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 interdisciplinary 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).

Chronic Pain

Dr Dan Mihaylov - 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...

Dr Ramy Mottaleb

Dr Roxaneh Zarnegar - Regional anaesthesia, Neuropathic pain, Rehabilitation for chronic pain related disability, Paediatric chronic pain and transition to adult care.

Please contact the unit on 020 8909 5669 or email rno-tr.chronicpainservice@nhs.net

Mrs Julia Sach, Chronic Pain Clinical Nurse Specialist
Tel: 020 8909 5669 (Lead)

Mrs Andreea Costras, Associate Clinical Nurse Specialist (Chronic Pain & Neuromodulation)
Tel: 020 8909 5669

Mrs Nisha Patel, Associate Clinical Nurse Specialist (Chronic Pain & Neuromodulation)
Tel: 020 8909 5669

Mrs Michelle Carson, Lead nurse for chronic pain and Neuromodulation
Tel: 020 8909 5669

RNOH Chronic Pain service referral acceptance criteria

RNOH Chronic Pain spinal cord stimulation referral acceptance criteria

To make a tertiary referral to RNOH you will need to register for an account on EpicCare Link. Please follow the instructions here

Referrals are accepted from GPs and consultants. If you are a GP referring to the RNOH please use the NHS e-Referral Service system, e-RS.