Interventional therapeutic procedures
The following pain interventional procedures are performed in our medical office
1. Periradicular therapies (=PRT)
2. Epidural blocks
3. Injections into facet joints
4. Injections into sacroiliac joints
5. Medial branch blocks
6. Nerve blocks and injections into joints
7. Nerve blocks of the autonomic nervous system
Having the right indication each of above techniques mentioned offers a medical useful supplement for effective pain relief and for differentiation respective confirmation of the diagnosis stated before.
For your information or preparation for an appointment in my medical office, especially in the case of a planned interventional pain therapy, please read the following lines carefully. This makes our informative conversation much easier.
In all therapeutic procedures, only drugs are injected. As a rule I use a local anaesthetic e.g. procaine 1% or bupivacaine 0.5 %.
The intervention itself takes place under sterile conditions with accompanying cardiopulmonary monitoring (monitoring of cardiovascular and respiratory function).
All pain therapy interventions are performed under control by ultrasound or X-ray C-arm.
On the basis of the clinical and imaging findings, I will select the most suitable therapeutic procedure for you and discuss it with you in detail.
Decisive prerequisites for a safe procedure and the best possible success are
1. your individual, differentiated and personal explanation
2. my detailed explanation of the procedure based on many years of experience of myself
3. my personal and continuous medical care
4. your cooperation and motivation
In the explanatory talk I inform you about possible effects and side effects according to the guidelines of SSIPM (Pain Society) and AGZ (Zurich Medical Association)..
The following, but rare side effects and complications are possible:
Allergies, infection, vascular damage with bleeding and haematoma, nerve damage with sensory disturbances, paraesthesia and/or paralysis, postspinal headache after accidental puncture (piercing) of the spinal space, initial worsening with initial increase in pain, cardiovascular problems with drop in blood pressure, increase in pulse, circulatory collapse and/or cardiac arrest, lung problems with respiratory disturbances, lung collapse or pneumothorax (e.g. in interventions on the thoracic spine) and/or respiratory arrest, walking or gait instability, coordination disorders, impaired coordination and responsiveness (no active participation in road traffic, e.g. driving a motor vehicle or riding a bicycle) for 24 hours, therefore you have to come with an accompanying person on the day of intervention, renewed intervention(s) if necessary.
The use of iodine-containing contrast media can lead to hyperthyroidism.
The risk for you to be run over as a pedestrian by a car when crossing a street is much higher in comparison.
The informed consent discussion should ideally take place at least one day before the interventional procedure, except for emergency indications in case of acute pain.
This will enable you to reconsider your decision to give your consent.
In this way, existing ambiguities can be cleared up and any necessary preliminary examinations such as laboratory or supplementary imaging procedures can be carried out promptly.
Please come with an accompanying person to your intervention appointment, who takes you to us and home again!
Due to a possible limitation of your reactive responses your active participation in public traffic (bicycle, motor vehicle) must be excluded until the following day.
This is the same as after a visit to the dentist.
Physical exertion and motor-coordinative demanding activities should be avoided on the day of intervention.
On the other hand, rest and protection are beneficial for your healing process.
Follow-up interventions can be carried out with a minimum interval of 1 – 2 weeks.