Neuropathic pain is different from ordinary pain. It can arrive without warning or obvious cause, and resist the things that usually bring relief. If you've been living with burning, shooting, or constant nerve pain, and feel like you haven't yet found the right care, you can access our clinic for support.
At Midland Health, our specialist pain management team offers private appointments in Birmingham, with no GP referral needed and no waiting lists. We’ll listen carefully, investigate thoroughly, and explore what may provide relief.
Neuropathic pain is caused by damage or disruption to the nervous system itself, not by tissue injury or inflammation in the usual sense. Because of this, it often doesn't respond to standard pain relief, and it can be difficult to describe to others. This experience can be isolating.
Our neuropathic pain specialist works with you to build a clear picture of what's causing your symptoms. This could include an underlying condition, nerve compression, a systemic illness, or something that hasn't yet been identified.
We may recommend a nerve conduction study or similar testing to identify the cause. We’ll assess possible solutions, which may include a medication review and nerve-targeted treatments, as well as physical and psychological support.
Neuropathic pain has many possible origins, and your assessment will be tailored to your individual history. Common underlying causes include:
A neuropathic pain consultation may be particularly well-suited to you if you’ve been experiencing any of the following symptoms of neuropathic pain:
Burning, shooting, electric shock-like, or persistent tingling pains
Everyday sensations trigger or worsen your pain, such as light touch, clothing, cold air
Pain that is present for weeks or months without a clear explanation
You can also access support for nerve pain if:
You've been told you have peripheral neuropathy, diabetic neuropathy, post-herpetic neuralgia, CRPS, or MS-related pain and would like specialist support
You're currently on medication for nerve pain but feel it isn't working well enough, or is causing side effects you'd like to discuss
You'd like a private assessment and second opinion without a long NHS wait
We welcome patients who are at any stage in understanding their condition, whether you’ve been recently diagnosed, managing a chronic condition for years, or experiencing new pains.
If you're unsure whether this service is right for you, please contact our team for advice.
If your pain is primarily musculoskeletal (joint, back, or muscle-related) without a suspected nerve component, consider our pain management clinic, physiotherapy or orthopaedic services.
If you experience a sudden, severe, or rapidly worsening neurological symptom such as unexplained weakness, loss of bladder or bowel control, or facial drooping, please seek emergency care or contact your GP immediately.
What to Expect at Your Appointment
You’ll have ample time to explain how the pains started, your medical history and how your pain is affecting your daily life.
Your appointment will typically involve a detailed discussion of your symptoms, medical history, and anything that triggers or relieves your pain. Depending on what emerges, he may suggest further investigations.
These could include nerve conduction studies or electromyography (EMG), which assess how well your nerves are sending signals, as well as blood tests to identify underlying causes such as diabetes, vitamin deficiencies, or autoimmune conditions.
Imaging such as MRI may also be considered where nerve compression or structural causes are suspected.
We will also offer psychological support if we believe this will help you. Chronic pain often takes a toll on mental wellbeing, and support is available.
No treatment will be recommended without a clear explanation of what it is, why it may help, and what to expect.
Before your appointment
There's no need for a GP referral. You can book directly online or by calling us. Our team will confirm your appointment and let you know if there's anything useful to bring, such as previous test results or a list of current medications.
On the day
You'll be seen at our Francis Road clinic in Edgbaston, Birmingham. Please allow approximately 15–30 minutes for an initial consultation.
During the consultation: Your consultant will take a full history, carry out a clinical assessment, and explain exactly what they’re looking for and why. We welcome questions at any time, so that you feel confident in our assessments.
Afterwards: If further tests are needed, we'll arrange these promptly. If an onward referral is appropriate, we'll facilitate this.
Dr Arasu Rayen is a Consultant in Pain Management with over 20 years of experience treating chronic and complex pain conditions. He practises at Sandwell and West Birmingham NHS Trust and privately across the West Midlands, and consults at Midland Health's Francis Road clinic in Edgbaston.
His specialist areas include neuropathic pain, spinal pain, and complex regional pain syndrome (CRPS). He holds an MSc in Pain Management and Fellowships in both Anaesthesia and Pain Medicine, and is an active member of the British Pain Society.
Dr Rayen's clinical approach combines advanced techniques — including ultrasound-guided nerve blocks and radiofrequency ablation — with a holistic view of each patient's situation. He also provides expert medico-legal assessments for chronic pain cases.
Prices
New Appointment with Pain Management Consultant
£300
(30 min)
Follow Up Appointment
£200
New Consultation with Nerve Conduction - 1 Limb
£695
(75 minutes)
All costs will be confirmed at the time of booking. Midland Health is recognised by major private medical insurers. Please check with your insurer to confirm your cover.
Appointments will take place at our Francis Road Clinic in Edgbaston, Birmingham accessible by public transport from Birmingham city centre, and 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.
Why Choose Midland Health?
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
Highly recommend Midland Health. Always seen quickly, doctors are very helpful. Surgery was quick, pain free and easy.
RRory Gorman
The quality of care, mixed with a friendliness of approach, was exemplary. My room was spotless.
Book Your Appointment
You don't need a GP referral to access our Pain Management Clinic. Appointments are available on short notice, and our team will do their best to find a time that works for you.
No. You can self-refer and book directly with our team. If your GP has already written a referral letter, you are welcome to bring this to add context.
We typically offer appointments within a few days. Same-day or next-day availability may be possible depending on our schedule. Please call or book online to check current availability.
Yes. Many patients come to us after an existing diagnosis, either because their current treatment isn't working well or because they'd like a second opinion. Our consultant is experienced in reviewing complex and long-standing cases.
This will depend on what your assessment reveals and what our consultant considers appropriate. If a prescription is recommended, we can issue it privately. We have a partnership with SignatureRx for next-day delivery of prescriptions to your home.
Not exactly. Peripheral neuropathy is a condition affecting the peripheral nerves that often causes neuropathic pain. Neuropathic pain can also originate from other parts of the nervous system, including the spinal cord and brain. We will assess your specific situation carefully.
Translators Available
We have translators available for your appointment.
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.