Advanced treatments

Advanced pain management techniques.

Chemical and thermal neurodestruction
Permanent nerve blocks and neurodestructive procedures do not yield good results in long-term pain relief, so they are used almost exclusively in patients with a limited life expectancy.

Implantation of spinal cord and peripheral nerve stimulation systems
The operation involves implanting an electrical generator device through the skin, which is connected by a cable to a band of electrodes located near the spinal cord. The device delivers low-voltage electrical impulses to these electrodes, altering pain signals in the spinal cord and providing partial or total pain relief. The stimulators are programmable, so that the signal can be adjusted for optimal relief after implantation.
Peripheral cervical-occipital electrical stimulation (C2-C3) performed with an implanted system is a minimally invasive surgical technique that is yielding promising results in patients with severe migraines and occipital neuralgia.

sistemas de estimulacion medular y de nervios perifericos

Implantation of subarachnoid infusion pumps (pain and spasticity)
Spinal infusion pumps release small doses of drugs, such as morphine, into the intradural space, allowing much lower doses to be used than would be required for oral or injection treatment. This approach avoids most of the side effects. The surgical procedure involves placing a medication reservoir and an infusion pump in the lower abdominal wall. The reservoir can be refilled as often as necessary.

Vertebroplasty

Vertebroplasty is a treatment performed through a puncture in the skin, guided by fluoroscopy, which is done to strengthen a fractured vertebra that has been previously weakened by osteoporosis or, less commonly, by cancer. Vertebroplasty will improve the patient's functionality and alleviate pain caused by mobility and instability. In vertebroplasty, a type of cement is injected into the fractured bone through a needle.

Vertebroplastia