Chronic pain is not just a physical discomfort; it is a process that directly affects an individual’s quality of life, sleep patterns, and psychological well-being. Algological interventional methods, which come into play when traditional drug treatments are insufficient, aim to provide long-term relief by directly addressing the source of pain.
What is Algology (Pain Treatment)?
Algology, also known as the science of pain, is a medical specialty that deals with the diagnosis and treatment of chronic or severe acute pain.
The Purpose and Advantages of Interventional Pain Methods
The primary goal of interventional methods is to temporarily or permanently block the nerve pathways transmitting pain or to eliminate inflammation at its source.
These methods do not require surgical incisions, are usually performed under local anesthesia, and minimize the patient’s hospital stay.
When Is Algological Treatment Considered?
Lumbar and cervical disc herniations that do not respond to medication and physical therapy.
Persistent pain after surgery (Failed Back Surgery Syndrome).
Severe joint calcifications and neuropathic pain.
Interventional Procedures for Back and Neck Pain
Transforaminal Epidural Injection (Targeted Treatment)
In this method, known as “targeted treatment” among the public, the exact point where the herniated disc is pressing on the nerve is reached with the help of a fluoroscope (X-ray device).
The medication mixture applied here reduces edema and inflammation in the nerve, allowing the patient to move without pain.
Radiofrequency Thermocoagulation Methods
This technique involves applying heat energy to the nerves that transmit pain using special needles. With the Pulsed Radiofrequency method, pain transmission is stopped without damaging the nerve, providing months or even years of comfort for chronic back and neck pain.
| Application Method | Procedure Duration | Onset of Effect | Hospital Stay |
| Epidural Injection | 15 – 20 Minutes | 2 – 5 Days | Same Day |
| Radiofrequency | 30 – 45 Minutes | Immediately / 1 Week | Same Day |
| Prolotherapy | 15 Minutes | Gradual (3-4 sessions) | None |
Recommendations from Prof. Dr. Erdinç Özek
“Our patients often think that ‘needle therapy’ is just a temporary numbing.
However, when algological interventions are performed using the correct technique and imaging (Skopi/USG), they trigger the healing process around the nerve. The important thing is to correctly identify the source of the pain.
You should seek expert support before your pain becomes chronic and leaves permanent marks on your nervous system.”
Joints and Advanced Algological Techniques
Advanced solutions are available not only for the spine but also for large joints and treatment-resistant cases.
Joint Injections: Intra-articular hyaluronic acid or regenerative (regenerative) applications for knee, hip, and shoulder osteoarthritis.
Spinal Cord Stimulator (SKS): For resistant pain that does not respond to surgery or injections, electrodes placed on the spinal cord block pain signals from reaching the brain.
Clinical Experiences and Case Study
Anonymous Case Analysis: A 58-year-old male patient presented with severe burning and pain (neuropathic pain) in both legs despite having undergone two lumbar disc herniation surgeries. The patient was diagnosed with “Failed Back Surgery Syndrome” and underwent epiduroscopy and nerve root radiofrequency treatment. The patient experienced a 70% reduction in pain score (VAS) after the procedure and was able to resume his daily walks and social life.
Treatment Process and Post-Procedure Considerations
The success of these procedures depends on millimeter-level accuracy. Therefore, all interventions are performed under sterile hospital conditions, guided by fluoroscopy or ultrasound.
Patients are usually discharged home after a 2-hour observation period following the procedure. Resting for the first 24 hours and avoiding contact with water in the application area is recommended.
Frequently Asked Questions
Do interventional pain treatments replace surgery?
These methods are the most effective alternative treatment option before surgery, particularly for hernias that do not require surgery or for patients who are not suitable for surgery, to relieve pain and improve quality of life.
Is there significant pain during the procedure?
Interventional procedures are performed under local anesthesia using very fine needles, so patients typically feel only mild pressure and do not experience significant pain during the procedure.
How many times can point-of-care treatment be administered?
Depending on the physician’s assessment, epidural injections can generally be safely repeated 2 or 3 times a year as needed.
How long does the effect last?
The duration of the treatment depends on the cause of the pain and the patient’s lifestyle; methods such as radiofrequency can provide long-term relief lasting from 6 months to 2 years, while in some cases the improvement may be permanent.
Can patients return to work immediately after the procedure?
The procedures are performed on an outpatient basis, and patients can usually return to their daily activities and light work schedule comfortably after 24 hours of home rest.
Who is not eligible for interventional pain treatment?
These methods are not preferred for individuals with active infection in the application area, severe bleeding disorders, or advanced uncontrolled systemic disease.
Scientific References
Pain Physician Journal: Interventional techniques in the management of chronic spinal pain. https://www.painphysicianjournal.com
The Lancet: Chronic pain: an update on interventional and multidisciplinary management. https://www.thelancet.com
PubMed (NIH): Effectiveness of transforaminal epidural steroid injections for lumbar spinal stenosis. https://pubmed.ncbi.nlm.nih.gov
Detailed Information and Appointment
A pain-free life is possible with the right diagnosis and personalized interventional planning. To learn more about algological treatment options and have your condition evaluated, you can contact Prof. Dr. Erdinç Özek’s clinic. You can schedule an appointment at our Istanbul center to benefit from our modern pain treatment protocols.