Friday, 11 February 2011

Consultant in Pain Medicine & Anaesthesia
Educational Supervisor in Pain Medicine
Guy's & St. Thomas' NHS Foundation Trust
Dr Azzopardi graduated from the University of Malta in 1993. He commenced training in Ireland and subsequently undertook higher specialist training in London at The Barts and The London School of Anaesthesia and other associated hospitals. He was a visiting fellow in Regional Anaesthesia in Sweden and in 2002 undertook a two-year fellowship in Pain Medicine in Australia. 

Dr Azzopardi is a Fellow of the Royal College of Anaesthetists UK. He was awarded the Fellowship of the Faculty of Pain Medicine of the Australian and New Zealand College of Anaesthetists in 2004. He is a Foundation Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists since 2007.

In addition to his expertise in degenerative spine disease, which includes the management of back and neck pain, arm pain and sciatica; he has expertise in Cancer Pain Management and Symptom Control. His specialist interests include Interventional Pain Management, Advanced Radiofrequency Ablation Pain Therapies and Neuromodulation (Spinal Cord Stimulation & Neuro-axial Drug Delivery).

Dr Azzopardi also provides Medico-Legal specialist reports and accepts instructions for defendant and claimant personal injury work.  

Dr Azzopardi was appointed as Consultant in Pain Medicine & Anaesthesia in Guy's and St. Thomas' Hospital in 2005. Since taking up his post he has been actively involved with the development of Multidisciplinary Integrated Cancer Pain Services at Guys and St.Thomas' Foundation Trust.

Dr Azzopardi has a keen interest in Medical Education and sits on the London Deanery Pain Training Advisory Group Committee. He is the Educational Supervisor for Advanced Pain Training.
His anaesthetic interests include Difficult Airway Anaesthesia, Regional Anaesthesia and Anaesthesia in the Developing World. He has been the lead anaesthetist on numerous charity missions in Ethiopia with Facing Africa and Project Harar.

Current Memberships of Professional, National & Regional bodies:

RCA Royal College of Anaesthetists

FPMRCA Faculty of Pain Medicine (Royal College of Anaesthetists)

FPMANZCA Faculty of Pain Medicine (Australian & New Zealand College of Anaesthetists)

BPS British Pain Society

IASP International Association for the Study of Pain 

WIP World Institute of Pain

INS  International Neuromodulation Society

NSUKI Neuromodulation Society of UK & Ireland

LPTAG London Deanery Pain Training Group

SESA South East School of Anaesthesia

SESA Educational Supervisor for Pain Training in Guy's & St Thomas' Hospital 

Facing Africa

Project Harar


Comprehensive, holistic and individually tailored pain management is provided, embracing evidence-based medicine and incorporating the latest leading medical and interventional modalities. 

Dr Azzopardi collaborates closely with a multidisciplinary team of physiotherapists, occupational therapists and psychologists to achieve the best possible outcomes for his patients. 


  • Pharmacological management of complex chronic pain disorders
  • Functional restoration and rehabilitation addressing the bio-psycho-social dimensions of chronic pain
  • Musculoskeletal pain disorders: Cervical, Thoracic, and Lumbar spine
  • Back pain including sciatica
  • Discogenic Pain
  • Neck pain including whiplash injury
  • Myo-fascial pain disorders - Fibromyalgia
  • Failed Back Surgery Syndrome
  • Coccygodynia
  • Visceral pain
  • Chronic Pancreatitis
  • Pain in the Elderly
  • Complex Regional Pain Syndrome (RSD)
  • Neuropathic pain
  • Chronic radiculopathy
  • Post-herpetic neuralgia
  • Diabetic neuropathy
  • Post stroke pain
  • Post Surgical Pain Syndromes
  • Ischaemic Pain
  • Refractory Angina
  • Headache
  • Migrane
  • Oro-facial Pain
  • Trigeminal Neuralgia
  • Pelvic Pain
  • Urogenital Pain


  • Trigger point injections
  • Facet joint / Medial Branch Diagnostic blocks: Cervical, Thoracic and Lumbar
  • Facet joint Radio-Frequency Denervation: Cervical, Thoracic and Lumbar
  • Sacroiliac joint denervation
  • Nerve Root and Dorsal Root Ganglion blocks and Pulsed RadioFrequency
  • Botox therapy for Migrane 
  • Autonomic nerve blockade, Pulsed Radiofrequency and Neuromodulation
o Stellate Ganglion
o Coeliac plexus
o Lumbar sympathetic chain
o Ganglion Impar

