Spinal pain therapy

Spinal pain therapy

Computed tomography controlled pain therapy enables specific, very precise administration of painkillers and antiphlogistic medications (cortisone) directly at the site of the cause of pain. Back pain is often caused by degenerative changes in the small intervertebral joints, also called facet joints. As part of arthrosis, a local inflammatory reaction can occur, which can be very painful. After clinical examination of the cause of pain, also using morphological imaging, and localisation, the tip of a thin needle is placed under sterile conditions directly on the respective facet joint. The needle is pushed forward under control by CT images that are created during the puncture. The medications are injected as soon as the correct position is reached.

Another spinal pain therapy is periradicular pain therapy, also called PRT therapy. In this case, pain is not caused by a facet joint but by irritation of the nerve root which is pinched by intervertebral disc tissue in the region of the exit from the spinal canal or also by degeneratively changed facet joints. Frequently swelling of the nerve occurs, which aggravates the symptoms even more. Pain can be effectively and specifically relieved and swelling of the nerve can be reduced by administering painkillers and cortisone at the nerve root. In particular placement of the needle tip to millimetric accuracy is necessary for administering medications; this precise, minimally invasive procedure is possible with the aid of computed tomography.

For further information about pain therapy and the procedure itself, please visit our Centre of Excellence for Pain Therapy page