Algology Centre (Pain Clinic)
Algology Therapy Centre
Algology Diagnosis and Treatment Center
Say goodbye to painkillers
Algology Centre (Pain Clinic)
Algology therapy centre is a science field that deals with the diagnosis and treatment of all types of chronic pain as well as severe pain that cannot be found in general, this section treats the pains of cancer, neuralgia, muscle and bone, neck, shoulder and back, waist and leg, the pain caused by vascular occlusion and idiopathic pain.
Pain is a personal experience and require personalized treatment approaches. The most appropriate treatment options for patients with pain after detailed examination by experts is determined. As the Department of Anadolu Medical Center Algology, we implement all the methods used in the treatment of chronic pain.
Especially with pain management applications with interventional methods; there are many advanced treatment applications such as nerve blocks are made using radio waves, the installation of permanent morphine pumps or spinal cord cells, waist and neck injections are administered in the hernia, injection made into the drive, permanent port-pump systems. It is an experience that we face.
Pain is an unpleasant sensation that originates from any part of the body, including all past experiences, whether or not it is due to an organic cause. At present, pain is examined in two groups.
First; Acute pain is a precursor to various diseases. Acute pain is a symptom of the disease. It is often a precursor to tissue damage in the body.
Acute pain is an important part of the body’s alarm system. It indicates the presence of a disorder in the body and allows the patient to consult a doctor.
Sometimes it can be seen as a harbinger of damage to the musculoskeletal system or a mechanical problem, sometimes rheumatic diseases, sometimes an inflammatory condition, or even cancer.
This requires a thorough evaluation of the painful patient using all capabilities of the drug.
In order to arrive to the correct diagnosis, the patient must first be heard in a very detailed manner, and information about all characteristics of pain must be obtained and then carefully examined.
Various laboratory tests and radiological examinations will also help in arriving to the diagnosis.
With all these methods, an accurate diagnosis must be made, optimal treatment should be applied, and irreversible results must be prevented.
The second group is chronic pain.
Chronic pain is a pain that lasts more than 6 months (in some cases more than 3 months) and is more than an alarm system.
Chronic pain is not a precursor to the disease, but rather the problem itself. A person suffering from chronic pain gets into a vicious cycle, the patient loses power and potency. loses his productivity and activity.
This often leads to depression. Depression makes a person more sensitive, lowers pain threshold and makes the pain more intense. This condition is a vicious cycle of complete pain. Chronic pain is not a symptom of the disease, but rather the disease itself.
Chronic pain is a serious problem that affects not only the patient who suffers, but also the patient’s immediate environment. The social and economic loss caused by chronic pain should not be ignored. In an American study, it is estimated that 700 million workdays and $ 60 million losses occur each year due to chronic pain. The patients with the most common complaints presenting to the outpatient pain clinic are:
- Back and leg pains.
- Neck
- Headache
- Back pains.
- Shoulder
- Facial nerve pain.
- Pain caused by vascular occlusion.
- Cancer pains.
- An idiopathic pain.
Pain therapy methods
Since the advent of the medical profession, pain relief has been one of the primary goals for doctors. The use of pain drug in modern medicine has an important place in therapy. However, the important point here is that pain killers should not be used in an unsupervised and irregular manner and that the World Health Organization’s principles of pain relief should be followed. These principles define the manner in which pain relievers are used, the dosage, when pain medication will appear, and ways to deal with side effects that may be encountered while substance abuse. Studies have shown that more than 90% of all types of pain can be stopped with the right pain medications. In cases where pain relievers are not effective and adequate, physical therapy methods, surgical procedures or interventional pain therapy methods are applied according to the source of pain. At this point, the correct approach is to determine the most appropriate treatment method for the patient and to ensure that the patient accesses the appropriate treatment without wasting time.
The main methods used to treat pain in the pain clinics are pharmacological and interventional pain therapy methods. Interventional pain management methods are the primary source for the development and management of chronic pain during anesthesiology.
These interventions, which are defined as minimally invasive methods, aim providing easy and effective pain relief for difficult-to-treat pain without the need to inconvenience the patient. These methods are mainly a nervous block.
There are different types of nerve fibers in the body. Some nerves are responsible for muscle movement, while others are responsible for pain transmission. These pain nerves are our field of interest. For example, trigeminal neuralgia, which appears with severe pain on the face, the occlusion applied to the trigeminal nerve guarantees long-term (3-8 years) pain relief.
Likewise, for pain caused by calcification of the waist and neck, the pain is eliminated by the mass applied to the calcified joint nerves. Various hernias from lumbar and cervical hernias, which are common in the community, can be used to treat hernia and relieve pain through methods applied to the intervertebral disc.
