Periradicular therapy (PRT)

interventional pain therapy

Orthopedics surgery

Procedure description

Periradicular therapy (PRT) is a form of interventional pain therapy. It’s a very effective, minimally invasive method of CT-guided injections treatment for patients with disc problems and chronic back pain caused by degenerative conditions in the spine or by fresh slipped discs, especially in the cervical and lumbar sections of the spine.

If there are no serious motor deficits (paralysis), the pain can be treated with this method. Many slipped discs - especially if they have recently occurred - can shrink spontaneously or with targeted treatments, medication and injections and become smaller, thus releasing the constricted nerve root again. In this way, surgical therapy can be avoided. For the PRT (injection to the inflamed nerve root, periradicular) you are placed in the prone position, and after the usual preparations and the determination of the spinal column section to be treated, the coordinates are marked on the skin. The skin is then disinfected several times and treatment begins. A thin injection needle is inserted under local anesthesia of the skin and musculature up to the immediate vicinity of the nerve root. The needle is inserted into the spine and medication is applied directly to the irritated nerve root. The aim is to achieve long-term relief from pain caused by the damaged nerve root so that an operation can be avoided.

The treatment is especially effective when PRT is performed with an injection of cortisone, anesthetic medication, or ozone under CT-guidance.

If the microtherapy does not significantly improve the symptoms, surgical intervention can be followed in most cases.

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