  • Pulsed RF to peripheral nerves
  • Nerve blocks: 
    • Ultrasound Guided Regional Anaesthesia, 
    • Continuous catheter techniques
  • Intravenous regional blocks
  • Scar/neuroma injections
  • Minimally Invasive Disc procedures
o Provocative discography
o Diskit
o Nucleoplasty
o Cooled RF Biacuoplasty

  • Epidural injections: Cervical, Thoracic, Lumbar & Caudal
  • Epidural adhesiolysis (Racz)
  • Spinal Augmentation
o Vertebroplasty
o Kyphoplasty

  • Neuromodulation
o Peripheral Nerve Stimulation
o Subcutaneous Nerve Field Stimulation
o Spinal Cord Stimulation

  • Implantation of drug delivery systems for Neuroaxial (intrathecal & epidural) therapy


Dr Azzopardi has extensive experience in the management of cancer pain. He runs a dedicated Cancer Pain Clinic at the LOC - 95 Harley Street, at the Oncology Unit at the Harley Street Clinic and at the London Clinic, Oncology Centre. He is also a member of the multidisciplinary team at the Hospice of St John & St Elizabeth.

He has specialist expertise in Interventional Pain Management Strategies, Neuroablative therapies and Neuroaxial Drug Delivery. He is also proficient in Percutaneous Cervical Cordotomy for the management of mesothelioma pain.

Cancer Pain Management Treatments Outlined

  • Comprehensive Medical Management
  • Neurolytic ablation procedures
    • Coeliac plexus
    • Lumbar plexus
    • Superior Hypogastric plexus
    • Ganglion Impar
  • Intrathecal neurolysis
  • Nerve blocks:
    • Ultrasound guided Regional Anaesthesia
    • Continuous catheter techniques
  • Implantation of analgesic drug delivery systems
    • Percutaneous Systems 
    • Fully implanted devices
  • Cancer Survivor Pain Management & Symptom Control


§ General anaesthesia for all the major sub specialities

§ General surgery, Vascular, Plastics, Ophthalmic, Gynaecology and Obstetrics

§ Orthopaedics and Trauma, Neurosurgery

§ Thoracic surgery

§ Ear, Nose & Throat, Maxillofacial and Dental surgery


§ Difficult Airway Management

§ Anaesthesia for Spine Surgery

§ Regional Anaesthesia

§ Advanced Vascular Access

o Implantation of Percutaneous Central Venous lines for renal replacement therapy and TPN
o Implanted Porta-Cath Systems for chemotherapy

NHS Appointments

The St Thomas' Pain Management & Neuromodulation Centre

St Thomas' Input Pain Management Program

t +44 (0) 207 188 4718  
NHS St Thomas' Secretary - Ms Jo Enang

t +44 (0) 207 188 0644 
NHS Guy's Secretary - Ms Barbara Bolton

f +44 (0) 207188 4719 / 0642

Dr Azzopardi also holds an Honorary Consultant Post at the Queen Alexandra Hospital in Portsmouth


t  +44 (0) 207 407 3100  Main Switchboard

t +44 (0) 207 234 2107  
LBH Appoinments Booking Team - Ms Julia Bethel

t   +44 (0) 207 234 2009

31 Old Broad Street - Pain Clinic

31 Old Broad Street 

t +44 (0) 207 234 2107   
LBH Appoinments Booking Team - Ms Julia Bethel

t  +44 (0) 207 317 2500  Main Switchboard

t +44 (0) 207 317 2661  
Private Secretary - Francesca Stewart

f +44 (0) 207 009 4262

t +44 (0) 207 806 4060 Appointments Bookings Team

e GP Liaison

t +44 (0) 207 730 8298
t +44 (0) 207 881 4000  

Lister GP Liason - Appointments Bookings Team

t +44 (0) 07912021115 GP Liason

+44 (0)  208 347 3899   Appointments Bookings Team 

Dr Azzopardi has admitting privileges at:

The London Bridge Hospital
31 Old Broad Street - Diagnostic Centre
LOC - Leaders in Oncology - 95 Harley Street
Hospital of St John & St Elizabeth
Harley Street Clinic
The London Clinic - Cancer Centre
The Lister Hospital 
Wellington Hospital 
Highgate Hospital
Princess Grace Hospital
London Independent Hospital
Blackheath Hospital