Dr Tacson Fernandez: Anaesthetics
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Dr Tacson Fernandez

Anaesthetics

Overview

Specialises in

  • Pain medicine

About me

Dr Fernandez completed his Anaesthetic training at the Imperial School of Anaesthesia in London and obtained his CCT in 2009. His training in Pain Medicine was obtained by working and visiting pain clinics across the UK, centres in Europe and USA. He completed his fellowship in Pain Medicine at Chelsea & Westminster Hospital in 2008. Dr Fernandez also obtained the Fellowship in Interventional Pain Practice awarded by the World Institute of Pain in 2009.

Following his specialist fellowship in Pain and on completing his CCT in Anaesthesia, Dr Fernandez joined Chelsea & Westminster Hospital as a Consultant in Pain Medicine & Anaesthesia. He has also been a Consultant in Pain Medicine & Anaesthesia at Imperial College Healthcare - St Mary`s Hospital, Paddington, and Charing Cross Hospital, prior to moving to the Royal National Orthopaedic Hospital at Stanmore.

Currently at the Royal National Orthopaedic Hospital at Stanmore, Dr Fernandez set up the Neuromodulation centre offering the option of Spinal Cord stimulators and Peripheral nerve stimulators in complex pain patients according to NICE guidelines.

Dr Fernandez also has sessions in Acute Pain management, Chronic Pain Management and Anaesthesia for Major Spinal surgery and Regional anaesthesia lists for Shoulder and upper limb surgery.

He is involved with developing pathways for complex pain patients with an aim to create a seamless integrated pathway for excellent patient care.
Dr Fernandez` main role is Chronic pain management and his interests lie in management of neuropathic pain states, persistent neuropathic pain, Complex regional pain syndrome, Sympathetically mediated pain, persistent Lower back pain, mechanical axial pain states, coccydynia, phantom limb pain and peripheral nerve injury induced neuropathic pain.
Dr Fernandez also has sessions in Anaesthesia for complex spine surgery and regional anaesthesia lists including shoulder and upper limb surgery.

His interests in interventional pain management include a wide range of therapies including diagnostic nerve blocks, therapeutic selective nerve blockade and neuromodulation, including but not limited to
1. Interlaminar epidurals in the cervical, thoracic, lumbar areas
2. Transforaminal Epidurals in the cervical, thoracic, lumbar areas
3. Selective dorsal root ganglion blocks in the cervical, thoracic, lumbar areas
4. pulsed radiofrequency procedures to a range of nerves including
• the stellate ganglion
• dorsal root ganglion
• sympathetic plexuses
5. peripheral electric nerve stimulation techniques to areas of neuropathic pain including
• scar site pain
• post thoracotomy pain etc.,
6. management of persistent knee and shoulder pain through electrical stimulation techniques and selective nerve blockade
7. Radiofrequency denervation techniques to different areas including cervical, thoracic and lumbar (facet joint) medial branch rhizotomy
8. Management of Sacro Iliac joint pain via selective blockade or radiofrequency denervation techniques
9. Spinal cord stimulators for neuropathic leg pain and in persistent neuropathic pain states, complex regional pain syndrome, peripheral nerve injury induced neuropathic pain, brachial plexus avulsion induced neuropathic pain etc..,
10. Peripheral nerve stimulators for peripheral nerve injury pain states

Pharmacological, Cognitive and Rehabilitative strategies:

Dr Fernandez has a wide range of pharmacological management options to manage nociceptive, neuropathic and mixed nociceptive-neuropathic pain states is well versed in opioid management strategies. Dr Fernandez uses a multi dimensional, multi disciplinary approach for management of pain. He has been an invited speaker on Cognitive approaches into pain management both nationally and internationally and believes in active application of these techniques in his daily practice.

Areas of interest

As a pain management specialist, Dr Fernandez` areas of interest include...
• Neuromodulation (Spinal cord stimulators) in neuropathic pain
• Cognitive behavioural modelling
• Management of persistent neuropathic pain states
• Peripheral nerve injury pain
Lumbar radiculopathy/Sciatica/mechanical pain states
• Persistent lower back pain
• Cervicogenic (neck) pain and cervical radiculopathy
• Complex regional pain syndrome
• Phantom limb pain

As an anaesthetist, Dr Fernandez` areas of interest include
...
• Regional anaesthesia
• Orthopaedic / trauma anaesthesia
• Anaesthesia for complex spine surgery
• Regional anaesthesia for shoulder and / or upper limb surgery

Medical secretaries

About me
My qualifications & training
My private practice
Consultant's practices
Information for healthcare professionals

Information for healthcare professionals (Bupa patients only, last 12 months)

Procedures completed Conditions treated

  • A5211

    Epidural injection (caudal) - (5-50)

  • A5290

    Transforaminal epidural - (1-5)

  • A5790

    Sacroiliac joint injection under image guidance (and bilateral) - (1-5)

Conditions treated

  • 72420

    Lumbago (pain in the lumbar - lower back) | Back; Lumbago; Lumbar

  • 84000

    Sprains and strains of shoulder and upper arm | Shoulder, Sprains and Strains; Sprain, Shoulder; Sprain, Upper Arm; Strain, Shoulder; Strain, Upper Arm

  • 72300

    Other Disorders, Cervical Region | Brachial Neuritis; Brachial Radiculitis; Cervical (Spinal) Disorders; Spine, Stenosis, Cervical; Torticollis

  • 72400

    Other and Unspecified Conditions Of Back | Unspecified conditions of the back; Ankylosis of Spine; Back Pain; Backache; Backache, Lumbar; Coccydinia; Coccyx, Disorders; Derangement, spine; Low Back Pain; Lumbago; Lumbar Instability; Lumbar Spine Stenosis; Neuritis, Lumbosacral; Neuritis, Thoracic; Pain in Lumbar Region; Pain in Thoracic Spine; Radiculitis, Thoracic/Lubosacral; Recurrent Lumbar Spine Pain; Sacrum, Disorders; Sciatica; Spine, Ankylosis; Spine, Derangement; Spine, Stenosis (Other Than Cervical); Spine, Stenosis, Lumbar; Stenosis, Spine, Lumbar

  • 71900

    Other and Unspecified Disorders Of Joint | Unspecified disorder of joint; Haemarthrosis; Joint, Effusion; Joint, Pain; Joint, Stiffness; Pain in Feet; Pain in Joint; Stiffness of Joint; Walking Difficulties

  • Show All (6)...
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