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www.londonpainclinic.comAppointments and enquiriesThe London Pain Clinic9 Harley StreetLondon, W1G 9QYPhone: 0207 118 0250E-mail: info@londonpainclinic.comWebsite: www.londonpainclinic.comPain Medicine Services
Welcome tothe LondonPain Clinic.London’s leadingConsultants for painassessment andtreatment.If you’ve been battling with pain for some time, youmay be at a loss of what to do or where to turn. All toooften patients with complex conditions are prescribedgeneral medication and bed rest, only to find theirproblem persists, or worsens over time.2www.londonpainclinic.com
When pain persists, it’s time to see a specialist.At the London Pain Clinic, we’re highly proficient in delivering personal,private care. We specialise in creating individually tailored treatment plans tobeat pain as quickly as possible, and we offer a wide range of pain treatmentservices to fit your unique set of symptoms.We understand that successful pain treatment begins with a thoroughassessment and accurate diagnosis. All patients have an initial assessmentincluding a full history and clinical examination. We are proud to work withthe most advanced diagnostic tools including MRI scans, CT scans, X-Rays,Blood Tests and high resolution Ultrasound scans– in short, whatever it takesto get to the root of your symptoms. Once we have established the cause ofyour pain, we can offer a wide range of treatment interventions to tackle it.Analgesic medications- analgesic andantineuropathicQuentenza (high concentrationCapsaicin)Therapeutic epiduralsPENS- Peripheral Electrical NerveStimulationFacet joint injectionsFacet joint radiofrequencydenervationSacroiliac injectionsSacroiliac radiofrequencydenervationHyaluronic acid (Synvisc andDurolane)Specialist pain physical therapistsHome exercise programmesClinical pain psychologyNerve root injectionsMultidisciplinary treatmentsNerve root pulsed radiofrequencyAdvanced treatment such as spinalcord stimulation and implantableintrathecal pumps.Pulsed radiofrequency technologyBotox (Botulinum Toxin A)Our Consultants in Pain Medicine are renowned as the go-to doctors whenpain is the barrier to rehabilitation. We guarantee that every patient is treatedfor their condition and never sent home with generalised recommendations.You can always ask as many questions as you need and will never be rushedout of the door.3
Our TeamDr Christopher JennerPain ConsultantMB BS, FRCA, FFPMRCASasha RobertsPractice ManagerDr Jenner is a qualified Consultant in Pain Medicinewith experience in treating more than 90 painconditions. He has undertaken extensive training inanaesthesia for a host of different problems,particularly musculoskeletal pain and neuropathicpain.Sasha’s focus as Practice Manager is quality, servicestandards and performance and she strives to ensurethe best possible experience for patients. Prior totaking over management of the practice in March2013, Sasha previously worked for Dr Jenner in amedicolegal capacity.Dr Jenner earned his medical degree at LondonHospital Medical College, qualifying in 1995. He hasheld a number of key posts throughout Londonspecialising in pain management. For example hepracticed as a Specialist Registrar (SpR) inAnaesthesia and Intensive Care and Senior HouseOfficer (SHO) in Anaesthesia and Intensive Care atSt Bartholomew’s and The Royal London andHomerton Hospitals.Sasha has 15 years’ experience of managingresources including business support services withina Social Care and Health setting for four years. She isalso nearing completion of an MSc degree in strategicbusiness management.He became a Consultant in Anaesthesia and PainMedicine in 2004, practicing at St Mary’s Hospital,and in 2001 became a Fellow of the Royal College ofAnaesthetists. In 2008 he gained certification asFellow of Faculty of Pain Medicine at the RoyalCollege of Anaesthetists. Dr Jenner has theexpertise to treat even the most obscure of painconditions.4www.londonpainclinic.comSasha loves the great outdoors, travelling far andwide, lifelong learning and is a committedpractitioner of Iyengar and Ashtanga yoga. JaniceRose is Sasha’s Assistant Practice Manager andStephanie Winder is Practice Secretary, both of whomplay instrumental parts in the running of the Clinic.
