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Dr Tacson Fernandez Dr Tacson Fernandez

Fernandez, Dr Tacson

  • Position: Consultant in Chronic Pain Management,
    Lead Clinician for Neuromodulation,
    Lead Clinician for Acute Pain Management
  • Qualifications: MBBS, FRCA, FFRMCAI, FCARCSI, FIPP
  • Specialty: Chronic Pain Management, Neuromodulation

Profile:

Dr Fernandez, Honorary Associate Professor at University College London and Consultant in Interventional Chronic Pain Medicine, Neuromodulation Services, Acute Pain management and Anaesthesia at the Royal National Orthopaedic Hospital, London.

Following Certificate of Completion of Training in Anaesthesia and Pain Medicine, Dr Fernandez joined Chelsea & Westminster Hospital as a Consultant in Pain Medicine & Anaesthesia. Dr Fernandez gained further experience as a Consultant in Pain Medicine & Anaesthesia at Imperial College Healthcare, St Mary`s Hospital, Paddington and Charing Cross Hospital, prior to moving to the Royal National Orthopaedic Hospital at Stanmore. 

Within a year of moving to Royal National Orthopaedic Hospital, Dr Fernandez established the Neuromodulation Centre at the RNOH Stanmore, offering complex chronic pain patients the option of Spinal Cord stimulators and Peripheral nerve stimulators in accordance with NICE guidelines. 

Dr Fernandez has sessions in Acute Pain management, Chronic Pain Management and Anaesthesia for Major Spinal surgery and Regional anaesthesia for Shoulder and upper limb surgery. He is involved with developing pathways for complex pain patients creating a seamless integrated pathway for excellent patient care. 

Education and training: Dr Fernandez was awarded his fellowship in Pain Medicine following training at Chelsea & Westminster Hospital in London, the Fellowship in Interventional Pain Practice by the World Institute of Pain and the Pain Fellowship by the Faculty of Pain Medicine, Ireland in 2009. Dr Fernandez is a Fellow of the faculty of anaesthetists, Ireland and Fellow of the Royal College of Anaesthetists, UK.

Special interests: 

Dr Fernandez` interests are in management of neuropathic pain states, persistent neuropathic pain, Complex regional pain syndrome, Sympathetically mediated pain, persistent Lower back pain, mechanical axial pain states (neck and back pain), coccydynia, phantom limb pain and peripheral nerve injury or plexus injury induced neuropathic pain. 

As a Chronic Pain specialist, Dr Fernandez` areas of interest include:

i) Spinal cord stimulators in neuropathic pain
ii) Cognitive behavioural modelling
iii) Management of persistent neuropathic pain states
iv) Peripheral nerve injury,
v) Brachial plexus injury pain
vi) Lumbar radiculopathy/Sciatica
vii) Persistent lower back pain, mechanical pain states
viii) Cervicogenic (neck) pain and cervical radiculopathy
ix) Complex regional pain syndrome
x) Phantom limb pain

Research interests:

  • Mechanisms of Neuropathic pain – ongoing project with Imperial College
  • Optimal PPE materials – ongoing project with UCL Bioengineering
  • Spinal Cord Stimulators in Spinal Cord Injury – ongoing project with UCL Bioengineering
  • Virtual reality and management of Neuropathic pain – ongoing project with UCL Bioengineering

Achievements/publications:

Clinical Excellence Awards

Committee member – UK Steering group for Neurotechnology, Knowledge Transfer Network, UK.

Procedures undertaken:

Dr Fernandez’ interests in interventional pain management include a wide range of therapies including therapeutic selective nerve blockade, neurodestructive procedures when indicated and Spinal cord stimulators(neuromodulation), including but not limited to


1. Interlaminar epidurals in the cervical, thoracic, lumbar areas
2. Transforaminal Epidurals in the cervical, thoracic, lumbar areas
3. Selective dorsal root ganglion blocks in the cervical, thoracic, lumbar areas
4. Pulsed radiofrequency procedures to a range of nerves including:
• the stellate ganglion
• dorsal root ganglion
• sympathetic plexuses
- Genicular nerves (for knee pain)
- Suprascapular and axillary nerves ( for shoulder pain)
5. Peripheral Electric Nerve Stimulation techniques to areas of neuropathic pain including
• scar site pain
• post thoracotomy pain etc.,
6. Radiofrequency denervation including cervical, thoracic and lumbar facet joint medial branch rhizotomy
7. Sacro Iliac joint pain via selective blockade or radiofrequency denervation techniques
8. 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 avulsion induced neuropathic pain etc..,
9. Peripheral nerve stimulators for peripheral nerve injury

Dr Fernandez has a wide range of pharmacological options to manage nociceptive, neuropathic and mixed nociceptive-neuropathic pain and is well versed in opioid management strategies. Dr Fernandez uses a multi dimensional, multi disciplinary approach for management of pain.

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