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Pain Services


Welcome to the Web site of the Gloucestershire Chronic Pain Service.

This site has been constructed primarily to help people with pain to gain a greater understanding of the condition and to learn what we can do and, equally importantly, what they can do to help with its management.  In addition it aims to provide a resource for doctors and others caring for patients in pain, particularly in our local area but also further afield.

Anyone looking at the Internet for information on Pain Management will soon find that there is a huge number of sites out there, varying considerably in quality and reliability. To try to help you with this, from within the pages of our site links are also given to other websites with further information that we feel are appropriate and useful.  In some cases this information is so good that we feel it is largely better not to "re-invent the wheel" and instead we refer straight to the linked site.


This site is written by Dr James de Courcy, Consultant in Pain Medicine, and his colleagues.  It is in continuous ongoing development with new pages frequently being added or updated, so please do return to see what has changed.


Contents of the site

We have split the site into a number of sections.  You can navigate through these sections using the menu to the right of each page.  

  • The first section introduces the Chronic Pain Service team and what we do and where we see patients, including some guidance to referrers to the service.  We have also put in some information about the work done by our colleagues in the Acute Pain Service, who are involved primarily in management of post-operative and other pain in in-patients within the hospitals, though our two services are very closely linked.  Members of our team also provide a Pain Self-Management Programme in Herefordshire, currently based at Ross on Wye and Hereford County Hospital, and information about this will shortly be added at this linked page.
  • We then provide background information on pain and its mechanisms in the "Pain and how it works" section.  
  • We see a wide range of different types of pain in the service.  Information on individual pains, as well as general information, is given in the "Different Pains" section.
  • We then introduce and discuss the range of treatments which can be used to help with the management of pain in "What can we do to help you?".  These include medications, procedures such as injections, techniques using stimulation such as TENS and Acupuncture and the range of approaches using psychological techniques and the Pain Self-Management Programme.
  • A critical part of the management of people's pain is the things they can do to improve self-management of their pain, and some of these approaches are further discussed in the "What can you do to help yourself?" section.
  • We are gathering together a Glossary of words that you may come across on our site or on other sites that you visit with their meanings, or links to places on the site where they are further discussed.
  • And, finally, although we have given a large number of links throughout the site to pages with further useful information, there is also a section of links to further sites, both for patients and for medical professionals.   

We hope that this site will be a useful resource both for our patients and for doctors and other health professionals working with them.  We have included on the site guidance on referral to the Pain Service, analgesic guidelines and neuropathic pain treatment guidelines, as well as guidance on review and down-titration of pregabalin.


Important comments

This site is intended to help to provide background information to help you with your understanding of, and management of, your pain.  It cannot act as a substitute for consultation with or advice from your own doctor.  We are afraid we cannot enter into correspondence or discussion about individual patients' pain in the context of this website.


This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.


We have been very pleased to have our site approved by the Health On the Net Foundation.  In compliance with this, we make some formal comments:

  • This site has been compiled by Dr James de Courcy, Consultant in Pain Medicine, and his professional colleagues in the Gloucestershire Pain Service, whose training and credentials are listed linked from this linked page.  
  • These webpages are hosted on the Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT) website, and no funding for the development of this website has been received from any external source, nor have the authors received any external influence over the content.  The authors do not have any conflicts of interest.
  • No advertising is hosted.  
  • We do not collect or store any information on these pages about patients or site users.   Any information is, anyway, treated as confidential under GHNHSFT's Code of Conduct
  • Use of cookies on the GHNHSFT site is discussed here.  Currently GHNHSFT is using Google Analytics to analyze the audience of the website and improve its content. No personal information is collected from Google Analytics.  This is discussed further on this page.

While we have done our best to link only to external websites that we feel give good, helpful and appropriate information, we cannot be held responsible for the content of any external website.


Acute Pain Service

Please note that in the acute hospitals, the Acute Pain Service deals primarily with pain after surgery.  This service is separate from, though closely interacting with, the Chronic Pain Service.





Pain Service Website, Gloucestershire Hospitals NHS Foundation Trust
Webmaster Dr J G de Courcy, Consultant in Pain Medicine and Anaesthesia
email: pain.webmaster[at]

Page updated 23/6/2016