Spine PainSpinal disorders can cause significant distress and robsufferers of a fulfilling life. What’s worse, many patientsare misdiagnosed, which only adds to a sense offrustration. At the London Pain Clinic we have treatedcountless patients living with unimaginable states ofphysical discomfort. It is our commitment to offerpatients who have not yet found relief, a lastingsolution.Our vision is to deliver exacting diagnosis and experttreatment to get you back to a life free from thevarious conditions that are associated with Spine Pain,whether your symptoms are associated with Neck Painor Back Pain. If you have another type of Spine Pain,our expert pain doctors can help.5www.londonpainclinic.com
Spine PainNeck PainIn cases of ongoing Neck Pain, the only real solution is tosee a specialist pain doctor. At the London Pain Clinic, ourexperts specialise in diagnosing the cause of your pain.You can expect:A full assessment by a consultant in pain medicineA detailed medical history, focussing on your Neck PainA thorough examination of your head, neck and upperbackHigh resolution MRI scans and x-Rays performed byExperienced consultant radiologistsOur renowned Second Opinion Service.We understand that every patient is unique and requiresa different approach to their treatment. Doctors at theLondon Pain Clinic work closely with you to ensure allyour symptoms are understood, and patients areencouraged to ask as many questions as they need. Atthe London Pain Clinic, we can provide you with:A full explanation of your Neck Pain.Personalised treatment plans.Access to the latest anti-inflammatory and analgesicmedications used in the treatment of Neck Pain.Specialist physical therapy and rehabilitation.Cervical facet joint blocks.Cervical facet joint radiofrequency denervation (RF)treatment.Cervical epidurals.Paravertebral and trigger point Botulinum Toxin A(Botox) treatment.Surgical consultation, where indicated.6
Spine PainBack PainMost causes of Back Pain are due to simple mechanicalconditions, for example pain arising from theintervertebral discs, facet joints, muscles or otherstructures in the spine. However, there are other rarebut serious conditions including disc herniation, vertebralfracture, infection and tumours.We use advanced MRI scanning to fully investigate thecause of your Back Pain, which may reveal wear and tearchanges in the structures of the spine. At the London PainClinic, we can provide you with:A full explanation of your Back PainIndividual treatment plans, whether your Back Pain isacute or chronicMultidisciplinary careThe latest analgesic medicationsMultimodal analgesiaSpecialist orthopaedic therapy and rehabilitation toimprove the physical functioning of your spineThe latest minimally invasive pain managementprocedures for Back Pain including epidural, facet jointand sacroiliac joint injectionsAdvanced procedures including facet joint andsacroiliac joint radiofrequency denervationSurgical consultation, where indicated, for examplewhere there is a disc prolapse.7www.londonpainclinic.com
Spine PainOur Doctors can help, whether your symptomsare associated with:Sciatica - leg pain caused by irritation, compression or inflammation of a part ofthe sciatic nerve; the largest nerve in the body. Pain is often first felt in the lowerback and buttocks and radiates down the leg to the foot and ankle. In addition toyour pain, you may experience numbness, weakness, pins and needles andtingling in the legs.The main causes of sciatica include problems with the lower lumbar spineincluding disc prolapse and spinal stenosis. However, there are also a number ofrarer forms of sciatica including Piriformis Syndrome and Ischiogluteal BursitisFacet Joint Pain - Facet joints are small joints on the back of the spine from thebase of the skull to the sacrum. They allow movement of the spine whilemaintaining stability. Pain arising from a facet joint can be acute, for examplefollowing a lifting injury, or may be chronic, for example due to underlying wearand tear changes in the intervertebral discs.Sacroiliitis - a severe, intense pain that originates from the large joints located atthe base of the spine. It is due to inflammation of the sacroiliac joint and can be