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The realization that chronic pain requires a different approach to treatment compared to acute pain was one of the main advances in pain management during the latter part of the 20th century. New medicines and therapeutic approaches based on that knowledge are now transforming the lives of patients.
As a rheumatologist with a specialist interest in chronic musculoskeletal pain I am able to assist patients with symptoms arising from spinal disorders, inflammatory arthritis and soft tissue disorders. I also see individuals suffering from less well defined disorders including fibromyalgia and work related upper limb disorders.
Chronic pain often is associated with anxiety and uncertainty about the future such that a holistic approach to treatment taking into account the factors unique to the individual produces the most effective outcomes. I place strong emphasis on education and helping people to help themselves.
I am a consultant rheumatologist and also professor of clinical rheumatology at Barts & The London School of Medicine & Dentistry. I am recognized for my research into pain mechanisms in the rheumatic diseases, as well as the early diagnosis and management of inflammatory spinal disorders. I have a lifelong interest in medical education for doctors, allied health professionals as well as members of the public.
Areas of interest
Back pain; Soft tissue rheumatism; Upper limb disorders; Arthritis
Current NHS consultant posts held
I hold a contract with Barts Health NHS (in addition to a contract with Queen Mary, University of London). I work as a clinical rheumatologist within the Department of Rheumatology, Royal London Hospital. I am the clinical lead for the spondyloarthritis service and I also lead for specialist chronic musculoskeletal pain services within the department.
I have a longstanding interest in mechanisms of pain and have been involved in basic science and clinical studies investigating interactions between the immune and nervous systems. I have also contributed to the development of new techniques suitable for the characterization of pain mechanisms in individuals with symptomatic joint disease
I am a fanatical sailor and enjoy sailing anything that floats and has sails. I am an adventurous cook and try to keep fit with varying degrees of success. Yoga helps me to unwind.
Wilson Allison Memorial Prize for Dermatology
Auckland University Medical School
Floyer Prize for Medical Teaching, London Hospital Medical College
Barts & The London School of Medicine and Dentistry SMD Student Award “Best Clinical Teacher”
I have written book chapters and journal articles mainly related to musculoskeletal pain but also in the field of the inflammatory rheumatic diseases. See:
1. Kidd BL. The mechanisms of chronic pain. In: H Breivik and M Shipley (eds), Pain: Best Practice and Research Compendium. Elsevier, Edinburgh, 2006, pp.17-24.
2. Kidd BL, Langford RM, Wodehouse T. Arthritis and pain. Current approaches in the treatment of arthritic pain. Arthritis Res Ther. 2007 Jun 11;9(3):214.
3. Graven-Nielsen T, Wodehouse T, Langford RM, Arendt-Nielsen L, Kidd BL. Normalisation of widespread hyperesthesia and facilitated spatial summation of deep-tissue pain in knee osteoarthritis patients after knee replacement. Arthritis Rheum. 2012 Mar 15. doi: 10.1002/art.34466.
Courses offered to GPs
Management of rheumatoid arthritis
Diagnosis and management of low back and neck pain
Causes and management of chronic pain, including fibromyalgia
Common soft tissue disorders
Reference number 2415398
Information for healthcare professionals (Bupa patients only, last 12 months)
Injection into subcutaneous tissue/painful trigger point under local anaesthetic - (5-50)
Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - (1-5)
Injection(s) +/- aspiration, into joint, cyst, bursa - (1-5)