Interventional Pain Management & Neuromodulation Practice, 18 Wimpole St
Dr Goroszeniuk runs a busy private pain management and neuromodulation practice at Cromwell Hospital, London. He is a senior pain doctor who has worked many years in the NHS. He regularly receives referrals from pain management colleagues seeking his expert opinion on patients with complex pain conditions. He is a leading expert in advanced neuromodulation treatments with a special interest in peripheral neuromodulation. He regularly lectures and organises meetings and workshops on the topic of neuromodulation, both nationally and internationally.
External Neuromodulation
EXTERNAL NEUROMODULATION is a novel and very effective diagnostic test and treatment modality for neuropathic pain conditions that Dr Goroszeniuk developed in his pain clinic at Guy's & St Thomas' Hospital in 2005. Since that time he has organised regular workshops on the technique for colleagues around the United Kingdom and further afield in Europe. It is a non-invasive form of peripheral neuromodulation that can be applied in a clinic setting or on a self-administration basis in the home. It often avoids the need for costly pain medications and more invasive neuromodulation implantations. Dr Goroszeniuk is currently offering this treatment modality with the new Remedius ExStim Pro device at the Interventional Pain Management & Neuromodulation Practice, 18 Wimpole Street, London.
Positions Held
President of the London Pain Forum (www.londonpainforum.co.uk)
Co-CEO, Remedius Limited, a neuromodulation company
Founder/Past-President of Interventional Section of Polish Pain Society
Founder/Vice-President, Polish Neuromodulation Society
Co-CEO, Remedius Limited, a neuromodulation company
Founder/Past-President of Interventional Section of Polish Pain Society
Founder/Vice-President, Polish Neuromodulation Society
Selection of Publications
Analgesic effect of 2Hz electric percutaneous neuromodulation in participants suffering from neuropathic pain
N. Zaman, A. Graczkowski, L. Childs, M. Tomova, T. Goroszeniuk, R. Lecybyl
Pain News, 2019, Vol 17(2) 86-91, The British Pain Society.
Peripheral nerve field stimulation for peristomal pain
OK. Chaudhary, T. Goroszeniuk, CL. Chan
June 2019, Ból 19(4):1-10. Polish Association for the Study of Pain.
Peripheral Neuromodulation: part 3: peripheral nerve stimulation in other regions including autonomic nerves
T. Goroszeniuk, A. Krol
Pain News 2019, Vol 17(3) 160-166. The British Pain Society
Peripheral Neuromodulation: part 2: somatosensory, head and facial pain
T. Goroszeniuk. A. Krol
Pain News, 2019, Vol 17(2) 97-100. The British Pain Society
Peripheral Neuromodulation: part 1: historical aspects and theory
T. Goroszeniuk, A. Krol
Pain News, 2019, Vol 17(1) 33-37. The British Pain Society
But M, Krol A, Goroszeniuk T, Goraj E, Starczewski K, Hura G, Ł R, Kotfis K, Rykowski J.
January 2019. BOL Volume 19, Polish Association for the Study of Pain.
The Effect of Peripheral Neuromodulation on Pain From the Sacroiliac Joint: A Retrospective Cohort Study
T. Goroszeniuk
September 2018. Neuromodulation Journal 22(5).
Peripheral Neuromodulation: An Update
Goroszeniuk, T, Krol A
June 2017. BÓL 18(1):15-27. Polish Association for the Study of Pain.
Peripheral Nerve Stimulation for Chronic Abdominal Pain
D. Pang, T. Goroszeniuk
Chapter in Book: Chronic Abdominal Pain: An Evidence-Based, Comprehensive Guide to Clinical Management, January 2015. Leonard Kapural.
To test or not to test in peripheral nerve stimulation?
Goroszeniuk T, Shetty A.
Neuromodulation. 2014 Oct;17(7):705-6. doi: 10.1111/ner.12240.
Peripheral neuromodulation: a review.
Goroszeniuk T, Pang D.
Curr Pain Headache Rep. 2014 May;18(5):412. doi: 10.1007/s11916-014-0412-9. Review.
