About Pain clinic - Pain Clinic

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About Pain clinic

Head of Pain clinic
Doctor of higher category

Evgeny Leonidovich Sokov
Academic of the International Informatization  Academy
Doctor of medical Sciences, Professor
Head of the d
epartment of Algology and Rehabilitation, IOM PFUR

  Sokov Evgeny Leonidovich, was born 25.09.1952.
  In 1976 he graduated from the 2nd Moscow medical Institute, in 1977 internship in traumatology and orthopedics, then 3 years worked in the outpatient clinic, where in 1978 he began to treat pain syndromes, mastered the methods of acupuncture, manual therapy, therapeutic blockades.
  In 1980, he entered the residency at PFUR in neurology and began to conduct and study the effectiveness of intraosseous blockades.
  In 1985 he graduated from the postgraduate course in People’s Friendship University of Russia (PFUR) and defended his thesis on the effectiveness of intraosseous blockades in patients with lumbar pain.
  In 1988-1989 year interned on the problems of pain in the United States, UCSF, Prof. Howard Fields.
  In 1989-1996 he continued his scientific work at the Department of nervous diseases and the Department of pathological physiology of PFUR to study the mechanisms of the effectiveness of intraosseous blockades.
  In 1996 he defended his doctoral dissertation, was awarded the scientific degree of doctor of medical Sciences, he became the head of the Department of nervous diseases and neurosurgery of the PFUR and he was awarded the academic title of Professor. As a result of experimental studies in animals and instrumental studies of patients, Sokov E. L. proved the important role of intraosseous receptors in the pathogenesis of pain syndrome, muscle-tonic and angio-spastic syndromes, and also gave a theoretical justification of the mechanisms of effectiveness of intraosseous blockades. As a result of these studies made possible the use of intraosseous blockades for the treatment of various pain syndromes: back pain and joint pain, headaches and facial pain, phantom and pelvic pain, CRPS and FBSS, painful diabetic neuropathy and carpal tunnel syndrome, pain and spasticity in patients after stroke and with multiple sclerosis, erythromelalgia etc. Intraosseous blockade showed high efficiency, cost-effectiveness and safety – there were no complications.
  In the framework of this scientific direction were published more than 300 scientific papers, 10 books, obtained 5 patents, under the direction of Professor Sokov E. it was defended 11 master's and 2 doctoral dissertations, research results presented at Russian and international conferences including IASP World Congress on Pain in 1990 in Australia and in 2000 in the United States.
  In 2002, prof. Sokov E. L. organized a Pain Clinic in the city hospital № 64 in Moscow and became its head until now, conducts daily therapeutic and intraosseous blockades. In 2002 he organized the website www.pain-clinic.ru.


  In 2015 he became the head of the Department of Algology and rehabilitation of RUDN. The Department implements specialization of physicians in Algology, and treatment intraosseous blockades. In 2017 prof. Sokov E. L. organized the “Association of Pain Medicine Specialists” and became its President. The Association holds a conference "Pain Medicine in Outpatient Practice" on April 6-7, 2018 in Moscow. Sokov E. L. is a member of the Board Presidium of the all-Russian society of neurologists, a member of the editorial Board of the journal "Russian journal of pain", a member of IASP.

e-mail: elsokov@mail.ru

Osteogenic theory of Neuroorthopedic diseases

  Under the combined actions of the etiological factors in different parts of the skeleton occurs dystrophic - degenerative bone changes and disturbance in intraosseous blood flow, which leads to increased intraosseous pressure and over stimulation of the receptors.

  Increased afferentation of intraosseous receptors promotes to the facilitation of other afferent flow, increased motor reactions, corticofugal reduction reactions and effects on the respective segmental level,  which at this level leads to the formation of typical clinical symptoms: pain, musculo-tonic, vasospastic and hypertrophic syndromes. The set of clinical symptoms depends on the degree of representated "target tissues" in the appropriate area of the affected segmental division of the musculoskeletal system.

