"As needed, we bring pain-relieving and anti-inflammatory medications precisely where the pain originates, for example, in the facet joints or the inter-iliac joint," says Dr. med. Reinhard Schneiderhan, orthopedist from Munich and president of the German Spine League.
Breaking the Vicious Circle
Prior to each treatment, a detailed conversation and physical examination will be performed, possibly with the help of imaging techniques, to help clinicians understand the individual course of the disease, the nature and extent of the pain, and their cause. On the basis of this detailed survey and diagnosis, individual measures can be initiated. In certain indications, infiltrations help to get rid of pain quickly, to move as usual and to give up any painful posture, which aggravates ailments.
"With infiltrations, the vicious circle can quickly and effectively break back pain, restrain, and even more back pain. In many cases, patients are quickly mobilized and we can work on the causes of the pain. This can be done, for example, with physiotherapy or other conservative methods, "explains Dr. med. Reinhard Schneiderhan. Infiltration often forms part of a multimodal pain therapy, which means that patients are also in the treatment of a physiotherapist or psychologist.
Controlled pain medication
One of the most common applications is the so-called periradicular pain therapy, PRT for short. Here, the doctor, usually under X-ray or CT control, injected special drugs and painkillers, if necessary, several times in succession, exactly to the painful spot directly to the nerve root. Advantage of this method compared to a conventional analgesic therapy: It is lower in quantities than in tablets, the drugs administered act faster and, above all, exactly at the affected site.
Even with a herniated disc or a spinal canal narrowing, also called spinal canal stenosis, can be achieved by infiltration improvements in symptoms. Soft tissue shrinks and troubled nerves can calm down. However, this is often not enough: "With physiotherapy and sport, for example, patients need to work their abdominal and back muscles back on a long-term basis in order to prevent further back problems".Schneiderhan.