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Dr Dan Mihaylov Dr Dan Mihaylov

Mihaylov, Dr Dan

  • Position: Consultant in Anaesthesia and Pain Management
  • Qualifications: BSc (Hons), MBBS, FRCA, FFPMRCA
  • Specialty: Management of complex spinal pain, management of neuropathic pain states, neuromodulation

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

Neuromodulation

Achievements/awards/publications

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

Stellate ganglion blocks

Lumbar sympathetic block

Ganglion of impar blocks

Spinal cord stimulator trials

Implantation of spinal cord stimulators

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