  The set of clinical symptoms depends on the degree of representated "target tissues" in the appropriate area of the affected segmental division of the musculoskeletal system. So, hyperafferentation of intraosseous receptor in spinal osteochondrosis manifested by various clinical picture: in the lumbar - represented by affecting various local tissues, in the cervical – additionally affecting  the vertebral artery, in the thoracic - affecting the internal organs, vertebro- visceral syndromes.

  Increased  afferent impulses from various intraosseous receptors of the skull bones can cause mainly pain and vasospastic syndrome in the face or head, and to a lesser degree musculo-tonic syndrome. The mechanisms in effectiveness of the therapeutic intraosseous blockades is based on  cortical bone trepanation and immediate impact on the bone marrow, leading to the normalization of intraosseous pressure, through the mechanisms described above reducing the Neuroorthopedic clinical manifestations.

The therapeutic effect of intraosseous blockade is due to several factors:

   1. Inserting a needle into the bone is cortical decompressive trepanation, which reduces the intraosseous pressure and hence reduce intraosseous receptor overstimulation.

   2. Within 3-6 weeks after insertion of the needle is the restoration of damaged bone trabeculae, which stimulates reparative regeneration and improves local microcirculation.

   3. Inserting a needle into the bone exerts a powerful reflex positive impact on the pathogenetic mechanisms of spinal osteochondrosis.

   4. The introduction of drugs directly into the bone marrow vertebral allows them to reach high concentrations in bone and maximum impact on osteoreceptors.

   5. Due to the peculiarities of the blood outflow from the bone is reintroduced with the drugs letting the drug flow into all the surrounding bone tissue.     

   6. Introduction of liquid into the bone under pressure and opens reserved  bone vessels, thereby creating conditions for normalization of intraosseous flow.

   The therapeutic blockade has marked characteristics, three phase changes in the pain. The first phase - the aggravation of "recognizable pain," which is caused by mechanical stimulation of the receptors in the painful area with the introduction of the first portions of the solution, the duration of the phase corresponds to the latent period of the anaesthetic. The second phase - anaesthesia when under the influence of anaesthetic pain reduced to minimum - to an average of 25% from the baseline. The duration of this phase corresponds to the duration of the anaesthetic in the painful area. Phase 3 - therapeutic effect when, after closure of the anaesthetic and its elimination from the body pain is resumed, but on average to 50% from the baseline. The duration of this phase can be from several hours to several days.

About Pain Clinic

  • The main focus of treatment is patients with neurological pain syndrome.

  • The main method of treatment is intraosseous blockades, for which our performance meets all international standards and guidelines.

  • Intraosseous blockade can save the vast majority of patients from pain.

  • We have the most extensive experience in the use of intraosseous blockades in neurological pain syndromes; they are applied at the Department of Neurology and Neurosurgery, People's Friendship University Russia since 1980. Over the years, use of intraosseous blockades has not lead to a single case of complication, so we believe that this method is the most effective and safe.

  • Main key for success of the Clinic – is it's team. Head of the Pain Clinic is the Head of the Department of Neurology and Neurosurgery of Peoples’ Friendship University Russia, MD Professor Evgeny Leonidovich Sokov.  The attending physician: MD, Professor Ludmila Evgenevna Kornilova.

  • Pain clinic works for you, trying to make your path to good health fast and pleasant.

Patient care is carried out on basis of obligatory and voluntary medical insurance. The standard treatment for patients is based on obligatory medical insurance. Treatment by intraosseous blockades is carried out on the voluntary medical insurance.  For consultation and hospitalization on Obligatory Medical  Insurance it is necessary to have referral, insurance policy, passport, results of additional diagnostic techniques (X-ray, CT scan, MRI etc.)

  The basic principles of Pain clinic:

1. Performing procedures according to international standards;
2. Strict adherence to the rules of antiseptics;
3. The maximum patient safety;
4. The introduction of new methods of treatment;
5. Giving maximum information to patients about the treatment.

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