New Appointment with Pain Management Consultant
£300
(30 min)
Follow Up Appointment
£200
Nerve Block Injection
£1350
(procedure £1150 plus £200 follow up appointment fee)
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Ongoing nerve pain can be difficult to live with, especially when it affects your sleep, movement, work or confidence in everyday life. If you are looking for clear answers or a more focused pain management plan, we can help you understand whether a nerve block injection may be an appropriate pain relief.
A nerve block injection is given close to a nerve or group of nerves and may contain local anaesthetic, with or without steroid medication, to help reduce pain signals and inflammation around the affected area.
Midland Health offers private pain management consultations in Birmingham to discuss nerve block injections to treat your pain. You don’t need a GP referral, and we don’t have a waiting list: simply book online or over the phone.
Our nerve block injection service is designed for people living with ongoing pain where a targeted injection may support diagnosis, pain management or rehabilitation planning. We know pain can feel exhausting when it keeps interrupting normal life. Our consultations are designed to give you the time to explain how it is affecting you and make a recommendation that is appropriate for your condition.
Nerve root blocks may be used to support pain relief, help identify a possible source of pain, or form part of a wider care plan alongside approaches such as physiotherapy or rehabilitation.
An assessment may be suitable if you have ongoing pain that has not settled with initial treatment, or if your clinician needs to understand whether a specific nerve is contributing to your symptoms. You may already know the name of your condition, or you may simply know that your pain feels nerve-related.
Book an appointment to discuss nerve block injections if you are experiencing any of the following symptoms:
Nerve root block injections are commonly used around nerves leaving the spine and may be considered for leg pain, sciatica-type symptoms or pins and needles where clinically appropriate.
Your clinician will understand your symptoms and consider whether a nerve block injection could:
The response to a nerve block can vary from person to person, so your clinician will explain what is realistic for your symptoms and what follow-up may be needed.
You are welcome to bring a list of your current medicines.
Please tell us if you are taking blood thinners, have diabetes, have allergies, are pregnant or may be pregnant, feel unwell, or have an infection. This helps your clinician plan your care safely.
Your doctor will begin with a careful assessment of your history and symptoms. We’ll discuss your diagnosis, any previous treatments, and what you're hoping to achieve.
If a nerve block injection is considered appropriate, we'll explain exactly what will be involved, which medication may be used, and what to expect during and after the procedure.
If you're having the injection on the same day, you'll be made comfortable in a clinical treatment room. The skin over the joint will be cleaned, and a local anaesthetic may be applied first.
Your clinician will administer the injection. Depending on the area, they may use ultrasound to help position the injection accurately. You may feel pressure, tightness or brief discomfort.
The procedure typically takes only a few minutes.
You may be monitored for a short while before leaving, and you will be given advice about what to expect at home. Your follow-up plan may include reviewing your response, adjusting your wider pain management plan or supporting your rehabilitation.
Nerve block injections are not a permanent solution for most conditions, and you may need to return for repeat treatment. How long a nerve block takes to work, how long the effects last and the number of injections you will be able to have varies from person to person. It depends on a variety of factors, including the nerves involved, the underlying condition, and the type of medication used.
Some people notice improvement within a few days; for others it may take one to two weeks for the full effect to become apparent.
Where injections do provide meaningful relief, they can create a window in which physiotherapy, exercise, or other rehabilitation may become more achievable. This is often where the most lasting benefit comes from. If a course of injections is appropriate for your situation, your consultant will discuss this with you and make a plan that fits around your lifestyle.
The type of nerve block injection we recommend will depend on the area you are feeling pain in, as this may affect the dosage and the medication used.
| Type of nerve block | Target area | Commonly used for |
|---|---|---|
| Occipital nerve blocks | The occipital nerves at the back of the scalp and upper neck | Scalp pain, pain at the back of the head, or certain headache patterns |
| Genicular nerve blocks | The genicular nerves: small sensory nerves around the knee joint | Assessing or reducing knee pain |
| Intercostal nerve blocks | The intercostal nerves: the nerves that run underneath each rib | Rib, chest wall, or upper abdominal pain |
| Lumbar sympathetic blocks | The lumbar sympathetic chain: “fight-or-flight” nerves in the lower back that influence the legs and feet | Leg or foot pain linked to abnormal sympathetic nerve activity |
| Pudendal nerve blocks | The pudendal nerve: a major pelvic nerve serving the “saddle area,” including the perineum, genitals, anus, and pelvic floor | Pelvic, genital, anal, perineal, or pelvic floor pain |
| Stellate ganglion blocks | The stellate ganglion: a sympathetic nerve hub in the lower front of the neck | Pain, circulation symptoms, or nerve-related symptoms affecting the head, neck, chest, or arm |
| Trigeminal nerve blocks | The trigeminal nerve: the main facial sensation nerve, with branches to the forehead, cheek, jaw, and teeth | Facial pain, including pain in one or more trigeminal nerve branches |
| Nerve root blocks | A spinal nerve root: a nerve as it exits the spine, sometimes described as a “pinched nerve” target | Pain travelling from the neck or back into an arm or leg |
| Facet joint blocks | The facet joints: small stabilising joints at the back of the spine, sometimes called “spinal hinge joints” | Neck, mid-back, or lower-back pain thought to come from the facet joints |
| Sacroiliac joint blocks | The sacroiliac joint: the joint linking the lower spine to the pelvis, often called the SI joint | Lower-back, buttock, hip, or groin pain linked to the SI joint |
These are examples only. Any treatment we recommend will depend on your symptoms, medical history, examination findings and clinical suitability.
Dr Arasu Rayen — Consultant in Pain Management
Dr Arasu Rayen is a Consultant in Pain Management with over 20 years of experience 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.
Dr Rayen specialises in techniques including ultrasound-guided nerve blocks and radiofrequency ablation, and holds an MSc in Pain Management with Fellowships in Anaesthesia and Pain Medicine.
We believe pricing should be clear before you decide whether to go ahead.
£300
(30 min)
£200
£1350
(procedure £1150 plus £200 follow up appointment fee)
If your clinician recommends further investigations, imaging, follow-up care or a different treatment route, this will be explained before you make a decision.
Your appointment will take place at our Francis Road Clinic in Edgbaston, Birmingham, just a short distance from Birmingham City Centre.
We are close to Five Ways train station, accessible by bus, tram, or train. If you're driving, patients can use the Broadway Plaza car park free of charge for up to 2 hours when their vehicle registration is validated at Midland Health reception.
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.
Choosing where to have a nerve block injection is about more than access. You need to feel confident that your symptoms will be assessed carefully and that treatment will only be recommended where it is appropriate.
We understand that ongoing pain can make decisions feel harder. Our approach is calm, direct and focused on helping you understand your options.
With Midland Health, you benefit from:
● No GP referral required, so you can book directly
● No waiting lists for private assessment
● Same-day or next-day appointments where available
● A private Birmingham clinic with specialist consultation rooms
● Assessment-led care with time to discuss your concerns
● Access to clinicians experienced in pain management and joint-related symptoms
● Clear pricing before treatment is arranged
● Support with onward referrals where another service is more appropriate
What Our Patients Say About Us
483 Total Reviews
Average Rating 4.5

