Dr. Thomas Choong takes a comprehensive & individualised approach to the treatment of musculoskeletal pain with a key focus on

Patient Education and Intradermal Needling Therapy.


What to Expect at your appointment

Your initial consultation and treatment at Equillibrium Medicine may take between 1 and 2 hours. Dr. Thomas Choong will take a thorough medical history, conduct an examination, develop a treatment plan, and commence treatment.

patient education

  • The primary purpose of patient education is to encourage your involvement in decision making and to empower you in the management of your pain.
  • Understanding why you are experiencing pain can help to reduce your pain, alleviate stress and improve functionality.
  • Knowledge of current scientific concepts on pain and pain neuroscience is essential to your healing and rehabilitation.
  • We may provide additional external resources to increase your knowledge and understanding of pain.

intradermal needling therapy

  • The therapy involves the insertion of very small needles intra-dermally, 1-2mm under the skin surface.
  • The needle insertion points are located by palpation or "touch". After each insertion the patient is re-tested for further points of pain.
  • Needling introduces a neural signal to modulate the nociceptive or “pain” pathway and winds down neural sensitization.
  • Pain reduction is usually achieved by the end of the initial treatment session.


  • Medical Acupuncture is a useful adjunctive treatment for pain, stress and anxiety.
  • The positive neurophysiological effects of acupuncture have been extensively researched and published.
  • Acupuncture can be administered via needle or, where appropriate, via Low Level Laser.
  • Dry needling is the use of acupuncture needles to treat myofascial trigger points.

laser therapy

  • Commonly known as Low Level Laser Therapy (LLLT), laser and LED lights have been used to treat musculoskeletal pain since late 1960’s.
  • The scientific term for the effects of LLLT on tissues is “photobiomodulation”. There is now strong scientific evidence that photobiomodulation has positive effects on the treatment of a number of musculoskeletal pains.
  • LLLT can be used separately or in conjunction with other treatments.
  • LLLT is a safe and pain free procedure.


  • The benefit of exercise on health is well established.  Exercise and mobilisation techniques may also reduce musculoskeletal pain and facilitate recovery.
  • Simple exercises, mobilisations and stretches can be easily incorporated into your treatment plan to enhance your natural movement and biomechanics.
  • Your rehabilitation may involve collaboration with exercise physiologists, physiotherapists and/or personal trainers.


  • It is preferable to use non-drug treatments for musculoskeletal pain, however, particularly with acute pain, medications may be an integral part of your pain management.
  • Taking into consideration their potential benefits and harms, pain medications must be taken in a timely and methodical manner.
  • The prescribing of any pain medication will be guided by current scientific knowledge.