Please read below important information carefully so we can provide safe care.

• Please come in comfortable clothing.
• If sedation (anesthesia) is used, you must leave with an escort.
• Bring your imaging studies (MRI, CT, X-Ray) with you.
• If you become ill or develop a fever before the procedure, please notify our clinic, as we may have to postpone the procedure.

IF YOU ARE TAKING ANY BLOOD THINNERS, PLEASE INFORM YOUR DOCTOR! – consult with your doctor about the use of medications before the procedure.

Most procedures are performed under sedation (anesthesia), therefore please follow the instructions below.

IF YOU DO NOT FOLLOW THESE GUIDELINES, YOUR ANESTHESIA MAY BE CANCELLED.

• For procedures scheduled prior to 2 pm: Do NOT eat anything after midnight of the day before.
• For procedures scheduled after 2pm: You may have a light breakfast prior to 8 am on the day of the procedure.
• Drinking clear liquids* is acceptable up to 2 hours prior to procedure.

*Acceptable Clear liquids up to 2 hours prior to procedure: Water, Black Coffee, Black Tea.  (No milk products, sugar or lemon allowed)

Unacceptable Clear liquids: Coffee or tea with milk products, sugar, orange juice, or alcohol.

If you have any of the following factors, we may extend the above times:

• Obesity
• Pregnancy
• Diabetes
• Gastroesophageal Reflux
• History of a Difficult Airway
• Opioid Use

Thank you for your cooperation!

Information for Our Patients

Chronic pelvic pain is a complex condition. Its treatment usually requires cooperation between several medical specialties, a long-term therapeutic plan and the use of multiple treatment modalities.

Our clinic primarily specialises in the expert performance of interventional pain-management procedures. If you are under the care of a physician experienced in chronic pain management who is coordinating your treatment, and your treatment plan requires a targeted nerve block, radiofrequency treatment or cryoablation, we can perform these procedures under image guidance.

Available procedures include:

• diagnostic blockade and chemical neurolysis of the superior and inferior hypogastric plexuses under fluoroscopic guidance;
• pudendal nerve and terminal branch blocks under ultrasound guidance;
• pudendal nerve cryoablation and pulsed radiofrequency treatment under ultrasound guidance;
• ganglion impar block and radiofrequency treatment under fluoroscopic guidance;
• selective S2–S4 nerve root blocks under fluoroscopic and ultrasound guidance;
• radiofrequency treatment or cryoablation of the S2–S4 nerve roots under fluoroscopic guidance;
• botulinum toxin (Botox) injections under ultrasound guidance;
• targeted trigger-point and botulinum toxin injections into the obturator muscle under ultrasound guidance;
• regenerative treatment of the sacrococcygeal joint;
• ketamine infusion therapy for the neuropathic component of pain.

It is important to understand that a single injection or procedure should not generally be expected to provide a lasting solution to chronic pain. Nerve blocks may also serve a diagnostic purpose, their effects may be temporary, and further treatments may be required depending on the response.

Individual injections and procedures may cost several hundred thousand Hungarian forints. The overall treatment process may therefore involve a substantial financial commitment. Before scheduling an appointment, please review the current fees and bear in mind that more than one procedure may be required.