UOS Subintensive Care Palliative Care and Hospital-Territory without pain – Pre-hospitalisation

Painless Hospital Project
F. Spaziani Hospital Pain Therapy Outpatient Clinic – Frosinone
Spoke 2nd Level

The Antalgic Therapy Service, within the framework of the Hospital Without Pain legislation (Official Gazette no. 149 of 29/06/2001) and Law no. 38/2010 on access to Pain Therapy and Palliative Care, guarantees users, external and internal, suffering from acute, chronic benign and malignant pain, assistance through the Pain Therapy clinic (Spoke II° level) located on the first floor of the Spaziani-Frosinone Hospital.

The clinic provides the following services:

  • Pain Therapy Visit with patient assessment and diagnostic framework
  • Setting the Therapeutic Plan
  • Evaluation of the effectiveness of treatment with subsequent Follow-ups
  • Application of innovative ultrasound-guided techniques and/or fluoroscopy to treat pain through antalgic radiofrequency for the treatment of acute-chronic benign and malignant pain to eliminate or alleviate suffering, reducing the use of drugs and their side effects, thanks to the action of neuromodulation and/or lysis on the nerve depending on the type of pain.

For this procedure, our centre has become a national reference in terms of the pathophysiology of pain and algological surgery in the context of minimally invasive procedures that can be performed in radiofrequency.

Radiofrequency is applied in various painful diseases, of which a list of the most frequent is given below:

  • Acute and chronic benign pain of the cervical-dorsal and lumbosacral spine and in numerous other body districts;
  • Osteoarthritis;
  • Pain from disc protrusions;
  • Acute and chronic low back pain from various causes including herniated disc with compression on the nerve root, vertebral collapses, canal stenosis both inoperable and awaiting neurosurgical intervention;
  • Cervicobrachialgia;
  • Whiplash;
  • Muscle contractions;
  • Neck twist;
  • Cervical osteoarthritis pain;
  • Dorsalgia from contracture of the dorsal muscles;
  • Pain from vertebral collapses;
  • Osteoporosis and osteopenia pain;
  • Occipital and musculoskeletal tension headache;
  • Cervicogenic headache from cervical osteoarthritis or whiplash;
  • Some forms of cluster headache and migraine;
  • Trigeminal neuralgia with the radiofrequency technique applied to the gaser ganglion in x-ray;
  • Scapulohumeral periarthritis and painful shoulder syndromes (e.g. rotator cuff rupture, other tendon injuries);
  • Epicondylitis (tennis elbow);
  • Epitrocleitis;
  • Typical and atypical facial neuralgia with application of pulsed radiofrequency to the sphenopalatine ganglion and nerve branches of the face;
  • Gonarthrosis (osteoarthritis of the knee) with application of radiofrequency with ultrasound-guided technique on the geniculate nerves;
  • Coxarthrosis (osteoarthritis of the hip) with the application of radiofrequency with an ultrasound-guided technique on the nerve endings that innervate the joint;
  • Sacroiliitis;
  • Malignant oncological pain of the perineal territory with the 90° radiofrequency technique applied to the Walther’s ganglion in x-ray-scopy combined with ultrasound;
  • Posterpetic neuralgia in any body district;
  • Pain from diabetic polyneuropathy;
  • Pain from diabetic ulcers;
  • Pain from vascular ulcers;
  • Pain from obliterating arteriopathy of the lower limbs;
  • Phantom limb pain in amputee patients;
  • Competitive and non-competitive pubalgia;
  • Carpal tunnel syndrome pain awaiting surgery;
  • Scar pain from previous carpal tunnel surgery;
  • Pain and edema in the upper limbs from previous mastectomy surgery (with the radiofrequency technique with ultrasound guidance applied to the stellate ganglion)

It also offers the following services:

  • Pharmacological treatment of acute and chronic benign pain in cases where, due to the general condition of the patient, a mini-invasive intervention is not indicated (e.g. taking anticoagulant drugs and/or expired conditions of the subject);
  • Treatment of musculoskeletal pain of any origin and nature, both pharmacological and with invasive and minimally invasive techniques;
  • Pharmacological treatment of malignant-oncological pain with elastomer packaging for continuous home infusion of analgesic drugs;
  • Positioning sng for enteral feeding in cancer patients;
  • Placement of fully implantable spinal ports for the treatment of oncological pain and neuropathic pain resistant to any conventional therapy, with infusion of ziconotide and/or local anaesthetics and/or opioids, through micro infusion pumps;
  • Thoracic, lumbosacral and sacral epidural infiltrations for the treatment of benign and malignant pain, where indicated;
  • Low back pain after lumbosacral spine stabilization surgery with persistence of pain, with the technique of peridurolysis with radiological assistance;
  • Cortisone and hyaluronic acid infiltrations + possible ultrasound-guided arthrocentesis of the hip, knee and shoulder;
  • Ultrasound-guided infiltrations of corticosteroids and/or local anaesthetics for diagnostic nerve blocks at the lumbar, dorsal and cervical perinervally;
  • Dry needling ultrasound-guided for the treatment of muscle and myofascial contracture pain in competitive and non-competitive sports, with a drastic reduction in the consumption of drugs in professional and non-professional athletes (fight against doping);
  • Placement of central venous catheters, picc, power picc, groshong, midline with ultrasound-guided technique in hospitalized and outpatient patients;
  • Packaging of elastomers for pain therapy in both inpatients and outpatients;
  • Intra-hospital pain therapy consultations;
  • Placement of cath port in cancer patients for chemotherapy;
  • Vascular access dressing every day;
  • Arterial and venous blood gas analysis.

The methods of care vary depending on the pathology and the state of the disease.
The services are performed on an outpatient basis.

Clinic Opening Hours

From Monday to Friday at 8.00 am to 2.00 pm at UOC Anesthesia – Resuscitation and Pain Therapy 1st Floor Hospital F. Spaziani – Frosinone.

How to access

Access to the treatments takes place both through Company CUPS and directly by calling the number 0775.1883375.
It is accessed with a regional commitment with a written Pain Therapy Visit stamped at the company CUPS.
Maximum wait time 48-72 hours.

Contacts

Dr. Walter Ciaschi
High Specialty Pain Therapy
UOC Anaesthesia-Resuscitation and Hospital Pain Therapy
F. Spaziani-Frosinone
Director Dr. F. Apponi

Last Updated: 01/04/2022

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