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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:


If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.


  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell


  • touch your eyes, nose or mouth if your hands are not clean
Dr Dan Mihaylov Dr Dan Mihaylov

Mihaylov, Dr Dan

  • Position: Consultant in Pain Management and Anaesthesia and Lead Clinician of the RNOH Chronic Pain Management Centre
  • Qualifications: MBBS, B.Sc(Hons), FRCA, FFPMRCA
  • Specialty: Chronic Pain Management

Dr Mihaylov is the Lead Clinician of the Royal National Orthopaedic Hospital Chronic Pain Management Department.

Dr Mihaylov is an experienced Consultant in Pain Management and Anaesthesia who is a Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists, London, UK.

He completed a recognised Fellowship in Advanced Pain Medicine in University College London Hospitals and the Royal National Orthopaedic Hospital.

Education and Training

B.Sc (Hons) (2001): King’s College, University of London

MBBS (2003): St George’s Hospital Medical School, University of London

FRCA (2008): Royal College of Anaesthetists, London

FFPMRCA (2012): Pain Faculty of the Royal College of Anaesthetists, London

Special Interests

Pain arising from the spine (e.g. back pain, neck pain).

Pain associated with spinal surgery.

Neuropathic pain due to nerve injury.

Pain arising from injury of the brachial plexus.

Pain related to Chronic Regional Pain Syndrome.

Spinal cord stimulation (SCS) to treat chronic pain states

Research Interests

Neuropathic pain



Privitera R, Birch R, Sinisi M, Mihaylov I, Leech R, Anand P Capsaicin 8% patch treatment for amputation stump and phantom limb pain: a clinical and functional MRI study. Journal of Pain Research. 2017.10:1623 - 1634

M Czernicki, I Mihaylov, B Nejad, S Kunnumpurath. G Kodumudi, N Vadivelu.  Intrathecal drug delivery for chronic pain management – scope, limitations and future. Journal of Clinical Monitoring and Computing. 2014. 28:4

I Mihaylov, S Balasubramanian, T Vasu. Chapter 3: Drugs, equipment, and basic principles of spinal interventions, In: Spinal Interventions in Pain Management (Oxford Specialist Handbooks in Pain Management), K Simpson, G Baranidharan, S Gupta ed. Oxford University Press, 23 – 36, 2011

Hori S, Mihaylov I, Vasconcelos JC, McCoubrie M.  Patterns of complementary and alternative medicine use amongst outpatients in Tokyo, Japan. BMC Complement Altern Med. 2008. 8:14

R Zarnegar, I Mihaylov, S Gulati. Sodium channel in the management of chronic pain – what are we all doing? British 

Journal of Pain. 2012. 47P

I Mihaylov, T Rajamanickam, I Suri. Persistent pain following Caesarean section; a retrospective questionnaire based survey of 150 women. International Journal Obstetric Anaesthesia. 2012.

I Mihaylov, S Balasubramanian. Monitoring and intravenous access for epidural injections in chronic pain management. Pain News. 2010. Summer Edition

Procedures Undertaken

Transforaminal epidural injections: lumbar, thoracic

Interlaminar epidural injections: lumbar, thoracic, cervical

Epidural injections via the caudal route

Percutaneous radiofrequency denervation of lumbar and cervical facet joints

Intra – articular facet joint injections: lumbar, cervical, thoracic

Thoracic intercostal nerve blocks

Sacroiliac joint intra – articular injections

Sacroiliac joint percutaneous radiofrequency denervations

Percutaneous radiofrequency denervations of knee genicular nerves

Shoulder suprascapular nerve blocks

Shoulder suprascapular nerve pulsed radiofrequency (PRF) treatments

Stellate ganglion blocks

Lumbar sympathetic block

Ganglion of impar blocks

Spinal cord stimulator trials

Implantation of spinal cord stimulators

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