Chronic Back Pain

Chronic pain is one of the dominant disease of the 20th Century

. In most cases, the spine is affected. The backbone consists of seven cervical vertebrae (spine), twelve thoracic vertebrae (spine), five lumbar vertebrae (spine) and from the sacrum and coccyx. Thanks to the newly developed interventional pain diagnosis (clarification) and therapy to successfully treat chronic pain has made great progress.

First we must find the origin, character, and the routes (nerve) pain. Modern imaging techniques (such as computer tomography) to bring valuable information, but can be mapped so no pain. Only the so-called diagnostic anesthesia (nerve blocks) allows us to locate the pain accurately and thus make even identify its causes.

Essential here is the intensive cooperation of the patient. This means for the affected one or more injections in the pain region or to the nerves. This is a temporary pain relief achieved and definitely located the source of pain. This can be through individual targeted, achieved under fluoroscopy guided by spraying or by selective placement of a point close to the nerves or the spinal cord. In general, we need to apply different types of drugs. Throughout the investigation, the pain is recorded continuously by means of an inquiry.

Once the cause of pain has been studied carefully, is part of our interdisciplinary department created (ie, with the participation of various specialists) a treatment plan. Specifically, this can mean the following: continuation of the conservative therapy (medication, physical therapy), surgery or interventional, minimally invasive pain treatment.

For interventional pain therapy targeted single or repeated drug administration is to the point of origin, just as in the diagnostic process. In some cases, modern technology allows a long-term to interrupt the effect of temperature on the nerves (Thermolsion = Exposure to temperatures between 60 C and 80 C, Kryolsion = freeze at minus 40 C). By this treatment, the pain-conducting membranes for months to years to be closed.

If a causal treatment of chronic pain is not possible to us is the latest method of pain control, the so-called neuromodulation available. By this chemical or electrical interaction between the neural pathways that pain is reduced considerably. In the so-called electrical stimulation, a micro probe near the spinal cord is placed and inhibited by a continuous electrical pulse to transfer the pain to the brain. The pain is replaced by a pleasant "tingling".

The chemical influence occurs in a targeted drug delivery (minimum amount) directly to the central nervous system, so we avoid systemic side effects and the adaptation effect and ensure the effectiveness of therapy for a long time.

Both methods are tested thoroughly before a final application. After a time, through out-patient trial is then surgically with satisfactory pain reduction, an implanted spinal cord by a microprocessor-controlled pacemaker or a so-called electronic pain pump. After implantation, the treatment can always be adjusted by the patient or the doctor. Neuromodulation allowing a significant improvement in quality of life and in many cases, a reintegration into the society and the workplace.

Chronic Back Pain

By: Jerry Montgomery

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