Pain Management — Interventional Radiology

💊 Interventional radiology for chronic pain

Interventional radiology offers a unique set of tools for treating chronic pain resistant to medical management. Our techniques act directly on the anatomical source of pain — a vessel, nerve, tumour, or joint — under imaging guidance, with millimetre precision and without open surgery.

Interventional algology encompasses all interventional radiology techniques applied to pain treatment. It is integrated within a multidisciplinary programme including pain physicians, rheumatologists, neurologists and oncologists.

🔧 Our techniques

🧠 Image-guided neurolysis

Chemical (alcohol, phenol) or thermal destruction of pathological nerves. Indicated for cancer pain (coeliac plexus, superior hypogastric plexus block), post-amputation neuromas, and refractory neuropathic pain.

⚡ Electrochemotherapy (ECT)

Treatment of painful spinal metastases causing epidural cord compression (epiduritis) and subcutaneous or cutaneous metastases. Combines electroporation and bleomycin. Pain reduction in 70–80% of cases. → Spinal ECT page

🦴 Vertebroplasty & cementoplasty

Injection of bone cement into painful vertebral fractures (osteoporotic or tumour-related) or metastatic bone lesions. Immediate pain relief in most cases. → Vertebroplasty page

🦵 Genicular artery embolization — Knee osteoarthritis

Selective embolization of the hypervascular synovial membrane responsible for inflammatory knee pain. Outpatient, local anaesthesia. → Knee page

💪 Tendinopathy embolization

Selective embolization of pathological neovascularisation in chronic refractory tendinopathies (lateral epicondylitis — tennis elbow; greater trochanteric pain; plantar fasciitis). → Tennis elbow page

🦶 Morton's neuroma

Ultrasound-guided alcohol injection or embolization for interdigital neuromas causing forefoot pain. → Morton's neuroma page