Pain management
Chronic pain is more than a symptom. It affects sleep, movement, mood and the ability to work. Together we look for the causes of the pain and make a treatment plan that does not rely on painkillers alone.
When to come
- Back and neck pain, pain radiating into the leg or arm (sciatica, radicular pain)
- Joint, tendon and muscle pain
- Nerve pain (neuropathic pain)
- Long-lasting pain after surgery or injury
- Painkillers no longer help or cause side effects
How the appointment works
Detailed conversation and examination
The nature and history of the pain, previous tests and treatment, all medicines and supplements you take, sleep, movement and daily life. Please bring previous test results and a list of your medicines.
Treatment plan
The plan may include changes to medication, nerve blocks, physiotherapy or shockwave therapy, and lifestyle changes that reduce inflammation and improve sleep. When needed, we refer you for tests or to another specialist.
Procedures
We perform landmark-guided nerve blocks and injections, including epidural blocks. We do not offer ultrasound- or X-ray-guided procedures. When these are needed, we refer you to a centre that does them.
Follow-up
We check whether the treatment is working and adjust the plan. For long-term support, see membership.
Urgent epidural block
For severe acute back pain, we can also do an epidural block in the evening and at weekends, by prior phone arrangement only and only in Tallinn.
Shockwave therapy
For tendon and muscle pain (shoulder, elbow, heel, Achilles), shockwave therapy combined with physiotherapy often helps. Read about shockwave therapy →
Too many medicines?
Pain often brings a long list of medicines. Let's review them together. Medication reduction →