adifficult condition to diagnose as it is often mistaken for ‘normal’ lower back pain.Failed Back Surgery Syndrome - If you have undergone surgery on your spinebut are still suffering ongoing pain in your back, legs or both, you may have failedback surgery syndrome (FBSS). You may also have FBSS if you are experiencingstabbing pain in your legs or other forms of sharp pain. There are numerousfactors that can contribute to the development of failed back surgery syndrome,including recurrent or residual disc herniation, post operative scar tissue andchronic inflammation of the facet and sacroiliac joints.Piriformis Syndrome - caused by inflammation, irritation or compression of thesciatic nerve by the piriformis muscle, located in the middle of the buttock. Youmay be experiencing leg pain or sciatica including sharp, stabbing, burning painin your legs, often in the absence of lower back pain. The pain starts deep in thebuttock and radiates down the leg.Our specialists understand the complex underlying causes for Spine Pain(Neck or Back), as well as the varying ways it can affect patients. The soonerthe problem is accurately identified, the sooner your targeted treatmentplan can begin.8
Nerve PainNerve Pain is linked to the sensory nervous system,and can be caused by a variety of underlyingconditions - from local trauma to viral infections. Whenthis vast communication network is damaged, NervePain or Neuropathic Pain is often the result. Until thenerves are healed, patients will continue to sufferdiscomfort.9www.londonpainclinic.com
Nerve PainHead and Face PainIt is common for people to suffer from occasional head pain, including headachesor face pain from a sinus infection. However, constant headaches, eye pain, facialpain or stiff neck and shoulder muscles may be a cause for concern, as they canbe symptoms of an underlying condition.Doctors at the London Pain Clinic use the latest medical advancements to ensurethat the source of your Head and Face Pain is correctly identified. At the LondonPain Clinic, you can expect:A full explanation of your Head and Face PainAn individual treatment planAccess to the latest analgesic medications for the treatment of Head andFace PainA range of minimally invasive pain management proceduresBotulinum Toxin A (Botox) TreatmentPulsed Radiofrequency (PRF) TreatmentPeripheral electrical nerve stimulation (PENS) treatmentSurgical options, if indicated.Common causes of Head and Face Pain include:Trigeminal Neuralgia (TGN) - one of the most severe forms of nerve orneuropathic pain. Even simple activities like brushing your teeth, chewing,shaving or eating can cause a severe electric shock-like pain that shoots throughyour face.Migraines - migraines can cause unbearable pulsating pain in your head. Theycan also be associated with nausea and sensitivity to light and sound. At theLondon Pain Clinic you can be assured that your pain specialist will assess thecharacteristics of your migraines and their triggers.Occipital Neuralgia - one of the most severe forms of nerve or neuropathic painand unfortunately, is often misdiagnosed as migraine or another type ofheadache due to the similarity of symptoms. You may experience severeheadaches, feeling a tight pulsating sensation over the head or severe stabbingand shooting pains over the top of the scalp.10
Nerve PainBody PainMinor aches and pains are, for the most part, a normalexperience. Everyone at some point will experience soremuscles or joints, but when your body pain becomeslong lasting it may be a cause for concern. There arecertain medical conditions and injuries that can causebody pain to manifest. The most common forms of bodypain include Fibromyalgia and Post Herpetic Neuralgia.At the London Pain Clinic you can expect:An expert assessment with a consultant in painmedicineA detailed medical historyA thorough physical examinationRelevant investigations including MRI scans andblood testsOur renowned second opinion service.Treatment.11www.londonpainclinic.com
