Pain clinic
The most common diagnoses treated in the pain clinic are:
- Headache
- Migraine
- Neck pain
- Shoulder pain
- Pain in the elbow
- Lumbago
- Ishii
- Carpal tunnel syndrome
- Rheumatoid arthritis
- Osteoarthritis
The activities of the clinic and the therapeutic procedures carried out can be complementary to other therapeutic procedures, most often physical (by reducing the intensity of pain so that physical therapy is carried out appropriately and to its full extent) or stand alone to suppress painful symptoms.
In the pain clinic, a discussion and clinical examination, as well as a review of the medical records, is used to develop and recommend a treatment plan based on the method that will have the greatest effect, given the patient's condition and the cause of the pain.
The patient is given a regimen and plan of medication with the fewest side effects and the strongest analgesic effect, depending on the severity and type of pain, in an appropriate combination of analgesics alone, as well as other drugs that may contribute to pain relief.
Pharmacological therapy is optimised to achieve a synergistic effect and a plan for the first phase of pain treatment, when a satisfactory response to the type and dosage of drugs must be achieved, and a long-term plan if a permanent treatment is needed.
Pain clinic services
Treatment of headaches
A headache is pain in any part of the head, can be unilateral or bilateral, comes on gradually or suddenly, and can last from a few seconds to an hour or even several days. The pain clinic offers help for conditions such as:
- Migraine
- Tension headache
- Cluster headache
- Trigeminal neuralgia
- Occipital neuralgia
- Fibromyalgia
Blockades
For very intense pain in the acute phase, a combination of strong analgesics and anti-inflammatory drugs can be injected to relieve the pain before the recommended drugs are started, which the patient will use regularly and if necessary at home, or until the recommended therapy (physiotherapy, etc.) is started to relieve the severe pain.
Nerve and muscle blockage
Blocking trigger points involves applying a local anaesthetic and an anti-inflammatory drug to the "hard nodes" that can be located in the muscle, felt and painful when pressure is applied.
Applying the medicine to the trigger point if this is the cause of the pain, leads to muscle relaxation, resulting in increased circulation and interruption of the transmission of the pain stimulus.
Joint blockage
A joint block involves the intra-articular injection of a local anaesthetic and an anti-inflammatory drug into the painful joint.
Under sterile conditions, a fine needle is inserted into the joint cavity when indicated (diagnosis of inflammation of the joint capsule in response to injury or wear of the joint).
Medicines soothes inflammation and anaesthetises the nerve endings that transmit the sensation of pain.
Acupuncture
Acupuncture is an ancient method of healing used mainly to relieve acute and chronic pain (headaches, neck and lower back pain), chronic pelvic pain (chronic prostatitis), but it has also been used for other problems (menstrual cycle, menopause, allergy relief, weight loss, anti-smoking, IVF).
Acupuncture seeks to release the flow of the body's vital energy, or "chi", by stimulating points along 14 energy pathways. Some scientists believe that the needles cause the body to release endorphins - natural pain relievers - and can stimulate blood flow.
Acupuncture needles are very thin and most people feel little or no pain when they insert them. They often say they feel energised or relaxed after the treatment.
Electroacupuncture
Electroacupuncture is a therapy that is often used as a non-invasive method of pain relief. It works by delivering electrical impulses to a specific area, which can help reduce the pain signals sent to the brain and provide temporary relief from chronic or acute pain.
In the context of acupuncture, electroacupuncture is used as an alternative to traditional acupuncture needles. Instead of sticking needles into specific points on the body, an electroacupuncture device can be placed on the surface of the skin and used to stimulate the same acupuncture points with electrical impulses.
This method is used as part of a comprehensive pain management plan. It is often recommended for patients with chronic pain such as arthritis, back pain or fibromyalgia. It can also be used as an adjunctive therapy for pain management after surgery.
Hypnotherapy
For very intense pain in the acute phase, in order to achieve rapid pain control at the onset of the recommended medications, which the patient will use regularly and as needed at home, i.e. until the recommended therapeutic procedure (physical therapy, acupuncture, etc.) is started to relieve the severe pain, a combination of strong analgesics and anti-inflammatory drugs can be administered in the pain clinic, either in the vein or in the muscle.
Frequently asked questions
Who is the pain clinic for?
The outpatient clinic is for anyone with pain in one or more areas of the body. We need to distinguish between acute (within a month) and chronic (longer than 3 months, usually more than 6 months) pain.
Acute pain that is most often inadequately and/or inappropriately treated, can progress to chronic painwhich then causes great difficulty for the patient in functioning normally in everyday life, and often disturbs sleep.
Do I need to have any diagnostic methods before the examination?
Most patients who come for their first check-up have already had a diagnostic test (X-ray, CT scan, MRI) or have already been examined by another specialist (orthopaedic surgeon, neurosurgeon, physiotherapist, etc.).
It is important to note that if you have a health problem, you can come to our clinic for an examination, where a specialist doctor will carry out a clinical examination and decide whether you need to undergo an initial diagnostic examination or to extend your current diagnosis.
What does a typical examination in a pain clinic look like?
