Pain Medicine

A pain management specialist is a physician with special training in evaluation, diagnosis, and treatment of all different types of pain. Pain is actually a wide spectrum of disorders including acute pain, chronic pain and cancer pain and sometimes a combination of these.

What is pain management?

Pain can also arise for many different reasons such as surgery, injury, nerve damage, and metabolic problems such as diabetes. Occasionally, pain can even be the problem all by itself, without any obvious cause at all.

As the field of medicine learns more about the complexities of pain, it has become more important to have physicians with specialised knowledge and skills to treat these conditions. An in-depth knowledge of the physiology of pain, the ability to evaluate patients with complicated pain problems, understanding of specialised tests for diagnosing painful conditions, appropriate prescribing of medications to varying pain problems, and skills to perform procedures are all part of what a pain management specialist uses to treat pain.

In addition, the broad variety of treatments available to treat pain is growing rapidly and with increasing complexity.

What should I expect during my first visit to a pain management specialist?

On your first visit to a pain management specialist, he or she will get to know you and begin to evaluate your particular pain problem. This will usually involve a detailed history, a physical exam and review of tests that you have had performed. The questions you are asked and the physical examination will focus on your particular problem, but your pain physician will want to know about past and current medical history as well.

How can we help?

Our Consultants can offer support with:

Explaining the cancer diagnosis and stage to the patient


Discussing all relevant treatment options and recommendations


Delivering high-quality, compassionate care


Helping the patient manage cancer-related pain and other symptoms or treatment side effects

Meet the team

Dr Julian Scott-Warren

Consultant in Pain Medicine
Qualifications: MB BCh, DRCOG, MRCP, FRCA, FFPMRCA
Special Interests: Pain medicine, anaesthetics and critical care
Management of patients with complex cancer pain needs; anaesthesia for major oncological surgery; care of critically unwell patients; survivorship and advanced cancer.

Dr Scott-Warren trained in Cardiff as an undergraduate before starting a general medical rotation in Manchester. He switched to anaesthetics in 2007 and started advanced sub-specialty training in pain medicine: during his year-long placement he relished the therapeutic opportunities presented by cancer pain management and invested time learning the highly specialised approaches and interventional techniques in the field. Dr Scott-Warren’s interests include Interventional cancer pain management in advanced disease, specifically cordotomy and intrathecal drug delivery, pain in cancer survivors, anaesthesia for complex cancer surgery, and oncological critical care.

“I offer a variety of highly-specialised injection therapies together with expertise in pain-relieving medications to help control the pain people experience when living with, and beyond, cancer.”