Root infiltration and blockade

Periradicular Therapy (PRT)

Severe pain in the neck or lower back may be the cause of disc disease. For a precise diagnosis, a magnetic resonance tomography (MRI) of the affected portion of the spine is first made. If the condition is indicative of disc disease (e.g., inflammation or irritation of the nerve root), its pain could be alleviated by PRT.

In Radiologie Duesseldorf Mitte, a first reconnaissance and counseling session is mandatory before starting a periradicular therapy (PRT). Only after the second appointment will the actual therapy be started.

Procedure

Computer-controlled pain therapy

How exactly does periradicular therapy (PRT) work?
You are driven on a couch in prone position through the opening of the computer tomograph. After a first planning picture the therapy begins.
With a probe analgesic drugs are brought directly to the irritated nerves and the local inflammation inhibited, causing an additional pain reduction over a longer period. The procedure is carried out under visual control in the computer tomograph, in order to enable a targeted syringe with the drug (Volon A 40) for maximum therapeutic success.
The painkiller works after a few minutes. The additional cortisone inhibits the nerve inflammation in particular on the decongestant effect and thus the pain over a longer period.
What should be considered after CT-controlled pain therapy?
The effect of the local anesthetic may affect the motor function of the supplied limb so that it is not advisable to drive a motor vehicle or other machines on the day of the therapy. In the best case, you will come with a companion, who can accompany you home and support you to distress. For your well-being you should spare yourself, which is why sport on the same day is not recommended.
The entire therapy and follow-up is usually completed after about 45 minutes and you will receive the complete documentation for your doctor.
How often can you receive the micro-therapy?
We act according to the principle “as little as possible”. Despite its name, it is nevertheless an invasive procedure, which we want to keep to a minimum. Microtherapy is to be classified as an acute treatment to relieve your pain.
What side effects can occur?
As a side effect with appropriate sensitivity, redness and tension of the facial skin as well as occasional application of occasional acne is possible. Certain conditions may be affected by the treatment: for example, existing hypertension or cardiac insufficiency may be worsened, with known glaucoma the intraocular pressure may increase and in diabetics the blood glucose level may increase, especially on the day of treatment.
Contrast agent-related allergic reactions, such. As skin replacement and circulatory reactions are to be described as rare.
Puncture-related bleeding, articular effusions, seromas or infections are extremely rare. Occasionally, there are drawing, burning back pains at the level of the puncture region, which experience has shown to regress after a short period of time. Especially with regard to possible bleeding, you should let us know if you take anticoagulant drugs such as ASA or Marcumar.
Chance of emotional and sensory disturbances of the associated conductive nerve pathways are observed, which are classified as unpleasant, but not in principle as undesirable. These usually relapse completely within 1-2 days with the onset of the therapeutic effect.