Pain Specialist London

Pain Specialist in London

I am passionate about transforming pain by creating effective long term solutions that put the individual in control. I’m a pain specialist, initially trained as an osteopath (4 year Masters Degree), and I have a Fellowship of Applied Functional Science (in-depth human movement/bio-mechanics) from the Gray Institute in the U.S.

I’ve learnt from some of the world’s leading experts in the latest evidence-based pain science and neurology, and combine this with in-depth contemporary understanding of human movement.

I have extensive experience in sports and exercise, and treat athletes at any level, from beginner to elite. I’m a keen triathlete myself, and have completed the half Iron Man distance, and I’ve previously been a rower, rowing coach and gymnast; I understand the importance of movement, motivation and community involved in much sport and exercise.

These skills, along with extensive clinical experience, inform my commitment to changing how people and communities deal with pain, in order to positively impact how it is addressed.

View case studies

Philosophy of pain resolution

My experience in pain problems is that health is subjective and only the individual can decide if they feel better or back to normal, regardless of tests, scans or expert opinion. It is a whole person experience.

My philosophy is about helping you overcome pain so that you can lead a productive and fulfilling life, with meaningful goals and tangible progress.

My aims:

To promote health independence.

To provide simple effective solutions that allow you to get back to a productive and fulfilled life, doing the things you value.

To facilitate health using upstream strategies that empower you to overcome pain without dependence on medication or endless treatment.

To ultimately reduce the burden of chronic pain on our communities, society and National Healthcare System.

Treatment of chronic pain

I use a whole-person-approach which is an active and engaging process that looks at the various influencing factors that can cause and maintain pain.

This can include things like dampening the sensitivity of the nervous system (neuro-plasticity), creating more successful movement patterns (biomechanics), and changing cognitive aspects which can involve pain-education and behaviour.

  • Thorough assessment and evaluation in the context of current symptoms, history and previous therapies or approaches tried.
  • Clear communication throughout treatment of any duration via clinic time, phone or email.
  • Contemporary approach that works towards overcoming limitations and aims for personal definition of health and goals.
  • Person-specific strategies.
  • Responsive care that adapts to your rate of progress.
  • Strategies that are up to date with the latest research and evidence base.
  • Provide relevant referral to specialists if required.

Understanding Pain

Pain is logical in many cases: if we break a leg we understand why there’s pain, and there’s a logical road to recovery - even though it’s not pleasant we have expectations of progress and therefore a degree of control, which makes us generally happier dealing with the process.

But often pain is ‘invisible’, and when it’s ongoing and doesn’t make sense, the ‘roadmap’ for recovery may be fuzzy. Often we have been led to believe we have pain because of ‘weakness’ or an ‘injury’ that will always be an issue.

The reality is that the human body is much more robust than we are may think: old ‘injuries’ or ageing do not inevitably cause chronic unresolved pain.

My approach provides active solutions specific to you. It’s responsive, meaning it adapts to how you respond, and it’s ultimately goal focused - whether that’s being able to work without being limited by pain or finish a marathon.

All pain is real, whether there’s an obvious medical reason for it or not. Whether you’re a seasoned athlete or lead a more sedate lifestyle.

Pain is our normal alert system, it’s the nervous system’s call to action, how it tells us that something needs to change.

How and why a person experiences pain is specific to them, it’s unique; by that definition it is different to anyone else’s pain. It has many influencing and contributing factors, and persistent or chronic pain is often much more than, and potentially very different to, ‘injury’ or ‘damage’.

Influencing factors can involve a mix of biomechanical, physical or structural aspects, as well as neurological, biological, behavioural and or cognitive mechanisms. 
 Working to understand this mix is crucial in getting to the heart of any ongoing pain issue. We are a dynamic system that is highly changeable and we all have amazing scope to adapt and improve.

Case Studies

Jeremy, Retired Lecturer, enjoys walking and gardening:

Jeremy had experienced constant low back pain and pain in both hips to varying degrees for 6 years.

Jeremy was struggling with ‘normal' tasks on a daily basis: getting out of the car was often very painful and walking was increasingly difficult (he had resorted to using a wheelchair at times).

He’d had previous short term success after two surgeries on his low back (lumbar discectomies) and numerous steroid injections in the hips. However, his symptoms kept returning.

After a detailed case-history, we assessed his overall musculoskeletal system (the whole physical structure) to find out where we could help to make his movement more efficient, improve his strength and mobility, and reduce protective behaviours that were hampering his recovery.

This strategy also helped us create movement-based tools that he could use himself as and when he needs.

Jeremy's overall function improved significantly with much reduced pain levels – notably, getting out of the car and walking are easier and he reports he can now do hours of gardening without any pain, something he’d been unable to do for a number of years. He feels this has significantly improved his quality of life.

His success is down to the active strategies he now has that have an immediate and cumulative impact; importantly, these strategies have given him control over how he feels physically which, as well as relieving symptoms, have reduced the stress his pain was causing and the limiting impact it was having. This also means he is not reliant on lots of ongoing treatment in the future.

In his words, "it’s the difference between having a life, and not”.

Tim, IT Manager, age 40, regular gym-goer and amateur martial arts competitions:

Tim had experienced daily neck pain for around 2 years, which was sometimes debilitating and affected his work and ability to do exercise.

Tim’s neck issues started with an impact injury during a martial arts class. He’d had regular manual therapy since the onset which helped but he found the benefits to be temporary. In Tim's words, the practitioners he'd gone to for help had eventually "given up on him”.

He came into clinic frustrated. He had been doing everything 'right’ and had followed the advice he’d been given, so his symptoms made no sense to him. He was otherwise fit and healthy, in fact he was very active (pain levels permitting).

We worked together for four weeks on a number of aspects that were contributing to the issue and preventing him from achieving longer term success. This included identifying what he was doing when he had pain, as well as what he was avoiding in order to protect himself - these were normal reactions to pain but which were inadvertently sensitising his pain response further.

Treatment involved education which provided Tim with an understanding of why his pain hadn't resolved and what he could do to change it. We also worked on how to help his body use more successful movement patterns so that he could relax in movement, and combined this with various strategies to de-sensitise his pain response.

The process was interactive, collaborative and practical; we created strategies he went away and experimented with. We then adapted these strategies according to his response and what he felt worked best, so the process was highly tuned to his success.

He reports that he no longer feels his neck is a problem and his confidence in his neck and body has improved to the point he’s no longer nervous about doing damage through exercise.


Speak to me about pain treatment

If you would like more information about how I may be able to help you to become pain free, please don’t hesitate to contact me. Fill in the form below and explain a little about your circumstances and I’ll contact you soon.

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