Percutaneous peripheral neuromodulation lead insertion using a novel stimulating Coudé needle.
Goroszeniuk T, Pang D, Shetty A, Eldabe S, O'Keeffe D, Racz G.
Neuromodulation. 2014 Jul;17(5):506-9. doi: 10.1111/ner.12126. Epub 2013 Nov 1.
Subcutaneous target stimulation-peripheral subcutaneous field stimulation in the treatment of refractory angina: preliminary case reports.
Goroszeniuk T, Pang D, Al-Kaisy A, Sanderson K.
Pain Pract. 2012 Jan;12(1):71-9. doi: 10.1111/j.1533-2500.2011.00455.x. Epub 2011 Mar 30.
Targeting and fielding: not the same!
Goroszeniuk T, Pang D, Kothari S.
Neuromodulation. 2011 Nov-Dec;14(6):569-70. doi: 10.1111/j.1525-1403.2011.00418.x.
Permanent percutaneous splanchnic nerve neuromodulation for management of pain due to chronic pancreatitis: a case report.
Goroszeniuk T, Khan R.
Neuromodulation. 2011 May-Jun;14(3):253-7; discussion 257. doi: 10.1111/j.1525-1403.2011.00347.x. Epub 2011 Apr 8.
Long intravenous cannulae as an alternative aid for lead insertion in peripheral stimulation?
Natarajan A, Goroszeniuk T.
Neuromodulation. 2011 Mar-Apr;14(2):186. doi: 10.1111/j.1525-1403.2011.00343.x.
Subcutaneous target stimulation or peripheral subcutaneous field stimulation: that is the question.
Goroszeniuk T, Kothari S.
Neuromodulation. 2011 Mar-Apr;14(2):185. doi: 10.1111/j.1525-1403.2011.00342.x.
Peripheral neuromodulation for angina: gathering momentum.
Goroszeniuk T, Pang D, Kothari S.
Neuromodulation. 2011 Sep-Oct;14(5):486. doi: 10.1111/j.1525-1403.2011.00402.x.
Peripheral nerve stimulation of the thoracic paravertebral plexus for chronic neuropathic pain.
Hegarty D, Goroszeniuk T.
Pain Physician. 2011 May-Jun;14(3):295-300.
Lumbar sympathetic chain neuromodulation with implanted electrodes for long-term pain relief in loin pain haematuria syndrome.
Goroszeniuk T, Khan R, Kothari S.
Neuromodulation.2009 Oct;12(4):284-91. doi: 10.1111/j.1525-1403.2009.00237.x. Epub 2009 Sep 9.
Percutaneous implantation of a brachial plexus electrode for management of pain syndrome caused by a traction injury
Teodor Goroszeniuk FCA RCSI, DA, Sandesha C. Kothari FRCA, DNB, MNAMS, DA, Wolfgang C. Hamann PhD, MD
Neuromodulation, Vol. 10 Issue 2 Page 148 April 2007
Co-injection of clonidine prolongs the anesthetic effect of lidocaine skin infiltration by a peripheral action
Pratap JN, Shankar RK, Goroszeniuk T.
Anesth Analg. 2007 Apr;104(4):982-3. 2006
External neuromodulation (EN) as a diagnostic test and therapeutic procedure. S. Kothari, T. Goroszeniuk
European Journal of Pain Volume 10, Issue 1, September 2006
Targeted subcutaneous permanent neuromodulation implant in treatment of intractable angina.
T. Goroszeniuk, S. Kothari, K. Sanderson
European Journal of Pain Volume 10, Issue 1, September 2006
Subcutaneous targeted neuromodulation for neuropathic pain.
P. Theodosiadis, V. Grosomanidis, E. Samoladas, S. Kothari, T. Goroszeniuk
European Journal of Pain Volume 10, Issue 1, September 2006
Percutaneous permanent electrode implantation to ulnar nerves for upper extremity chronic pain: 6 year follow up
Kothari S, Goroszeniuk T
Regional Anesthesia and Pain Medicine September 2006 (vol. 31, Issue 5 (Supplement), Page 16)
Subcutaneous neuromodulating implant targeted at the site of pain
Teodor Goroszeniuk, Sandesha Kothari, Wolfgang Hamann
Reg Anesth Pain Med. 2006 Mar; 31 (2):168-171 16543103
Subcutaneous electrical nerve stimulation (SENS): modality for treating neuropathic pain.