Nerve Pain / Body PainFibromyalgiaPost Herpetic NeuralgiaThe widespread pain and fatigue that comes with havingFibromyalgia can leave otherwise healthy people unableto cope with their daily lives. At the London Pain Clinic weare familiar with the all over body pain, severe fatigueand sleep disturbance that is a part of Fibromyalgia,which may be secondary to an underlying condition, forexample an underactive thyroid, head or neck pain. Ittakes on average 5 years for a patient to be properlydiagnosed with Fibromyalgia.One of the most severe forms of Neuropathic Pain, PostHerpetic Neuralgia is the result of infection of the HerpesZoster Virus. Sufferers experience relentless burning,and sharp or stabbing pain in the area where a rash haddeveloped. We often treat patients who are partiallytreated, poorly treated or who have even beenmisdiagnosed.We understand that every patient has a uniqueexperience of pain. We can provide you with:A full explanation of Post Herpetic NeuralgiaOur expert pain doctors can offer you:An individual treatment planA full explanation of FibromyalgiaIndividual treatment plansThe latest Antineuropathic (anti-nerve pain)MedicationMultidisciplinary treatmentTopical and oral antineuropathic medicationAccess to the latest analgesic medications specificallyused in the treatment of FibromyalgiaMultimodal Analgesic MedicationSpecialist physical therapy and rehabilitation aimed atimproving your physical function and wellbeingCortisone injections to trigger pointsBotulinum Toxin A (Botox) treatment to trigger pointsPulsed radiofrequency (PRF) treatment to triggerpointsSelf Help TechniquesClinical pain psychology to improve your psychologicalwellbeing.Opioid Analgesic Medication, where indicatedPeripheral Electrical Nerve Stimulation (PENS)treatmentBotulinum Toxin A (Botox) treatmentQuetenza (high concentration Capsaicin) treatmentSelf Help Techniques and Desensitisation Exercises.Post Herpetic Neuralgia should be treated as soon assymptoms appear. An expert diagnosis is the first placeto start an effective treatment programme.12
Nerve PainGroin PainThe most common conditions to cause Groin Pain include problemsemanating from the hip joint, Hernias and Nerve or Neuropathic Pain.This includes Ilioinguinal, Iliohypogastric and GenitofemoralNeuralgias. There are also rare causes including Osteitis Pubis andMyositis Ossificans.Ilioinguinal, Iliohypogastric andGenitofemoral NeuralgiaThe most severe forms of Nerve Pain, you may experience sharp,burning, stabbing, excruciating Groin Pain as a result of Ilioinguinal,Iliohypogastric and Genitofemoral Neuralgia. These conditions are alsoassociated with extreme hypersensitivity to the local skin, which maybe painful to the touch.At the London Pain Clinic you can expect:A full explanation of Ilioinguinal, Iliohypogastric andGenitofemoral NeuralgiaAn individual treatment planAccess to the latest Antineuropathic MedicationsTopical and oral Antineuropathic MedicationsIlioinguinal nerve blocks and pulsed Radiofreqency treatmentIliohypogastric nerve blocks and pulsed Radiofrequency (PRF)TreatmentGenitofemoral nerve blocks and pulsed Radiofrequency (PRF)TreatmentPeripheral Electrical Nerve Stimulation (PENS) TreatmentQuetenza (high concentration Capsaicin) TreatmentSelf help techniquesSpecialist physical therapy including desensitisation exercises.13www.londonpainclinic.com
Nerve PainGynaecological PainIf you are experiencing dull, burning, sharp or crampingpain associated with menstruation or sexual intercourseyou may be suffering from Gynaecological Pain. Whetheryour pain is acute or chronic it is important to have itdiagnosed and appropriately treated. Gynaecological Paincan be caused by a variety of underlying conditionsincluding endometriosis, fibroids, adhesions, chronicbladder infection and infective causes. It can be difficultto pinpoint the exact cause of the pain.Pelvic PainVulvodyniaYou may be suffering in particular from Pelvic Pain,experiencing dull, burning, sharp or cramping painassociated with urination, bowel movement or sexualintercourse.With this condition you may experience sharp, burning orelectric shock-like pain, occuring around the vulva, labiaor entrance to the vagina. There are a number ofpotential reversible causes for Vulvodynia including localskin conditions, STD’s and early malignancy. Since everywoman is affected differently, we treat patients on anindividual basis. The underlying causes of