• Dr Andrew Baranowski MB BS BSC(Hons) FRCA MD FFPMRCA
    Consultant in Anaesthesia and Pain Management

    • Dr Andrew Baranowski

      Areas of Expertise:
      Pain Medicine

      Speciality Interests:
      Pain Medicine, Urogenital/pelvic pain, neuropathic pain, complex spinal pain and cancer related pain

      Dr Baranowski is an Associate Member of Leading Interventional Oncology Network

      Dr Baranowski qualified from Guy’s Hospital, London, in 1984 having obtained both an honours degree (BScHons, pathology and basic medical science) and his medical qualifications (MBBS). During his first year as a qualified doctor, Dr Baranowski realised that pain was poorly managed and he made the decision to make a career in pain medicine. His pain medicine training was complimented through his higher qualification in pain research, awarded in 1993 (MD, Doctor of Medicine research). He was appointed to the staff of the Middlesex hospital in 1994 where he developed his interest in neuromodulation for neuropathic and complex spinal pain. Through his multi-speciality work with urologists, gynaecologists, urogynaecologists and colorectal specialists his interest in urogenital/pelvic pain started and he has since set up the largest centre for urogenital/pelvic pain in the UK. All of his work is supported by a comprehensive multidisciplinary team. He was awarded the Fellowship of the Faculty of Pain Medicine (FFPMRCA) in 2008, the first year it was available.

      Dr Baranowski has always had an interest in education and has organised over 40 meetings on pain related subjects. Dr Baranowski was influential within the Royal Society for Medicine Anaesthetic Section Council (2001-2009) and set up the Pain Medicine subsection which he led as the vice-president (2009-2010). He was appointed The Royal College for Anaesthetists, Regional Advisor for Pain Medicine (North Tames Central and then North Thames when they amalgamated) from the inception of the role, for 7 years (2003-2010). Dr Baranowski has sat on several guideline committees including The European Association for Urology CPP group (2003-present), and has influenced pain medicine through guidelines published in the UK, Europe and North America. He was a founding member and President (2001-2005) of The International Society for the Study of Pain special interest group for urogenital pain, PUGO.

      Dr Baranowski has chaired the Taxonomy Committee of PUGO since 2003 with the latest classification published in 2012. Dr Baranowski has over 75 publications. He currently is an elected council member of the British Pain Society (2010) and has served on their education committee, he chaired their Pain Patient Pathways Mapping working group and has recently been elected as Honorary Treasurer. His work on patient pathways brings him into close contact with pain commissioning and the Department of Health. He is also currently Chair of the NHSCB Clinical Reference Group for Specialised Services – pain.

      Research interests:

      Urogenital pain/visceral pain, neuropathic pain and complex spinal pain. Andrew is a lead clinician for the Urogenital Pain Management Centre. He performs CT guided procedures and a range of neuromodulation techniques.

      Recent Publications

      Over 100 publications, posters and research papers. Andrew’s publications have covered the areas of neuropathic pain, complex pain syndromes, spinal pain and urogenital pain. Having been co-editor of one book on Long Term Pain, he has another on Urogenital Pain in Clinical Practice that came out in December 2007. He has organised over 40 meetings on subjects related to pain medicine including 6 international meetings and an IASP World Congress satellite meeting for 2008. He is scientific advisor and co-organiser for the 1st World Congress on abdominal and pelvic pain, May 2013. He lectures all over the world on subjects related to pain medicine.

      Member of:

      •  The British Pain Society.
      • The International Association for the Study of Pain (IASP).
      • PUGO (SIG of IASP – Pain of Urogenital Origin)
      • The Royal College of Anaesthetists of Great Britain and Ireland.
      • The British Medical Association.
      • The Royal Society of Medicine.
      • The Medical Defence Union.

      Private Outpatient Clinics:

      The Pain Management Centre
      30 Devonshire Street, London, W1G 6PU

      Services that this consultant provides:

       

      Dr Baranowski works within the frame work of a multidisciplinary team with support from nursing, psychology and physiotherapy. He has many years experience in the use of medications for the management of chronic persistent pain. His procedures are undertaken in specialist environments with due attention to patient safety, sterility and patient comfort through the use of sedation as indicated. Dr Baranowski uses appropriate imaging for his procedures and regularly uses x-ray, CT guidance and ultrasound guided technology. Where applicable neuro-tracing is also utilised. Procedures are supported by physiotherapy and psychology if appropriate.

      Dr Baranowski’s technical skills include:

      • Spinal injections such as facet and sacroiliac joint injections
      • Perineural spinal root nerve injections and medial branch nerve blocks
      • Spinal root nerve neuromodulation using pulsed radiofrequency technology Facet and sacral joint denervation using radiofrequency lesioning
      • RACZ catheter targeted epidurals
      • Pudendal nerve blocks at the ischial spine under x-ray and within Alcock’s canal using CT
      • Pelvic floor muscle injections under CT
      • Soft tissue (such as piriformis) and perineural peripheral nerve (such as suprascapular and groin) injections with ultrasound
      • Implant neuromodulation – spinal cord stimulation and sacral root stimulation
      • Intrathecal drug delivery