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Pain management should be personalized

Low back, neck and knee pain is one of the most common health problems in society. Many people suffer from these pains at least once in their life. Stating that these problems can be eliminated with the right methods, Liv Hospital Pain Clinic Specialist Prof. Dr. Kader Keskinbora warned that pain treatment should be done individually.

Low back pain treatment possible without tissue damage

Pain in the lumbar region can cause muscle spasms, calcification of various joints (facet joint) and disc material may be due to herniation. These pains can occur after an activity or trauma, or for no apparent reason. If sudden onset or long-lasting persistent low back and neck pain does not subside despite physical therapy, interventional pain treatment options come to the fore. Injection (cortisone) and radiofrequency treatment are applied to the facet joint that causes pain in the waist and neck region or to the nerve roots affected due to herniation. In recent years, radiofrequency current therapy applied to the lumbar and neck nerve roots is more effective than injection therapy, provides longer-term (at least 2 years) pain relief and does not cause tissue damage.

It is possible to get rid of the drug with the right pain treatment

The elderly generally feel pain in all body joints and muscles due to calcifications in the skeletal-muscular system. Pain management in the elderly consists of a wide spectrum ranging from drug therapy to interventional pain therapy. In drug treatment, it is important to choose the appropriate drug, to choose the short-acting drug, to start the treatment at low doses, to increase the dose in a controlled and slow manner if necessary, to know the side effects of the drug, to know the side effects of drug combinations, and to continue the drug for as long as necessary. The most common mistake, especially in the elderly, is using strong and high-dose pain relievers for a long time. Researches conducted in recent years have revealed that strong and high-dose painkillers not only disrupt the stomach but also the vascular structure. Patients who use these drugs for a long time have a high risk of having a heart attack. For this reason, drug treatment should be done by taking these side effects into consideration. It is even possible to get rid of needle therapy drugs for long-term pain in the waist, shoulder and knee areas.

Radiofrequency for knee pain

Pain in the anterior part of the knee actually constitutes an important part of knee complaints. When the kneecap is overloaded, the cartilage tissue and bone under the kneecap are also overloaded. As this process lasts for many years, the cartilage tissue in the knee deteriorates, and even calcifications occur in the colloquial language, and these cause pain. Due to pain, the movements of these patients are also restricted and their quality of life decreases. This type of pain in the front of the knee is seen in many people, from housewives to office workers. Severe pain occurs in patients, especially when going up and down stairs, crouching and sitting for a long time in a bent position. For many years, various injection treatments have been applied to the knee in order to reduce the pain in the anterior part of the knee. The cortisone drug used in these injection treatments can have long-term side effects. Today, the medical world recommends treatments that do not cause tissue damage. In this new method, radiofrequency current is applied to the knee joint space in pulsed mode, reducing the pain in the anterior part of the knee. It is applied by entering the knee joint space under ultrasound guidance with a special generator that produces radiofrequency current and a radiofrequency needle that transmits this current to the tissue. The application to the patient is done once and for an average of 6 months to 2 years, the knee pain of the patients decreases and they can make especially going up and down stairs painless. Pulsed radiofrequency current provides pain relief without tissue damage in the area where it is applied, so this procedure can be applied to the patient repeatedly.

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