Khan, EI; O'Keeffe, D; Walsh, R; Goroszeniuk, T.
Anaesthesia. 60(3):305-306, March 2005 2004
Sympathetic plexus stimulation: a novel case study
Kothari S, Goroszeniuk T
Regional Anesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 99)
Subcutaneous electrical nerve stimulation for neuropathic foot pain
Khan EI, O’Keefe D, Eller M, McFarland J, Walsh R, Gallagher H, Goroszeniuk T
Regional Anesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 112)
Combined spinal cord and subcutaneous electrical nerve stimulation for the treatment of lower extremity and testicular pain
Khan EI, O’Keefe D, Eller M, Walsh R, Victory R, Goroszeniuk T
Regional Anaesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 113)
Peripheral percutaneous stimulation for refractory angina pectoris
Kothari S, Goroszeniuk T, Al-Kaisy A
Regional Anesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 99)
Targeted external area stimulation
Goroszeniuk T, Kothari S
Regional Anesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 98)
Short-term neuromodulation trial via stimulating catheter in coccyodynia treatment
Theodosiadis P, Goroszeniuk T, Grosomanidis V
Regional Anesthesia and Pain Medicine September 2004 (Vol.29, Issue (Supplement 2), Page 113)
Repeated psoas compartment blocks for the management of long-standing hip pain
Goroszeniuk T, di Vadi PP.
Pain Management Centre, Guy's & St Thomas' Hospital Trust, London, United Kingdom
Reg Anesth Pain Med. 2001 Jul-Aug;26(4):376-8.
Pressure monitoring of the femoral nerve during total hip replacement: an explanation for iatropathic palsy
N. Slater, R. Singh, N. Senasinghe, R. Gore, T. Goroszeniuk and D. James
J.R.Coll.Surg.Edinb., 45, August 2000, 231-233
Use of contrast before percutaneous neurolytic block
Goroszeniuk T, Vadi P di,
Regional Anesthesia and Pain Medicine July 2000 (Vol. 25, Issue 4, Page 437) 1999
Generalized grand mal seizure after recovery from uncomplicated fentanyl—etomidate anesthesia. Goroszeniuk, T., Albin, M. & Jones, R. M.
Anesthesia and Analgesia, (1986) 65, 979-981
Music during epidural caesarean section.
Goroszeniuk, T., & Morgan, B. M.
The Practitioner, (1984) 228, 441-443.
Epidural fentanyl for pain of multiple fractures
R M Wright , T Goroszeniuk
Lancet. 1980 Nov 8;2 (8202):1033 6107661
Premedication for fibreoptic bronchoscopy: fentanyl, diazepam, and atropine compared with papaveretum and hyoscine.
Goroszeniuk T; Nicholas IH; Marchant P; Turner JA; Johnson NM
Br Med J. 1980; 281(6238):486
Goroszeniuk T, Shetty A.
Neuromodulation. 2014 Oct;17(7):705-6. doi: 10.1111/ner.12240.
Peripheral neuromodulation: a review.
Goroszeniuk T, Pang D.
Curr Pain Headache Rep. 2014 May;18(5):412. doi: 10.1007/s11916-014-0412-9. Review.
Percutaneous peripheral neuromodulation lead insertion using a novel stimulating Coudé needle.
Goroszeniuk T, Pang D, Shetty A, Eldabe S, O'Keeffe D, Racz G.
Neuromodulation. 2014 Jul;17(5):506-9. doi: 10.1111/ner.12126. Epub 2013 Nov 1.
Subcutaneous target stimulation-peripheral subcutaneous field stimulation in the treatment of refractory angina: preliminary case reports.
Goroszeniuk T, Pang D, Al-Kaisy A, Sanderson K.
Pain Pract. 2012 Jan;12(1):71-9. doi: 10.1111/j.1533-2500.2011.00455.x. Epub 2011 Mar 30.
