Our Private Pain Management Clinic in Birmingham 

Home > Pain Management

At our private pain management clinic, you’ll benefit from the expertise of dedicated pain management doctors. We believe in a holistic, patient-centred approach that combines short-term relief with long-term solutions. Our goal is to provide not just pain relief, but meaningful improvements in your day-to-day life, helping you feel better, move better, and live better.

What is Pain Management?

Pain management is a specialised medical approach designed to alleviate chronic pain and improve your quality of life. Unlike acute pain, which typically resolves once the underlying cause is treated, chronic pain persists for months or even years. It can have a significant impact not just on your physical health, but on your emotional and psychological well-being too. By effectively managing chronic pain, we help you regain control, reduce suffering, and live a more fulfilling life.

How We Can Help

Chronic pain can significantly impact every aspect of your life, which is why we offer a comprehensive approach. Our team of experts, from pain specialists and physiotherapists to psychologists and occupational therapists, work closely together to create a tailored treatment plan designed specifically for you. This collaborative approach ensures that all aspects of your pain are addressed, from physical symptoms to mental and emotional health.

Receive Your Personalised Pain Management Plan

We understand that no two patients are the same, which is why we offer personalised treatment plans. Our thorough assessments take into account your unique pain condition, lifestyle, and goals. By understanding your specific needs, we create a plan that works for you, whether that’s providing immediate pain relief or helping you achieve long-term improvements in mobility and quality of life. We’ll be with you every step of the way, setting realistic goals and adjusting the plan as needed.

Let Us Help Alleviate Your Pain

We treat a wide range of both common and complex pain conditions, including:

  • Chronic Back Pain
  • Arthritis and Joint Pain
  • Neuropathic Pain (e.g. diabetic neuropathy)
  • Fibromyalgia
  • Post-Surgical Pain
  • Headaches and Migraines
  • Cancer Pain
  • Complex Regional Pain Syndrome (CRPS)

Whether you’re dealing with a longstanding issue like chronic back pain or a more complex condition like CRPS, our experienced team has the knowledge and skills to help you manage your pain effectively. We’re here to provide expert care, compassionate support, and the hope of a better tomorrow.

Pricing

New Appointment with Pain Management Consultant

£300

(30 min)

Follow Up Appointment

£200

Lidocaine Infusion

£1350

(procedure £1150 plus £200 follow up appointment fee)

X-Ray Guided Procedure

£1300

(procedure £1100 plus follow up appointment fee £200 total £1300)

Ultrasound Guided Procedure

£1100

(procedure is £900 plus follow up appointment fee £200 total £1100)

Denervation Procedure

£1800

New Consultation

£300

(30 min)

Follow Up Appointment

£200

(20 min)

Our Treatments and Conditions We Can Treat

We offer a wide range of non-surgical, evidence-based treatments designed to reduce chronic pain and enhance your quality of life. From advanced injections to targeted nerve blocks and medication management, all treatments are tailored to your specific diagnosis and needs.

Treatment Options

Medications

We provide personalised medication plans using:

  • Pain relievers
  • Anti-inflammatories
  • Nerve pain medications
  • Muscle relaxants

Our goal is to reduce your symptoms and support your long-term well-being.

Injections and Interventional Techniques

We specialise in a variety of minimally invasive procedures, including:

  • Epidural Steroid Injections: For back or neck pain
  • Nerve Blocks: To interrupt pain signals from specific nerves
  • Trigger Point Injections: For muscle pain and tension
  • Joint Injections: To address inflammation and arthritis
  • Radiofrequency Ablation: For longer-term relief from nerve-related pain

Conditions We Treat (by Body Region)


We help treat:

  • Chronic headaches (including migraines not responding to medications)
  • Trigeminal neuralgia
  • Post-herpetic neuralgia (facial pain after shingles)
  • Chronic post-surgical pain (lasting more than 6 months)
  • Chronic neck pain with or without radiating symptoms
  • Neuropathic pain

Common procedures we may recommend:

  • Greater occipital, supraorbital, and trochlear nerve blocks
  • Cervical facet joint injections and median nerve blocks
  • Cervical root sleeve block
  • Stellate ganglion block
  • Trigger point injections
  • Brachial plexus block (interscalene block)

We help treat:

  • Chronic shoulder pain (arthritis, post-surgical, or inoperable conditions)
  • Tennis elbow, golfer’s elbow
  • Chronic muscular pain
  • Neuropathic pain after chemotherapy or radiotherapy
  • Complex Regional Pain Syndrome (CRPS)
  • Post-surgical or radicular pain

Common procedures we may recommend:

  • Shoulder joint and bursa injections
  • Suprascapular nerve block and pulsed radiofrequency ablation
  • Axillary nerve block
  • Peripheral nerve blocks
  • Trigger point injections
  • Injections for tennis elbow and golfer’s elbow

Chest and Thorax

We help treat:

  • Degenerative thoracic spine pain
  • Facet joint pain and muscular pain
  • Post-herpetic neuralgia (thoracic dermatomes)
  • Chronic post-surgical pain (e.g. after breast surgery)
  • Chronic chest wall pain (non-cardiac)
  • Costochondritis

Common procedures we may recommend:

  • Thoracic facet median blocks and denervation
  • Thoracic epidural and paravertebral blocks
  • Intercostal nerve blocks
  • Erector spinae and pectoralis plane blocks
  • Costochondral infiltration
  • Trigger point injections

We help treat:

  • Chronic abdominal pain (including after surgery)
  • Chronic pelvic pain and perineal pain
  • Post-hernia repair pain
  • Pain after vasectomy
  • Scar pain

Common procedures we may recommend:

  • Abdominal cutaneous and rectus sheath blocks
  • Transversus abdominis plane (TAP) block
  • Inguinal nerve blocks (ilioinguinal and iliohypogastric)
  • Genitofemoral nerve block
  • Quadratus lumborum injection
  • Trigger point injections

We help treat:

  • Degenerative low back pain
  • Sciatica and radiculopathy
  • Sacroiliac joint dysfunction
  • Failed back surgery syndrome
  • Psoas dysfunction
  • Coccydynia and piriformis syndrome

Common procedures we may recommend:

  • Lumbar epidural (interlaminar and caudal)
  • Transforaminal epidural and dorsal root ganglion block
  • Lumbar facet joint injections and denervation
  • Sacroiliac joint injections and cooled radiofrequency ablation
  • Lumbar sympathetic and selective nerve root blocks
  • Ganglion impar block
  • Pudendal nerve block
  • Coccygeal infiltration
  • Trigger point injections (local steroid or botulinum toxin)

We help treat:

  • Hip pain due to osteoarthritis
  • Greater trochanteric bursitis
  • Chronic post-surgical hip pain
  • Ischial bursitis

Common procedures we may recommend:

  • Intra-articular hip injections
  • Bursa and ischial bursa injections

We help treat:

  • Knee pain due to osteoarthritis
  • Chronic post-surgical knee pain

Common procedures we may recommend:

  • Intra-articular knee injections
  • Trigger point injections

We help treat:

  • Plantar fasciitis

Common procedures we may recommend:

Trigger point therapy

Localised injections for plantar fasciitis

How We Diagnose and Assess Your Pain

Initial Consultation

Your journey with us begins with a comprehensive initial consultation. During this appointment, we’ll assess your pain, medical history, lifestyle factors, and overall health. We take the time to understand how pain impacts your life and identify the root causes. You’ll be asked to complete pain assessments or questionnaires to gauge the severity of your pain and its impact on daily activities.

What to Expect from Your Pain Management Treatment

Initial Assessment and Treatment Planning

From your first appointment and diagnostic tests, we’ll develop a personalised treatment plan designed to meet your unique needs. We work closely with you to set clear, achievable goals and build a plan that can adapt as your condition evolves.

Ongoing Monitoring and Adjustments

Pain management is an ongoing process, and we regularly monitor your progress. We’ll review the effectiveness of your treatment, adjust your plan as needed, and explore new strategies to ensure continuous improvement. Our team is committed to helping you achieve the best possible outcomes over time.

Patient Involvement

Your active participation is essential to your success. We’ll work together to incorporate lifestyle changes, exercise routines, and mental health support into your plan. The more you engage with your treatment, the better your chances of long-term pain relief.

Expected Duration of Treatment

While every patient’s journey is unique, many experience significant improvements within several weeks or months. For chronic pain conditions, ongoing treatment may be necessary to maintain progress. We’re here to support you throughout, helping you regain function and live a fuller, pain-free life.

Meet Our Team

Dr Arasu Rayen

Dr Arasu Rayen is a Consultant in Pain Management with over 20 years of experience in treating chronic pain conditions, including neuropathic, spinal, and complex regional pain. He practises at Sandwell and West Birmingham NHS Trust and privately across the West Midlands. Specialising in advanced techniques such as ultrasound-guided nerve blocks and radiofrequency ablation, Dr Rayen takes a holistic approach to pain relief.

He also provides expert medico-legal assessments for chronic pain and anaesthesia-related cases. With an MSc in Pain Management and Fellowships in Anaesthesia and Pain Medicine, Dr Rayen is a dedicated educator and active member of the British Pain Society and other professional organisations.

