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- Pain medicine
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
Current NHS consultant posts held
Consultant in Chonic Pain Medicine, Acute Pain Medicine and Anaesthetics.
Lead Clinician for Neuromodulation Services
Lead Clinician for Acute Pain Services
Royal National Orthopaedic Hospital, Stanmore
- Neuropathic pain states
- Early management of acute lumbar radiculopathies
- Neuromodulation in neuropathic pain, persistent lower back and neuropathic leg pain
- Neuromodulation in brachial plexus injury induced neuropathic pain and peripheral nerve injuries
Cerviogenic (neck) pain
Persistent lower back pain
Brachial Plexus Injuries
Persistent neuropathic pain states
Complex regional pain syndrome
Clinical Excellence Award
• Author for chapter on “Perioperative pain” in the “Perioperative Complications in Neurosurgical Anesthesia and Critical Care Medicine Handbook”, Springer, 2012
• Techniques to reduce lead migration during SCS trial, Pain Medicine news, vol 07; Jul 2009
• Addressing pain in burn injury, Current Anaesthesia and Critical Care,
Z Hanafiah, O Potparic, Tacson Fernandez, C&WH, 2008
• Recent developments in management of acute severe Asthma, Graeme P Currie,
T Fernandez et al, BMJ 2005; 330: 585-589
• Invited speaker on “Low Back Pain” and “Pain Management Programs” on global education site, Australia, 2012
• Invited Speaker on “Stress and Pain Management”, India, Nov, 2012
• Invited speaker on “Role of Cognitive behavioural modelling in chronic pain” at International seminar on “Pain management”, Belgrade, Apr`10
• Invited speaker on “Cognitive behavioural modelling in complex patient groups” International seminar“Yoga and Pain management”, India, Feb`09
• A review of current evidence, Multidisciplinary Regional Burns meeting, 2008, St John’s National Academy of Health Sciences, Bangalore, India
• Role of PMPs in failed trial of Neuromodulation, BPS PMP SIG, Southampton, 2007
• Role of Gabapentin in Burn Injury Pain, Burns Multidisciplinary clinical meeting, C&WH, 2007
• Gabapentin and post operative pain – a review of current evidence, Multidisciplinary Clinical Governance meeting, C&WH, 2007
Courses offered to GPs
Management of neuropathic pain - pharmacological views
Cognitive strategies in pain management
Interventional strategies in Chronic pain management
Neuromodulation in Chronic pain management
- MBBS, FRCA, FACRCSI, FFPMCAI, FIPP, RYT WIP 2009
Reference number 5205738
Details of entry to specialist register
- CCT Anaesthesia UK, 2009
Affiliations / memberships
General Medical Council (UK)
Medical Defence Union
British Medical Association
College of Anaesthetists Ireland
Faculty of Pain Medicine
British Pain Society
World Institute of Pain
International Association for the Study of Pain
Neuromodulation Society of the UK & Ireland
- Wellington Diagnositc and Outpatient Centre,...
- 11:00 - 14:00
- 020 7042 1878
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