Background: We focus on interventional diagnostics and treatment by spinal cord stimulation (SCS) taking place in our workplace. SCS is a financially demanding therapy, so patient selection is considered important. Methods: We present a brief summary of the diagnostic interventions used on spinal cord structures that confirm or exclude pain generators in patients with complicated … Read more
Refractory angina pectoris is defined as angina resistant to optimal medical treatment and standard coronary revascularisation procedures. Epidural Spinal Cord Stimulation (SCS) provides relief from symptoms of Refractory Angina Pectoris (RAP), but its mechanism of action remains incompletely understood. This paper provides a short description of the current possibilities in the use of neuromodulation for … Read more
Periradicular therapy (PRT) is one of the most common procedures within interventional pain clinics and also neurological, neurosurgical and radiological clinics. Despite the popularity other the method ist technical performance is often imperfect and incorrectly indicated. In the current clinical practice, the method is mostly perceived as a therapeutic procedure when applying the mixture of … Read more
Epiduroscopy is a proven method of diagnosis and treatment for chronic radicular pain after spine surgery. The exact mechanism of pain relief after epiduroscopy remains unknown, but removal of epidural adhesions is the most prominent theory. The authors describe their own experience with the procedure and technical details of performing epiduroscopies. Limiting procedure time and … Read more
Physical strain, which has a direct influence on the excessive increase of intra-discal pressure, is possibly one of the main risk factors in the formation of degenerative changes of the intervertebral discs. Recreational and professional sport activities cause repetitive increase of intra-discal pressure, which can initiate degenerative changes of the intervertebral disc. Different types of … Read more
Chronic postsurgical pain is a major health care problem, with devoting considerable attention in the last decade. With varying intensity chronic pain occurs in 10 – 60 % of patients, while 2 – 10 % of these patients suffer from severe and devastating pain. Knowledge of risk factors is important for creating effective strategies for … Read more
One of the main causes of chronic lower back pain is lumbar facet syndrome (LFS). It develops due to the damage of the facet joints and subsequent irritation of the adjacent sensory nerves. The diagnosis of LFS is based on comprehensive clinical examinations of the patient, evaluation of imaging diagnostic studies and nerve blockades under … Read more
Facet joints were first described as a possible origin of back pain in 1933. Back pain is now the most common type of pain in humans. They are often the result of degenerative changes in the spine, including the facet joints, affecting a significant portion of the population still of working age. For an increasing … Read more
Percutaneous endoscopic techniques are modern minimally-invasive methods that enable effective treatment of pain and accompanying neurological symptoms in patients with an intervertebral disc herniation and/or other epidural pathologies. Available evidence supports their efficacy and safety therefore, they deserve a stable position in addressing specific types of spinal pathologies. Epiduroscopy is a suitable diagnostic and therapeutic … Read more
In recent years, research has shown the involvement of free radicals in the development of the pain that accompanies many pathological conditions. In the treatment of acute and chronic pain, the most effective therapies are natural and synthetic opioid alkaloids. Their metabolism in itself may contribute to the formation of free radicals and thus affect … Read more
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