Today, many patients do not know which clinic to apply for pain treatment. The patient's inability to find a physician to investigate and treat the cause of his pain delays both revealing the cause of the pain and treating it.
The most important point in distinguishing pain, which is a subjective concept, is the patient's expression. The patient's past experiences have a very important place in the diagnosis of pain. In order to diagnose the pain, a physical examination is performed after the patient's statement, and if necessary, the diagnosis is confirmed by requesting imaging methods and laboratory tests.
The most common reasons for patients' admission are waist, hip, head and neck pain. In the first stage of chronic pain, treatment is started with simple painkillers, and if there is no decrease in the severity of pain, more complex drug treatments are tried, and if there is no result, interventional treatments are applied.
Non-surgical interventional methods solve the problem in a less risky and more effective way. On the other hand, in the radiofrequency treatment method, which has been frequently used in non-surgical interventions in the treatment of pain in recent years, the nerves that transmit pain are desensitized with a special device that converts radiofrequency energy into heat. The nerve that transmits the pain is reached with special needles, accompanied by radiological imaging, and electrical stimulation is given to the nerves. This method allows precise detection of the nerves in the painful area. Radiofrequency application increases treatment success and reduces risks compared to alternative treatment methods.
If we list the most common pains and treatment approaches;
*At the top of the list are waist and neck pain. Surgeries, which were used more frequently in the past for the treatment of waist and neck pain that may occur due to many reasons, have recently been performed only when absolutely necessary. It is known that unnecessary surgeries can sometimes exacerbate pain complaints. Conditions such as loss of strength in the legs and arms, urinary incontinence, and foot drop generally require surgery, but except for these patients; With the help of special drugs and devices, the nerves that cause pain are desensitized or aphrodisiac. It is possible to regress the hernia that causes pain with techniques such as vaporization. In suitable patients, the hernia can be removed without an incision using only regional anesthesia, special tubes and imaging techniques.
*Second on the list is headaches. In many diseases that cause headaches, such as migraine, when there is no response to drug treatments, pain treatment is possible with methods such as desensitization of the nerve that transmits pain.
*Sleep disorder, long-lasting fatigue and psychological complaints manifested by chronic muscle pain. Accompanied by fibromyalgia, it is also among the most common reasons for consulting a doctor. Fibromyalgia is a health problem in the soft tissue rheumatism group. In addition to drug treatments, injections into painful points are an effective treatment method for these patients. Botox injection into painful points, which has been applied in recent years, provides long-term painlessness.
Pains seen in patients with diabetes: Patients with long-term diabetes may develop burning pain in the arms and legs due to nerve damage. It may be necessary to cut off the fingers, feet or legs down to the knee, which is called amputation. Sympathetic blocks applied in the treatment of diabetic pain are effective in eliminating pain. This treatment method, which also increases blood flow to the legs, not only reduces other problems that the disease may cause in the legs; It also reduces the possibility of amputation.
Neuralgias (Nerve pain): Sharp, stabbing, electric shock-like, very severe, usually short-term pains. Pain on the face called Trigeminal Neuralgia; It starts with factors such as washing the face, touching the face, and eating. Here the pain is severe, burning, tearing and throbbing. In this type of pain, when there is no response to drug treatment, the relevant nerve can be desensitized. This desensitization process has been done with radiofrequency waves in recent years. In this way, the probability of success increases and the risk of the procedure decreases.
Complex regional pain syndromes: Pain in the arms and legs, decrease in mobility, loss of shape after conditions such as fractures, sprains, and injuries. In this disease, which progresses with changes and is progressive if left untreated, abnormal functioning of the nerves occurs after trauma. This disease can be treated with special medications applied to the nerve bundle.
Pain felt in non-existent areas (phantom pain) in patients whose arms and legs have been amputated: After the surgery, there is a feeling and pain in the amputated area as if there were arms and legs. . The sooner treatment starts for these pains, the higher the chance of cure.
Coccydynia: It is severe pain in the coccyx (coccyx) region. Falling from a sitting position causes fracture or injury to the coccyx bone; Likewise, this pain may also occur due to a blow to this area or injury during childbirth. If the pain is permanent, it can be treated with special medications applied to the area.
In addition, pain that develops after vascular occlusions, abdominal and chest pain, widespread muscle pain, post-shingles pain, permanent pain after surgery, post-stroke contractions (spasticity) are possible. Pain can be treated with similar methods.
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