Procedures
Epidural block is an anesthetic technique that involves injecting an anesthetic and corticosteroid solution into the epidural space, at the lumbar or thoracic level, to block the nerves and reduce pain. The block can be performed using several techniques. In all of them, the doctor will first inject a local anesthetic and then the corticosteroid, whose anti-inflammatory action will relieve the condition.
Guided interventional procedures are minimally invasive techniques that can be used to treat highly complex diseases. These procedures can be performed through two access methods: percutaneous (skin puncture to access organs and tissues) and endovascular (in blood vessels).
Drug Application . For adult patients who present acute pain resulting from post-operative, trauma, burns or exacerbation of chronic diseases. Adult patients who present chronic or persistent pain associated with chronic diseases of benign origin (diabetes mellitus, herniated discs, arthrosis, arthritis, fibromyalgia, bursitis, etc.) or related to cancer.
Radiofrequency is a medical treatment that uses high-frequency electromagnetic waves to relieve chronic pain. It is a minimally invasive outpatient procedure that targets the nerves that cause pain sensation through thermal energy, which interrupts pain signals at their source.
Shockwave therapy (or impact wave) is a sonic pulse or kinetic energy. Its transmission strength depends on the physical properties of the tissue applied (liquid or solid). Therefore, there is specific equipment for use in each area, and the indications include chronic pathologies such as heel spurs, calcified shoulder tendonitis, elbow tendonitis, and other tendonitis that have not been resolved by standard treatments. The use of shockwaves also has an osteogenic (bone-forming) effect when applied to patients who have had fractures that are difficult to consolidate, in addition to other indications. Other advantages provided by the treatment are the fact that the method is non-invasive and therefore avoids surgery in many cases.
Botox for Headaches: Botulinum toxin (Botox) treatment for headaches is a preventative treatment for chronic migraines in adults. Botox works by decreasing sensitivity to pain, relaxing muscles, and slowing the release of pain-causing chemicals. Treatment involves injecting Botox into specific points on the head, neck, face, and trapezius muscles every 12 weeks. These points are related to muscles that can trigger or worsen migraines. Treatment is usually performed on an outpatient basis and is relatively safe and well tolerated.
Sympathetic venous blockade (SVB) is a treatment for chronic, difficult-to-treat pain. It involves intravenous infusion of anesthetics, such as lidocaine and ketamine, which block nerves and cause vasodilation. SVB can help relieve pain over a period of time, allowing the patient to wait for more effective medications, such as anticonvulsants and antidepressants, to take effect.
Viscosupplementation with Hyaluronic Acid is a treatment that consists of injecting hyaluronic acid into the joints to improve the viscoelastic properties of the synovial fluid and relieve pain. Hyaluronic acid acts as a lubricant and shock absorber for the joint. The mechanical effect of hyaluronic acid occurs immediately after application, but the anti-inflammatory and chondroprotective effects appear approximately one month after the procedure. The duration of the effect of an application of hyaluronic acid is variable, but an average time of 6 months is expected for improvement of symptoms.
Percutaneous discectomy is a minimally invasive surgical procedure that removes portions of an intervertebral disc that are pressing on spinal nerves, causing pain and discomfort. It is indicated for patients with degenerative disc diseases, such as herniated disc or symptomatic disc protrusion and sciatica. Percutaneous discectomy involves the use of specialized needles and instruments to access and treat the herniated disc without the need for a large incision. The procedure takes approximately 30 to 45 minutes and the patient can return to their normal activities within a few days.
Headache Pain . There are various medications that can help reduce headache pain, which should be administered according to the type of headache, in addition to treatments that completely eliminate it. This is the case, for example, of blocking certain nerves, done with Botox. In this type of treatment, the signal that tells the brain that a particular part of the body is in pain cannot reach the organ, allowing the patient to live their life without major problems.
Carpal Tunnel Syndrome . The wrist has several functions in the body, including acting as a “tunnel” that allows the passage of the median nerve and tendons, which control the sensitivity of the hands and also the movement of the fingers. Therefore, when the median nerve is compressed within this “tunnel”, carpal tunnel syndrome occurs. In some cases, the use of anti-inflammatory medication is indicated to reduce inflammation in the wrist and relieve some symptoms. Corticosteroid injections in the carpal tunnel region may also be recommended to reduce swelling in the area, as well as relieve pain and discomfort. In more severe cases, in which it is not possible to control the symptoms with any clinical treatment, or in which the patient has more critical motor impairment, surgery may be necessary.
Neuropathic pain is pain that originates in the nerve or nerve root. It is a condition that manifests itself mainly when there is a problem in the nervous system, that is, when the nerves that transmit pain signals are damaged or functioning inadequately.
Treatment for neuropathic pain aims to improve the patient's quality of life. Some options for pain management are anticonvulsants and antidepressants. However, when the cause is identified, that is, if it is due to diabetes, for example, controlling the underlying disease is part of the treatment.
Pelvic Pain Endometriosis : Endometriosis is a chronic gynecological condition characterized by the presence of endometrial-like tissue outside the uterine cavity. Treatment of endometriosis involves several approaches, including medical, surgical, and multidisciplinary interventions. Treatment of endometriosis is complex and often involves a combination of medical, surgical, and multidisciplinary approaches. In the medical field, treatments aim to control the progression of the disease and reduce associated pain. Hormones, such as oral contraceptives, progestins, and GnRH agonists, are often prescribed to modulate hormone levels and inhibit the growth of ectopic endometrial tissue. These medications are intended to relieve pain, regulate the menstrual cycle, and, in some cases, induce temporary remission of endometriosis.
Complex Regional Pain Syndrome (CRPS), also known as Reflex Sympathetic Dystrophy Syndrome (RSD), is a chronic condition characterized by severe pain, usually in an arm, leg, hand, or foot, following an injury or surgery. Treatment is multidisciplinary, aimed at relieving pain and improving function. Approaches include medications such as analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs), tricyclic antidepressants, and anticonvulsants. Also in some cases Nerve blocks: Injections of local anesthetics may provide temporary pain relief. Spinal cord stimulation: Implantable devices may help manage chronic pain.