Frequently Asked Questions
Here are some of the most popular questions frequently asked by patients and enquirers. If you have further questions please don't hesitate to contact us, whether a clinical question to ask if we can treat your particular condition and symptoms, or regarding how the clinic process works.
What treatments does the London Pain Clinic offer and what conditions do you treat?
Our consultants will evaluate and treat any pain-causing conditions, including musculoskeletal pain, joint pain, spinal pain, head and facial pain, pelvic pain, and nerve pain. We offer a wide range of treatment options and a holistic approach entailing medication, physical therapy with a pain management focus, along with pain psychology. We also provide a wide range of minimally invasive pain management procedures in both an outpatient setting and in theatre including; Injection therapy +/- Botulinum Toxin A, Nerve Blocks, PRP, PENS, and Radiofrequency Therapy. Your treatment plan will be determined after examination and evaluation, your clinic letter with include a multi-stage treatment plan which will be sent to you by email following your initial consultation.
Do you offer Lidocaine +/- Ketamine infusions?
We are able to offer Lidocaine +/- Ketamine Infusions when it is indicated as an appropriate treatment option for your pain condition. We are not able to offer this treatment for mental health conditions
Do you offer Stem Cell treatments?
No, we do not offer this treatment at the current time
What is PENS treatment?
PENS stands for Percutaneous Electrical Nerve Stimulation – the treatment is administered just under the skin rather than on top of the skin (TENS). The treatment transmits between 5-100MHz. We offer this treatment as a day case at the hospital.
What is Pulsed Radiofrequency treatment?
The minimally invasive technology used by PRF consists of continuous radiofrequency, is thus far, unparalleled, as it offers patients crucial relief from pain, as well as negating profound damage to their nervous tissue. And while it has to be said that the technology’s mechanism which controls pain, is not yet fully understood, it could however, imply a temperature-independent pathway mediated through an electrical field which changes rapidly The treatment is administered in a theatre setting and the Pain Specialist will treat the area by using very short bursts of radio frequency waves.
Do you offer Stellate Ganglion Blocks for PTSD or Long Covid?
Unfortunately, we are not able to offer treatments for the management of mental health conditions. Research is still in its infancy regarding the use of Stellate Ganglion Blocks for Long Covid and is not something we would be able to offer at the current time.
Do you offer Medicinal Cannabis medications?
Yes, where indicated the Consultant may prescribe Medicinal Cannabis for your condition.
How do I book an appointment?
You can book an appointment with any of our Consultants using our online booking system, available via the link below:
Do you offer Botox Injections for pain conditions and how does it work?
Yes we do, patients who have easily identifiable trigger points, permanently contracted muscles, or headaches that are associated with muscle spasms are very good candidates for Botulinum Toxin A injections. When Botox is injected into a muscle, it blocks the signals sent from the brain which tell the muscle to contract. Botox targets the muscles involved by effectively disarming them and ensuring that they do not send panic signals throughout the body. The body believes that there is no pain being experienced. Botox can help to keep the muscle relaxed for anywhere from three to six months, after which it is hoped that the muscle will be able to contract normally without pain or spasms.
What is the average success rate for procedures?
As with all medical and surgical procedures, no guarantees can be offered, as the benefit derived will differ from person to person, depending upon many different physiological variables.
Generally speaking, however, 65% of patients experience a minimum of 40% reduction in pain for at least 9-12 months having undergone pulsed radiofrequency treatment, or at least 6 months for all other treatments i.e., injections.
Our pain management procedures all carry similar success rates, however, it is almost impossible in pain management to provide valid and/or reliable statistics due to the high number of subjective variables, your history, condition, age, symptoms, and other medical conditions, etc. Your personal case and treatment options will be discussed in detail with you during your consultation.
Should I continue taking my normal medication(s) before a procedure?
You should stop taking Clopidogrel and/or Aspirin 7-10 days prior to your procedure and Warfarin 3-4 days prior to your procedure, to reduce the risk of any complications. You will be required to be nil by mouth for six hours prior to your procedure, but it is OK to take your medication with a small amount of clear fluid i.e., water.
Can I drive straight after my procedure?
You must not drive home following your procedure until you have at least had a night’s sleep – it is preferable for you to wait a full 24 hours before driving.
How soon can I fly following a Day case procedure?
We recommend that you do not fly for a minimum of 24 hours but preferably you should rest for at least 48 hours before flying long haul, this is due to the amount of time that you will have to remain seated and the lack of ability to move around freely.
How will I be sedated for a day case procedure?
An anaesthetic agent together with a fast-acting, strong painkiller will be administered intravenously. You will be sedated by our Consultant Anaesthetist with as much or as little is necessary for you to relax to ensure your comfort. In addition to the sedation, you will receive local anaesthesia at the treatment site. Some patients require more sedation than others. Most patients remain awake during their procedure; however, some patients do fall asleep for a short time.
I had my procedure a week ago but I’m still in a lot of pain, is this normal?
Post-procedural discomfort and pain should settle within two weeks, very occasionally for some patients it may take up to four weeks for this to completely subside. Once the pain has subsided the benefits should start to become very evident. It is important that you continue with your usual pain medication pre and post-procedure.
Will I need to have a procedure repeated?
The need for any repeat procedure would depend on your personal benefit derived from the treatment – this would be evaluated post-procedure at your four-week review.
How long can I expect to be in the hospital when I attend for a procedure?
You will be asked to arrive for admission one hour prior to the list starting. All theatre admissions are in the morning and you should plan on being at the hospital for at least 4 hours.
When will I receive my clinic letter following my appointment?
We aim to send your clinic letter to you within 72 hours of your appointment and often you will receive it much sooner, however on some occasions clinic letters may take up to 7 days to reach you.
When will I receive my prescription following my appointment?
The majority of prescriptions should be delivered within 7 days of your appointment.
Prescriptions for Medicinal Cannabis and Topical Cream can take up to 10 days.
If you have questions that have not been answered here, there is lots of useful information available on our patient portal, you can also contact the team by email on firstname.lastname@example.org or by phone on 02071180250.