CONSERVATIVE TREATMENT & INTERVENTIONAL PAIN MANAGEMENT
Conservative Treatment for Neck thoracic and Back Pain
Every patient is evaluated individually. Surgery is recommended only when conservative treatments fail or when there is progressive neurological deficit. The goal is always the safest and most effective treatment tailored to the patient. Most neck and back pain can be treated without surgery.
Conservative management includes activity modification, physiotherapy, medications, posture correction, and lifestyle changes. This approach is often effective in reducing pain and improving function.
Pain Management as Part of Spine Care
International Pain Management Services
We offer comprehensive, evidence-based interventional pain management for patients suffering from acute and chronic spine-related pain. Our approach follows international guidelines and is tailored to each patient after careful clinical and imaging evaluation.
Our goal is to reduce pain, restore function, and improve quality of life, while minimizing the need for long-term medication or surgery.
Individualized Treatment Approach
Each patient receives a personalized pain management plan, which may include:
Clinical examination
MRI or CT evaluation
Interventional pain procedures
Physiotherapy and rehabilitation coordination
Medication optimization
When to Consider Interventional Pain Management
Persistent pain despite conservative treatment
Pain affecting daily activities or sleep
Back or neck pain, radiating arm or leg pain
Patients seeking minimally invasive alternatives to surgery
Epidural Steroid Injections (ESI)
Epidural steroid injections are used to reduce inflammation and pain caused by nerve root compression.
Indications:
Cervical, thoracic, or lumbar disc herniation
Spinal stenosis
Radiculopathy (arm or leg pain)
Post-surgical pain syndrome
Benefits:
Decreases nerve inflammation
Improves mobility
Can delay or avoid surgery in selected patients
Techniques:
Interlaminar epidural injection
Transforaminal epidural injection
Caudal epidural injection
All procedures are performed under image guidance (fluoroscopy or CT) for maximum accuracy and safety.
Facet Joint Injections
Facet joints are a common source of neck and lower back pain, especially in degenerative spine conditions.
Indications:
Cervical, thoracic, or lumbar facet arthropathy
Mechanical neck or back pain
Pain aggravated by movement or extension
Procedure:
Injection of local anesthetic and steroid into the facet joint
Performed under image guidance
Benefits:
Pain relief
Improved spinal motion
Diagnostic value in identifying pain origin
Medial Branch Blocks (Facet Nerve Blocks)
Medial branch blocks are diagnostic and therapeutic injections targeting the small nerves that supply the facet joints.
Indications:
Suspected facet-mediated pain
Evaluation prior to radiofrequency ablation
Purpose:
Confirm the source of pain
Temporary pain relief
Determine suitability for radiofrequency ablation
Radiofrequency Ablation (RFA)
Radiofrequency ablation provides long-lasting pain relief by interrupting pain signals from targeted nerves.
Indications:
Chronic facet joint pain
Positive response to medial branch blocks
Patients not responding to conservative therapy
Benefits:
Pain relief lasting 6–18 months or longer
Minimally invasive
Reduces need for medications
Technique:
Thermal radiofrequency ablation under fluoroscopic guidance
Safety and Standards
Procedures performed under strict sterile conditions
Image-guided techniques for precision
Day-care procedures with rapid recovery
Internationally accepted protocols and safety guidelines
Sacroiliac (SI) Joint Pain – Image-Guided Injection
Indications
Chronic lower back or buttock pain
Pain radiating to the hip or upper thigh
Degenerative or inflammatory SI joint disease
Post-lumbar spine surgery pain
Trauma, pregnancy-related pelvic pain
Diagnostic confirmation of SI joint as pain source
Benefits
Significant pain relief and reduction of inflammation
Improved mobility and function
Minimally invasive, outpatient procedure
Helps avoid or delay surgical intervention
Diagnostic and therapeutic value
Technique
The procedure is performed under CT or fluoroscopic guidance.
Coccygeal (Tailbone) Pain – Image-Guided Injection
Indications
Chronic coccygeal pain (coccydynia)
Pain while sitting or rising from a seated position
Post-traumatic tailbone pain
Post-childbirth coccygeal pain
Failed conservative treatment (medication, cushions, physiotherapy)
Benefits
Targeted pain relief with high precision
Improved sitting tolerance and daily activities
Avoidance of long-term medication use
Safe and effective minimally invasive treatment
Technique
The procedure is performed under CT or fluoroscopic guidance.
Image-Guided Injection – Advantages
Maximum accuracy and safety
Reduced risk to surrounding structures
Higher success rates for pain relief
Suitable for complex spinal and pelvic pain