The rehabilitation program is aimed at assessing, maintaining and improving the performance of the body, increasing the degree of control and quality of life. If drug therapy is used as a method of treatment, the drugs are usually chosen either from the group of nonsteroidal anti-inflammatory drugs with anesthetic and anti-inflammatory effects, or from the group of drugs for the treatment of neuropathic pain. Before starting treatment, the specialist will discuss in detail with you the essence of the necessary remedial measures, their benefits and possible risks
There are many studies on the effectiveness of various types of local anesthesia. Local anesthesia gives the best results when relieving acute pain. If the pain is accompanied by inflammation and swelling, local anesthesia helps one third of the patients. Treatment with painkillers is carried out in the form of courses, and the duration of action of drugs may be different. The most common type of local anesthesia is epidural anesthesia, a variation of which is also sacral anesthesia.
Sacral anesthesia is one of the ways to relieve pain, in which a local anesthetic is injected into the epidural space below the coccyx. This allows local anesthesia to be achieved in a limited area. This type of anesthesia can help, for example, with pain caused by a herniated intervertebral disk. The goal of pain relief is to reduce swelling and inflammation, as well as accelerate recovery.
Blockade of the roots and facet joints (facet denervation)
In addition to medication, in certain cases, blockages of the roots and facet joints may be indicated. This method of pain relief can be used in case of damage to the spinal nerve roots and in the treatment of facet joint syndrome caused by spinal wear. During the procedure, the specialist doctor introduces anesthetic or a small amount of cortisone into the space next to the roots of the nerves or the facet joints, which allows to reduce pain and reduce inflammatory reactions. The blockade is aimed at relieving irritation of the facet joints, small joints of the spine, and calming the inflamed nerve roots. The exact location of the blockade is carried out using X-rays, computed tomography or ultrasound diagnostics. The procedure, performed under local anesthesia, lasts about 30-60 minutes. The cost of the procedure is here.
Star node blockade
For pain in the upper extremities, accompanied by severe and painful temperature changes and limited mobility (for example, complex regional pain syndrome / CRPS), a stellate ganglion (Ganglion stellatum) and a nerve plexus block are used. An anesthesiologist performs blockades in an outpatient clinic under the supervision of a physician specializing in the treatment of pain. At the consultation of the anesthesiologist who takes in the Clinic for the Treatment of Chronic Pain, you will receive a conclusion whether this method is possible in your particular case. During the consultation, the specialist will discuss with you the sequence of actions during the procedure, as well as you will receive more detailed instructions on how and when you will need to appear for the procedure itself.
Pain relief using heat
Thermal (radiofrequency) exposure is high-frequency electrotherapy, the duration of the analgesic effect of which is longer than that of the radicular blockade. The procedure is performed under local anesthesia with radiographic control.
Epidural stimulation (ie, spinal cord stimulation) is used for chronic pain syndromes caused by damage to the nerves of the back and legs, as well as for complex regional pain syndrome of the upper extremities (CRPS). Epidural stimulation is used in cases where drug treatment or blockade does not give a good enough pain relief.
Epidural or cerebrospinal stimulation alleviates severe persistent neuropathic pain in patients who have not been helped by other treatments or surgery. It has been proven that this method helps even patients suffering from complex regional pain syndrome. When using the method, a pain relieving device is implanted in the spinal canal. In Finland, more than 100 new stimulants are installed annually. The device is designed for 3-5 years of work. The method of spinal stimulation has been used in the world for over 40 years. The installation of the stimulator is carried out by an orthopedic surgeon specializing in diseases of the spine. Treatment with a stimulant is carried out under constant supervision. The stimulator is set up in the “Chronic Pain Treatment Clinic” with the participation of representatives of the device manufacturing company.