Lee Sang Ryull's Pain Clinic
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BEST MANAGEMENT of PAIN & DYSFUNCTIONS

In PAIN CENTER, we analyze every diseases and discover causes of Pain or Dysfunctions. And we try to relieve Pain with Nerve Blocks that block hypersensitive nerves and restore its functions and with Trigger Point Injection(TPI) that stops muscular spasm and lowers muscular overtension and with Intramuscular Stimulation(IMS) that restores muscular elasticity by repetitive low frequency electric stimulations.

Finally it gives improving Blood Circulation and enhancing Elimination of Pain-producing Substances. And it restores Balance of Autonomic Nervous System(ANS) of the Body. And then we apply Conservative supporting Programs to KEEP GOOD CONDITION. Thus we manage Pain and Dysfunctions earnestly.


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Headache has been a frequent disease. It is caused with stress mainly and it prolongs the symptoms by vicious cycles of hypersensitive sympathetic nervous system. We treat this disease with stellate ganglion block(SGB), occipital nerve block, trigger point injection(TPI) and drugs. HEAD ~ Tension Headache, Migraine, Cluster Headache, Cervical Headache

In face, there are several cranial nerves (such as trigeminal nerve, facial nerve, glossopharyngeal nerve and vagus nerve), C₁₂₃cervical nerves and sympathetic nerves. And it is difficult to diagnose and to treat pain, palsy and spasm because they are distributed to each other complicatedly. But we treat that with nerve blocks, IMS(intramuscular stimulation) and drugs. FACE ~ Trigeminal Neuralgia, Atypical Facial Pain, Glossopharyngeal Neuralgia, Facial Palsy,
          Facial Spasm, Temporomandibular Joint Pain



Neck and arm have a pain-sensitive structures such as nerves, vessels, muscles, ligaments and cartilages. And pain is a result of stimulation, injury, inflammation and infection of these structures. Among these cervicals disk herniation with radiculopathy is treated with nerve blocks effectively. NECK ~ Cervical Disc disorder, Whiplash syndrome(Traffic Accident), Shoulder-Hand Syndrome
                (VDT Syndrome)
, Cervical Spondylosis, Cervical Spinal Stenosis


Shoulder pain is common and it is from various mechanism and origins. Although there are radiculopathies, Pain of soft tissue origins in shoulder joint is produced by calcified tendinitis, bursitis, biceps tendinitis and rupture of rotator cuff. And arthritis, infection and injury are main cause of pain too. We treat the cause of pain respectively. SHOULDER ~ Frozen Shoulder(Shoulder Pain), Swimmer's Shoulder


Herpes zoster is a severe painful disease that varicella zoster virus produces inflammation to nerves and skin. Although skin lesion is cured within 2-4 weeks, postherpetic neuralgia is occurred about 30% in over 40th and about 50% in over 60th. We treat and prevent this with sympathetic nerve block in early disease. CHEST, TRUNK ~ Intercostal Neuralgia, Postherpetic Neuralgia

Inadequate postures in tennis, golf may cause epicondylitis of humerus. Overtensioned extensor muscles cause lateral epicondylar pain(tennis elbow) and overtensioned common flexors cause medial epicondylar pain(golfer elbow). These may be cured spontaneously but it is required several month. So we recommend to treat pain in pain clinic. ARM, FOREARM, HAND ~ Tennis Elbow, Golfer's Elbow, Carpal tunnel Syndrome, Trigger Thumb,
                        Myofascial Pain Syndrome



요통은 인간을 매우 괴롭히는 질환 중의 하나로 55세 이하의 환자에서 직장을 결근하는 원인 중 감기 다음으로 흔한 증상이다. 대부분의 원인은 골근육계의 역학적 요인에 의한다. 요추의 근육들(semispinalis, multifidus, quadratus lumborum)에 경직(spasm)이 일어나면 요추 전만을 증가시키고, 추간관절을 압박하여 디스크내 압력이 과다해 결국 추간판탈출증이 발생한다. 이 중 85%가 제 4-5 요추간이나 제 5 요추와 제 1 천추 사이에서 생긴다. 치료는 손상된 분절의 신경을 정확하게 찾아 약물치료를 하고 경직된 근육을 치료한다. LOW BACK ~ Lumbar Disc disorder, Lumbar Spondylosis, Lumbar Spinal Stenosis, Lumbar Sprain,
              Sciatica, Osteoporosis


반사성 교감신경위축증(reflex sympathetic dystrophy:RSD)은 지속적인 화상성 통증(burning pain)이 있으면서 지각과민, 통각과민, 혈관부조 현상과 부종, 발한 이상및 이양성 변화(trophic change)가 점진적으로 속발하는 복합성 임상 증상으로, 대부분 성인에서 나타나나 근래에는 소아에서도 발견된다. 치료는 교감신경 차단법과 약물치료, 물리치료등 보조적 요법을 병용하여 치료하는 것이 바람직하다. BODY ~ Neuropathic Pain, (Rheumatic)Arthritis, Myalgia, Reflex Sympathetic Dystrophy(RSD),
          Cancer Pain



만성피로, 스트레스, 만성통증및 수술이나 외상후 뇌-중추신경계의 자율신경센터(시상하부)에 혈액순환장애가 발생하여 우리 몸의 여러기관의 기능이 늘 정상을 유지할 수 있도록 감시-조절하는 기능의 평형(balance)이 깨져 여러 신체증상을 유발하게 된다. 치료는 이 곳에 다시 혈액순환이 원활해져 기능을 회복할 수 있도록 교감신경치료인 성상신경절 블록을 시행한다. AUTONOMIC NERVOUS SYSTEM ~ Stress Syndrome(Student's Pain, Headache, Myalgia),
                               Peripheral Circulation Insufficiency(Buerger's Disease,
                                                       Raynaud's Syndrome)
, Dysautonomia(Coldness of Hands & Feet,
                                                       Insomnia)
, Chronic Fatigue Syndrome, Irritable Bowel Syndrome


이들 질환도 혈액순환장애가 기본적인 원인이 되므로 자율신경을 치료하여 증상을 개선시킬 수 있다. OTHERS ~ Chronic Constipation, Allergic Rhinitis, Allergic Dermatitis, Perimenstrual syndrome,
            Postdelivery Syndrome, Hyperemesis, Sudden Hearing loss, Tinnitus, Retinal arterial
                     Occlusion(Visual loss)
, Hyperhydrosis(Face, Hands, Feet), Diabetic Neuropathy




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