• Clinical Lead for Chronic Pain Management
  • Consultant in Anaesthesia and Pain Management

NHS Contact Details

Email: rno-tr.chronicpainservice@nhs.net

Telephone: +44 (0)203 947 0043

Private Care Enquiries

Email: Rno-tr.PPUBusiness@nhs.net

  • Anaesthesia
  • Chronic Pain

Pain arising from the spine (e.g. back pain, neck pain). Pain associated with spinal surgery. Neuropathic pain due to nerve injury. Pain arising from injury of the brachial plexus. Pain related to Chronic Regional Pain Syndrome. Dr Mihaylov undertakes spinal cord stimulation (SCS) to treat chronic pain states

Dr Mihaylov is an experienced Consultant in Pain Management and Anaesthesia who is a Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists, London, UK.

Dr Mihaylov completed a recognised Fellowship in Advanced Pain Medicine in University College London Hospitals and the Royal National Orthopaedic Hospital. 

Procedures / treatments undertaken:

  • Transforaminal epidural injections: lumbar, thoracic
  • Interlaminar epidural injections: lumbar, thoracic, cervical
  • Epidural injections via the caudal route
  • Percutaneous radiofrequency denervation of lumbar and cervical facet joints
  • Intra – articular facet joint injections: lumbar, cervical, thoracic
  • Thoracic intercostal nerve blocks
  • Sacroiliac joint intra – articular injections
  • Sacroiliac joint percutaneous radiofrequency denervations
  • Percutaneous radiofrequency denervations of knee genicular nerves
  • Shoulder suprascapular nerve blocks
  • Stellate ganglion blocks
  • Lumbar sympathetic block
  • Ganglion of impar blocks
  • Spinal cord stimulator trials
  • Implantation of spinal cord stimulators

Dr Mihaylov was appointed to a substantive Consultant post at the Royal National Orthopaedic Hospital in 2015.

  • B.Sc (Hons) (2001): King’s College, University of London
  • MBBS (2003): St George’s Hospital Medical School, University of London
  • FRCA (2008): Royal College of Anaesthetists, London
  • FFPMRCA (2012): Pain Faculty of the Royal College of Anaesthetists, London

  • British Society of Orthopaedic Anaesthetists
  • British Pain Society
  • Neuromodulation Society of the United Kingdom and Ireland

Recent and important publications

  • Privitera R, Birch R, Sinisi M, Mihaylov I, Leech R, Anand P Capsaicin 8% patch treatment for amputation stump and phantom limb pain: a clinical and functional MRI study. Journal of Pain Research. 2017.10:1623 - 1634
  • M Czernicki, I Mihaylov, B Nejad, S Kunnumpurath. G Kodumudi, N Vadivelu.  Intrathecal drug delivery for chronic pain management – scope, limitations and future. Journal of Clinical Monitoring and Computing. 2014. 28:4
  • I Mihaylov, S Balasubramanian, T Vasu. Chapter 3: Drugs, equipment, and basic principles of spinal interventions, In: Spinal Interventions in Pain Management (Oxford Specialist Handbooks in Pain Management), K Simpson, G Baranidharan, S Gupta ed. Oxford University Press, 23 – 36, 2011
  • Hori S, Mihaylov I, Vasconcelos JC, McCoubrie M.  Patterns of complementary and alternative medicine use amongst outpatients in Tokyo, Japan. BMC Complement Altern Med. 2008. 8:14
  • R Zarnegar, I Mihaylov, S Gulati. Sodium channel in the management of chronic pain – what are we all doing? British Journal of Pain. 2012. 47P
  • I Mihaylov, T Rajamanickam, I Suri. Persistent pain following Caesarean section; a retrospective questionnaire based survey of 150 women. International Journal Obstetric Anaesthesia. 2012.
  • I Mihaylov, S Balasubramanian. Monitoring and intravenous access for epidural injections in chronic pain management. Pain News. 2010. Summer Edition