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A range of medical treatments can be offered in Pain Clinic.  The aim is to try and reduce pain as much as possible and to increase function and quality of life.   The medical management of your pain may include recommending the use of medication for pain relief or trying to improve the effect of the pain medication that you are already taking.  However, it may be that you find that medication is not very effective or that you do not tolerate it very well. For example, you find that you get side effects.  If this is the case we can work with you to reduce or stop taking medication.

Besides medication, we may recommend other pain interventions and we offer a wide range of injection treatments and have particular expertise in guided injection treatments.  We will also give you information about your pain condition and advice on what you can do to try and improve your pain.   Where appropriate, we may recommend referral to another team for further help and advice,

It is important to remember that not everyone with chronic pain needs to be seen in Pain Clinic.   Your family doctor, current medical or surgical team or other health care professional may be more than capable of helping you to manage your pain.  However, if things are not improving we are here to try and help if we can in the Pain Clinic.

Consultants in Pain Medicine:

  • Dr Andrew Nicolaou (lead)
  • Dr James Blackman
  • Dr Andrzej Krol
  • Dr Oliver Seyfried
  • Dr Hadi Bedran
  • Dr Moein Tavakkoli-Zadeh

To contact any of the above consultants,  please contact the St George’s Hospital Pain Clinic on  020 8266 6577 or 020 8266 6524.

Clinic information / what to expect at an appointment

During the first appointment a history of your pain will be taken.  You will be asked how and when the pain started, what symptoms you experience now, what previous treatments that you have tried for you pain and how the pain affects your life.  You will also be asked about your general health and lifestyle.  It is important to mention any other medical conditions that you have and also any other treatments that you are currently having.  It can be helpful to bring a list of your medications.   Discussion with the doctor may be followed by a physical examination and sometimes further investigations, before a treatment plan is discussed and agreed with you.   The plan may involve treatment under the care of Pain Clinic or a referral may be made to another team who can offer you the most appropriate treatment for your needs.  Following your assessment, a letter will be written to the GP and referring healthcare professional to ensure continuity of care.  If you attend for further appointments your GP with receive an update on your progress.