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
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