Very professional friendly service can't fault the clinic

Deborah Jarvis | 8th May 2026
Midland Health

Very satisfying Services. Staff very professional and helpful.

Kamran Choudhary | 3rd May 2026
Midland Health

Excellent service and care. All the staff are professional and friendly. Dr Bardhan was very informative and detailed during the consultation. The procedure was surprisingly more pain-free than i could anticipate. Would definitely recommend to all. Thank you.

Salmaan Ahmed | 27th Apr 2026
Midland Health

Using Midland health was easy, the team were very welcoming. The process was explained and the specialist took the time to explain everything in detail. I would highly recommend.

Steve Travis | 25th Apr 2026
Midland Health

I was pleasantly surprised at the consultation, the efficiency, professionalism and most of all I got what I needed, you made a young old man very happy. I will be back again next year without hesitation.

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Midland Health

Excellent.

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Midland Health

Fantastic service great staff

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I was able to book an appointment very quickly. Dr Krupa Smith was fantastic. She made me feel at ease, was thorough with her questions and explained her reasoning very clearly. She listened to my concerns and addressed them. She...

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Dr Stendall is always knowledgeable , kind & most professional. He was previously my NHS GP & I still see him privately in Edgbaston.

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Midland Health

Highly recommend Midland Health. Always seen quickly, doctors are very helpful. Surgery was quick, pain free and easy.