Targeting and fielding: not the same!
Goroszeniuk T, Pang D, Kothari S.
Neuromodulation. 2011 Nov-Dec;14(6):569-70. doi: 10.1111/j.1525-1403.2011.00418.x.
Permanent percutaneous splanchnic nerve neuromodulation for management of pain due to chronic pancreatitis: a case report.
Goroszeniuk T, Khan R.
Neuromodulation. 2011 May-Jun;14(3):253-7; discussion 257. doi: 10.1111/j.1525-1403.2011.00347.x. Epub 2011 Apr 8.
Long intravenous cannulae as an alternative aid for lead insertion in peripheral stimulation?
Natarajan A, Goroszeniuk T.
Neuromodulation. 2011 Mar-Apr;14(2):186. doi: 10.1111/j.1525-1403.2011.00343.x.
Subcutaneous target stimulation or peripheral subcutaneous field stimulation: that is the question.
Goroszeniuk T, Kothari S.
Neuromodulation. 2011 Mar-Apr;14(2):185. doi: 10.1111/j.1525-1403.2011.00342.x.
Peripheral neuromodulation for angina: gathering momentum.
Goroszeniuk T, Pang D, Kothari S.
Neuromodulation. 2011 Sep-Oct;14(5):486. doi: 10.1111/j.1525-1403.2011.00402.x.
Peripheral nerve stimulation of the thoracic paravertebral plexus for chronic neuropathic pain.
Hegarty D, Goroszeniuk T.
Pain Physician. 2011 May-Jun;14(3):295-300.
Lumbar sympathetic chain neuromodulation with implanted electrodes for long-term pain relief in loin pain haematuria syndrome.
Goroszeniuk T, Khan R, Kothari S.
Neuromodulation.2009 Oct;12(4):284-91. doi: 10.1111/j.1525-1403.2009.00237.x. Epub 2009 Sep 9.
Percutaneous implantation of a brachial plexus electrode for management of pain syndrome caused by a traction injury
Teodor Goroszeniuk FCA RCSI, DA, Sandesha C. Kothari FRCA, DNB, MNAMS, DA, Wolfgang C. Hamann PhD, MD
Neuromodulation, Vol. 10 Issue 2 Page 148 April 2007
Co-injection of clonidine prolongs the anesthetic effect of lidocaine skin infiltration by a peripheral action
Pratap JN, Shankar RK, Goroszeniuk T.
Anesth Analg. 2007 Apr;104(4):982-3. 2006
External neuromodulation (EN) as a diagnostic test and therapeutic procedure. S. Kothari, T. Goroszeniuk
European Journal of Pain Volume 10, Issue 1, September 2006
Targeted subcutaneous permanent neuromodulation implant in treatment of intractable angina.
T. Goroszeniuk, S. Kothari, K. Sanderson
European Journal of Pain Volume 10, Issue 1, September 2006
Subcutaneous targeted neuromodulation for neuropathic pain.
P. Theodosiadis, V. Grosomanidis, E. Samoladas, S. Kothari, T. Goroszeniuk
European Journal of Pain Volume 10, Issue 1, September 2006
Percutaneous permanent electrode implantation to ulnar nerves for upper extremity chronic pain: 6 year follow up
Kothari S, Goroszeniuk T
Regional Anesthesia and Pain Medicine September 2006 (vol. 31, Issue 5 (Supplement), Page 16)
Subcutaneous neuromodulating implant targeted at the site of pain
Teodor Goroszeniuk, Sandesha Kothari, Wolfgang Hamann
Reg Anesth Pain Med. 2006 Mar; 31 (2):168-171 16543103
Subcutaneous electrical nerve stimulation (SENS): modality for treating neuropathic pain.
Khan, EI; O'Keeffe, D; Walsh, R; Goroszeniuk, T.
