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Treatment / Procedure

Pain Treatment

Moderate evidence

Short answerPain management evaluates the cause and duration of pain, nervous system characteristics, and its impact on daily functioning together. The goal is not merely to lower the pain score, but to support movement, sleep, work capacity, and quality of life. Treatment may include a personalized combination of education, exercise, rehabilitation, medications, and, in appropriate patients, interventional or complementary methods.

Who is it evaluated for?

An evaluation can be performed for individuals experiencing low back, neck, knee, shoulder, head, nerve root, or widespread musculoskeletal pain, or whose pain is prolonged, recurrent, or affecting daily life. The priority is to accurately identify the type of pain and accompanying findings.

When to consult a pain doctor in Bodrum?

If low back or neck pain, sciatica, knee and shoulder pain, migraine, neuropathic pain, or chronic pain lasting longer than three months is affecting daily life, a physician evaluation is meaningful. At our Bodrum clinic, the primary goal is to differentiate the source of pain, nervous system findings, and warning signs, and then create a stepped treatment plan that avoids unnecessary procedures while preserving movement and function.

How is it planned?

The plan is established through history, physical examination, and, if necessary, imaging and laboratory data. Exercise, rehabilitation, medication, injections, laser, ozone, or other methods are added to the plan only if they align with the individual’s clinical needs.

Pain and complaint showcase

By selecting the painful area or the topic that best matches your complaint, you can examine the causes, red flags, and treatment options in detail.

Low Back Pain and Lumbar Herniated DiscLow Back Pain and Lumbar Herniated Disc
Mechanical pain, nerve root, and red flags
Neck Pain and Cervical Herniated DiscNeck Pain and Cervical Herniated Disc
Neck, pain radiating to the arm, and neurological evaluation
Sciatica and Neuropathic PainSciatica and Neuropathic Pain
Burning, numbness, tingling, and nerve root pain
Knee Pain and OsteoarthritisKnee Pain and Osteoarthritis
Exercise, weight management, injections, and interventions
Hip PainHip Pain
Hip osteoarthritis and restricted mobility
Shoulder PainShoulder Pain
Rotator cuff, frozen shoulder, and loss of motion
FibromyalgiaFibromyalgia
Widespread pain, fatigue, and their relationship to sleep
Headache and MigraineHeadache and Migraine
Migraine, tension-type headache, and emergency signs

Key points

  • Pain is a multidimensional experience interacting with tissue, the nervous system, movement, sleep, stress, and daily life.
  • Acute and chronic pain are not evaluated in the same way; treatment is individualized according to the mechanism of pain.
  • An MRI, injection, or a single modality may not be necessary for every pain; the clinical question determines which diagnostic test or intervention is needed.
  • The goal is not only to reduce symptoms, but to improve the individual’s function and capacity for movement.

What is evaluated in the initial assessment?

The onset, location, and radiation of the pain, its relationship to movement and nighttime, neuropathic features such as burning and electric shock-like sensations, muscle strength, reflexes, range of motion, and daily function are evaluated together. Current medications, sleep, stress, previous interventions, and response to treatments also influence the plan.

Treatment options

The plan may include education, graded physical activity, physical therapy, strength and mobility training, sleep-stress management, and appropriate medical treatments. In some patients, targeted injections, nerve blocks, radiofrequency procedures, or other interventional methods may be evaluated.

Laser Pain Treatment

Physician and patient administering 980 nm laser treatment for shoulder pain, clinical laser pain treatment

In our Bodrum clinic, we use 980 nm and, in selected cases, 1470 nm diode laser technologies as a supportive method directed at the target tissue identified by physical examination in myofascial pain, tendon-related pain, and certain periarticular pains. 980 nm is our primary wavelength, particularly in superficial and mid-depth muscle-tendon structures; 1470 nm is evaluated selectively according to the anatomical target due to its higher water absorption and superficial thermal characteristics. For most musculoskeletal problems, we plan laser application not as a replacement for exercise, rehabilitation, and load management, but as an option that complements them.