Courtney Laud | 2nd Apr 2026
Midland Health

someone recommend me for Hay-fever injection, I feel better now, I’m very happy for service and my appointment with Mrs Louise Bradshaw, she’s very helpful, understanding, and cool person, thank you midland health i can breathe now

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Midland Health

Just want to say a huge thank you to Louise Bradshaw and Saba. Thank you for comforting me and being so kind. Answering all my questions and overall just being a dream ❤️❤️❤️❤️❤️

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Midland Health

Having used Midland Health for the past year, I can highly recommend the practice. The staff are friendly and professional, and always respond promptly to any enquiries. They take the time to listen, explain everything clearly, and make you feel comfortable...

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Midland Health

I saw Dr Smith a couple of weeks ago he was happy to try me on some medication where I couldn't get it from the doctors. Dr Smith was very efficient, I was please with the outcome. A special thank you to...

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Midland Health

Thank you very much for the care and the excellent health services which have given by the staff members . Highly recommend.

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Midland Health

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Midland Health

I visited for first time Midkand Health Private GP, the people there were helpful. I can not forget the yong leady at reception Dia !

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Mr Parmer the paediatric ENT was extremely kind and professional, he explained everything in great detail, answered any questions we had even questions of just curiosity. He was very reassuring in stating he wouldn’t let us leave until he knew our...

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Midland Health

I can’t recommend Verona and Amrit highly enough. From the moment I arrived, I felt genuinely welcomed and cared for. Both were professional, compassionate, and attentive, making the whole experience smooth and reassuring. Verona was especially exceptional — so warm, patient,...

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Midland Health

Just WOW, I had a wonderful experience at Midlands Health Clinic thanks to Verona and Amrit. From the moment I walked in, they were warm, professional, and genuinely caring. They both took the time to listen carefully to my concerns...

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I couldn’t be happier with my spider angioma treatment with Emma. As it was my first time having a procedure like this, I was naturally a little nervous but Emma made the entire experience feel so comfortable and reassuring from...

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Been coming for Laser Scar Removal with Emma Conway for 10 months, and have had absolutely fab results. Emma is so lovely and makes you feel really comfortable in the appointments. Would really recommend!

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Midland Health

I have reached out to this clinic to get an ASD assessment. The process was straightforward, I received all the necessary information. I have received the report within 1 week after the last conversation. Definitely recommend this clinic.

Andrey Lukyanenko | 20th Feb 2026
Midland Health

Emma quickly diagnosed my issue, proposed an efficient treatment that was painless and extremely effective. Really happy with the outcome and would highly recommend. Thank you!

Lee Highton | 19th Feb 2026
Midland Health

Thank you to Dr. Amit Parmar and his team for forensically assessing our two-year-old with such professionalism and competence. The facilities were excellent, and the reception team was incredibly warm and welcoming. We truly appreciate the care and support provided....

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Midland Health

Excellent facilities, seen by welcoming staff with very professional staff.

Paul Greene | 16th Feb 2026
Midland Health

Excellent customer service and outstanding teamwork. All the staff were welcoming and friendly, and their smiles truly made a difference. Dia, in particular, has all the qualities of exceptional customer service. She made the experience so enjoyable that I want...

Kuburat Ajao | 12th Feb 2026
Midland Health

I’ve been visiting Midland Health for over 12 months now and I only have positive feedback. I appreciate you get what you pay for but I was fobbed off by my own GP saying I wasn’t menopausal even though I...

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Midland Health

Very good customer care with my dr Amir

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Dr Alina listened to me attentively. She is extremely insightful and very knowledgeable in her field. She reassured me of my concerns; and she made it very clear that although FND can be considered psychologically driven its physical impacts are...

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Midland Health
You can book directly with our team without needing a GP referral. We offer private appointments in Birmingham, with no waiting lists and same-day or next-day appointments, where available.
Your first step is a consultation to understand your pain, review your options and decide whether a nerve block injection is clinically suitable for you.
Common side effects can include mild tenderness or bruising at the injection site
Less common risks can include:
Your clinician will talk you through relevant risks and their likelihood before treatment.
You must inform your clinician if you take blood-thinning medication, such as aspirin or clopidogrel. You may need specific advice before any procedure is arranged.
Please tell your clinician if you have diabetes. Steroid medication can affect blood sugar levels, so your clinician will discuss any monitoring or preparation that may be needed.
There is no single answer that applies to everyone. Repeat injections are only considered where clinically appropriate, based on your symptoms, response, risks and wider pain management plan.
Please contact us before attending if you feel unwell, have an infection, are taking antibiotics, or your health has changed. Your clinician may advise rearranging the appointment if that is safer.
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.
To find out more about our digital prescription service please click here.
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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: Sep 2026
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