Each individual perceives pain differently, influenced by their personal history, experiences and circumstances. This is the reason why I take the time to provide you with a thorough consultation, focusing exclusively on you and your needs.
I take advantage of various methods to create the proper therapeutic concept for effectively treating your unique pain situation. I value open communication with my patients and their positive approach to therapy, which is an integral element of the treatment.
Your individualized therapy plan should yield maximum benefits with the least possible discomfort, while guiding you towards a pain-free life.
I utilize the following treatment options in my private practice:
The longer pain is present, the greater the risk that it may become chronic. The therapy methods available today usually facilitate a quick and successful alleviation of pain.
The present pain situation is not the only factor accountable for chronic pain. In part, chronic pain development is due to ‘pain memory’, a phenomenon in which the mind retains and memorizes its pain experiences.
Even severe, acute pain is relatively easy to treat. However, effectively treating pain which has become chronic requires the skill and knowledge of an experienced physician.
Medical therapy constitutes one of the main aspects of pain treatment. The therapy is carried out according to the ‘pain ladder’ guidelines established by the World Health Organization (WHO). Depending upon pain intensity, different combinations of analgesics - such as pain-relieving medications and patches - are used to provide pain relief.
Pain relieving results can be enhanced by combining analgesic drugs with so-called co-analgesics, which include different types of medications - for example, antidepressants, anticonvulsants, corticosteroids, laxatives and antiemetics, among others.
When implementing the WHO pain ladder guidelines, the following fundamental rules should be observed:
1.) Generally, the therapy for chronic pain should be carried out with sustained-release oral medications if possible.
2.) The schedule for taking prescribed substances should be arranged in a patient friendly manner, and at the same time should ensure that proper pharmacological intervals are maintained.
When treating chronic pain, the administration of medication should occur before the pain-relieving effects of the previous dose have worn off. This is the only way to ensure that the patient is not reminded of the pain and doesn’t develop a fear of it.
3.) Medications for chronic pain are to be taken on a regular, fixed schedule. Dosage instructions, such as "take as necessary" or "take when experiencing pain" are obsolete. Only acute breakthrough pain can be treated with an "as needed" regimen.
4.) The dosage of analgesics should be determined by the intensity of the pain experienced by the patient, using a pain scale such as the Visual Analog Scale (VAS) 1-10, where 0 represents "no pain" and 10 "worst pain imaginable".
5.) Pain levels should be consistently monitored so that the patient always receives the proper dosage of medication.
6.) Any possible side effects should be treated with a concomitant therapy.
In situations where acute pain is present, the administration and dosage of medication is adjusted accordingly, and analgesics may be given via infusion.
This local anesthesia technique works by blocking the transmission of pain information. Hereby, anesthetic agents are injected into the affected areas of pain.
In pain therapy, infiltration is primarily used for treating trigger points (painful knots or nodules in muscle fibers), which often develop within cervical syndrome or lower back pain.
This technique quickly alleviates acute pain, and subsequent treatment every 2-3 days strengthens and increases the duration of effect.
Nerve blocks can reduce or eliminate pain in an area supplied by a particular nerve or network of nerves. They work by stopping the transmission of nerve impulses. Peripheral nerve blocks are performed quite commonly to alleviate pain in a limited area, such as arm or leg.
Nerve block procedures are used to break the cycle of chronic pain which patients experience. The pain-free time can also be used to perform physical therapy, which would not be possible if pain were present.
Acute pain can also be treated with a targeted blockade, such as an intercostal block for fractured ribs or a stellate ganglion block (GLOA-ganglion local opioid analgesia) for trigeminal neuralgia.
Most invasive blocking procedures - such as sympathetic and somatic nerve blocks, neuraxial blocks and epidural or spinal blocks - are performed in a hospital setting. Invasive procedures such as these should only be performed by a well-trained and experienced physician.
Nerve blocks have a wide range of application in pain therapy and can be implemented for diagnostic, prognostic, prophylactic and therapeutic purposes.
They produce a selective and specific effect which begins to work quickly and whose duration is calculable.
Their effect can be strengthened and extended through repeated treatments.
Acupuncture has its origins in Traditional Chinese Medicine and is a form of therapy that is approximately 3,000 years old.
Simply put, acupuncture is a regulating therapy, which uses a holistic approach to treatment that not only considers the medical findings of a patient, but the overall state of the patient’s health as well.
Acupuncture is performed by placing very thin needles on specific acupuncture points on the body or on the ears. A treatment takes about 20 minutes, and should be performed once a week for chronic pain, and several times a week for acute pain. On average, about 10 treatment sessions are required.
In addition to its distinct pain-relieving abilities, acupuncture produces muscle relaxing and psychologically harmonizing effects. The local effects of acupuncture which accompany the treatment of chronic pain are increased blood circulation and muscular relaxation. The major indication for the use of acupuncture (in about 65% of patients) is pain caused by various factors relating to the musculoskeletal system, headaches and/or neuralgia. However, somatoform disorders (bodily symptoms without a physical cause) also respond well to acupuncture treatment.
A precondition for treatment with acupuncture is the prior identification of the patient’s underlying illness. In most cases, acupuncture can provide pain relief, reduce the use of medications, speed up the healing process and enhance psychotherapy.