Laser Pain TreatmentLaser Pain Treatment
980 nm and, in selected cases, 1470 nm approach
Myofascial Pain and Trigger PointMyofascial Pain and Trigger Point
Targeted laser approach in neck, trapezius, back, and low back muscles
Laser Pain TreatmentShoulder and Rotator Cuff Pain
Supportive laser in rotator cuff and subacromial pain
Myofascial Pain and Trigger PointElbow, Wrist, and Tendon Pain
Tennis elbow, golfer’s elbow, and superficial tendinopathies
Knee Pain and OsteoarthritisLaser for Knee Pain
Osteoarthritis, patellofemoral pain, and periarticular targets
Myofascial Pain and Trigger PointAchilles and Plantar Fasciitis
Superficial targeting in the Achilles tendon and plantar fascia

Complementary and regenerative options

Ozone and PainOzone and Pain
Intra-articular, paravertebral, and local approaches
Red Light / PBMRed Light / PBM
Musculoskeletal system and recovery
Trigger Point and MicrodoseTrigger Point and Microdose
Guide to the local pain approach

Which approach is evaluated when in pain management?

Clinical condition Initial approach Additional options if needed
Mechanical low back, neck, or joint pain Examination, load management, movement, and rehabilitation Medication, laser, targeted injection, or other interventions
Nerve root / neuropathic pain Neurological evaluation and differentiation of the cause Medication, blocks, interventional methods, and selected supportive therapies
Knee osteoarthritis Exercise, weight management, strength, and function PRP, selected injections, laser, or other supportive options
Myofascial and tendon-related pain Clinical evaluation of target tissue and load adjustment Rehabilitation, laser, and selected local applications
Chronic widespread pain Combined evaluation of sleep, activity, stress, medications, and function Multimodal pain management and appropriate complementary approaches

Clinical decision point: An MRI image or device name alone does not determine treatment; the mechanism of pain, neurological findings, and loss of function are evaluated together.

Our approach in our Bodrum clinic

Instead of placing a single device or procedure at the center, we first identify the probable mechanism of pain, loss of function, and the individual’s priorities. We stage treatment with measurable goals, planning medical therapy, rehabilitation, interventional procedures, and complementary applications to support one another when needed.

When is emergency evaluation required?

Newly developing significant muscle weakness, changes in bowel or bladder control, numbness in the saddle area, severe pain accompanied by fever, major trauma, sudden severe headache, or rapidly progressing neurological findings may require emergency evaluation.

Which approach is considered when in pain?

Clinical pattern Initial focus Selected additional approaches
Mechanical / movement-dependent pain Examination, function, exercise, and rehabilitation Imaging, laser, or interventional options if needed
Neuropathic / nerve-related pain Neurological evaluation and determination of the cause Medication, rehabilitation, and selected interventional methods
Myofascial / trigger point pain Musculoskeletal examination and movement analysis Exercise, manual approaches, laser, or local applications
Inflammatory or systemic suspicion Investigation of underlying disease Relevant specialty and laboratory evaluation

A single technology is not suitable for all pain types. Treatment selection is made together with the pain mechanism, loss of function, and individual risks.

References

  1. International Association for the Study of Pain. Pain terminology.
  2. National Institute for Health and Care Excellence. Chronic pain: assessment and management.
  3. World Health Organization. ICD-11 chronic pain classification.

Written and medically reviewed by: Dr. Kerem Çağlayan
Last medical review: September 27, 2026
Image note: The page image is a representative clinical visual generated with artificial intelligence.
Information: This content is for general medical informational purposes only; it does not substitute for personal diagnosis or treatment recommendations.

Editorial and Medical Review Policy

Clinical evaluation in Bodrum: you can use the Bodrum Clinic and Appointment and Contact pages to discuss whether the procedure is suitable for you.

Medical editorial information

This content has been medically reviewed and approved by Dr. Kerem Çağlayan. It is intended for general education and does not replace an individual diagnosis or treatment plan.