Chronic Back Pain

Chronic pain is 1 of the dominant disease of the 20th Century. In most situations, the spine is affected. The backbone consists of seven cervical vertebrae (spine), twelve thoracic vertebrae (spine), five lumbar vertebrae (spine) and from the sacrum and coccyx. Thanks to the newly developed interventional pain diagnosis (clarification) and therapy to successfully treat chronic pain has created wonderful progress.

1st we must find the origin, character, and the routes (nerve) pain. Contemporary imaging tactics (such as computer tomography) to bring important information, but can be mapped so no discomfort. Only the so-called diagnostic anesthesia (nerve blocks) permits us to locate the pain accurately and therefore make even determine its causes.

Crucial right here is the intensive cooperation of the patient. This signifies for the affected 1 or more injections in the pain region or to the nerves.

This is a temporary discomfort relief accomplished and absolutely situated the source of discomfort. This can be by way of individual targeted, achieved beneath fluoroscopy guided by spraying or by selective placement of a point close to the nerves or the spinal cord. In general, we need to have to apply different varieties of drugs. All through the investigation, the pain is recorded continuously by signifies of an inquiry.

Once the trigger of pain has been studied meticulously, is component of our interdisciplinary department created (ie, with the participation of different specialists) a remedy strategy. Specifically, this can mean the following: continuation of the conservative therapy such as taking medication and undergoing physical therapy, surgery or interventional, minimally invasive discomfort therapy.
For interventional pain therapy targeted single or repeated drug administration is to the point of origin, just as in the diagnostic procedure. In some circumstances, contemporary technologies enables a lengthy-term to interrupt the effect of temperature on the nerves (Thermoläsion = Exposure to temperatures in between 60 ° C and 80 ° C, Kryoläsion = freeze at minus 40 ° C). By this remedy, the pain-conducting membranes for months to years to be closed.

If a causal therapy of chronic pain is not feasible to us is the latest method of discomfort control, the so-known as neuromodulation available. By this chemical or electrical interaction in between the neural pathways that discomfort is reduced considerably. In the so-known as electrical stimulation, a micro probe near the spinal cord is placed and inhibited by a continuous electrical pulse to transfer the discomfort to the brain. The discomfort is replaced by a pleasant “tingling”.
The chemical influence happens in a targeted drug delivery (minimum quantity) straight to the central nervous program, so we keep away from systemic side effects and the adaptation impact and ensure the effectiveness of therapy for a long time.

Each approaches are tested thoroughly ahead of a final application. Following a time, through out-patient trial is then surgically with satisfactory pain reduction, an implanted spinal cord by a microprocessor-controlled pacemaker or a so-named electronic discomfort pump. Right after implantation, the therapy can constantly be adjusted by the patient or the medical doctor. Neuromodulation permitting a considerable improvement in good quality of life and in a lot of circumstances, a reintegration into the society and the workplace.