Minimal Invasive Pain Therapies
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Ganglion Impar Block
GENERAL Ganglion IMPAR block is used to treat perineal pain and coccygodynia (coccygeal pain). Perineal pain is a neuropathic type of pain often accompanied with a heat sensation in the perineum and urinary urgency. Once an expert urologist excludes other pain causes (urinary infection, sexually transmitted diseases, chronic prostatitis, malignant conditions etc), the patient is […]
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Continuous Peripheral Nerve Block (CPNB) with Catheter use
GENERAL A special catheter is placed beside a peripheral nerve or nerve plexus with the aim of providing continuous droplet infusion or repeated single drug doses in order to treat pain. The method is mainly applied for postoperative analgesia, the complex regional pain syndrome and ischaemic limb pain, until other treatments become effective or further […]
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Percutaneous Intervertebral Disc Decompression
DESCRIPTION OF THE TECHNIQUE This technique is applied in patients suffering from intervertebral disc protrusion, up to about 6 mm, without rupture of the annulus fibrosus. The intervention is performed without surgical incision, under local anaesthesia and fluoroscopic guidance. The advantage is that all is needed is a pinch in the lower back, similar to […]
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Interventional Pain therapies of Sacroiliac Joint
1. Intra-articular corticosteroid injection. Infusion of a solution of corticosteroid and local anaesthetic into the painful joint. The steroid has a strong anti-inflammatory effect on the irritated joint and the local anaesthetic temporarily anaesthetizes the nerve branches terminating into the joint. The technique is applied under local anaesthesia at the injection site and under fluoroscopic […]
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Discography
GENERAL Discography is a minimally invasive technique used to show to which extent one or more intervertebral discs are the origin of chronic pain in low back or neck pain. Although the MRI can reveal intervertebral disc degeneration, it is just an image representation and cannot prove that the degenerated disc is the actual origin […]
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Vertebroplasty – Kyphoplasty
GENERAL Compression fractures due to osteoporosis occur to quite a great number of people annually. The most frequent among them are hip fractures resulting in prolonged disability and severe pain. Until recently, physicians had limited therapeutic options to treat spinal fractures. These included analgesics, rest and immobilization to bed, tight spine bandaging and surgical spine […]
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Neuroplasty – Adhesiolysis with Racz Catheter
GENERAL Adhesiolysis in the epidural region is known as the RACZ application, named after the man who discovered it. Adhesiolysis is the disruption (lysis) of adhesions and is a minimally invasive technique that was developed in the late 80s by Anaesthesiologist and Interventional Pain Physician Professor Gabor Racz. The application was proven to be effective […]
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Epidural Corticosteroid Injection
GENERAL Epidural steroid injections have been used for many years in the treatment of spinal pain. One of the first references to epidural injection was made in 1920 in the treatment of low back pain and sciatica. Epidural corticosteroid injection is often used for diseases such as spinal stenosis, intradiscal degeneration, herniated intervertebral disc, sciatica […]
