procedure using landmark or ultrasound guidance, but certain cases may require x-ray guidance. More
Spinal Facet and Sacroiliac Joint Injections
Spinal facet and sacroiliac joint injections can be done for chronic low back pain, and can be done precisely under x-ray guidance. In the office it can be performed less accurately using ultrasound guidance and this may be the first approach used. More
Epidural Steroid Injection
Patients with sciatica (leg pain) after a prolapsed disc with abutment or compression of a nerve root may get significant relief from a steroid injection into the site of the problem.… More
Trigger Point Injection
Most muscles in the body can produce ongoing pain and disability. Sometimes this is associated with the presence of trigger points which sometimes resolve with injections of local anaesthetic and/or steroid injection. More
Nerve Injections (Diagnostic and Therapeutic)
A variety of substances are injected around certain nerves in order to improve pain coming from irritation of the target nerve or to aid in the diagnosis of certain chronic pain problems.… More
Platelet Rich Plasma Injections
Platelet rich plasma (PRP) treatment involves taking your blood, concentrating the platelets using a centrifuge, and then re-injecting the concentrated platelets from the blood into areas of chronic pain using ultrasound guidance.… More
Prolotherapy is an injection technique where an irritant solution (usually dextrose i.e.… More
Injections for tendon problems are only generally offered when there is significant inflammation such as in de Quervain's tenosynovitis.… More
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Marua Medical Centre
229 Marua Road
Marua Medical Centre
229 Marua Road
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This page was last updated at 11:22AM on April 13, 2022. This information is reviewed and edited by Dr Jeremy Steinberg - Musculoskeletal Specialist Service.