Specialised neurological pain therapy
Specialised neurological pain therapy includes the conservative (non-surgical) treatment of neurological treatment of chronic pain disorders with severe impairment of mobility, quality of life and everyday life/work ability, insufficient therapeutic success of outpatient therapy in the sense of multimodal pain therapy.
The focus is on spinal pain syndromes as well as acute and chronic head and facial pain syndromes.
In addition to a detailed medical history with an assessment of previous treatment strategies, including a detailed medication history, a targeted neurological, orthopaedic and internal physical examination as well as a detailed psychiatric and psychotherapeutic examination is carried out.
As part of the very comprehensive laboratory diagnostics, we clarify specific issues, e.g. inflammatory processes, rheumatological constellations and carry out regular checks of blood counts, liver and kidney values to accompany therapy.
The necessary radiological diagnostics are carried out in cooperation with the in-house radiology practice, where both conventional X-rays and cross-sectional imaging procedures are available using computer tomography (CT) and magnetic resonance imaging (MRI).
Electroneurography enables the measurement of nerve conduction velocity for a more detailed classification of damage processes of peripheral nerves, such as in the context of polyneuropathies. Electromyography is used to examine the discharge patterns of the musculature to clarify muscle damage processes (due to nerve damage or in the context of primary muscle diseases). Evoked potentials are also determined to measure nerve pathways in the brain and spinal cord to measure specific sensory cells (sensitivity, visual pathways, motor pathways) in order to measure the functionality of these areas.
To clarify inflammatory processes of the central nervous system and also to clarify dementia, we carry out examinations of the cerebrospinal fluid (CSF examinations) with lumbar puncture.
To check bladder emptying, residual urine is determined using ultrasound examinations, and cardiac and abdominal sonographies can also be carried out in co-operation with the general medicine and internal medicine departments.
As part of interdisciplinary pain therapy, intensive physiotherapy (including special physiotherapy and sensorimotor training), supportive psychotherapeutic medical consultations, psychoeducation, relaxation therapy, patient education with back training, as well as occupational therapy, art and music therapy are carried out in addition to optimising drug therapy, taking into account your individual situation and medication.
We carry out both individual and group therapies. The average duration of treatment is around 10-20 days, depending on the pain situation and the success of the treatment, particularly in terms of restoring mobility.
The course of treatment is monitored using a standardised procedure with regular interdisciplinary team meetings, including discharge management.
