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What is Minimally Invasive Pain Therapy?

At the Radiological Center Bad Homburg, we offer minimally invasive pain therapy controlled by computer tomography (CT), which is primarily carried out on the lumbar spine. With the help of the CT control, drugs can be placed at the site of action with millimeter precision with a thin needle. This can also treat pain that does not respond to conventional pain therapies (e.g. painkillers). This method is particularly suitable for patients with radicular pain due to compression of the nerve roots, such as those found in B. occur in herniated discs. The pain relief makes conservative therapy by means of physiotherapy much easier and surgery can often be avoided. Other suitable uses are pain due to narrowing of the lateral nerve openings (neuroforamen stenosis) or arthrosis of the facet joints (spondylarthrosis).

Do you have any questions about these treatment options? Then do not hesitate to contact us. We are happy to help.

Before treatment

For an optimal and individual therapy, a personal preliminary talk with a detailed discussion of your complaints and an assessment of the previous findings is very important. In this way, the cause of your pain can be properly understood and then treated appropriately.

How does the treatment work?

To plan the intervention, a short, low-radiation CT coil is made over the section of the spine to be treated. In most cases, the patient is placed on his stomach for this purpose. After determining the puncture height, markings are made on the back with a fine felt pen. The back is then covered in a sterile manner and the puncture area is thoroughly disinfected. A local anesthetic is used to enable largely painless treatment. After the puncture with the thin therapy needle, the position of the needle is checked with the help of computed tomography and corrected if necessary. If the needle is in the correct position, a sample solution of local anesthetic and contrast agent is first injected to check that it is properly distributed. Only then does the final injection of the therapeutic solution take place. After the intervention is over, you will be brought to our relaxation room lying down, where you can recover from the intervention for 45-60 minutes. Then you can start your way home.

After treatment

By injecting the local anesthetic, you may feel numbness in your leg after the intervention and the strength in the leg on the treated side may be somewhat reduced. You need not worry about this. The effects of the local anesthetic can last up to six hours. These side effects then recede completely.

Please note that due to these possible temporary side effects, for insurance reasons you are not allowed to drive a motor vehicle immediately after the intervention. It is best to have someone take you home or take a taxi. It would be ideal if you could plan to rest at home for the rest of the day after the treatment and lie down for a while. By the next day at the latest, there are no longer any restrictions due to the intervention.