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Chronic Pain Service

The Royal Orthopaedic Hospital Chronic Pain Service is a well established service for people who have long-standing pain. Because pain impacts on many aspects of people’s lives, pain management is a multi-disciplinary sub-specialty.

What is Chronic Pain?

The term 'chronic pain' refers to pain that is persisting beyond the time normally expected for healing following injury or disease. This is often defined as more than six months. Chronic pain impacts on many areas of a person's life, and cannot always be resolved by medical or physical treatments.

Chronic pain is a difficult condition to manage and the concept of ‘no cure’ can been difficult to accept. Our aim is to help you manage this condition.

We have devised a short video clip that can help you understand your journey, medical team involved in your care in the chronic pain clinic and some of the tools you need to manage your pain. It may be useful for you to share this video with those close to you including your family and friends, to help them understand chronic pain too.

To access the video click this link:

Patient Information

Meet the team

Click here to meet the pain management team.

More Information

I’m a patient - what options are available to me?

Pain Clinic

Patients will be seen first in a multi-disciplinary team (MDT) clinic setting, meaning by a team made up of at least a pain consultant and a pain nurse. Some of our clinics will also have a clinical psychologist and an extended scope physiotherapist. Our team consists of:

  • Three pain consultants
  • Two clinical psychologists
  • Three pain nurses
  • Two secretaries.

We manage all types of chronic pain conditions, not only back and neck pain. We can also review patients with chronic facial, abdominal and pelvic painful conditions. We are also experienced in managing different types of arthritic joint pain as we are part of the Centre for Musculoskeletal Medicine. A wide range of treatment and management options are available, including invasive and non-invasive procedures and advice on medication. 

After assessment by the consultants, the expertise of our MDT is brought together in an effort to provide the maximum benefit to each patient. We use a wide range of therapeutic approaches in order to relieve pain and equip and empower patients to manage their pain. Upon initial consultation patients will always meet a consultant within the MDT clinic setting. During follow-up appointments, patients are supported by chronic pain nurses who will provide further advice and discuss with future management plans. If a patient’s pain still hasn’t improved, they will be re-assessed by the pain consultant during a follow-up visit.

Pain Clinics are run at The Royal Orthopaedic Hospital and some off-site clinics at Lordswood Medical Centre in Harborne. If you are scheduled for an appointment, please bring a list of your current medications to your clinic consultation. Your doctor may refer you to the X-Ray Department for a scan when needed and they may also refer you to another department in the hospital for further help and advice.

Admissions and Day Case Unit (ADCU) procedure lists

Some painful conditions such as chronic back pain, neck pain or sciatica can benefit from an X-ray guided injection such as epidural, facet joint injection, medial branch block or radio-frequency ablation. There are other types of injections and ultrasound guided nerve blocks that we can offer depending on the diagnosis after your initial consultation. A consultant will examine you and help you decide if an injection is the best treatment for you. If you receive injection therapy, you will be booked for a telephone follow-up consultation that will take place eight weeks after your therapy.

Pain Management Program

Our special psychologists work with some patients on a one to one basis and support the pain management program. The psychological aspects of pain can be very complex. Our psychologists work with patients to help them adapt and adjust to living with chronic pain and its widespread consequences. Our six-week pain management program helps patients to improve their quality of life, while addressing the cognitive factors of pain that can lead to psychological difficulties such as anxiety and depression.