Vulvodyniarequire different treatments, which is why it is soimportant to seek an expert diagnosis.We can offer you:A full explanation of your Pelvic PainIndividual treatment planAt the London Pain Clinic we can offer:Multidisciplinary TreatmentAccess to the latest Analgesic MedicationsMultimodal AnalgesiaHypogastric Plexus BlocksHypogastric Plexus Pulsed Radiofrequency (PRF)treatmentGanglion of Impar BlocksGanglion of Impar Pulsed Radiofrequency (PRF)treatmentPudendal Nerve BlocksPudendal Nerve Pulsed Radiofrequency (PRF) treatmentSpecialist Pelvic Physical Therapy.A full explanation of VulvodyniaA personalised treatment planTargeted therapy for VulvodyniaThe latest Antineuropathic (anti-nerve pain)medicationOral and Topical Antineuropathic medicationMultimodal Antineuropathic regimesPudendal Nerve BlocksPudendal Nerve Pulsed Radiofrequency (PRF)treatmentSelf Help techniquesDesensitisation ExercisesSpecialist Pelvic Physical Therapy.14
MusculoskeletalPainAny degree of musculoskeletal pain can cause a greatdeal of discomfort and have a profound effect on dayto day living. The causes and presentation ofmusculoskeletal pain can vary widely, from overworkedmuscles and joints, wear and tear of joints, prolongedimmobility or an underlying condition. Effectivetreatment should focus on the individual needs of thepatient and not general advice.At the London Pain Clinic, we have diagnostic expertiseand employ the latest medical technology to treat yourmusculoskeletal pain. Once an accurate diagnosis ismade, our specialist doctors will deliver a tailoredcombination of effective treatment interventions,whether your problem is Shoulder, Hip or Knee Pain.Musculoskeletal PainShoulder PainThe shoulder joint is the most moveable joint inyour body, but also the most unstable. Shoulderpain can be agonising with many possibleunderlying causes.This can include rotator cuff tears, tendonitis,bursitis, frozen shoulder, arthritis and sprains.Here at the London Pain Clinic we offer:A full explanation of your shoulder painA personal treatment planAccess to the latest analgesic medications forshoulder painIntra-articular steroid injectionsIntra-articular Hyaluronic Acid injectionsincluding Synvisc and DurolaneLocal trigger point injectionsSuprascapular nerve blocksSuprascapular nerve pulsed radiofrequency(PRF) treatmentBotulinum Toxin A (Botox) treatmentSpecialist shoulder physical therapy.15www.londonpainclinic.com
Musculoskeletal PainHip PainOver time, the hip joint undergoes increasing wear andtear. There is a reduction in the volume of synovial fluidwithin the joint and the cartilaginous lining thins.If left untreated, hip pain can progressively worsen, withleg muscles becoming weaker and mobility deteriorating.Hip pain can also be caused by inflammation of thetendons, ligaments and muscles around the hip jointitself.Here at the London Pain Clinic, we offer:A full explanation of your hip painAn individual treatment planMultidisciplinary treatmentThe latest analgesic medications for hip painIntra-articular injections with steroidMusculoskeletal PainIntra-articular injections with Hyaluronic Acidincluding Synvisc and DurolaneKnee PainTrochanteric bursa steroid injectionsOver time, Knee Pain can lead to severe discomfort.Causes can include general wear and tear, thinning andirregularity of the cartilage lining the knee joint and areduction in the volume of synovial fluid within the joint.Also inflammation of the soft tissue structuressurrounding the joint including tendons, ligaments andmuscles.Trochanteric bursa treatment with autologous bloodand platelet rich plasmaObturator nerve blocksObturator nerve pulsed radiofrequency (PRF)treatmentHere at the London Pain Clinic, we offer:Specialist orthopaedic therapyA full explanation of your knee painSurgical consultation, if indicated.Personalised treatment plansMultidisciplinary treatment and pain managementAccess to the latest analgesic medication for kneepainIntra-articular injection treatment with steroidIntra-articular injection treatment with HyaluronicAcid including Synvisc and DurolaneSpecialist orthopaedic physical therapySurgical consultation, where indicated.Doctors at the London Pain Clinic take a consultativeapproach to your care with effective, personally tailoredtreatment plans.16
