The RNOH will remain the UK’s leading specialist orthopaedic hospital, further enhancing its international profile for outstanding patient care, research and education

Chronic Pain Management

The RNOH provides comprehensive care for patients with chronic pain (CP) resulting from a wide range of musculoskeletal and neurological problems.

Pain management services are provided by experienced specialists ensuring that patients benefit from an inter-disciplinary approach. This approach is fostered by multidisciplinary ward rounds, clinics and meetings as well as combined clinics between specialties within the RNOH.

A yearly annual report is published for the public to view on how patients are improving their lives with our service (Chronic Pain Centre report 2016/2017).

There are four chronic pain management consultants:

  • Dr R. Zarnegar, Anaesthesia and Pain Management (Clinical Director for Medicine and Rehabilitation Services)  
  • Dr D. Mihaylov, Anaesthesia and Pain Management (Clinical Lead for Chronic Pain Services)
  • Dr T. Fernandez, Anaesthesia, Acute and Chronic Pain Management (Neuromodulation Lead)
  • Dr R. Berman, Full Time Pain Management (Audit Lead)


  • Dr Berman's secretary, 020 8909 5463
  • Dr Zarnegar's secretary, 020 8909 5463
  • Dr Fernandez's secretary, 020 8909 5274
  • Dr Mihaylov's secretary, 020 8909 5274
  • Mrs Julia Sach, Chronic Pain Clinical Nurse Specialist 020 8909 5669 (Lead)
  • Mrs Faustina Aikins-Snyper, Chronic Pain Clinical Nurse Specialist, 020 8909 5669 (Deputy)
  • Mrs Michelle Carson, Chronic Pain & Neuromodulation Clinical Nurse Specialist 020 8909 5669
Useful documents:Size
Chronic Pain Centre Annual Report 2014-2015945.16 KB
Chronic Pain Centre Annual Report 2015-20161.65 MB
Chronic Pain Centre Annual Report 2016-20171.4 MB
Chronic Pain referral acceptance criteria28.28 KB
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