The treatment of pain itself represents a major aspect of any treatment concept. Pain therapy should not be commenced in isolation, however. Instead, it should be regarded as a temporary, accompanying or supplementary measure until the cause of the problem is found and a comprehensive treatment concept is defined.
In acute cases, the use of painkillers is recommended depending on the severity of the pain. Often, these are taken in combination with muscle relaxants and / or physiotherapy. In parallel to this, the cause of the pain (disc prolapse, spinal canal stenosis, inflammation, tumour, cysts) is diagnosed using MRI or CT scans, for example. In principle, the cause is treated and not just the symptom such as pain.
Other than taking painkillers, up to 3-4 injections or infiltrations of the irritated structures, such as spinal joint infiltrations (facet joints) and periradicular therapy (PRT: injection of anaesthetic such as cortisone preparations) can be useful for reducing the irritation.
If direct treatment of the cause is not helpful (e.g. due to phantom pain, pain despite multiple operations, etc.) or simply impossible (severe wear and tear problems, difficult anatomical situations), then there are other treatment options available. This is also true if the patient's general health would not permit this type of treatment. Of course, these options can be combined with other measures (such as medications, physiotherapy and psychotherapy).