An injection therapy using highly diluted local anesthetic (procaine), aimed at modulating the autonomic nervous system. Used as supportive treatment in chronic pain syndromes.
Indication
- Chronic low back and neck pain (as an addition to conventional treatment)
- Migraine and tension-type headache (supportive treatment)
- Myofascial pain syndrome and trigger point pain
- Chronic complaints originating from old surgical or trauma scars
- Symptom relief in entrapment neuropathies such as carpal tunnel syndrome
- Chronic pain indications specified within the scope of the Ministry of Health TCIM (GETAT) regulation
Preparation
- Existing chronic conditions, allergies, and regularly used medications are reported
- History of allergy to local anesthetics (procaine/lidocaine) is reviewed
- Use of blood thinners is evaluated together with the physician
- A full meal before the procedure and appropriate clothing for the application area are recommended
How it's performed
- The application area is determined based on the patient's history and physical examination
- The skin is cleansed with an antiseptic solution
- A highly diluted procaine solution is injected through a fine needle into the target area (subcutaneous tissue, trigger point, near a ganglion)
- The application is planned per session using a segmental, local, or 'interference field' approach
- A session lasts 15-30 minutes; the treatment plan is generally weekly, with 4-8 sessions
- Response is reassessed after each session and the plan is updated
Post-procedure
- A 15-20 minute observation period after the session is recommended
- Cold application can be used for temporary tenderness in the treated area
- Symptom changes are recorded with a pain diary
- Follow-up examinations are scheduled at the determined intervals
- Patients are asked to consult the physician promptly in case of side effects or unexpected events
Risks
- Brief pain, redness, or bruising at the injection site
- Allergic reaction to procaine or local anesthetics (rare)
- Transient dizziness or blood-pressure changes
- Very rare vasovagal syncope (fainting due to a sudden drop in blood pressure)
- Vessel or nerve irritation with deep injections (uncommon)
FAQ
In which conditions is neural therapy effective?
Within the framework of the Ministry of Health TCIM (GETAT) regulation, it is used as a supportive treatment for specific indications, primarily chronic musculoskeletal pain. It is not presented as a definitive cure for any disease.
How many sessions are applied?
Although it varies based on the complaint and response, generally 4-8 sessions are planned. The physician evaluates the treatment course on an individual basis.
Who can perform the application?
It is applied only by physicians holding a TCIM (neural therapy) certificate approved by the Ministry of Health, in certified healthcare institutions.
Is it a painful procedure?
Because superficial injections are administered with thin-tipped syringes, most patients describe only a mild stinging sensation. Anesthesia is not required.
Related Information
Related Medical Services
Other services in the same specialty or with similar indications you may want to explore.
Cupping Therapy
Traditional & Complementary Medicine
Cupping therapy (hijama) — dry, wet, and sliding cupping methods performed by a Ministry-certified physician.
Acupuncture
Traditional & Complementary Medicine
Acupuncture — needle therapy applied for chronic pain, migraine, and nausea by a Ministry-certified practitioner.
Ozone Therapy
Traditional & Complementary Medicine
Ozone therapy — medical ozone-oxygen therapy applied by certified physicians within the indications listed by the Ministry of Health.
Leech therapy
Traditional & Complementary Medicine
Leech therapy (hirudotherapy) — application by Ministry-certified physicians using medical leeches raised in special laboratories.
Prolotherapy
Traditional & Complementary Medicine
Prolotherapy — a regenerative injection treatment applied by a Ministry-certified physician for joint and enthesopathy pain.
Phytotherapy
Traditional & Complementary Medicine
Phytotherapy — evidence-based herbal supportive therapy delivered under the supervision of a Ministry-certified physician.
Hypnotherapy
Traditional & Complementary Medicine
Hypnotherapy — a complementary approach used in selected indications under the supervision of a certified physician or psychologist.
Music Therapy
Traditional & Complementary Medicine
Music therapy — a supportive intervention provided by certified practitioners within the framework of the Ministry of Health TCM (Traditional and Complementary Medicine) regulations.