The specialist doctor usually starts the examination by talking to the patient and taking medical information called medical history (past illnesses, clinical picture, previous treatments, nature of pain, current pain therapy, possible side effects and allergies to certain medicines, etc.).
After the interview, a clinical examination and various tests are usually carried out to confirm the clinician's possible working diagnosis. The patient is then explained the cause and consequence of his/her problems and a possible treatment plan is drawn up, whether it is minimally invasive treatment and/or oral treatment.
What treatment methods are there?
The most commonly used treatment methods are minimally invasive, which can be performed on an outpatient basis and after which the patient can go home. These methods include blockage of either a joint, tendon, nerve or nerve bundle under ultrasound guidance (no harmful radiation), acupuncture and hypnotherapy.
At the same time, the specialist doctor determines what is best to use at that moment for each individual patient, depending on the severity of the ailment and the clinical symptoms. In addition to the above-mentioned problems, treatment methods can also be used using acupuncture needles, which mainly address the problems caused by myofascial syndrome - this method of treatment is called dry needling.
What is a blockage?
The term blockade refers to the guided injection of a combination of local anaesthetic and corticosteroid into a specific joint, surrounding connective tissue, single nerve, bundle of nerves or muscle.
How long does the blockade last?
In most cases, with successful blockade and the right combination of drugs, long-term improvement and symptom reduction is expected.
It is important to note that in most cases, the blockade does not lead to a cure of the underlying disease and is not a substitute for other treatments. The most common example is frozen shoulder syndrome, where a successful block immediately mobilises the painful shoulder and the patient is then directed to undergo physiotherapy for an additional treatment effect, which was not possible before due to the severe pain. The same applies to acute pain syndromes in the lumbar spine (low back).
The aim of the block is primarily analgesic, to reduce inflammation and consequent pain in one or more parts of the body.
Pricelist
First Allergy Screening in the Pain Clinic
120€
Extended Algological Examination in a Pain Clinic / second opinion
150€
Follow-up Algological examination in a pain clinic
80€
Acupuncture
First examination before acupuncture
80€
First examination and acupuncture
130€
Follow-up acupuncture
80€
Pregnancy acupuncture (first pre-therapy check-up included)
80€
First examination and acupuncture (package of 5 therapies)
420€
Follow-up acupuncture (package of 5 treatments, €75 per treatment)
375€
Follow-up acupuncture (package of 10 treatments, €70 per treatment)
700€
Electroacupuncture
First examination and electroacupuncture
130€
Further electroacupuncture
80€
First examination and electroacupuncture (package of 5 treatments)
420€
Transcutaneous electrical nerve stimulation (TENS)
60€
Hypnotherapy
First examination and hypnotherapy
150€
Further hypnotherapy
80€
Treatment of headaches
Analgesic infusion
130€
Treatment of trigeminal neuralgia / fibromyalgia / cluster headache / tension headache / migraine: infusion + acupuncture
180€
Treatment of trigeminal neuralgia / fibromyalgia / cluster headache / tension headache / migraine: infusion + acupuncture (package of 4 infusions and 8 acupunctures)
960€
Nerve and muscle blockages
Trigger point block under ultrasound (blocking the trigger point in the muscle)
200€
Ultrasound-guided pericapsular nerve group (PENG) block
300€
Ultrasound-guided nerve/plexus block
200€
Ultrasound-guided spinal facet joint block (1 level)
250€
Ultrasound-guided facet joint block of the spine (2 levels)
350€
Ultrasound-guided spinal facet joint block (3 levels)
450€
Ultrasound-guided sacroiliac joint (SIJ) block
350€
Ultrasound-guided third occipital nerve block
350€
Ultrasound-guided stellate ganglion block
350€
Continuous ultrasound-guided stellate ganglion block
300€
Ultrasound-guided epidural block
200€
Ultrasound-guided piriformis injection
300€
Blockade of the small and large occipital nerves without ultrasound
100€
Regenerative Medicine under Ultrasound
Ultrasound-guided PRP therapy (knee, hip, shoulder, tendons)
350€
Radiofrequency (RF) therapies for the treatment of chronic pain
Genicular denervation (knee)
1200€
PENG PRF (colk)
750€
PRF n. suprascapularis (branch)
750€
Radiofrequency ablation of nerve roots
750€
Treatment of Morton's neuroma (permanent block or PRF)
900€
Radiofrequency treatment of postoperative microneuromas (after inguinal hernia surgery, thoracic procedures, plastic surgery, and nerve entrapment surgery)
900€
Radiofrequency therapy or spinal facet ablation (1 level)
450€
Radiofrequency therapy or spinal facet ablation (2 levels)
750€
Radiofrequency treatment or spinal facet ablation (3 levels)
1050€
Our patients' opinions
I received intravenous vitamin therapy for burnout at the NYD clinic. The staff were friendly, professional and made me feel comfortable. I highly recommend it!
Fast, efficient, quality. Thank you🌏
I took a 5-pack of acupuncture for neck pain. This package is much better value for money. I was impressed by the friendliness and professionalism of the staff, the facilities are modern and very clean. I will be happy to go for any therapy or procedure.
I recommend them, I only go to them for fillers (forehead and between the eyebrows) in Ljubljana. The premises are nicely decorated and I had my turn at the appointed time without any waiting.
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