Dr Tom Smith

Consultant Pain Management

Professional Profile
Dr 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 and peripheral stimulation).  He has worked in world leading centres in the UK, Germany, the USA and Australia. He is currently based at Guy’s and St Thomas’ Pain and Neuromodulation Centre in London.  His special interests include spinal pain, neuropathic pain (nerve pain), headache and facial pain, and Complex Regional Pain Syndrome. He believes that good communication is key to good outcomes. He has an impressive clinical research background and he teaches and lectures regularly on pain.

Additional Information

Medical qualifications MBBS(Hons) MD FRCA FFPMRCA Consultant Pain Medicine
Year of qualification 1990
Current NHS Post(s) Guys and St Thomas' Hospital
Current memberships Royal College of Anaesthetists, Fellow of the faculty of Pain Medicine of the RCA

 

 

Recent publications

The Use of 10-Kilohertz Spinal Cord Stimulation in a Cohort of Patients With Chronic
Neuropathic Limb Pain Refractory to Medical Management. Al-Kaisy, A., Palmisani, S.,
Smith, T., Harris, S. and Pang, D. (2014), Neuromodulation: Technology at the Neural
Interface. Neuromodulation 2015; 18: 18–23

Cost Effectiveness of a Novel 10kHz High-Frequency Spianl Cord Stimulation System
in Patients with Failed Back Surgery Syndrome (FBSS). Lieven Annemans, Jean-Pierre
Van Buyten, Thomas Smith, Adnan Al-Kaisy. Journal of Long-Term Effects of Medical
Implants 2014, 24(2-3):173-183

Effect of cervical epidural10kHz spinal cord stimulation on patients suffering from
chronic, medically-refractory migraine. S. Palmisani, R. Arcioni, T. Smith, M. Mercieri,
A. Al- Kaisy, V. Vano, S. Tigano, P. Martelletti.  7th World Congress of the World
Institute of Pain (7th-10th May 2014, Maastricht, The Netherlands)

Endoscopic epidural adhesiolysis: role of preoperative lumbosacral MRI in
patients selection. S Palmisani, Thomas Smith, Adnan Al-Kaisy. 7th World
Congress of the World Institute of Pain (7th-10th May 2014, Maastricht, The
Netherlands)

Endoscopic Epidural Adhesiolysis in FBSS patients with MRI documented epidural
fibrosis. S Palmisani, T Smith, A Al-Kaisy. 8th BritSpine conference (2nd-4th April
2014, Warwick, UK)

Sustained Effectiveness of 10 kHz High-Frequency Spinal Cord Stimulation for Patients with Chronic, Low Back Pain: 24-Month Results of a Prospective Multicenter Study.  Adnan Al-Kaisy, Jean-Pierre Van Buyten, Iris Smet, Stefano Palmisani, David Pang and Thomas Smith. Pain Medicine, Volume 15, Issue 3, pages 347–354, March 2014

Chronic Pain:Oral Ketamine (Expert Advisor Role) NICE advice [ESUOM27] Published date: February 2014 http://www.nice.org.uk/Advice/ESUOM27

Spinal Nerve Root Stimulation with Existing Spinal Cord Stimulation Technology: A Single Center Experience. A  Al-Kaisy, D Pang, T Smith, S Palmisani. (17th North American Neuromodulation Society meeting - NANS, Las Vegas, US, December 5-8 2013)

Management of Refractory Neuropathic Loin Pain with Spinal Nerve Root Stimulation.
A Al-Kaisy, D Pang, T Smith, S Palmisani (17th North American Neuromodulation Society
meeting - NANS, Las Vegas, US, December 5-8 2013)

High-Frequency Stimulation for Lower Limb Neuropathic Pain. A Al-Kaisy, D Pang, T Smith,
S Palmisani.  (17th North American Neuromodulation Society meeting - NANS, Las Vegas,
US, December 5-8 2013)

High Frequency Cervical Spinal Cord Stimulation for Chronic Hedaches. A Al-Kaisy, D Pang,
T Smith, G Lambru, S Palmisani.  (17th North American Neuromodulation Society meeting –
NANS, Las Vegas, US, December 5-8 2013)

