Pain Management (Injections - Radiofrequency - Medications)

Pain Management Department at Our Center

A Fully Integrated System Combining Neurology – Sports Medicine – and Interventional Pain Therapy

Pain management in our center is not about temporary painkillers, random treatment plans, or blind interventions. We provide a complete medical system built on scientific accuracy, advanced diagnostic tools, and coordination between three core specialties—ensuring that the true source of pain is identified and treated, not just masked.

What makes our Pain Management Unit powerful is that every patient begins their journey through a combined diagnostic pathway involving:

• Neurology – to assess nerve roots, detect compression, and identify neural inflammation.

• Sports Medicine & Biomechanics – to analyze movement, posture, gait, muscle balance, and mechanical dysfunctions.

• Interventional Pain Medicine – to choose the correct procedure (injections, radiofrequency, neurolysis).

• Physiotherapy & Rehabilitation – to treat the root cause and prevent recurrence.

This means the patient is evaluated from four different medical angles, giving us success rates far beyond centers that rely on a single specialty.

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Why Doesn’t Pain Go Away Easily for Most People?

Because in 90% of cases, pain is multifactorial—not coming from a single source. Common contributors include:

[Image of herniated disc compressing nerve root]

• Compressed nerve roots in the neck or back

• Peripheral nerve inflammation

• Old muscle fibrosis

• Chronic tightness

• Tendon inflammation

• Faulty biomechanics

• Weak spinal stabilizers

• Facet or SI Joint dysfunction

• Post-surgical adhesions

• Disc bulges that alter vertebral mechanics without touching the nerve

This is why combined diagnosis across 3 specialties is essential. Otherwise, the treatment remains incomplete.

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Role of Each Specialty in Our Pain Management System

1. Neurology – The Foundation of Nerve-Related Pain Diagnosis

The neurologist’s role is crucial. They:

• Identify which nerve root is compressed

• Differentiate muscular pain from neuropathic pain

• Perform EMG/NCS for accurate nerve assessment

• Use ultrasound for peripheral nerve examination

• Determine whether the pain is coming from the neck/back or from muscular structures

• Decide whether physiotherapy alone is enough or if an intervention is needed

Many patients have MRI images that look frightening—but the nerve is actually fine. Others have minor MRI findings—but severe symptoms because the nerve is truly inflamed. Neurology reveals the reality.

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2. Sports Medicine & Biomechanics – Correcting the Hidden Source of Recurring Pain

More than 90% of chronic pain comes from faulty movement, poor gait mechanics, lifting with bad form, weak core muscles, overloading specific joints, muscle shortening, or fibrosis restricting muscle mobility.

Sports medicine covers:

• Gait analysis

• Balance assessment

• Flexibility & strength evaluation

• Identifying weak or inhibited muscles

• Detecting overload patterns

• Correcting mechanical dysfunction

Without correcting biomechanics, pain always returns.

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3. Interventional Pain Procedures – Performed Safely Inside the Center

One of our greatest strengths is that all interventional procedures are performed inside the center, using:

• High-resolution ultrasound

• Fluoroscopy (X-ray guidance)

• A dedicated minor procedure room

• Safety monitoring

• A complete medical team

• Pre- and post-procedure follow-up

[Image of ultrasound guided injection]

Our interventional services include:

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1. Radiofrequency Ablation (RF)

Highly effective for Facet Joint Syndrome, SI Joint Pain, chronic neck and back pain, chronic knee pain, peripheral nerve pain, shoulder neuropathic pain, cervicogenic headache, and post-surgical chronic pain.

Result: It blocks the pain signal without affecting movement.

2. Nerve Root Block (Under Ultrasound or X-ray)

Used for herniated disc, sciatica, arm/leg radicular pain, nerve root inflammation, and nerve compression. Guided with millimeter accuracy for maximum safety and effectiveness.

3. Small Joint Injections of the Spine

Including Facet joints, SI Joint, and Costotransverse joint. These joints are extremely small and hard to diagnose—but with ultrasound we identify and treat them precisely.

4. Deep Muscle Injections (Not Visible in Standard Examination)

Such as Psoas, Quadratus Lumborum (QL), Piriformis, Gluteus Medius, and TFL. These deep structures cause chronic back and hip pain and are often missed in traditional exams.

5. Neurolysis – Releasing Nerve Adhesions

Crucial for cases of post-disc fibrosis, chronic radiating leg pain, post-spine-surgery adhesions, and pelvic or thigh nerve entrapment.

Patients often describe the result as: “The nerve can breathe again.”

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How We Break the Pain Cycle

Pain is not a symptom… It’s a cycle of:

1. Inflammation

2. Pain

3. Muscle spasm

4. Faulty movement

5. More inflammation

6. Fibrosis

7. Chronic pain

At our center, we treat the full cycle:

• RF breaks the nerve pain signal

• Precision injections stop inflammation

• Sports medicine corrects movement

• Physiotherapy treats fibrosis & weakness

• Neurology treats nerve root pathology

This is why our success rates are extremely high—especially for cases that have suffered for months or years.

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Conditions We Treat With Excellent Outcomes

• Herniated disc

• Neck pain radiating to the arm

• Neuropathic pain

• Chronic low back pain

• Chronic knee pain

• SI Joint dysfunction

• Facet Joint Syndrome

• Post-surgical chronic pain

• Soft tissue fibrosis

• Deep muscle pain

• Nerve entrapment syndromes

• Fibromyalgia

• Shoulder pain radiating to the arm

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Why Our Pain Management Department Is Exceptional

1. Three specialties working together

Neurology + Sports Medicine + Pain Medicine + Physiotherapy = Accurate diagnosis, faster treatment, better results

2. Equipment rarely found in other centers

High-resolution musculoskeletal ultrasound, EMG/NCS, German RF systems, Shockwave therapy, High-power laser, Balance devices, Gait analysis, and Advanced spinal strengthening systems.

3. All interventional procedures performed inside the center

A major advantage because it provides better safety, higher accuracy, lower cost, real-time follow-up, and faster treatment decisions.

4. We treat the cause—not the pain

Every patient goes through a post-procedure plan including muscle release, core strengthening, gait correction, scar/fibrosis treatment, nerve mobility training, and movement retraining. This prevents pain from returning.

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Conclusion

Pain management in our center is not physiotherapy sessions… and it’s not “just injections.”

It is a fully engineered medical system combining muscular diagnosis, neurological diagnosis, ultrasound, EMG/NCS, precision interventions, movement analysis, rehabilitation, and prevention of recurrence.

This is why so many patients—after years of misdiagnosis elsewhere—finally get the correct diagnosis and real relief in our center.