Pain therapy

We perform high-precision CT-controlled pain therapy.

Paravertebral and periradicular therapy (PRT) is one potential type of therapy for (chronic) back pain caused by changes to intervertebral discs (such as herniated discs). Pain radiating into the leg is typical.

Facet joint therapy is one potential type of therapy for chronic, more localized back pain that can often be caused by degeneration of the facet joints.

Sacroiliac joint therapy is one potential type of therapy for chronic, more localized back pain that is often caused by degeneration of the sacroiliac (IS) joints.

The treating physician inserts a thin needle into the region of the nerve root causing the pain and/or into the joint. When the needle is in the correct position, which is monitored using computed tomography, a mixture of a local anesthetic, a cortisone compound, and an X-ray contrast medium is administered. The effect of the medication is limited almost entirely to the application site. Effects on the entire body are almost completely eliminated. The intervention takes place under local anesthetic.

We perform this procedure with CT support. The CT uses an extremely low-dose technology and is used only to ensure that the therapy needle is highly precisely positioned and therefore the therapy effect is optimal. This allows us to monitor the position of the tip of the needle precisely, so that the region causing the pain can be treated with pinpoint accuracy. This also makes it possible to demarcate other structures, such as blood vessels, bones, and muscle tissue in order to avoid damaging them. Click here to learn more about our high-end spiral CT …  

After four to six sessions, pain has typically been eliminated or greatly reduced.

In order to be permitted to perform the therapy, a referral from a pain therapist is required where possible. Please consider that an accompanying person may be needed to help with transportation after pain therapy.