Pain Consultation - Ultimate Guide to Pain Management 2023 - Zeljko Kojadinovic, MD- Neurosurgeon and Pain Specialist

Pain Consultation – Ultimate Guide to Pain Management 2023

Zeljko Kojadinovic, MD- Neurosurgeon and Pain Specialist

We offer you the possibility of efficient and affordable consultation with our experts regarding the diagnosis and treatment of all painful syndromes (headaches, neck pain, facial pain, trigeminal neuralgia, back pain, herpes zoster neuralgia, intercostal neuralgia, etc.). The goal of this consultation is to significantly reduce or completely resolve persistent pain in 10 days with adequate treatment. Then make it stay like that for 6 weeks, after which period the therapy can be discontinued and the achieved results remain long-lasting.

Treatment of persistent pain is successful only when the cause of the pain is located. Modern imaging such as MRI does not show it in most cases. The cause of the pain is most effectively detected by a detailed conversation with an expert who, based on his knowledge of the anatomy of the pain, knows what questions to ask you about your illness.

Persistent pain (e.g. various neuralgias) can only be healed only by an expert who knows well the pain anatomy. Maybe you don’t have an expert like this in your town. Modern telemedicine enables very well diagnosis without a classic examination in the office. This is why most persistent pains today are solved through a video consultation with such experts. On the other hand, many patients are examined in the polyclinic by doctors who do not know the pain anatomy enough to solve the problem.

Every patient should have the right to a second opinion. It is often desirable that the expert who gives it is not from the circle of experts who have treated you so far. For example, pain specialists from Europe (Germany, France, Austria, etc.) may have a different approach than your doctors to the treatment of your illness that suits you better. This applies especially to pain syndromes that last a long time despite treatment. Doctors in certain developed countries usually protect themselves from competition with the exclusive right to prescribe drugs in that country or to conclude contracts with insurance companies. However, their moral obligation (especially general practitioners) is to react positively if they get a second opinion from an expert outside your country regarding the treatment of your disease, which is more acceptable for you and in which you believe more.

Our consultation can be easily carried out even with older people who are not familiar with computers or smartphones.

We have been using this method of diagnosing and treating pain successfully for 12 years.

This guide to pain treatment is presented in the form of principles of pain treatment through our online consultation

PRINCIPLES OF PAIN TREATMENT THROUGH OUR ONLINE CONSULTATION:

For the treatment of persistent pain, it is important to determine 2 facts: which structure the pain originates from (there are 10-30 potential pain sources in every body region) and which pathological processes are occurring in it (inflammation, spasm, nerve damage, compression, etc.).
This can only be achieved if all relevant data about the pain and any other symptoms are collected.
This requires a detailed conversation with patients and an analysis of their medical documentation, if available.
Online medical examinations are conducted according to the principles of telemedicine. Through online contact with an expert, it is now possible to collect all relevant information about an illness and prescribe appropriate treatment.
In order to pay attention to all important symptoms and analyze them correctly, experts need a lot of experience and knowledge of the pain anatomy.
The causes of pain are in most cases not visible on images, not even on MR images
Only after determining all causes of the pain can an adequate combination of drugs in adequate doses be prescribed.
This therapy is always individual.
It aims to reduce pain in 10 days.
It is important for the patient to maintain a significantly reduced level of pain or no pain for at least 6 weeks in order to achieve a more lasting result.
During this period the patient can easily contact a specialist through WhatsApp if necessary.
During this period, it is important to maintain contact with the patient regarding any remaining problems and to see how they respond to their medications, in order to make any necessary adjustments to their individualized treatment. Every patient is a unique story and deserves unique treatment.
With this approach, it is possible to achieve an excellent result with long-term persistent pain in over 80% of cases (back pain, headache, postherpetic neuralgia, trigeminal neuralgia, etc.). And even better results in acute and subacute cases.
This method avoids unnecessary surgeries in a high percentage of cases. It also avoids common mistakes in the treatment of pain that we see frequently in everyday practice.

Our online consultations are provided by our TEAM OF EXPERIENCED NEUROSURGEONS AND PAIN MANAGEMENT SPECIALISTS. TThese experts received their education and get experience working in Western European countries.

THE CONSULTATION PROCESS: This starts with your prior notice via email to NSandPTT@aol.com or WhatsApp + 966 54 956 9265 . In this notice first briefly explain your problem to us. After that we will explain to you how the consultation will take place.

There are two TYPES OF CONSULTATIONS:

Interview with an experienced specialist via SKYPE, Viber, WhatsApp or video link lasting 30 min. All you need to have is internet connection and quiet surroundings.
A detailed online investigation includes: sending an e-mail with a description of the problem and questions you have. If you have medical documentation, it would be good to send it as an attachment. After considering all the information, we will contact you with additional questions, if necessary, and then have a video conversation with you within 48 h of your first notice as described in topic 1. After that, we will give you in written form an opinion on the disease and the best type of treatment.

THE ADVANTAGES OF THIS METHOD OF TELEMEDICINE ARE:

It is done in a language you understand. This method can be applied around the world in different countries (USA, Nigeria, Kenya, Tanzania, Germany, Japan, etc.).
The consultation can be easily performed without the need to know how to use special programs or devices. You just need to click on the link we send you
The communication is not limited to one short visit or brief phone call with the doctor. And even when it is over, you can still ask questions as you think of them.
Enough time will be set aside for you until everything is clear.
You do not have to travel, and you will get an opinion from an expert who has extensive experience.
This way, problems can be detected and resolved in a large percentage of cases, even in cases when they are long-lasting and seemingly unsolvable. It avoids the usual diagnostic and therapeutic deficiencies that we see in everyday practice

FREQUENT DEFICIENCIES THAT WE DETECTED IN THE DIAGNOSIS AND TREATMENT OF PAIN IN DAILY PRACTICE:

The real causes of the pain are not determined, but rather less precise diagnoses are used, such as sciatica, neck pain, low back pain, trigeminal neuralgia, headache, etc.
Not enough time is spent talking to patients and collecting all relevant information about their symptoms.
Instead of spending time talking with the patient, doctors rely more on analyzing images like MRI, the value of which is overrated, because the cause of pain is not evident on them in more than 50% of cases. This can also lead to unnecessary surgery for “significant” pathologies observed on MRI, which are not the real cause of the pain.
Medications are prescribed according to insufficiently precise diagnoses, and schematically, instead of individually
Adjustment of medications is not made regularly to optimize effectiveness. Instead, doctors wait too long “to see effects.”
The patient cannot easily contact a doctor by phone when necessary.
Not all patients have access to pain specialists with wide experience.
In many cases of poor treatment outcomes, doctors blame the results on the patient’s pre-existing conditions. The conditions most commonly blamed for results are the patient’s age, obesity, poor posture, mental state, or other chronic diseases. However, these things cannot be used as an excuse for unsuccessful treatment.

Price list of different types of our consultations

E-mail for consultation: NSandPTT@aol.com

WhatsApp + 966 54 956 9265 .

More about telemedicine – here