Our Pain Management Clinic in Birmingham

We are proud to serve individuals and families in Birmingham and the surrounding areas, offering expert pain management services in a convenient and accessible location. Our clinic is situated in the heart of Edgbaston, just a short distance from Birmingham City Centre.

Located on Francis Road, our clinic is easy to reach whether you're travelling by public transport or car. We’re only a 15-minute walk from Five Ways train station, making us accessible by bus, tram, or train. For more details on getting to our clinic, we have put together more details here.

No matter where you're coming from, we aim to make your journey to our clinic as smooth and convenient as possible so you can focus on getting the care you need.

Ready to Take Control of Your Pain?

Don't let chronic pain control your life. Take the first step toward recovery with a consultation at our Birmingham clinic. Our team is ready to listen, understand, and create a treatment plan that works for you. Contact us today to start your journey to better health and a brighter future.

FAQ


Pain can be categorised into seven main types:

  1. Acute Pain – short-term pain from injury or surgery.
  2. Chronic Pain – long-lasting pain (more than three months).
  3. Neuropathic Pain – pain from nerve damage.
  4. Nociceptive Pain – pain from tissue injury or inflammation.
  5. Visceral Pain – pain from internal organs.
  6. Psychogenic Pain – pain influenced by psychological factors.
  7. Referred Pain – pain felt in a different area than the source of the problem.

If your chronic pain is overwhelming, it's important to seek professional help. Our clinic offers various treatments and strategies, from medication adjustments to non-invasive therapies, to help manage severe pain and improve your quality of life.

Pain medications are prescribed based on a thorough assessment of your condition. We aim to provide the most appropriate treatment for your specific needs, which may include medications along with other therapies for long-term pain management.

Yes, many people with chronic pain can live a full and active life. Effective pain management can help reduce symptoms and improve your ability to engage in daily activities, hobbies, and work. We work with you to create a treatment plan that allows you to live your best life despite the challenges of chronic pain.


We treat a wide range of pain types, including:

  • Musculoskeletal pain (e.g., back pain, joint pain)
  • Nerve pain (e.g., sciatica, neuropathy)
  • Headaches and migraines
  • Pain from chronic conditions (e.g., arthritis, fibromyalgia)
  • Post-surgical pain
  • Visceral pain (e.g., abdominal or pelvic pain)

Many insurance plans cover pain management services, including consultations and certain treatments. Coverage varies by provider and plan, so we recommend checking with your insurer or contacting our clinic for specific details.


The time it takes to experience relief can vary depending on the type of pain, the treatments used, and your individual response. Some people see results quickly, while others may need more time or a combination of treatments. We will work with you to set realistic expectations and track your progress.

No, you don’t need a referral to access our pain management services. You can contact us directly to schedule a consultation.

Yes, pain management is safe when performed by trained professionals. Our clinic uses evidence-based approaches and closely monitors each patient's treatment plan to ensure the safest and most effective care. 

It’s best to avoid saying:

  • "I just want painkillers." Pain management is about finding a comprehensive, personalised approach that may not always involve medication.
  • "I don’t want to try anything new." We offer a range of treatment options, and being open to new methods can help you manage your pain more effectively.
  • "I want a quick fix." Chronic pain often requires a multi-faceted treatment plan that may take time to show results.

People are referred to a pain clinic when they experience chronic or persistent pain that hasn’t responded to initial treatments or when their pain significantly affects daily life. A pain clinic specialises in diagnosing and managing complex pain conditions.


Pain management may include a combination of approaches, such as:

  • Medications
  • Physical therapy
  • Psychological support (e.g., cognitive-behavioural therapy)
  • Interventional treatments (e.g., injections or nerve blocks)
  • Lifestyle changes and alternative therapies (e.g., acupuncture, mindfulness).
    We tailor a personalised plan to address your specific needs and improve your quality of life.

Translators Available

We have translators available for your appointment.

Find Out More – Word360

Digital Prescription

Midland Health has partnered with a highly reputable electronic prescription provider, SignatureRx, to make receiving your prescriptions faster and easier. With our new paperless system, you can choose to collect your medication using your secure prescription code or have it delivered directly to your home free of charge. There’s no need for paper prescriptions or multiple pharmacy visits.

Find Out More – Digital Prescription

Get in Touch Today

Ask us anything about this service, other services or
Midland Health and we'll get straight back to you.

Midland-Health-Google-Review-2026-07
Dr Rupa Parmar

Medically Verified

This content has been medically reviewed and verified by Dr Rupa Parmar.

Medical note: This page provides general information and is not a substitute for urgent medical care. If you have severe symptoms, seek urgent help.

Last updated: Aug 2026