Pain Management Clinic Telford

Apley Clinic
Princess Royal Hospital
Telford
Shropshire
TF1 6TF

Call 01743 282505 today for an appointment.

Pain specialists are experts in diagnosing the causes of pain and treating them.

Dr Mark Miller

Photo of Dr Miller

Is a highly experienced pain management specialist and has been practising as a consultant in this area since 1999.

  • MBChB from Manchester University in 1990
  • Fellow of the Royal College of Anaesthetists in 1997
  • Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists in 2007

Do you need help for your pain?

A surprisingly large proportion of the UK population needlessly suffer from the distress and disability caused by chronic pain.

Dr Miller and his multi-disciplinary team can ease the suffering of patients with both acute and chronic pain complaints with the use of specific medication and procedures, physiotherapy, surgery and psychological treatment.

Chronic or Acute Pain?

Chronic
Describes long term pain, generally for longer than a period of 3 months

Acute
Also known as short term pain, it refers to pain that has started recently

Types of pain complaints Dr Miller can help with

Back and Neck Pain

Nerve Pain

  • Scar Pain
  • Phantom Pains and Sensations
  • Trigeminal Neuralgia
  • Headaches – The Trigeminal Cephalalgias
  • Shingles/Postherpetic Neuralgia

Regional Pain (CRPS)

Myofascial Pain

How Dr Miller can help you

There will be an initial detailed consultation, in order for a comprehensive evaluation of the individual to be made. Dr Miller proceeds within a biopsychosocial framework, meaning the patient's assessment will not only explore the medical aspects but also take into consideration any relevant social or psychological details. Pain is a highly subjective sensation and differs from patient to patient, so having accurately identified a patient's problem, Dr Miller will devise an individualised pain management plan, offering appropriate evidence based therapy.

Diagnosis and Treatments at the Pain Clinic

  • CT Scans
  • MRI Scans
  • SPECT CT Scans
  • X-Rays
  • Radio frequency denervation for facet joint and sacro-iliac joint pain
  • Sacro-iliac joint infections
  • Facet joint injections
  • Epidural and Transforaminal injections for sciatica
  • Dysport/ Botox injections

 

Pain Medication and analgesics

The following medications are used almost exclusively for nerve pain:

  • Tricyclic antidepressants – e.g. Amitryptiline
  • Newer antidepressants – e.g. Duloxetine
  • Pregabalin and Gabapentin – the DoH has recently issued a warning about the potential for recreational abuse of these 2 drugs
  • Lidoderm patches
  • Antiepileptic drugs – Carbamazepine, Oxcarbazepine, Phenytoin – all exclusively for trigeminal neuralgia
  • N.S.A.I.D.s – when nerve pain is secondary to inflammation e.g. sciatica from disc prolapse
  • Capsaicin creams – postherpetic neuralgia
  • Botox injections - Botox can be very useful in painful conditions including neuropathic scars and allodynic skin; in for example postherpetic neuralgia
  • Paracetamol, Codeine, Dihydrocodeine, Tramadol all can help in the right patient
  • Strong opiates – oramorph, oxynorm, tapentadol and methadone are all anecdotally more helpful in nerve pain than the others

BOOK NOW

For the latest availability please call 020 7060 5109 or fill out the form below.

Nerve Pain

nerve pain

Back Pain

back pain

Treatments

pain treatment