Multidisciplinary Pain Service

What we do

We aim to provide effective care to support people living with chronic pain and also offer strategies to promote self-management to those newly diagnosed or for those that have been living with pain as a long term condition.

We are a multidisciplinary team that aims to consider the different factors that might impact on your pain

We run two multidisciplinary clinics per week offering appointments at Warwick and Stratford hospitals. Following assessment in clinic we can offer the following:

1:1 physiotherapy

Some patients will be offered individual physiotherapy as part of their treatment plan. Physiotherapy aims to improve the patient’s functional abilities which may have suffered as the result of living with chronic pain. Physiotherapy may take many forms but will often include an exercise programme designed to re-enable patients and improve their coping strategies.

1:1 psychology

Some patients will be offered individual psychology therapy as part of their treatment plan. Psychological therapy aims to help patients cope with the impact of having chronic pain and minimise the distress this can cause whilst helping patients gain a sense of agency in their condition. In most cases, therapy aims to help people work out how to live their life as normally and in the most fulfilling way possible, despite the pain.

Back in Action programme

Back in Action is a functional restoration programme for people with longstanding back pain. It includes exercise and education for patients who want to become more active despite their pain and get better at performing daily activities which have become difficult.

The aim of the course is to help increase fitness and education on how to effectively self-manage back pain. It is designed for those patients with pain who are deemed suitable by the multidisciplinary team to engage with a higher level of physical functioning.

The course is run in leisure facilities within the community. There are 6 sessions over 6 weeks which involves gym exercise with discussion groups and educational talks, including outside speakers from Clinical Psychology. Patients are strongly encouraged to partake in all sessions to maximise the potential benefits of attending the group.

Pain Management programme

What is a Pain Management Programme?

A pain management programme is designed to help patients cope with their pain through education, activity and support. Research shows that people with long-term pain can lead fulfilling lives. The programme aims to help people understand their pain better and to achieve their goals.

The South Warwickshire Pain Management Programme is held once a week over eight weeks. Patients are expected to commit to all sessions as this will ensure they get the most out of this treatment.

Group information

Held at Central England Rehabilitation Unit (CERU), Leamington Spa

8 consecutive weekly sessions

There will be 8-12 others who also suffer with long term pain in the group.

Sessions last around 2 ½ hours and will be broken up with breaks.

Who runs the programme?

The program is run by Physiotherapists and Clinical Psychologists who specialise in pain management.

Is this approach for me?

The course is recommended for people with long term pain who need help to self-manage. The course is not suitable for people looking for a medical ‘cure’. The course will improve fitness levels and help patients understand how their thoughts, feelings and behaviors impact upon pain.

What to expect from the programme?

The course includes education sessions on:

Understanding the causes of pain

Performing exercise and activity when in pain

Stress management

Achieving future goals when in pain


Each session begins with expert led discussions and activities. There will be gentle exercise tailored to each patients' ability and sessions on how to relax the mind and body.

Useful resources:

Guidelines for Pain Management


A range of pain relieving interventions are available through the Service. Spinal injections for low back pain will only be available in cases where they will assist engagement and participation in a programme leading to long-term self-management of chronic pain. Spinal injections for low back pain are not available as stand-alone procedures.

Medication Reviews

The consultant will consider what medication you are taking and whether any adaptations to this would be beneficial. Any changes to your prescription will be handed over to your General Practitioner who will then be responsible for implementing them and monitoring for any side effects. It is helpful if you bring your most current prescription with you.

Why a multidisciplinary team?

The multitude of factors that can contribute to chronic pain often means that the condition fails to respond well to a single treatment approach. Pain is a complex issue and therefore requires a multidisciplinary approach where expertise are brought together from a range of different specialists to ensure delivery of treatment that is tailored to each patients unique needs. Our team consists of Consultant Anaesthetists who specialise in pain management, Specialist Physiotherapists, Clinical Psychologists and a Team Secretary. Below we have summarised the role of each team member:

Consultant Anaesthetics

The role of the Consultant Anaesthetist is to assess whether your pain problem requires any further medical investigations such as blood tests, scans or x-rays. The Consultant will also consider your suitability for treatments such as injections, epidurals, surgery, physiotherapy, acupuncture or changes to medication.

Clinical Psychologists

The role of the Clinical Psychologist is to help people to understand and manage their pain more effectively so as to improve their quality of life. Following assessment the Psychologist may make suggestions about what kind of treatments could be helpful to you. As part of this Clinical Psychology sometimes offer one to one sessions to offer advice and support around adjusting to and coping with pain.

Specialist Physiotherapists

The role of the Physiotherapist within clinic will be to physically examine the problematic area and spend time explaining their findings to you. The physiotherapist will also consider suitability for physiotherapy treatments.

Team Secretary

The role of the Team Secretary is to provide clerical support for the multidisciplinary team, answer queries and provide a point of contact for patients and referrers.

Location/How to find us

MDT pain service
c/o physiotherapy department
Warwick hospital
Contact Details 01926495321 ext 8318 (Heather Manning)

Preparing for your appointment

The Pain Service Team will send you a questionnaire. The aim of the questionnaire is to understand your problem and ensure that the South Warwickshire Pain Service meets your needs.

You must return the questionnaire within two weeks.

If the team do not receive your completed questionnaire within two weeks we will assume you no longer want to be seen by the Pain Service Team. You will be discharged from the Pain Service and your G.P will be informed.

The assessment consists of detailed questioning and a physical examination - so please wear loose comfortable clothing. The assessment is very thorough and can take up to three hours so please ensure you allow enough time.

You will be assessed by one or several members of the Pain Service Team.


Patient information leaflets

Back pain information booklet - arthritis UK
Chronic pain management for teenagers
Explain Pain Leaflet
Fibromyalgia information booklet
Keep moving
Patient leaflet - Back In Action - Stratford
The Pain Toolkit
The Pain Toolkit - Polish

Medications Leaflets
- Amitriptyline
- Duloxetine
- Gabapentin
- Nortriptyline
- Pregabalin

Interventions Leaflets
- Introduction to interventions leaflets
- General information: Injection treatments
- Coeliac plexus block
- Dorsal root ganglion block / Transforaminal epidural / Nerve root block
- Epidural steroid injection
- Facet joint injections
- Facet joint medial branch blocks
- Facet joint rhizolysis / Radio frequency lesioning (Denervation)
- Intravenous regional analgesia
- Lumbar sympathetic block with local anaesthesia
- Occipital nerve injection
- Peripheral nerve injections: intercostal nerve block
- Sacroiliac joint injection
- Sedation for procedures
- Stellate ganglion block
- Trigger point injection

Driving & Pain Leaflet
- Driving and Pain: Information for patient

Related links

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