Medical Pain Management in Bern
Treatment for fibromyalgia, acute, and chronic pain.
Specialist Pain Clinic – Physical Medicine, Manual Medicine, Medical Acupuncture, and Targeted Regulatory Physical Therapies.
Diagnostically clear. Therapeutically targeted.
Common medical conditions treated:
What are the effects of pain treatment?
Medical pain management does not focus on the symptom itself, but rather on the functional mechanisms that can trigger or exacerbate pain. Depending on the findings, the following outcomes can be achieved:
-
Identifying the causes of functional pain
(mechanical, muscular, or neurological factors) -
Targeted manipulation of these mechanisms
through manual therapy and physical modalities -
Interrupting chronic pain patterns
to reduce hypersensitivity and chronic stress
-
Normalization of impaired bodily functions
that can perpetuate pain -
Relieving the burden on overloaded structures
and improving their resilience -
Stabilization of chronic symptoms
through a structured medical approach
The effects vary from person to person and will be discussed during a consultation with your doctor.
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Pain Syndromes and Conditions Treated by a Doctor
In pain management, both common ailments and complex pain syndromes are evaluated and treated by specialists.
Functional Examination of the Cervical Spine
- Back Pain and Neck Pain
- Joint pain (hip, shoulder, knee)
- Muscle pain
- Headaches / Migraines
- Osteoarthritis pain
- Pain following overexertion or injury
- Pain After Surgery / Chronic Postoperative Pain
Complex pain syndromes and specific diagnoses:
1. Neuropathic / neurogenic
- CRPS
- Post-herpetic neuralgia
- Peripheral Neuropathic Pain
2. Regional Pain Syndromes
- BWS Syndrome
- Cervicogenic headache
- Tension headaches
- Headaches/Migraines
3. Muscular / myofascial
- Myofascial Pain Syndromes
- Pain Caused by Poor Posture
4. Joint / periarticular
- Frozen Shoulder
- Tendinopathies
- Osteoarthritis
5. Post-Surgery / Injuries
- Chronic Postoperative Pain
- Pain following overexertion or injury
6. Complex functional-psychosomatic
- Pain Amplification Disorder
- Somatoform Pain Disorders
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What is medical pain management?
Medical pain management combines medical diagnostics with targeted manual and physical therapies. The focus is on analyzing functional pain mechanisms—that is, mechanical, muscular, or neural factors that can trigger or perpetuate pain.
Classification
Modern pain management originally evolved from the treatment of acute pain following injuries or surgeries. However, many patients continue to suffer even though structural causes have already been treated or addressed through multiple surgeries.
In such situations, identifying functional pain mechanisms is crucial, particularly in cases of complex or long-standing symptoms. Medical pain management focuses precisely on these mechanisms.
Components of Medical Pain Management
- Medical Examination and Functional Diagnostics:
Assessment of relevant physical factors and differential diagnosis for complex pain conditions.
- Manual Medicine:
Examination and treatment of joints, muscles, and neurogenic structures using precise manual therapy techniques.
- Physical Medicine:
Targeted stimuli to regulate movement, muscle tone, blood flow, and function as part of evidence-based approaches.
- Yamamoto Neural Acupuncture (YNSA)
YNSA is a neuroreflex therapy that uses specific areas of the skull to influence pain-related regulatory circuits in the central and peripheral nervous systems. The method combines diagnostic precision with immediate functional feedback from the body: Specific points reveal connections between regions of the musculoskeletal system and autonomic nervous system patterns that may play a role in chronic or complex pain.
Clinical practice has shown that certain neurofunctional patterns can be specifically modulated through YNSA; this can be particularly significant for patients with long-standing symptoms, those who have undergone multiple treatments, or those experiencing postoperative pain.
YNSA complements manual and physical medicine techniques and broadens access to functional pain mechanisms that are often insufficiently addressed by purely structural approaches.
- Assessment of pharmacological pain management:
If necessary, a specialist will evaluate the patient’s current pain medication. Recommendations regarding whether to continue or adjust the medication will be provided in consultation with the treating physician.
- Consideration of relevant influencing factors:
Where appropriate, the potential influence of diet and lifestyle on pain mechanisms is also assessed, particularly in cases of chronic or treatment-resistant symptoms.
The treatment follows a structured, evidence-based approach. The goal is to identify functional mechanisms and target them specifically in order to reduce symptoms and improve physical function.
What to Expect at Your First Appointment
The first appointment is intended to allow the doctor to assess the causes of your pain.
