Dr Tacson Fernandez
Dr Tacson Fernandez completed his Anaesthetic training at the Imperial School of Anaesthesia in London and obtained CCT in 2009.
His training in Pain Medicine was obtained by working and visiting pain clinics across the UK, centres in Europe and USA. He completed his fellowship in Pain Medicine at Chelsea & Westminster Hospital in 2008. Dr Fernandez also obtained the Fellowship in Pain Medicine - Ireland, Fellowship of Interventional Pain Practice awarded by the World Institute of Pain in 2009.
Dr Fernandez held Consultant roles in Pain Medicine & Anaesthesia at Chelsea & Westminster Hospital and Imperial College Healthcare - St Mary`s Hospital, Paddington, and Charing Cross Hospitals prior to moving to the Royal National Orthopaedic Hospital at Stanmore. At the Royal National Orthopaedic Hospital at Stanmore, Dr Fernandez set up the Neuromodulation centre offering complex chronic pain patients the option of Spinal Cord stimulators and Peripheral nerve stimulators according to NICE guidelines (TA159).
Dr Fernandez conducts weekly ward rounds in Acute Pain management to assist management of acute post operative pain in complex pain patients. He has regular out-patient clinics for Chronic Pain Management and theatre sessions for interventional procedures in pain management including dedicated theatre sessions for Spinal Cord Stimulator and Peripheral Nerve Stimulator implants. In addition Dr Fernandez also has weekly sessions in Anaesthesia for Major Spinal surgery and Regional anaesthesia lists for Shoulder and upper limb surgery.
He is involved with developing pathways for complex pain patients with an aim to create a seamless integrated pathway for excellent patient care.
Dr Fernandez’ practice of interventional pain management include a wide range of therapies including diagnostic and therapeutic selective nerve blockade, neuromodulation via spinal cord stimulators and peripheral nerve stimulators, including but not limited to:
- Interlaminar epidurals in the cervical, thoracic, lumbar areas
- Transforaminal Epidurals in the cervical, thoracic, lumbar areas
- Selective dorsal root ganglion blocks in the cervical, thoracic, lumbar areas
- Pulsed radiofrequency procedures to a range of nerves including; stellate ganglion, dorsal root ganglion and sympathetic plexuses
- Peripheral electric nerve stimulation (PENS) techniques to areas of neuropathic pain including; scar site pain, post thoracotomy pain, etc.
- Management of persistent knee and shoulder pain through electrical stimulation techniques and selective nerve blockade
- Radiofrequency denervation techniques to different areas including cervical, thoracic and lumbar (facet joint) medial branch rhizotomy/rhizolysis
- Management of Sacro-iliac joint pain via selective blockade or radiofrequency denervation techniques
- Spinal cord stimulators for neuropathic leg pain and in persistent neuropathic pain states, complex regional pain syndrome, peripheral nerve injury induced neuropathic pain, brachial plexus induced neuropathic pain, etc.
- Peripheral nerve stimulators for peripheral nerve injury related neuropathic pain states.
- Spinal Cord stimulators in neuropathic pain states
- Early management of acute lumbar radiculopathies
- Persistent lower back and neuropathic leg pain despite spinal surgical interventions
- Neuromodulation in brachial plexus injury induced neuropathic pain and peripheral nerve injuries
- Cognitive Behavioural Modelling
- Management of persistent neuropathic pain states
- Peripheral Nerve Injury related pain states Persistent Lower back and neck pain
- Cervicogenic pain and cervical radiculopathy
- Complex regional Pain Syndrome
- Persistent post surgical pain
- Phantom limb pain
- Pharmacological, Cognitive and Rehabilitative strategies: · a wide range of pharmacological management options to manage nociceptive, neuropathic and mixed nociceptive-neuropathic pain states and is well versed in opioid management strategies including assistance with opioid reduction.
Dr Fernandez uses a multi dimensional, multi disciplinary approach for management of pain. He has been an invited speaker on Cognitive approaches into pain management both nationally and internationally and believes in active application of these techniques in his daily practice.