Due to various wear and tear changes in the spine, such as, the degeneration of the intervertebral discs, the vertebrae and the small vertebral (facet) joints, various pain syndromes can arise. A spine-related backache can often be traced back to the degeneration of the vertebrae and the facet joints.


    Bulging and herniated discs can put pressure on the spinal nerve roots resulting in pain which radiates down into the arms and legs. A wear-related narrowing of the spinal canal is referred to as stenosis. If the narrowing is in the vertebrae of the neck region it can cause non-specific symptoms in the arms or in severe cases it can cause frequent falling (clumsiness). Stenosis in the lumbar region of the spine can cause symptoms, such as, ‘window-shopper’s disease’ (similar to the symptoms of a circulatory disorder) in which numbness and weakness in the legs are perceived after short walking distances and which can be resolved by sitting down briefly or leaning forward.


    If there is evidence of one of the above symptoms then a diagnostic imaging technique is required (usually magnetic resonance imaging (MRI) or X-rays), in conjunction with a clinical neurological examination to find out the cause of the illness.


    Targeted microtherapy is performed only after a detailed consultation with the physician. In order to insert the needle to the precise injection site, the infiltrations are carried out only with the aid of a visual control technique (e.g. MRI or X-ray). Depending on the clinical and radiological findings, the infiltrations can be injected with pin-point precision into a nerve root (e.g. for herniated discs), the small facet joints (e.g. osteoarthritis) or into the spinal canal (e.g. in the case of spinal stenosis). If there is a pain in the area of the sacroiliac joint, image-guided infiltration therapy can also be carried out.


    The precise position of the needle is controlled with the administration of a contrast agent. This ensures that the administered medication (usually a mixed preparation of anesthetic medication and cortisone) reaches the desired site.


    In order to allow a longer-lasting reduction in back pain, caused by degenerative changes in the facet joints, we offer to carry out ‘nerve obliteration’ (radiofrequency ablation). By means of a targeted heat application, the small nerve endings in the facet joint, which generate the pain, are completely destroyed, so that the conduction of pain is interrupted.


    The aim of microtherapy is not only to prevent pain becoming chronic but also to prevent surgical measures.


    • Infiltration of a nerve root shown with a contrast agent

    • Infiltration of a facet joint shown with a contrast agent

    • Infiltration into a narrowing in the spinal canal shown with a contrast agent