Treatments

  • 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 […]

  • Intrathecal (subarachnoid)Drastic Drugs Infusion

    GENERAL The continuous subarachnoid injection of drastic drugs is a neuromodulation technique. The term “neuromodulation” refers to therapies which stimulate, inhibit or coordinate the activity of neurons or neuronal networks through the electric or chemical change of signal transmission to the nervous system. WHO ARE CANDIDATES FOR NEUROMODULATORY THERAPIES (1,2,3,11,12) Neuromodulation therapies are indicated for […]

  • Spinal Cord and Peripheral Nerve Stimulation

    GENERAL Spinal cord stimulation is a neuromodulation therapy. The term “neuromodulation” refers to therapies which stimulate, inhibit or coordinate the activity of neurons or neuronal networks through the electric or chemical change of  signal transmission to the nervous system. In this way, pain signals are interrupted and modified during their course from the spinal cord […]

  • 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 […]

  • 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 […]

  • 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 […]

  • 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 […]

  • General Categories Of Interventional Pain Therapies

    General Categories Of Interventional Pain Therapies

    A). Selected drug injection (local anaesthetics, corticosteroids, alcohol, medical cement) into peripheral nerves, spinal nerve roots, vertebrae and sympathetic ganglia) for diagnostic and therapeutic reasons. Such cases are the following: 1. Lumbar transforaminal epidural injection (lumbar pain and sciatica, herniated disc, spinal nerve root inflammation/ dysfunction, vertebral metastasis) 2. Cervical and thoracic epidural injection (herniated […]

  • 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 […]