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Dr Roman Cregg
MB BS (Hons), FRCA, FFPMRCA, PhD (UCL)
Pain Management
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About

Professional background

MB BS (Hons), FRCA, FFPMRCA, PhD (UCL)

I am a Consultant in Pain Medicine and Anaesthesia at the National Hospital for Neurology and Neurosurgery and UCLH, London, UK.

I completed my training in anaesthesia rotating between the King’s College London, University College London, Chase Farm and Barnet and the Royal Free Hospitals. My Advanced Pain Medicine fellowship was based at the Imperial School, London and I held appointments at Chelsea and Westminster, Hillingdon and The Royal Marsden Hospitals. I went further supplementing my sub-specialty pain training with attachments to Guys’ and St Thomas’ hospitals (advanced neuromodulation) and Cleveland Clinic, OH, USA (interventional management of headaches) before taking up my current permanent post as a consultant.

My clinical activities are centered around the multidisciplinary management of acute, chronic and cancer pain. Pain Management Service offers individualised care for people with musculoskeletal, neuropathic, chronic or cancer-related pain. Our team provides a comprehensive approach to diagnosing, treating and relieving pain through a combination of minimally invasive interventional, pharmacological, and rehabilitative approaches. We work together to offer treatment plans tailored to each individual patient’s needs with the aim of reducing or eliminating pain and enabling patients to achieve the highest possible level of function.

Conditions commonly referred to me:

Musculoskeletal Pain

Whiplash
Soft tissue (sports) injuries – upper/lower limb, trunk
Chronic widespread musculoskeletal pain (primary and secondary to other injuries)
Chronic pain following surgery (including post mastectomy pain)
Neck pain
Back pain
Knee pain including chronic postoperative pain and denervation
Shoulder pain
Hip pain including denervation approaches
Prolapsed/bulging discs
Sacroiliac joint disorders
Trochanteric bursitis
Spinal stenosis
Facet joint syndrome
Failed back surgery syndrome
Plantar fasciitis
Chronic abdominal pain
Peripheral vascular disease
Sports and exercise related injuries
Persistent pain after surgery
Poorly controlled acute pain

Pelvic pain (male and female)

Vulvodynia
Prostate pain
Testicular pain
Bladder pain syndromes
Pelvic floor dysfunction
Medical management of endomentriosis and related disorders
Chronic pelvic pain
Pudendal neuralgia
Obturator nerve injury post sling insertion

Cancer pain

Chemotherapy induced peripheral neuropathy

Neuropathic Pain

Orofacial pain
Trigeminal neuralgia
Complex Regional Pain Syndrome (CRPS)
Chronic pain related to neurological and neurodegenerative disorders
Central pain syndrome
Phantom limb pain
Post herpetic neuralgia
Peripheral / polyneuropathy
Meralgia paraesthetica and other nerve entrapment syndromes
Interventional management of primary and some forms of secondary headache (e.g. postdural puncture, occipital neuralgia, cervicogenic headache, trigeminal neuralgia)
Personalised Pain Medicine tailored to suit your genetic makeup and preferences
Second opinion in complex cases
Rare / unexplained / inherited pain conditions




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Medical Procedures

Wide range of X-ray and CT-guided injections targeting peripheral structures including nerves and nerve roots and central (axial) blockade.

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Special Interests

  • Cancer pain
  • Back and neck pain
  • Persistent pain after surgery
  • Poorly controlled acute pain
  • Neuropathic pain 
  • Pain in urogenital area / pelvic pain (male and female)
  • Personalised Pain Medicine tailored to suit your genetic makeup and preferences 
  • Second opinion
  • Rare / unexplained / inherited pain conditions

 

Education

I obtained my Ph.D. in Neurosciences (Pain) in 2012 from Wolfson Institute for Biomedical Research, University College London.

My research currently centers on mechanisms of neuronal hyperexcitability in patients affected by complex chronic pain disorders.

My research interests are:

pain channelopathies
painful peripheral neuropathies
genetics of chronic pain
personalised analgesia

Evolving areas:

use of DNA in a treatment of chronic pain

 

Memberships of Learned societies:

 
International Headache Society                
International Neuromodulation Society

International Association for the Study of Pain

British Pain Society

Royal Society of Medicine

Royal College of Anaesthetists

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