Pain Treatment Unit

• Pharmacological therapies with a wide range of drugs that are combined with minimally invasive treatments to improve efficacy, reduce opioid use and minimise adverse effects, adapting to the patient's needs.
• Epidural steroid injections for the treatment of symptomatic disc herniation, whether of cervical, thoracic or lumbar origin.
• Nerve blocks with local anaesthetics, guided by ultrasound and neurostimulation, for both diagnostic and therapeutic purposes.
• Joint blockades for the treatment of joint pain such as the spine, sacroiliac joint, knee, hip and shoulder.
• Muscle and trigger point blocks, indicated for contractures resistant to physiotherapy or long-term.
• Radiofrequency treatment, which acts on anatomical structures involved in pain, producing localised lesions or altering the biological behaviour of the treated cells. It includes thermocoagulation of the medial branch of the dorsal ramus for vertebral pain, treatment of the dorsal root ganglion for radiculopathies, sympathectomy for complex regional pain, and radiofrequency of peripheral nerves in pathologies such as occipital neuralgia headache, frozen shoulder, and intercostal chest pain.
• Botulinum toxin treatment, particularly indicated for the treatment of myofascial pain.
• Epidural adhesionolysis and radiofrequency for the treatment of complex pathologies.
• Regional sympathetic blocks, which can be temporary or permanent depending on the type of pain, such as the stellate ganglion block, lumbar sympathetic block, and brachial plexus block.
• Molecular and biological therapies, including treatments with platelet-rich plasma and autologous cytokines.
• Neuropathic pain treatment lidocaine infusions, capsaicin patches (Qutenza) and pulsed radiofrequency.

In a complementary manner, the physiotherapy unit has a fundamental role in the pain management I love Functional recovery of the patient. This service applies techniques of Advanced physiotherapy individualised and Adapted exercise programmes, as planned physical activity has been shown to improve functionality and reduce pain perception. Additionally, the physiotherapy unit promotes Therapeutic education and patient empowerment, providing resources and training so that you can better self-manage your condition and actively engage in the recovery process. The service also has a psychologist to help manage the emotional behaviour of pain and break the vicious cycle between pain and anxiety, and a psychoneuroimmunologist, who offers specific dietary guidelines to improve general well-being and modulate the inflammatory and immunological response associated with pain.