Intradermal botoxin infiltration for peripheral neuropathic pain in the neck. C Fenech, V Bandikatla, T Smith. Abstract. European Federation of International Association of Study of Pain Chapters Biennial Congress, Florence, October 2013

Retrospective analysis of explantation of electrical neuromodulation implants. C Fenech, V Bandikatla, S Harris, D Pang, T Smith, A Al-Kaisy. Abstract. European Federation of International Association of Study of Pain Chapters Biennial Congress, Florence, October 2013

Cost efficiency of Spinal Cord Stimulation for failed back Surgery Syndrome. T Smith & Lieven Annemans. Abstract and oral presentation (1st prize winner) Neuromodualtion Society of UK and Ireland Annual Scientific Meeting, Oxford, September 2013

A six year retrospective review of occipital nerve stimulation practice - controversies and challenges of an emerging technique for treating refractory headache syndromes Stefano Palmisani, Adnan Al-Kaisy, Roberto Arcioni, Tom Smith, Andrea Negro, Giorgio Lambru, Vijay Bandikatla, Eleanor Carson, Paolo Martelletti The Journal of Headache and Pain 2013, 14:67 (6 August 2013)

High-frequency spinal cord stimulation therapy in failed back surgery syndrome  patients with predominant back pain. Adnan Al-Kaisy, JP Van Buyten, Stefano Palmisani, Thomas Smith, Iris Smet. Abstract: British Association of Spinal Annual Meeting, 13-15 March 2013

High-frequency spinal cord stimulation for the treatment of chronic back pain patients without prior back surgery. Adnan Al-Kaisy, JP Van Buyten, Stefano Palmisani, Thomas Smith, Iris Smet. Abstract: British Association of Spinal Annual Meeting, 13-15 March 2013

High-frequency spinal cord stimulation for the treatment of chronic back pain patients: results of a prospective multicenter European clinical study Van Buyten JP, Al-Kaisy A, Smet I, Palmisani S, Smith T.
Neuromodulation. 2013 Jan-Feb;16(1):59-65

Interventional Therapies for Back Pain. Tom Smith and Adnan Al-Kaisy.  Chapter 11 pp 107-114 in: Back Pain. Editors Andrew Souter, Roman Cregg, Sam Chong. Oxford University Press. 2012

Emerging treatment for chronic migraine and refractory chronic migraine
Luana Lionetto, Andrea Negro, Stefano Palmisani, Giovanna Gentile, Maria Rosaria Del Fiore, Marco Mercieri, Maurizio Simmaco, Thomas Smith, Adnan Al-Kaisy, Roberto Arcioni, Paolo Martelletti
Expert Opinion on Emerging Drugs Sep 2012, Vol. 17, No. 3, Pages 393-406

Efficacy of Botulinum Toxin Type A in patients with chronic orofacial pain. Zehra Yilmaz, Ferdousey Basit, Tom Smith, Tara Renton. Abstract. International Association for the Study of Pain Word Congress, Milan, August 2012

Recent educational activity

  • Foundation Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists, October 2007
    • United Kingdom Certificate of Completion of Specialist Training (CCST) in Anaesthestics awarded 24th September, 2001
    • Completion of 12 months sub-specialty training in pain management recognised by The Royal College of Anaesthetists, February 2nd, 2001
    • Fellowship of The Royal College of Anaesthetists (FRCA) awarded 16th September, 1998
    • Doctorate in Medicine (MD) awarded by the University of Kiel, Germany, October 16th, 1997
    • Bachelor of Medicine and Bachelor of Surgery (MBBS) awarded with Honours by Monash University Medical School, Melbourne, Australia, 7th December, 1990
    • Acute Life Support (ALS) trained - original qualification 1997, most recent full qualification November 2013
    • Last Appraisal: October 5th 2015 (GSTT in UK)
    • Good Clinical Practice Training (research ethics) updated at Guys and St Thomas February 2013

Recent registrations

  • General Medical Council - Full registration 
  • Medical Defence Union
  • Royal College of Anaesthetists - Fellow
  • Fellow of the Faculty of Pain Medicine of the RCA
  • International Association for the Study of Pain
  • The British Pain Society 
  • Neuromodulation Society of United Kingdom and Ireland
  • British Medical Association 
  • World Institute of Pain Medicine

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