What is Pain?
Pain is an unpleasant sensation that originates from any part of the body and encompasses all past experiences of a person, whether due to an organic cause or not. Today, pain is examined in two groups. First; It is acute pain that is a sign of various diseases. It is often a sign of existing tissue damage in the body. Acute pain is an important part of the body's alarm system. The second group of pains is chronic (ongoing) pain. Chronic pain is pain that lasts longer than 6 months (3 months in some cases) and is no longer an alarm system. Chronic pain is not a sign of disease, it is the problem itself.
The patient with pain should be evaluated in detail using all medical facilities, and when necessary, various laboratory tests and radiological examinations should be performed. Studies have revealed that more than 90% of all types of pain can be relieved with the right painkillers. In cases where painkillers are not effective and sufficient, physical therapy methods, surgical operations or interventional pain treatment methods are applied in pain treatment centers, depending on the source of the pain. At this point, the correct approach is to determine the most appropriate treatment method for the patient and ensure that the patient reaches the correct treatment without wasting time.
Multidisciplinary Pain Management Clinic at İSOM Istanbul
At İSOM Orthopedic Clinic in Istanbul, acute and chronic pain treatment is approached through a comprehensive, multimodal clinical framework. Pain is categorized based on its underlying pathophysiological mechanism: nociceptive (tissue damage), neuropathic (nerve injury or irritation), or nociplastic (altered central pain processing).
Our diagnostic evaluation incorporates high-resolution magnetic resonance imaging (MRI), electromyography (EMG), musculoskeletal ultrasound, and targeted diagnostic anesthetic nerve blocks to pinpoint the exact anatomical pain generator before treatment initiation.
- Acute Musculoskeletal Pain: Rapid targeted intervention for sports sprains, acute muscle tears, herniated disc radiculopathy, and post-traumatic pain.
- Chronic Spinal Pain: Non-surgical care for degenerative disc disease, facet joint arthropathy, spinal canal stenosis, and failed back surgery syndrome.
- Peripheral Joint Arthralgia: Targeted relief for chronic osteoarthritis of the knee, hip, shoulder, and small joints of the hands and feet.
- Myofascial Pain Syndromes: Comprehensive treatment of chronic trigger points, fibromyalgia, tension headaches, and postural neck spasms.
Interventional Orthopedic Procedures and Non-Opioid Pharmacotherapy
When conservative measures require reinforcement, our clinic utilizes image-guided interventional pain procedures performed under sterile ultrasound or fluoroscopic guidance. Ultrasound-guided facet joint injections, epidural steroid injections, and sacroiliac joint blocks provide substantial, long-lasting anti-inflammatory relief directly at the pathological epicenter.
We adhere strictly to non-opioid multimodal pharmacotherapy, combining modern neuromodulators (such as pregabalin or gabapentin for radiculopathy), membrane-stabilizing agents, and localized transdermal preparations to avoid systemic side effects.
- Ultrasound-Guided Trigger Point Injections: Precise micro-delivery of local anesthetic and anti-inflammatory solutions into myofascial taut bands.
- Intra-Articular Viscosupplementation: High-molecular-weight hyaluronic acid injections restoring synovial lubrication and cartilage protection.
- Radiofrequency Neurotomy (RFA): Thermal disruption of sensory medial branch nerves providing months of relief for chronic facet joint pain.
- Platelet-Rich Plasma (PRP) Injections: Autologous growth factors promoting cellular repair in chronic tendinopathies and chondral defects.
Frequently Asked Questions About Pain Treatment in Istanbul
Consult Our Orthopedic Specialists
Contact our medical team in Istanbul for questions about your diagnosis, surgical options, and appointment scheduling.