Medico LegalServicesDoctors at the London Pain Clinic take aconsultative approach to your care witheffective, personally tailored treatment plans.Our services include:Expert medico legal reports for claimantsExpert medico legal reports for defendantsExpert medico legal joint reportsExpert witness in courtExpert medico legal assessment and treatmentpackages.The Consultants in Pain Medicine at the London PainClinic are regularly called upon to act as expertwitnesses in medico legal disputes. They has presentednumerous lectures on medico legal issues and haveextensive training in this area. They have substantialexperience in medico legal report writing – for examplefor patients suffering from whiplash injuries, lowerback pain or other peripheral neuropathic pains. Theycan offer competitive treatment and assessmentpackages to clients within the medicolegal process.Committed to continuing professional excellence, theyregularly attend lectures and maintains activemembership of the main Medico Legal associationsFor Medico legal enquiries please contact us at:info@medicolegal-associates.com“I have worked with Dr Jenner for the last 6years. He has provided a number of medicolegal reports for me during this period of time. Ihave always been most impressed with theservice that I have received from him. DrJenner’s reports are clear, comprehensive anddetailed. The feedback that I have had from myclients who have attended consultations withhim has always been very positive. The reportshave been prepared promptly and the servicethat we receive is most efficient. I would haveno hesitation in recommending Dr Jenner formedico legal work.David Black, partner atBower & Bailey Solicitors17www.londonpainclinic.com
CaseManagementFor Case Management enquiriesplease contact us on: 0207 118 0250London Pain Clinic has provided expert Pain Medicineservices to Case Management clients since 2004. We haveextensive experience in working with Case Managers andCase Management organisations, providing Pain Medicinesolutions for numerous clients.London Pain Clinic cares for many clients for whompain is a barrier to rehabilitation. We offer a fullassessment and treatment service. London Pain Clinic treatover 90 painful conditions including musculoskeletal pain,neuropathic (nerve) pain and complex pain, including lowerback pain, whiplash injuries, complex regional painsyndrome,post-amputation pain and other peripheralneuropathic pains.A number of our clients have co-morbidities including headinjuries and mobility issues.Multidisciplinary approach to thetreatment of painClients with pain are best treated using a multimodal,multidisciplinary approach, utilising a range of:Analgesic MedicationMinimally invasive pain management proceduresPhysiotherapy based rehabilitationAdvanced TechniquesLondon Pain Clinic have access to advanced painmanagement procedures including spinal cordstimulators and implantable intrathecal pumps forpatients with severe refractory pain.Extensive experience with CaseManagement casesClinical pain psychologyLondon Pain Clinic have extensive experienceworking with Case Managers since 2004 providing:Advanced pain management proceduresCase Management clinical assessmentsPain Free Window allowingRehabilitationCase Management treatment planning andtreatment packagesOur treatment techniques offer a pain free window forclients, allowing them to become more active andengage fully in their physiotherapy based rehabilitationand return to work programmes.Lectures and PresentationsLondon Pain Clinic present and lecture widely toCase Management professionals. We have run anumber of lectures and interactive presentationsfor Case Managers, both at their premises and atexternal events.For Case Management enquiries pleasecontact us on: 0207 118 025018
Appointments and enquiriesThe London Pain Clinic9 Harley StreetLondon, W1G 9QYPhone: 0207 118 0250E-mail: info@londonpainclinic.comWebsite: www.londonpainclinic.com
www.londonpainclinic.com Pain Medicine Services The London Pain Clinic 9 Harley Street London, W1G 9QY Phone: 0207 118 0250 E-mail: info@londonpainclinic.com Website: www.londonpainclinic.com Appointments and enquiries
