Pain Management

Chronic pain is defined as pain that has lasted more than three to six months. Chronic pain can range from mild to excruciating, episodic to constant, just inconvenient to incapacitating.

In Chronic states, pain signals can remain active in the nervous system for weeks to many months. This can also be exacerbated by emotional stress, fatigue and other psychological issues.

Chronic pain can originate as a result of trauma or injury. It can also start from nerve damage, inflammation, infection. However in some people there may not be any past injury or evidence of body damage. Some of the commonest forms of pain include, chronic back pain, sciatica, neck pain, nerve pain, headaches and pain from other parts of the body.

 

 

Due to complex mind and body connection of the pain, anxiety, stress and depression associated with pain can make body’s defense compromised. Hence it is important that, the effective management of pain includes physical as well psychological aspects of pain condition.

After a thorough check up and investigations as per the requirement, the management of pain may include various pain medications, different types of injection treatments , physical exercise therapies such as physiotherapy, acupuncture, psychological support.

 

Important Links:

The British Pain Society
 

 

About Me

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I am working as a consultant in chronic pain management and anaesthesia.

Background:
After finishing my higher specialist training at St.George’s Hospital , London rotation, I started working as a consultant at Kingston Hospital Foundation Trust in 2003 as a consultant in anaesthesia and pain management.

I have special interest in interventional pain management , neuropathic pain and back pain management. I perform various pain management procedures including facet joint injections and denervations, lumbar epidural, nerve root injections under fluoroscopic guidance and other nerve blocks.

Memberships:
Royal College of Anaesthetist
The British Pain Society
The Association of anaesthetist of Great Britain and Ireland
Special Interest Group of interventional pain

 

 

 

 

 

Treatments

Nerve root block/ injection

 A nerve root block is an injection of mixture of local anaesthetic and anti-inflammatory steroid given around the origin of a nerve as it leaves the spinal cord in the back or the neck. Lumbar nerve root block is done in the small of the back.
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Facet joint injections - Lumbar (back) or cervical (neck)


Facet joints are the small joints that connect the bones of the spine together and are located in pairs. They help to provide stability and guide motion of the back and the neck. They can sometimes become inflamed and swollen or extra thick and cause pain in the back or the neck. Injections can also be done around the nerves supplying the facet joints and then the procedure is called as ‘facet joint medial branch blocks’. This particular procedure may help to predict better if the facet joint denervation / ablation / rhyzolysis will work in future or not.
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Facet joint denervation by radio frequency lesioning (Rhizolysis)

It is a procedure done using a specilised machine to interrupt nerve conduction, on a semi permanent basis from the small nerves to the facet joints. The nerves are then blocked for few weeks to months.
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Contact

Appointments can be made via secretary or by contacting the hospital directly.

Secretary:

Jacinta Pile
Tel/Fax
: 0208-3377493
Mobile no: 0791-0516255
Email: jacintapile@btinternet.com

 

 

 


 

 

 

 

 

 

 


Clinics and timing:

The New Victoria Hospital

184 Coombe Lane West, Kingston Upon Thames
KT2 7EG; Tel: 020 8949 9021
Alternate Thursdays 4-5.30 pm

St. Anthony's Hospital
801 London Road, North Cheam, Galsworthy Road, Kingston Upon Thames, Sutton
SM3 9DW; Tel: 020 3553 1731
Alternate Thursdays 11-13 pm and 18-19 pm

Parkside Hospital
53 Parkside, Wimbledon, London
SW19 5NX; Tel: 020 8971 8000
Alternate Fridays 5.30-8 pm

BMI Coombe Wing
Kingston Hospital
Galsworthy Road, Kingston Upon Thames
KT2 7QB; Tel: 020 8546 6677
Ad-hoc