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    Pain management at Orton

    If you suffer from constant pain or have pain on movement, contact us at Orton. Orton has Finland’s top expertise in pain management. You are welcome to visit a specialist without a referral.

    Rehabilitation aims to assess, maintain and improve functional capacity to increase patients’ control of their life and their quality of life. When using medication, the medicine involved may be either a NSAID-type painkiller or medicine for neuropathic pain.

    Before you start treatment, we will review with you the content, benefits and potential risks of the necessary treatment procedure to be carried out. After the treatment, your condition will be monitored. The first follow-up visit will take place after two weeks and the second after two months. You are of course welcome to contact the pain management clinic as and when required.

    Regional anaesthesia

    Based on research evidence, the use of regional anaesthesia (blocks) in pain management has yielded varying results. Regional anaesthesia is best suited to the treatment of acute pain. If the pain involves inflammation and swelling, one patient in three will benefit from regional anaesthesia. Regional anaesthesia is given as a series of injection blocks. The duration of their effect varies. The most common type of regional anaesthesia is the epidural block, which also includes sacral block.

    Sacral block

    In sacral blocks, local anaesthetic is injected into the epidural space from the area below the tailbone (coccyx) to manage pain. This results in local anaesthesia in a limited area. The block may, for example, alleviate pain due to a bulging intervertebral disc. The block aims to reduce swelling and inflammation and to speed up healing.

    Nerve root canal and facet joint blocks

    In addition to medication, pain can be managed with nerve root canal blocks and facet joint blocks. These pain management measures can be used to treat pain of nerve root origin and facet joint-related symptoms due to degeneration (wear and tear) of the spine. In nerve root blocks and facet joint blocks, a specialist injects some local anaesthetic or a small quantity of cortisone near the nerve root or facet joint to alleviate pain and reduce inflammation. The block aims to eliminate irritation of the facet joints (small spinal joints) or symptoms due to nerve root irritation or inflammation. The precise area being treated is located with X-ray, computer tomography (CT) or ultrasound guidance. The procedure is performed under local anaesthesia and takes about 30 to 60 minutes. The effects of the procedure are followed up during visits to the doctor and at regular contacts between the patient and the nurse.

    Stellate ganglion blockade

    Pain in the upper extremity that involves intense and painful temperature variations in the arm and restricted mobility (e.g. CRPS) can be treated by means of stellate ganglion blocks and upper extremity nerve plexus blocks. An anaesthesiologist performs the blocks at the clinic on an outpatient basis, supervised by a pain management specialist.  The pain management clinic’s anaesthesiologist can be consulted to assess whether such blocks are suitable for you. During this consultation, the practical aspects of the procedure will be discussed with you and you will receive detailed instructions on how to prepare for the procedure. Should you need a payment voucher, an application can be submitted on the basis of your consultation visit.

    Epidural stimulation is used to treat chronic pain due to nerve damage in the back and legs; it may also be used to treat CRPS of the upper extremity. Epidural stimulation is used when medication and regional anaesthesia (blocks) do not provide sufficient pain relief. Orthopaedic surgeons specialising in treating back conditions carry out stimulator placement procedures against a payment voucher. Stimulation therapy requires regular monitoring. The stimulator’s settings are adjusted at the pain management clinic, together with the device manufacturer’s representatives.

    Radiofrequency therapy

    Radiofrequency therapy is given using high-frequency electricity; its effects last longer than those of nerve root blockade. The procedure is performed under local anaesthesia with X-ray guidance.

    Epidural stimulation therapy

    Epidural stimulation (stimulation of the spine) is used to treat chronic pain due to nerve damage in the back and legs; it may also be used to treat CRPS of the upper extremity. Epidural stimulation is used when medication and regional anaesthesia (blocks) do not provide sufficient pain relief.

    Epidural (spinal) stimulation can be used to alleviate severe, persistent neuropathic pain in patients in whom other treatments or surgical procedures have not helped. Patients with complex regional pain syndrome (CRPS) have also been shown to benefit from this type of treatment. The method is based on the use of a small device implanted in the spinal canal to reduce pain. More than 100 new stimulators are implanted in Finland annually. The device works for 3 to 5 years. Spinal stimulation has been used for more than 40 years worldwide.

    Stimulators are implanted by orthopaedic surgeons specialising in the treatment of back conditions. Stimulation therapy requires regular monitoring. The stimulator’s settings are adjusted at the pain management clinic, together with the device manufacturer’s representatives.

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