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Pain management

Expert management and treatment for chronic pain

If you are suffering from long term pain, then Shirley Oaks Hospital in Croydon could help you. Pain management is normally associated with chronic or long-term pain. We have a team of consultants and physiotherapists who can advise on how to help you manage your pain.

Your consultant will assess you and, if necessary, work with the physiotherapy team to create a pain management plan for you.

Chronic low back pain

Chronic low back pain is back pain that has been present for an extended period. Back pain can be stiffness or lack of movement in the back and the feeling of having difficulty walking or standing up straight.

Head and neck pain

Head and neck pain can also sometimes be attributed to poor posture. This can be caused by an injury or sleeping position. Most neck pain does resolve itself, however if it doesn’t then your consultant can explore what the cause may be.

Herniated/slipped discs

A herniated or slipped disc is where one of the discs in between the vertebrae in your spine has slipped and is bulging. This can get better on its own along with over the counter painkillers, but more severe cases may require surgery.

Joint pain (facet and sacroiliac)

Joint pain in your back can be facet or sacroiliac.

The facet joints are the joints in between the vertebrae in your spine.  Normally facet joint pain is caused by injury or impact to the spine. The pain can be a stiffness of the joints or it can generate muscle spasm. You can also get arthritis in your facet joint and this could be causing the pain.

The sacroiliac joints are the connecting joints between your lower spine and pelvis. The pain comes when the joint has been injured and moves too much which causes the pain.

Neuropathic pain – pain affecting the nervous system

Neuropathic pain is damage or injury to the nerves that carry messages from the brain to the spinal cord. There are many things that can cause nerve damage, such as a result of an injury or neurological conditions like multiple sclerosis.

Your consultant's first priority will be to help control your pain. Once the pain is under control treatment for the damaged nerve can be assessed and you will advised of the options for treatment.

Persistent post-surgical pain

Persistent post-surgical pain is normally pain that has lasted more than three months after the surgery took place.

If you have pain that is persistent after surgery, contact your consultant who can investigate further.

Spinal pain/sciatica

Sciatica is pain from the sciatic nerve; the sciatic nerve is the nerve that runs from your hip to your feet. Pain is normally felt in the backs of the legs, feet, toes or bottom. Your consultant’s first priority will be to help manage the issue.

Specialists offering Pain management

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Dr Bijan Nejad

Consultant in Pain Medicine and Anaesthesia


Shirley Oaks Hospital

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Dr Ravi Srinivasagopalan

Consultant in Anaesthesia and Pain Management


Bishops Wood Hospital 1 more Shirley Oaks Hospital

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Dr Roshan Thawale

Consultant in Pain Management and Anaesthesia


Shirley Oaks Hospital

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Dr Michael Kotrba

Consultant Orthopaedic and Trauma Surgeon

MD, BSc Hons, FA f. Orth (D)

Shirley Oaks Hospital

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Mr Gavin Marsh

Consultant Orthopaedic Surgeon

MBBS University of London (Barts) FRCS FRCS (Orth)

Shirley Oaks Hospital

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