The Clinic
The Pain Team
Pain
Acute Pain
Chronic Pain
Pain diseases
The Therapy
Informations

1.

Chronic headaches and facial pains

2.

Chronic back pain

3.

Diabetic polyneuropathy and microangiopathy

4.

Peripheral occlusive arterial disease

5.

Therapy-resistant angina pectoris

6.

Tumor pain

7.

Neuropathic pains after herpes zoster

8.

CPRS, so-called Sudeck’s atrophy or sympathetic reflex dystrophy

Pain diseases

The techniques employed in the Schmerz Zentrum Zofingen enable the treatment of pain in the following clinical pictures.

1.  Chronic headaches and facial pains

Chronic headaches often originate from the cervical spine or in the nerve centers at the base of the skull. Here various methods are available to influence the pain pathway and to achieve a positive effect on the pain.

A good success rate is possible when treating the following pain conditions.

•  trigeminal neuralgia
•  cluster headaches
•  whiplash injuries
•  certain forms of migraine
•  facial pain

2. Chronic back pain

There are many causes of chronic back pain. Generally speaking, it is impossible to determine a definite cause either from X-ray images or physical examination.

However the cause can generally be established through nerve blocks, enabling a systematic approach to be adopted. 35% of all back pains originate from the intervertebral discs.

Chronic back pains can be caused by:

•  intervertebral disc degeneration, e.g. disc prolapse, disc rupture
•  State after disc prolapse operation
•  Strain on the small vertebral joints as a consequence of bad posture, wear etc.
•  Constriction of the nerve root outlets caused by degeneration

3. Diabetic polyneuropathy and microangiopath

Neuropathic pains as a long-term consequence of diabetes mellitus often respond well to stimulation of the spinal cord.

4. Peripheral occlusive arterial disease

Disturbances of the blood supply to the legs often manifest themselves in pain, which always appears after a certain time and force the patient to stand still (intermittent claudication).

Through modulation of the nerves that influence the blood vessels, it may be possible to improve the circulation and avoid the need for a bypass operation or at least delay it.

5. Therapy-resistant angina pectoris

When angina pectoris pain no longer responds to medication and an operation is not possible, the implantation of a posterior funiculus stimulator may bring relief in certain cases.

6. Tumor pain

Many tumor patients suffer pain, which does not respond – or not sufficiently – to standard measures.

Added to this are the severe side effects of medications which detract from the quality of life. It is frequently possible to achieve a better quality of life by systematically exploiting all therapeutic options.

If the implantation of an analgesic pump is planned, the effectiveness and possible side-effects must be carefully monitored in the early stages. A brief stay in hospital is needed for this purpose.

7. Neuropathic pain after herpes zoster

Post-zoster neuralgia is a typical neuropathic pain and frequently responds very poorly to standard analgesics.

Minimally invasive methods are frequently only able to achieve partial improvement. It is therefore important that herpes zoster infections are aggressively treated at an early stage i.e. before the onset of pain.

8. CRPS, so-called Sudeck’s atrophy or sympathetic reflex dystrophy

For reasons that are yet to be fully explained an injury may be followed by the onset of a so-called CRPS (complex regional pain syndrome). The severity of the injury is not important; it may be so insignificant that the patient has forgotten about it by the time the symptoms appear. A CRPS manifests itself in the form of pains in the arm or leg, swelling, hot or cold sensations in the affected extremity. Treatment is difficult and lengthy; it is important that it is started at the earliest possible opportunity.

From experience pain associated with the following clinical pictures from the rheumatic group are not assisted by our methods:

•  pains due to underlying orthopedic complaints, such as arthrosis for example
•  pains due to rheumatic diseases, such as polymyalgia, soft tissue rheumatism (fibromyalgia), etc.



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