Dr Nofil Mulla

  • FRCA, FFPMRCA, MD, MB, BS
  • Consultant Pain Physician

Overview

Dr Nofil Mulla is a Consultant and Clinical Lead in Integrated Pain Services at the Luton and Dunstable University Hospital and Bedfordshire Hospitals NHS Foundation Trust.

He has undergone training in world renowned centres of excellence and achieved an advanced pain fellowship at the Guy’s and St. Thomas’ University Hospital affiliated to King’s College London School of Medicine and rotated at St. Christopher’s Hospice, London among others for cancer pain experience.

He worked as a Consultant in Addenbrooke’s Hospital and covered clinical sessions at Arthur Rank Hospice, Cambridge and worked as a Consultant at St. George’s University Hospital, London. He also worked in General Medicine which enhances his scope of practice with an additional advantage in his clinical approach.

Dr Mulla has extensive experience in the multidisciplinary management of cancer pain and related conditions. His clinical approach is holistic and based upon a bio-psycho-social model that facilitates functional independence and emotional well-being offered in a compassionate environment.

Dr Mulla regularly presents scientific papers and contributes to journals and medical textbooks. He is an expert speaker at the local clinical commissioning groups and clinical governance meetings. He is a member of the training and assessments board and the examinations tutorials organiser of the Pain Faculty at The Royal College of Anaesthetists. He is the royal college tutor for pain education supervision within the region. He is an educational supervisor for anaesthesia trainees and a medical appraiser in the hospital trust for consultants and non-consultant doctors.

As the Clinical Lead for the Integrated Pain Service at the Luton and Dunstable Hospital, Dr Mulla is in charge of overseeing the functioning of the service and conducting and supervising clinical audit and research along with quality assurance and service development.

Conditions treated:

  • Cancer pain, pain in cancer survivors
  • Acute pain and perioperative pain, breakthrough and incident pain
  • Pain from tumour invasion of local tissues
  • Inflammatory pain
  • Metastatic bone pain
  • Osteoporotic bone pain (elderly)
  • Pain from visceral obstruction
  • Pain from nerve compression and plexus invasion
  • Ischaemic pain
  • Pain from haematological, skin, CNS and prostate cancers
  • Headaches, facial and neck pain
  • Chemotherapy induced neuropathic pain
  • Phantom pain
  • Post mastectomy pain
  • Pelvic pain (including from uro gynecological and andrological cancers)
  • Post procedural (e.g. biopsy) and post-surgical pain
  • Radiation induced pain
  • Pain from myonecrosis
  • Oral mucositis induced pain

Pain procedures (Injection therapies):

  • Spinal injections (cervical, thoracic, lumbar, SI joint)
  • Soft tissue and joint injections including for metastatic bone pain and vertebral compression fractures
  • Nerve root blocks
  • Diagnostic, therapeutic and prognostic nerve blocks
  • Somatic blocks and trigger point injections
  • Neuromodulation techniques including peripheral neurostimulation and neurolytic blocks
  • Spinal, epidural and caudal blocks
  • Sympathetic nerve blocks (stellate ganglion, ganglion of impar and others)
  • Epidural and caudal steroid injections
  • Peripheral nerve blocks
  • Joint injections (shoulder, wrist, hip, knee and ankle)
  • Ultrasound guided muscle, joint and nerve injections
  • Radiofrequency denervation/ablation/lesioning
  • Botox injections

Outside work, Dr Mulla likes spending family time with his wife who is a palliative care consultant and his son who is a county cricket player. Dr Mulla is an expert cook and an avid cricketer and a squash player.

 

Awards received

  • Appointed as pain faculty tutor and examinations tutorials facilitator by the Royal College of Anaesthetists.
  • Healthcanal reported recovery of patients from chronic pain following vitamin D therapy based upon a study carried out by Dr Mulla and team which was also accepted as a poster by the 15th World Pain Congress in 2014, Buenos Aires.

Professional memberships

  • Pain Faculty, Royal College of Anaesthetists
  • General Medical Council
  • British Pain Society
  • World Institute of Pain, International Association for Study of Pain
  • European Society of Regional Anaesthesia