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Dr Thomas Smith

Dr Thomas Smith


Consultant in pain medicine

Dr Thomas Smith is a highly skilled and experienced pain specialist with expertise across a full spectrum of chronic pain treatment. This includes the best use of pain medicines, multidisciplinary pain management approaches, pain block procedures, and advanced interventional procedures including surgical implants for neuromodulation (spinal cord stimulation).

Thomas has worked in world leading centres in the UK, Germany, the USA and Australia. He is now based at Guy’s and St Thomas’ Pain and Neuromodulation Centre in London.  He believes that good communication is key to good outcomes. He has an impressive clinical research background and teaches and lectures regularly on pain.

Special interests

Clinical and research: spinal pain, back pain, neck pain, neuropathic pain (nerve pain), complex regional pain syndrome, interventions for headache and facial pain.


Spinal procedures including facet joint denervation, epidurals, selective nerve root blocks and pulsed radiofrequency, and Racz Catheter Epidurolysis
Nerve blocks and pulsed radiofrequency for neuropathic pains

Occipital nerve blocks and Botoxin treatments for headache/migraine
Autonomic ganglia blocks, and advanced procedures for complex headaches and other pain conditions
Spinal cord stimulation


  • 1990: Bachelor of Medicine and Bachelor of Surgery (MBBS) awarded with Honours, Monash University Medical School, Melbourne, Australia
  • 1997: Doctorate in Medicine (MD), University of Kiel, Germany
  • 1998: Fellowship of The Royal College of Anaesthetists
  • 2001: 12 months’ sub-specialty training in pain management recognised by The Royal College of Anaesthetists
  • 2001: United Kingdom Certificate of Completion of Specialist Training (CCST) in anaesthetics
  • 2007: Foundation Fellow Faculty of Pain Medicine of the Royal College of Anaesthetists

Membership of professional bodies

  • General Medical Council
  • Fellow of the Royal College of Anaesthetists
  • Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists
  • Member Association of Anaesthetists of Great Britain and Ireland
  • Member International Association for the Study of Pain
  • Member of The British Pain Society
  • Member of the British Medical Association
Language(s)English, German