Chronic Pain Treatment in Bangkok

Image-guided procedures leave a pinhole rather than an incision, most need only local anaesthesia, and most patients go home the same day. Surgery involves an incision, general anaesthesia, and weeks to months of recovery.

Pain medicine starts by finding which structure is causing the pain, such as a spinal joint, a nerve root, or a muscle, and then matching care to that source. For the neck and back, this includes six image-guided, needle-only procedures performed by pain medicine physicians, with no open surgical wound. Your physician explains which option fits your findings. Results vary by individual.

Chronic joint and tendon pain such as plantar fasciitis, frozen shoulder and chronic elbow pain, along with neck pain or pain radiating into the arm, and back pain or pain radiating into the leg arising from the facet joints, the sacroiliac joint or a compressed nerve root.

TAME (TransArterial MicroEmbolization) reduces the abnormal blood vessels that drive inflammation and chronic pain in a joint or tendon. It is performed without surgery, through a pinhole access.

A small anaesthetic injection called a medial branch block tests whether the facet joint really is the source of the pain. The result of that test is what determines whether the next step, such as radiofrequency, is likely to help.

When there is a clear indication for it, such as muscle weakness or spinal cord compression. Minimally invasive procedures are the first option for most patients who have none of those warning signs.

Not always. Most people start with weight management, physical therapy, medication, and joint injections. If pain still disrupts daily life, our physicians may consider image-guided procedures such as cooled radiofrequency ablation of the nerves around the knee (Cooled RFA) or genicular artery embolization (GAE). Knee replacement suits late-stage osteoarthritis with significant structural damage. Results vary by individual.

Usually not. Neck pain that spreads down the arm from a compressed nerve root often improves over several weeks with activity changes, physical therapy, and medication. If pain remains severe, our physicians may consider an image-guided anti-inflammatory injection around the nerve root. Surgery is considered when arm weakness is getting worse, when there are signs of spinal cord compression such as unsteady walking or clumsy hands, or when complete non-surgical care has not helped. Worsening weakness needs prompt medical attention.

An epidural steroid injection is performed by a physician under image guidance, and serious complications are uncommon. Possible side effects include soreness at the injection site, a temporary headache, or a temporary rise in blood sugar in people with diabetes. Before the procedure, our physicians review blood thinners and medical conditions according to international guidelines and explain your individual risks at consultation.

It varies by individual, and the effect usually lasts months rather than years, because the small treated nerves can recover. If it helped before, it can be repeated based on your physician's assessment. At YOUNIFY Clinic, the radiofrequency ablation we offer is cooled radiofrequency ablation (Cooled RFA), starting from THB 280,000, performed after a diagnostic nerve block has given a clear result.

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SGB (stellate ganglion block) is an injection of local anesthetic around a group of sympathetic nerves at the front of the neck, guided by ultrasound. It is used for certain types of pain linked to the sympathetic nervous system and is performed by a pain medicine physician. It takes a short time, and most patients go home the same day. It starts from THB 37,500 per side, and our physicians assess first whether it is suitable for you.

Massage may relax muscles and bring short-term relief for some people, but it does not address a spinal joint or nerve root that is causing the pain. Forceful manipulation should be avoided until you have been assessed, especially if you have numbness, weakness, or pain that travels into an arm or leg.

Seek emergency care right away for weakness that is getting worse, numbness around the buttocks, groin, or inner thighs, loss of bladder or bowel control, unsteady walking, fever with back pain, or pain after an accident or fall. These symptoms should not wait for a routine appointment or a pain procedure.

It depends on your policy. Our team can help you check your benefits before your appointment.