Lecture 11

Interventional treatment in MM 

  • Dr. med. Carlo Mariconda

    Physical Medicine and Rehabilitation
    Manual Medicine

Humanitas Gradenigo
Corso Regina Margherita 10
I-10153 Turin


Interventional physiatry plays an important role in the control of painful musculoskeletal conditions. In Italy has been officially recognized since march 2011 with ISPRM National Policy Board.

The mini-invasive techniques are characterized by local anaesthesia, percutaneous procedures or mini-incision, mild post-procedure pain, no hospitalization or day-hospital, absence or minor complications and early rehabilitation.

Due to the diagnosis different procedures must be used: infiltration techniques, radiofrequency, percutaneous vertebroplasty. These treatments are useful in chronic pain, unresponsive to conservative therapies.

In the chronic pathologies the pain control is only the first rehabilitative step, secondly is important to identify and treat the triggering factor of the disease and to take care of residual disability, probably determined by painful syndrome, to ensure the good analgesic result obtained with the mini-invasive techniques.

It is very important to prescribe and use manual treatments, post-procedure, in order to optimize long-term results.


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Director of the Complex Structure of Functional Recovery and Rehabilitation of Humanitas Gradenigo, Turin, Italy

Coordinator of the Manual Medicine Section of the Italian Society of Physical Medicine and Rehabilitation (SIMFER)

President of the Italian Academy of Manual Medicine (AIMM)

Founding Member and Authorised Signatory of the Italian Society of Vertebral Medicine (MEDVERT)