1. Medical Consultation and Functional Examination
The session begins with a medical consultation to assess the patient’s symptoms, the course of the condition, and any relevant previous findings. This is followed by a functional examination of the musculoskeletal system to identify mechanical, muscular, or neurological factors contributing to the condition.
2. Individual Selection of Procedures
Based on the diagnosis, Alexandra decides which manual therapy, physical therapy, or neuroreflexology techniques are appropriate. Treatment is targeted and structured, depending on the findings from the first appointment.
3. Recommendations for Next Steps
At the end of the session, the next steps are discussed, including possible follow-up treatments, exercises, or recommendations for the attending physician.
4. Practical Tips
Please bring any existing medical records with you, such as reports, MRI scans, X-rays, or your current list of medications.
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Why Choose Alexandra for Pain Management?
Diagnostically precise. Functionally oriented. Experienced in pain management.
Education and Qualifications
Clinical rotation in surgery at Massachusetts General Hospital in Boston, USA, a teaching hospital affiliated with Harvard University, 1987–1988
Medical Doctor (Exams and License) – 1988
Board-certified specialist in Physical and Rehabilitation Medicine – 1999
Chiropractic Therapy and Manual Medicine, Hamm-Boppard Medical Seminar – 1993
ACSM Health and Fitness Instructor – 2003
Acupuncture / TCM (Full Diploma) – 2005
Specialized Pain Therapy from the Bavarian Medical Association – 2005
Algist, DGSS – 2006
Cranial Acupuncture according to Yamamoto (YNSA) – 2006
Diploma in Osteopathic Medicine, DGOM, D.O.M. – 2007
Palliative Medicine – 2007
Nutritional Medicine (Metabolic Balance) – 2008
Diploma in Pediatric Osteopathy – 2009
Basic Psychosomatic Care – 2010
Basic Addiction Medicine – 2010
Master of Science in Osteopathy (MSc Ost. AT) – 2023
Manual Medicine (SAMM) – 2025
Frequently Asked Questions About Pain Management in Bern
Pain can result from many different causes, including injuries, inflammation, medical conditions, overuse, or nerve damage. The exact cause should be determined through a medical diagnosis in order to find the right treatment and achieve long-term relief.
At Fastesana, we offer a holistic approach to pain management that combines various treatment methods. These include manual therapy, acupuncture, relaxation exercises, and physical therapies. Each approach is specifically tailored to the causes of your pain. These include specialist manual treatments, acupuncture, Yamamoto New Scalp Acupuncture (YNSA), integrative nutritional supplements, and dietary changes.
The effectiveness of pain therapy depends on the type and severity of the pain. Many of our patients experience improvement after just the first session, but ongoing treatment is necessary to achieve long-term results. Alexandra will work with you to create a treatment plan tailored to your progress.
In addition to professional treatments, there are steps you can take on your own to relieve pain. These include getting enough rest, exercising regularly, using heat or cold therapy, doing relaxation exercises, eating a healthy diet, and avoiding harmful habits such as smoking or excessive alcohol consumption.
Unlike many other therapeutic approaches, we view pain as a holistic phenomenon that can have both physical and emotional causes. We combine various treatment methods to not only relieve symptoms but also address the underlying causes of pain.
Our holistic pain management approach takes into account the body, mind, and emotions. We get to the root of the pain and combine physical treatments with mental techniques to help you overcome the pain in the long term.
You don’t need to bring any specific documents to your first appointment. It helps if you have all the relevant information about your medical history and the pain you’re currently experiencing ready. This allows for a more accurate diagnosis and treatment.
Yes, our pain therapy is suitable for many types of pain, such as back pain, joint pain, migraines, or nerve pain. We’re also here for you if you’re experiencing pain resulting from accidents, scars, or surgery. The treatment is tailored specifically to your type of pain and its underlying cause.
Yes, our pain management program is particularly well-suited for chronic pain. Alexandra takes a holistic approach that not only provides short-term relief but also aims to understand the causes of chronic pain and address them over the long term.
The cost depends on the type of treatment and the frequency of the sessions. When you book your pain treatment appointment online, you can view the cost of each treatment right away. Before you schedule your appointment, you’ll receive detailed pricing information here and confirm it before booking. This way, you’ll know exactly what to expect before your visit to the practice.
Here's where you'll find our health center in Bern:
Address: Rabbentalstrasse 83 | 3013 Bern | Switzerland
Hours: Mon–Fri: 9:00 a.m.–7:00 p.m.
Phone: 031 336 1111
Email: anmeldung@fastesana.ch
