1. What should I bring with me in my first visit?

It is essential that you bring your complete medical report, the list of possible medication allergies, copies of the diagnostic tests done related to your pain condition (x-rays, blood tests, MRI, electromyography) and the list of medications you usually take.

2. What is the specialty of pain clinic doctors?

There is no specific specialty for pain management. Doctors in this field are mostly specialists in anaesthesiology, traumatology, neurosurgery and rehabilitation, who have completed and enriched their training with specific courses and international degrees.

3. Are morphine treatments used at the pain clinic?

Morphine and morphine derivatives are extremely useful in chronic and acute pain management. Nevertheless, at Aliviam they are only prescribed for a minority of cases. Our aim is to relieve pain with minimally invasive techniques.

4. What happens at the first appointment?

During your first visit, the doctor will perform a physical exam and complementary test provided will be analysed. Further tests may be prescribed if necessary, as well as nutritional assessment or an appointment with the physiotherapist. When pain comes along with emotional alterations specialized assessment may be proposed.

5. May an infiltration be performed during the first visit?

Infiltrations are never performed during the first visit. The patient must be informed of the diagnosis and the different therapeutic options. Once the most appropriate pain management procedure is established, the patient must provide an informed written consent to be scheduled to receive the treatment.

6. Will I be operated?

Our clinic exclusively offers minimally invasive solutions, without open surgery.

7. Is a referral from my general practitioner or traumatologist required to be treated at the pain clinic?

Any patient can come to our clinic spontaneously; no referral is required.

8. What medications are used for pain management infiltration techniques?

In these techniques we reach the painful area through cannulas and inject the most appropriate and effective anaesthetic medication according to the patient’s condition. Sometimes we apply biological material from the patient or use radiofrequency techniques; in these cases there is no risk of allergy or side-effects because no medication is used.

9. What are the possible systemic effects of infiltrations cortisone?

Cortisone is a medication widely used in pain management. Unlike oral, intramuscular or intravenous forms, cortisone used in our procedures is only injected directly into the affected area; this reduces drastically systemic absorption, preventing or minimizing undesirable side-effects. 

10. How many visits are required to get/notice a significant improvement?

Time optimization and increased effectiveness are key factors for us. For that purpose we strive to reduce the number of treatment to the maximum, even to one single session if possible.

 11. Where are treatments performed?

Patients are treated in an operating room especially equipped to perform interventional techniques, in a comfortable and professional environment.

12. How long the procedure takes?

It may take15 to 60 minutes, depending on the complexity of the specific technique.

13. Is fasting required for these treatments?

You will be informed about pre-procedural fasting in the consultation room (generally 4-6 h fasting before the procedure). Certain infiltrations do not require fasting.

14. Should I take complete rest or a sick leave after a treatment?

We will give you clear instructions depending on each specific treatment. Patients are always discharged the same day and may get back to normal within 12-24 h. The sick leave will be required in case of risk of overload or intense effort at work.

15. Will I be sedated to receive an infiltration?

We always offer our patients the possibility of administering intravenous sedation for them to relax and feel comfortable while the treatment is being applied.

16. How long does it take the benefits of the treatment to become evident?

It depends on each specific treatment, but in the majority of cases pain relief starts to become evident within 48-72 hours.

17. Can the medication I take interfere with the procedure?

Certain medications, such as Aspirin and Sintrom do interfere with blood clotting. You will be provided a written document and clear explanations by the doctor on how to take these medications prior to the infiltration.

18. Does my health insurance cover my pain clinic treatments?

We have agreements with most Spanish health insurance companies. If yours is a non-affiliated health insurance, please ask for further information about our discounts and offers.

19. Do you have easy payment plans or discounts?

You may pay by credit card or ask for further information about how to finance treatments. Low-income patients/patients of limited resources may benefit as well from our “pro bono” program. Please, contact us for further information.


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