Welcome To The Manx Pain Clinic
Suffering from acute or chronic pain?
Pain management doctor, Adrian Dashfield, offers consultations, diagnostics and procedures right here on the Isle of Man.
How we can help you
Back Pain
Our expert back pain treatment services are designed to provide lasting relief and restore your mobility.
Neck Pain
Our neck pain treatment is designed to target the root causes of your discomfort and provide fast, effective and lasting relief.
Knee Pain
Whether your pain stems from injury, arthritis, or overuse our experienced team offers personalised care plans tailored to your needs.
Hip Pain
Regain your mobility and confidence with our specialist hip pain treatment. Discover our industry-leading pain management solutions.
Arm Pain
Struggling with chronic or injury-induced arm pain? We'll help you find relief and regain full function in your arm.
Shoulder Pain
Our advanced diagnostics, physiotherapy and minimally invasive therapies will help you manage uncomfortable shoulder pain.
Foot Pain
Regain your step and quality of life with our dedicated foot pain treatments. Explore our industry-leading diagnostic and therapy options.
Hand Pain
Our Hand Pain Treatment services are designed to diagnose and treat a wide range of conditions affecting the hand, wrist and fingers.
Our private pain clinic
in the Isle of Man
At the Manx Pain Clinic, our passion is helping patients reduce the impact of their pain, improve function, promote self management and optimising pain treatment.
Accessible location
We're centrally located in the quiet town of Onchan, just outside of Douglas.
30+ year's of experience
Consultant Anaesthetist & Pain Management Specialist Dr Dashfield has almost 4 decades of specialist medical experience.
Private insurance accepted
We accept health insurance policies from all of the major insurance providers.
Well-equipped
Our modern pain clinic is equipped with state of the art pain management equipment. You're in good hands.





About Us
Dr Dashfield qualified from Birmingham University Medical School in 1988 and spent the following 14 years as a Medical Officer in the Royal Navy. He served below, on the surface of and above the waves and returned to civilian practice in 2002 as a Surgeon Commander and tri-service consultant advisor on pain management to the Surgeon General.
Dr Dashfield can treat a wide variety of issues – chronic pain, knee pain, back pain, shoulder pain, hip pain & many other types of pain. Dr Dashfield uses a large number of treatment options to improve and reduce pain in his patients, including facet joint injections, trigger point injections, nerve root blocks, radio-frequency, Botox & other forms of injections & blocks. You can view all of our treatments on our ‘Treatments’ page.
You can review the 2025 clinic inspection report here and the 2024 inspection report here.

Online pain management support
Read our online pain relief and management guides for practical advice, learning materials and how-to guides. Our medical experts share their top tips for effective pain management.
Accepted health insurance providers







Would like to book an appointment?
Get in touch today to book an appointment with a pain consultant.

Dr Adrian Dashfield
Consultant Anaesthetist & Pain Management Specialist
MB ChB MSc MSc MD FRCA FFPMRCA FAcadMEd
Frequently asked questions
How do I arrange an appointment with Dr Dashfield?
Appointments can be arranged by contacting Susan on 07624335657. Please leave a message if she is unable to take your call. Alternatively send an email to susan@manxpainclinic.com
Do I need a referral letter from my GP?
A referral letter from your GP or another specialist involved in your care is helpful but not a necessity. Your insurance provider may insist on a GP referral however.
What do I need to bring to my clinic appointment?
Please bring a list of your current medications and any off-Island correspondence from other specialists you have seen that is relevant to the condition you are seeing Dr Dashfield for.
What can I expect at my first appointment?
You will be seen by Dr Dashfield, Consultant in Pain Medicine. The consultation is likely to last up to 45 minutes. You are welcome to bring somebody with you for the consultation if you wish. Dr Dashfield will take a detailed history, examine you in the presence of a chaperone and organise any necessary investigations if appropriate. He will explain what he thinks the cause of your presenting complaint is and the management plan and with your permission, communicate his findings and management plan to your GP. If onward referral is required, he will organise this for you if you wish.
If I need an injection as part of my treatment will I have this during my initial consultation?
Ultrasound guided injections can be undertaken during your initial consultation but X-ray guided procedures are not. If you do have an injection we advise that a responsible adult drives you home thereafter.
What anaesthetic is offered during injection procedures?
Procedures are performed under local anaesthetic to numb the skin and deeper tissues. Oral sedation can be provided by prior arrangement but intravenous sedation is not offered.
When can I go back to work after a procedure?
You can usually go back to work the following day.
Do I need to stop my blood thinners prior to a treatment injection?
Blood thinners need to be stopped before spinal epidural and nerve root block injections. Warfarin must be stopped for 5 days, clopidogrel (Grepid, Plavix), prasugrel (Effient) and ticagrelor (Brilanta) for 7 days before these treatments. rivaroxaban and apixaban for 2 days, dabigatran for 3 days. Aspirin does not need to be stopped.
Is there anything I should inform Dr Dashfield about before having an injection?
Any allergies, particularly iodine and latex and we always check a female’s pregnancy status prior to using X-ray.
Can I eat and drink before my pain management procedure?
You can eat and drink as normal.
Do you see insured patients?
Dr Dashfield is registered with all the major insurance companies. You need to ensure you have an authorisation from your insurers prior to your appointment.
Do you offer evening or weekend appointments?
X-ray guided procedures are always undertaken at the weekend
If I have any problems or concerns after my treatment/ injections, who should I contact?
Please contact Susan on 07624335657 or susan@manxpainclinic.com who will contact Dr Dashfield.