Overall, a 50-80% improvement in pain (associated with a variety of conditions) is attributed to the use of acupuncture as a complementary procedure.
Among the many substantial advantages of a professionally performed acupuncture therapy are: the safety of the procedure, the lack of side effects or complications and the high rate of patient acceptance.
Acupuncture can also be used to treat a wide range of diseases that are not pain-related - for example, hay fever, neurodermatitis, nervousness, sleep disorders, irritable bladder and other conditions. Additionally, acupuncture is an ideal therapy for assisting with weight loss and smoking cessation.
Laser acupuncture is a treatment option for children and patients who may experience anxiety, have hypersensitivity or allergic reactions to acupuncture needles, or, due to other contraindications (e.g., blood-clotting problems), cannot be treated with acupuncture needles.
The word laser is an acronym for Light Amplification by Stimulated Emission of Radiation.
Pain therapy employs the use of "soft lasers" (low level therapeutic lasers) which apply focused light to tissue in order to stimulate healing.
Laser therapy not only provides pain relief, it has anti-inflammatory and biostimulatory effects.
Soft lasers can be used to treat muscle and tendon injuries, and also as an adjuvant treatment for fractures, dislocations, scars, numerous skin diseases and wound healing disorders.
Conditions which can be treated with acupuncture, such as bronchitis, migraines, blood circulation disorders, hay fever and pain, can also be treated with laser therapy. This therapy is suitable for patients who cannot be treated with acupuncture needles.
In my medical practice, I offer primarily the needle and pain-free form of acupuncture, via application of the laser to acupuncture points.
When a TENS therapy is indicated, you will receive a small and practical rental device for electrotherapy which you can use at home, conveniently and without side effects.
TENS is used in the successful treatment of musculoskeletal disorders, muscular tension, post-traumatic pain, neuralgia, residual limb and phantom pain, peripheral circulatory disorders and post-operative pain.
TENS has been used in pain therapy for over 20 years. Because its beneficial effects have been scientifically proven, the cost of TENS therapy is covered by health insurance.
The TENS unit works by delivering impulses through battery-operated stimulators. Most often in pain therapy, the conventional stimulation settings feature a low intensity (5 to 10 mA) and a constant frequency of 100 Hz.
The patient feels paresthesia (tingling, prickling sensations) where the electrodes are attached to the skin or in the area of innervation, but does not experience muscle contractions or sensations of pain.
The positioning of the electrodes is determined by the localization and segmental radiation of pain, the course of the affected nerves and the location of trigger and acupuncture points.
TENS is a highly effective and economical method which is featured in a broad range of pain therapy treatments.
This therapy can be easily done at home with the use of a rental device and a magnetic field mat, with results becoming noticeable within a month.
Magnetic field therapy is used to treat diseases of the musculoskeletal system such as arthritis and osteoarthritis, spinal column problems, cartilage damage, osteoporosis, prosthesis loosening and pain. It also promotes bone healing.
Further uses of magnetic field therapy include the treatment of circulatory disorders, and conditions related to surgery, dermatology, gynecology, ENT medicine, rheumatology, neurology and sports medicine. It is also used to assist in regeneration and sleep enhancement.
Magnetic fields pass through the body and its individual cells, exerting a regulating influence on the cells and stimulating electrical and chemical processes in the tissues. Pulsating electromagnetic fields increase ion transport and normalize the membrane potential.
The metabolism in the body’s cells is stimulated and the oxygen supply is increased, enhancing circulation while warming tissues and improving bone formation.
Moreover, the increased oxygen supply and improved circulation suppress inflammation while providing analgesic and decongestive effects, resulting in the overall release of tension.
Repuls® works by emitting cold pulsed red light using the most modern LED technology and therefore constitutes a completely non-invasive, non-thermal form of therapy that is free of side-effects. The positive impact of the cold red light and its high level of efficacy are based on the high level of tissue penetration where it acts fast against inflammation and pain.
Frequency and duration of therapy can and should be individually adjusted.
Medical conditions for Repuls® therapy:
inflammations of the skin
Furthermore Repuls® therapy can be beneficial for patients suffering from fibromyalgia, arthritis, rheumatoid diseases and neuropathies.
Light-induced biostimulation was previously only possible with laser-therapy. Repuls® uses state of the art LED technology and therefore allows a completely non-invasive, non-thermal form of therapy that is free of side-effects. The therapy with intense cold red light allows a beneficial control over the processes of inflammation.
Repuls® has positive effects on mitochondria, the "power plants" of the cell. Both cell respiration and ATP production increase. Enhanced energy production and proliferation are important for healing, regenerative processes and pain relief.
Caption: The red light emitted by Repuls® penetrates deeply into the tissue (Fig. 1), and is converted into mechanical UV oscillations (Fig. 2). This leads to the biochemical impact inhibition of 12-Oxo-LTB4 (Fig. 3). The breaks between the light pulses promote the removal of the reaction products. (Fig. 4).
1Influence of pulsed red light by REPULS on cellular mechanisms in cell culture models, S. Chaudary, S. Dimitrescu, A. Weidinger, H. Redl, P. Dungel, Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, Vienna 2013