Pain Care

The optimal combinationtherapy for chronic pain has to be adapted to the patient and to the exact diagnosis

To treat complex chronic painconditions effectively, according to the bio-psycho-social painmodel, it is necessary to accept that in every chronic paindisease we have to face multiple different causes being responsible for this pain.

So - if the "cause-cake" always consists of more cakepieces than one, the logical consequence is, that the "therapy-cake" should also consist of more pieces than one, to get a better overall effect. It makes sense, to use different therapeutic modalities according to different affected zones respectively tissues.

The disturbed muscle will react to acupuncture, acupressure, triggerpoint-therapy, shockwave-therapy or eventuelly triggerpoint-infiltration. The irritated segmental joint will need additional Manual Therapy or local infiltration. But if the nerveroot is inflammed and swollen just special spinalcord-near nerveblockades can heal the inflammation. So if a patient asks me in this particular situation of a nerveroot inflammation, whether acupuncture or osteopathy can heal him, I have to tell him that both therapies have other painful circumstances, where they can be successful, but not for this tissue (=nerve) and this depth. But I might use acupuncture in this paindiagnosis to detone the painful contracted muscles and to improve the bloodflow in deeper musclezones additionally to the nerveroot-blockade and adequate pain medication.

For this reason, in the thorough 60-minutes first-investigation, Dr. Stengg tries to find out not only the major causes, but also which components of the movement apparatus are involved most in the pain process. Then he will decide, which combination of state-of-the-art therapies he will choose first.