Anaesthesia. 60(3):305-306, March 2005 2004
Sympathetic plexus stimulation: a novel case study
Kothari S, Goroszeniuk T
Regional Anesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 99)
Subcutaneous electrical nerve stimulation for neuropathic foot pain
Khan EI, O’Keefe D, Eller M, McFarland J, Walsh R, Gallagher H, Goroszeniuk T
Regional Anesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 112)
Combined spinal cord and subcutaneous electrical nerve stimulation for the treatment of lower extremity and testicular pain
Khan EI, O’Keefe D, Eller M, Walsh R, Victory R, Goroszeniuk T
Regional Anaesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 113)
Peripheral percutaneous stimulation for refractory angina pectoris
Kothari S, Goroszeniuk T, Al-Kaisy A
Regional Anesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 99)
Targeted external area stimulation
Goroszeniuk T, Kothari S
Regional Anesthesia and Pain Medicine September 2004 (Vol. 29, Issue (Supplement 2), Page 98)
Short-term neuromodulation trial via stimulating catheter in coccyodynia treatment
Theodosiadis P, Goroszeniuk T, Grosomanidis V
Regional Anesthesia and Pain Medicine September 2004 (Vol.29, Issue (Supplement 2), Page 113)
Repeated psoas compartment blocks for the management of long-standing hip pain
Goroszeniuk T, di Vadi PP.
Pain Management Centre, Guy's & St Thomas' Hospital Trust, London, United Kingdom
Reg Anesth Pain Med. 2001 Jul-Aug;26(4):376-8.
Pressure monitoring of the femoral nerve during total hip replacement: an explanation for iatropathic palsy
N. Slater, R. Singh, N. Senasinghe, R. Gore, T. Goroszeniuk and D. James
J.R.Coll.Surg.Edinb., 45, August 2000, 231-233
Use of contrast before percutaneous neurolytic block
Goroszeniuk T, Vadi P di,
Regional Anesthesia and Pain Medicine July 2000 (Vol. 25, Issue 4, Page 437) 1999
Generalized grand mal seizure after recovery from uncomplicated fentanyl—etomidate anesthesia. Goroszeniuk, T., Albin, M. & Jones, R. M.
Anesthesia and Analgesia, (1986) 65, 979-981
Music during epidural caesarean section.
Goroszeniuk, T., & Morgan, B. M.
The Practitioner, (1984) 228, 441-443.
Epidural fentanyl for pain of multiple fractures
R M Wright , T Goroszeniuk
Lancet. 1980 Nov 8;2 (8202):1033 6107661
Premedication for fibreoptic bronchoscopy: fentanyl, diazepam, and atropine compared with papaveretum and hyoscine.
Goroszeniuk T; Nicholas IH; Marchant P; Turner JA; Johnson NM
Br Med J. 1980; 281(6238):486
Selection of Peer Reviews
Short-term neuromodulation trial in the treatment of coccyodynia
S. Kothari, T. Goroszeniuk, P. Theodosiadis
7th INS World Congress, Rome, Italy, June 10-17, 2005
Peripheral percutaneous stimulation for refractory angina pectoris
S. Kothari, T. Goroszeniuk
7th INS World Congress, Rome, Italy, June 10-17, 2005
External stimulation: simplistic solution to intractable pain?
T. Goroszeniuk, S. Kothari
7th INS World Congress, Rome, Italy, June 10-17, 2005
Sympathetic plexus stimulation: a novel case studyKothari S, Goroszeniuk T
7th INS World Congress, Rome, Italy, June 10-17, 2005
Short neuromodulation trial in neuropathic pain produces varying duration but reproducible pain relief
T. Goroszeniuk
Pain Management Centre, Guy's and St Thomas' Hospital, London
4th Congress of the European Federation of IASP Chapters, Prague, Czech Republic, September 2-6, 2003
Effective management of complex regional pain syndrome by spinal cord stimulation: An unusual presentation in a fourteen year old girl
N. Padfield, T. Goroszeniuk
Pain Management Centre, Guy's and St Thomas' Hospital, London
6th INS World Congress, Madrid, Spain, June 25-28, 2003
Percutaneous insertion of permanent peripheral stimulating electrode in patients with neuropathic pain
T. Goroszeniuk
Pain Management Centre, Guy's and St Thomas' Hospital, London
6th INS World Congress, Madrid, Spain, June 25-28, 2003 2002
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