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Dr Joseph Azzopardi
Dr Joseph Azzopardi
Pain Management
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Dr Joseph Azzopardi is a Consultant in Pain Medicine & Anaesthesia at Guy's and St. Thomas' Hospital. Graduating from the University of Malta in 1993, he received anaesthetic and pain training in Dublin and London. In 2000, he was a visiting fellow in Regional Anaesthesia in Uppsala, Sweden. Subsequently in 2002 to 2004, he acquired advanced specialist training in Pain Medicine in Sydney and Adelaide where he developed his interests in interventional pain management, neuromodulation and cancer pain.

Dr Azzopardi is also a Fellow of the Royal College of Anaesthetists UK. He was awarded the Fellowship of the Faculty of Pain Medicine of the Australian and New Zealand College of Anaesthetists in 2004 and is furthermore a Foundation Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists.

He dedicates a significant part of his clinical time to managing Cancer Pain and has been actively involved with the development of Multidisciplinary Integrated Cancer Pain Services at Guys and St.Thomas' Foundation Trust. He also contributes to the Acute Pain Service in Guy’s & St Thomas’ Hospital.

Beyond his clinical interests, Dr Azzopardi also provides Medico-Legal specialist reports and accepts instructions for defendant and claimant personal injury. He has a keen interest in Medical Education and sits on the London Deanery Pain Training Advisory Group Committee. Until only recently, he was the Educational Supervisor for Advanced Pain Training in Guy’s & St Thomas’ Hospital.

His Anaesthetic interests include Difficult Airway Anaesthesia, Regional Anaesthesia and Anaesthesia in the Developing World. To this extent, he has been the Lead anaesthetist on numerous charity missions in Ethiopia with Facing Africa and Project Harar. In addition to this, he is actively involved in postgraduate education, medical simulation and is a clinical supervisor for higher specialist training in Pain Medicine.

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Medical Procedures


  • Facet joint injections (Cervical spine)
  • Fact joint injections (Thorac Spine)
  • Facet joint injections (Lumbar)
  • Facet joint Diagnostic Medial branch blocks (Cervical, Thoracic, Lumbar)
  • Sacroiliac joint injections (Therapeutic and diagnostic)
  • Sacroiliac joint denervation
  • Pulsed Radiofrequency Procedures
  • Radiofrequency Denervation Procedures
  • Cooled Radiofrequency Procedures
  • Cryoablation
  • Minimally Invasive Disc procedures
  • Provocative discography
  • Epidurolysis - RACZ procedure
  • Epidural steroid injections (cervical, thoracic, lumbar)
  • Interventional Procedures for Chronic Pelvic Pain
  • Pudendal Nerve blockade and Pulsed Radiofrequency
  • Sacral Nerve Root Blockade and Pulsed Radiofrequency
  • Superior Hypogastric Plexus Blocks
  • Ganglion Impar Blockade
  • Coeliac Plexus blockade and neurolysis
  • Lumbar Sympathetic Chain Blockade and Neurolysis
  • Stellate Ganglion Plexus Blockade
  • Injections for plantar fascitis
  • Trigger point injections
  • Scar/neuroma injections
  • Capsaicin 8% patch for Neuropathic Pain
  • Cosmetic Injection therapy for Migraine
  • Spenopalatine blockade and Pulsed Radiofrequency for Cluster Headache
  • Trigeminal nerve Radiofrequency for Trigeminal Neuralgia
  • Joint injections (shoulder, wrist, hip, knee, ankle)
  • Suprascapular and Axillary Circumflex nerve blockade and PRF for Refractory Shoulder Pain
  • Hip Joint Denervation (Femoral and Obturator nerves) for refractory knee pain
  • Obturator nerve blockade and Pulsed Radiofrequency for hip pain
  • Knee Joint Denervation (Geniculate Nerves) for refractory knee pain



  • TENS
  • PENS
  • Peripheral Nerve Stimulation
  • Subcutaneous Nerve Field Stimulation
  • Spinal Cord Stimulation
  • Implantation of drug delivery systems for Neuroaxial (intrathecal & epidural) therapy


  • Comprehensive Medical Management
  • Neurolytic ablation procedures:  Coeliac, Lumbar & Hypogastric plexi, Ganglion Impar
  • Intrathecal neurolysis (Thoracic, Lumbar, Sacral)
  • Nerve blocks: Ultrasound guided Regional Anaesthesia, Continuous catheter techniques
  • Implantation of analgesic drug delivery systems – Percutaneous and Fully implanted devices

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Special Interests

  • Pharmacological management of Complex Chronic Pain Disorders
  • Neuropathic Pain Management
  • Functional restoration and rehabilitation addressing the bio-psycho-social dimensions of chronic pain
  • Musculoskeletal pain disorders: Cervical, Thoracic, and Lumbar spine
  • Neck pain
  • Thoracic pain
  • Lumbar Back pain (Facetal and Discogenic)
  • Whiplash injury
  • Myo-fascial pain disorders - Fibromyalgia
  • Failed Back Surgery Syndrome
  • Coccygodynia
  • Visceral pain
  • Chronic Pancreatitis
  • Pain in the Elderly
  • Complex Regional Pain Syndrome (RSD)
  • Neuropathic pain
  • Chronic radiculopathy (Sciatica)
  • Post-herpetic neuralgia
  • Diabetic neuropathy
  • Post stroke pain
  • Post Surgical Pain
  • Syndromes
  • Ischaemic Pain
  • Refractory Angina
  • Headaches
  • Oro-facial Pain
  • Trigeminal Neuralgia
  • Pelvic Pain
  • Urogenital Pain
  • Testicular pain



  • University of Malta Medical School
  • Barts and the London School of Anaesthesia
  • Akademiska Sjukhuset, Uppsala University Hospital, Uppsala
  • Prince of Wales Hospital, University of New South Wales, Sydney, Australia


  • MD (1993) Doctor of Medicine & Surgery
  • FRCA (1999) Fellow of the Royal College of Anaesthetists UK. 
  • FFPMANZCA (2004) Fellow of the Faculty of Pain Medicine of the Australian and New Zealand College of Anaesthetists.
  • FFPMRCA (2006) Foundation Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists.

Memberships & Associations 

  • RCA Royal College of Anaesthetists
  • FPMRCA Faculty of Pain Medicine (Royal College of Anaesthetists)
  • FPMANZCA Faculty of Pain Medicine (Australian & New Zealand College of Anaesthetists)
  • BPS British Pain Society
  • IASP International Association for the Study of Pain
  • WIP World Institute of Pain
  • INS International Neuromodulation Society
  • NSUKI Neuromodulation Society of UK & Ireland
  • LPTAG London Deanery Pain Training Group
  • SESA South East School of Anaesthesia