These interventional methods last about 30-45 minutes, under local (regional) anesthesia. Therefore, patients do not feel pain or other discomfort. To prevent infection, all procedures are performed under sterile operating room conditions and with disposable materials.
All methods used in interventional pain therapy are performed under the supervision of imaging methods.
General information about interventional methods
Non-surgical pain management techniques called interventional methods are usually performed using electrodes such as a needle. Except for a few of them it is performed without creating an incision in the body. The operations are carried out in the operating room environment, according to the rules of sterilization and disposable materials.
All materials used for the patient are disposed of at the end of the operation according to the principles of biomedical waste removal and completely new and unused instruments are opened to a new patient.
Patients are given sedatives and pain medications to avoid discomfort during the procedure. This is not a general anesthetic. Most of the time, the patient is conscious, but does not remember any discomfort after the operation.
Patients are monitored during the interventions by being connected to a monitor that displays vital functions (blood pressure, heart rate, blood oxygen rate, etc.).
All interventions are performed using the radiographic method, that is, by observing the area in which the intervention is performed. This is necessary for the success of the procedure and to eliminate side effects.
Patients are monitored for several hours after the procedure. After some attempts, they are kept in hospital for one night and sent home the next day.
Interventional pain management methods applied in the hospital:
Epidural injection: In hernias originating in the parts of the waist, neck and back in the spine, pain is treated by eliminating pressure by injecting various drugs into the spinal cord, where the hernia leads to pressure by creating nerves.
Radiofrequency thermal coagulation: It is a method of disrupting the nerves that transmit pain by generating heat with the help of high-frequency radio waves. It is worth noting that this method is that nerves with conduction inactivated are sensory nerves that transmit pain, not motor nerves. Therefore, the patient does not have any restriction of movement after the operation, only the pain disappears. Major neurological diseases (trigeminal neuralgia), shingles, cancer pain, calcification of the waist and neck joints (facet removal) are the most important painful diseases.
Epidural lysis: The adhesions that form around the nerves in the operation area after operations for a lumbar or neck hernia can cause severe pain.
The formation of these adhesions is not related to the error of the surgeon, but is completely related to the patient’s body. In this case, a special probe such as a guitar string is placed in the spinal canal and special medications are given for 2-3 days to eliminate the adhesions.
Nerve blocks: in cancer pain, neuralgia, persistent hiccups, block transmission of pain and drugs to block nerves.
Sympathetic blocks: The sympathetic nervous system is a system that controls involuntary functions in the human body and plays an important role in pain transmission. When the proper conduction of the sympathetic nerve is interrupted, the patient’s pain disappears, but no unwanted change in other functions occurs.
In severe types of pain called neuropathic pain and cancer pain, various sympathetic blocks are applied.
Morphine pumps: It is the process of relieving pain by inserting morphine into the spinal canal through probes connected to a special pump placed under the skin. It is mostly applied in pain due to cancer and vascular occlusion.
In addition to effective pain relief, an important advantage of this method is the use of low-dose medications.
Trigger point injections: Trigger points occur in muscle tissue and cause pain to spread. These points cause head, neck, shoulder, back pain and lower back pain depending on their location. These types of pain are treated with drug injections to these exciting points. Nucleoplasty: Lumbar hernia can be treated without surgery. It is one of the newest in the medical world. In this operation, the patient’s herniated disk is inserted through an electrode. A special current is inserted into the disc to reduce disc pressure and the herniation to retract.
Diagnostic methods: With some painful patients, it can be difficult to determine the cause of the pain. In these cases, it is possible to identify the nerves in the body that arise from the pain by interventional methods. In cases where the cause of the pain is not understood, the source of the pain can be determined using drugs provided by probes placed on the potential nervous system using imaging methods.
Quality of life
One of the most important damages of chronic pain is a deterioration in the quality of life. Quality of life, people’s perception of their situations in relation to their expectations, standards, and concerns about the culture and value systems they live in in society.
Concept of physical and mental health; Family and work life, economic status, level of education, ability to perform independent functions, self-confidence, success in social relations and self-satisfaction with the state are determined.
Briefly; Quality of life can also be summed up as a relationship between self-expectations and experiences. This relationship differs from person to person.
Although the quality of life of one patient is not impaired, it may be expressed as a cadre that is painless enough to perform regular sports, while another patient may be able to perform daily tasks without assistance.
In addition, the pain may be perceived with equal intensity as mild for some and intolerable for others.
Pain is a personal feeling, unique to the individual. The best way to assess pain is to rely on the patient’s expression and consider the patient’s pain very seriously. Because it is the patient who suffers from pain and this pain leads to a deterioration of the patient’s quality of life. For all of these reasons, the pain of each patient should be assessed individually, and the approach should be determined accordingly.
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