Recognizing that each type of pain has a different cause and treatment approach, and that each patient in pain is a unique psychosomatic entity, the specialized pain management unit “Physiatriki” aims to help patients understand their condition, adapt to therapeutic possibilities, and avoid withdrawing too early from daily life activities.
Conditions related to pain
Ankylosing spondylitis, cervical syndrome, diabetic neuropathy, sprains, dislocations, epicondylitis, postherpetic neuralgia, migraine, sciatica, headache, kidney colic, cystitis, lymphedema, venous stasis, post-traumatic pain, postoperative pain, myofascial pain syndromes, trigeminal neuralgia, neuropathic arthritis (Charcot), osteoarthritis, osteomyelitis, osteochondritis, osteonecrosis, low back pain, gout, pseudogout, peripheral neuropathies, post-stroke pain, prostatitis, rheumatoid arthritis, radiculopathies, scleroderma, multiple sclerosis, scoliosis, angina, sympathetic dystrophy, vascular syndromes (Reynaud, Buerger), Sjögren’s syndrome, Reiter’s syndrome, systemic lupus erythematosus, tendinitis, tenosynovitis, spinal injuries, Parkinson’s disease, etc.
Pain therapies and techniques
Conservative approach to chronic pain:
- Medical evaluation – patient education about pain
- Pharmaceutical treatment (topical gels or patches, basic analgesics, NSAIDs, opioids, neuromodulating medications)
- Therapeutic exercise program
- Pain-related dietary program
- Biofeedback
- Relaxation techniques
- Psychological support
- Behavioral therapy
Indications for interventional management of chronic pain:
- Pain resistant to conservative treatment
Minimally invasive management of chronic pain:
- Collagen injections
- Platelet Rich Plasma (PRP) injections
- Botulinum toxin (BOTOX) injections
- Trigger point injections
- Intra-articular hyaluronic acid injections
- Facet joint injections of the spine
- Transforaminal epidural paraspinal injections
- Prolotherapy (proliferative therapy)
Physiotherapeutic techniques:
- Extracorporeal shockwave therapy
- K-laser Cube 4+
- Targeted Radiofrequency
- Peripheral Magnetic Stimulation (Super Inductive System)
- Kinesiotherapeutic techniques (Mulligan, McKenzie, PNF, Manual)
- Cryotherapy
- Ultrasound therapy
- Electrotherapy
- Kinesiotaping
