Pain Unit

We treat all types of pain at the clinic, but the most common types of chronic pain we treat are the following: 

Lumbosciatica and cervicalgia

If patients don´t improve with painkillers/anti-inflammatory drugs or with physiotherapy/rehabilitation, there are various techniques that can be used, such as epidural infiltration, facet blocks and root blocks. This proves the pain, and in many cases eliminate the need for surgery.

Generalized musculoskeletal pain (fibromyalgia) or specific pain

Unsuccessful spinal surgery

This relates to patients who continue to experience lower back pain following an operation on their lumbar or cervical spine, and whose pain is generally resistant to drug treatment and does not respond to the abovementioned blocks. They often improve with the use of other techniques, such as caudal epidurolysis and epiduroscopy. Another alternative for these patients is the implantation of medullary stimulation electrodes.

Neuropathic pain

This type of pain can present in a number of ways; for example, it could be related to trauma or limb fractures affecting the hands or feet (complex regional pain syndrome, previously known as reflex sympathetic dystrophy syndrome), surgery (inguinal pain following inguinal hernia surgery), daily chronic headaches, migranes, triigeminal or diabetic and posterpetic neuralgia.

Cancer pain

Opiates are often required to treat this type of pain, although in many cases it responds to anesthetic or neurolytic blocks (for example the celiac plexus block in pancreatic cancer).

Pain Unit service portfolio

Our Unit offers all currently available pain management treatments, including:

• Cervical, dorsal or lumbar epidural blocks
  
• Cervical or lumbar facet joint blocks
  
• Root and transforaminal blocks
  
• Lumbar and cervical (stellate ganglion) sympathetic blocks
  
• Sphenopalatine ganglion block
  
• Hypogastric plexus block
  
• Neurolytic celiac plexus blocks
  
• Iontophoresis Intravenous lidocaine
  
• Radiofrequency techniques: in the cervical or lumbar spine, cervical or lumbar sympathetic chain, Gasserian (trigeminal) ganglion
  
• Implantation of epidural stimulation and peripheral stimulation electrodes
  
• Epidurolysis and epiduroscopy
  
• Ozone therapy
  
• Radiofrequency nucleoplasty
  
• Implantation of intrathecal infusion pumps
  
• Transcranial electrical stimulation
  

HM PUERTA DEL SUR

Dr.  Juan Pérez Cajaraville

Appointments or enquiries

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We will assist you at any hospital in Spain.