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Pain management

When you want freedom from acute or chronic pain and discomfort it is important to have access to effective treatment.

Pain is very personal and subjective, with no two people experiencing it in the same way. It can be a very unpleasant experience, especially if it continues for a long time, as it can begin to affect all aspects of your life, including your ability to work, your personal relationships with family and friends, your sleep and activity levels.

When you want freedom from acute or chronic pain and discomfort, it is important to have access to effective treatment. Your local Circle hospital offers treatment for a broad range of conditions, and our specialists will advise on the most appropriate solution for you.

Our integrated pain service focuses on the diagnosis and treatment of painful conditions. This includes musculoskeletal pain (from joints and muscles) and pain from damaged nerves. Timely treatment can prevent pain from escalating and becoming chronic, and therefore reduce the need for surgical intervention.

In order to make an accurate diagnosis and offer effective treatment, our pain consultants will regularly liaise with specialists from other surgical and medical areas such as spinal surgery, rheumatology (joints) and neurology (nerves).

Treatment of your pain is often further enhanced by physiotherapy and alternative therapies, such as acupuncture, may be considered where appropriate.

Types of pain

People suffer from many varied types of pain, which can fall into a number of different categories:

  • Low back pain
  • Neck pain, including whiplash
  • Leg pain, including sciatica
  • Headaches
  • Facial pain
  • Nerve pain -  including chronic pain after surgery, phantom pain, trigeminal neuralgia and pain after shingles

Making an appointment

You can make an appointment directly with one of the consultants at your local Circle hospital or, if you prefer, you can ask your GP to refer you (this may be necessary if you have private medical insurance).

You will benefit from:

  • Initial consultation with a specialist pain consultant for a full diagnostic assessment of your condition
  • Fast access to diagnostic tests including x-ray, ultrasound and MRI (where appropriate)
  • Review of your current medication
  • Personalised treatment plan
  • Fast access and referral on to other specialist consultants and physiotherapists where necessary to continue your treatment and care
  • Re-assessment consultation with your specialist pain consultant

Interventional procedures

Your consultant may recommend a joint injection or a nerve block. These can be diagnostic (giving up to three months' benefit) or therapeutic (treating the nerve supply) providing longer-term relief.

Some injections are carried out in the outpatient clinic, but most patients are treated in a dedicated pain clinic theatre as a day case procedure. The typical length of stay is 2-4 hours. Fasting for up to 6 hours may be necessary, as patients will be offered sedation for certain types of procedure (your consultant will discuss this with you in detail before your procedure).


The pain consultant will review your current list of medication and make suggestions to you and your GP as to the best choices for your pain condition.  Not all medicines are suitable for all patients, and therefore your consultant may make several suggestions to your GP.

There are different pain medicines depending on the types of pain that need treating.  Pain from inflamed tissues and joints may be treated with anti-inflammatory drugs or medicines containing paracetamol and an opioid (strong painkiller).  Pain of nerve origin, however, may need different medication in order to get effective relief by desensitizing the effected nerve. 

Clear pricing for your peace of mind

Following your first consultation, you may need diagnostic investigations to help your consultant understand what treatment options are best for you. You will be informed of the cost of these before any investigations take place.

If treatment is required, we will provide you with a written quotation before going ahead. You will know exactly how much your treatment will cost in advance, with no hidden extras, giving you peace of mind if you do not have private medical insurance.

If you do have private medical insurance, you will need to check your cover with your insurance company before confirming your appointment, and you may need a GP referral. Alternatively, you can pay for your treatment by cash, debit or credit card.

Useful links

Ultrasound guided injection/aspiration of joint (local anaesthetic)

Please be aware that the following prices are a guide price. Your final price will be confirmed in writing following your consultation and any necessary diagnostic tests.

Patient pathway Initial consultation Diagnostic Investigations Main treatment Post discharge care Guide price
Hospital fees N/A Not included £1,675 Included £1,675
Consultants fees from £200 N/A Included Included £200
Guide price £1,875

Specialists offering Pain management

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John Francis

Consultant in Anaesthesia and Pain Medicine


Woodlands Hospital

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Mr Raman Kalyan

Consultant Spinal Surgeon

FRCS (Tr & Ortho), MD, MRCS, D.Ortho Eng, DNB Orth Surg, D.Ortho

Woodlands Hospital

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Mr Daniel John Fagan

Consultant Spinal Surgeon

MBChB MRCS (Eng) FRCS (Tr&Orth)

The Duchy Hospital 1 more Woodlands Hospital

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Dr Ashish Gulve

Consultant in Pain Management and Anaesthesia


Woodlands Hospital

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