Online Pain Consultation with a Doctor via Video Call

Author: Dr. Zeljko Kojadinovic, MD, PhD – Neurosurgeon and Pain Management Specialist

Last medically reviewed: November 7, 2025

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Telehealth: Why It Works for Chronic Pain

Persistent pain (for example, various neuralgias) can only be resolved by a specialist who truly understands the pain anatomy. This means knowing all possible pain sources for each pain syndrome—usually 10 to 30—and how to prove which one is causing the problem (e.g., facial pain, low back pain, postherpetic neuralgia, etc). In many cities, such an expert is not available.

The point is not to be examined in a clinic by any doctor, but to speak with a specialist who knows the anatomy of your pain. They know which questions to ask, where to instruct you to press with your finger, and which movements to make to see what provokes the pain. Telemedicine, with the assistance of artificial intelligence, allows for diagnosis without a traditional in-office exam. That is why today most persistent pains can be resolved through a video consultation with such a specialist.

Simply send a message on Viber or WhatsApp now. It’s easy, affordable, and effective. In your message, briefly write your name and your main complaint, and we will take care of the rest.

Schematic explanation of the video consultation

Answers to questions about the process and success of video consultations

Purpose of an Online Pain Consultation and How It Works

The goal of a pain syndrome consultation is to precisely identify the location of the pain source and the pathological process occurring there. This is successfully achieved by reviewing your medical records and speaking with you via video call. During the call, the doctor will ask key questions, instruct you where to press, and guide you through specific movements to provoke the pain. Video consultation is also known as a virtual visit, video visit, online consultation, remote consultation or telehealth appointment.

Such an examination is often more effective than an in‑office visit to a doctor who does not have deep expertise in this field. Based on the findings, an individualized combination of medications can be prescribed.

The goal is to resolve the pain within 10 days. After that, medication is continued for a total of 6 weeks to achieve a lasting effect, at which point treatment is gradually tapered. This can be achieved in the majority of patients with chronic, persistent pain in any part of the body that responded poorly to previous treatments.

Throughout this time, the treating physician remains available for any questions via message. This method of diagnosing and treating pain has been successfully used for 12 years, with thousands of successfully treated patients worldwide.

Complex Chronic Pain Cases and the Role of Artificial Intelligence in Online Consultations

Patients who contact us often have complex medical problems. These cases may require additional consultation with literature or colleagues who have had similar cases. Today, this is easiest with the help of artificial intelligence (AI), which has access to the complete medical literature.

When we encounter a complex case, we analyze it using AI before or after the video consultation. The key to effective AI use is not just having access, but knowing how to present the case through questions and follow‑up inquiries, analyze it together, and reach a solution. There is nothing in medicine that can replace experience. However, experience should always be enhanced and validated through new literature, consultations with colleagues, and the use of AI.

Types of Chronic Pain Syndromes Treated in an Online Consultation

All forms of long‑lasting and persistent pain can be treated this way, including headaches, neck pain, facial pain, back pain, herpes zoster neuralgia, pudendal neuralgia, intercostal neuralgia, pain in interstitial cystitis, pain that mimics organ disease,shoulder pain, lumbar disc herniation, postsurgical pain, Tarlov cyst pain, and others.

Why Traditional Chronic Pain Treatments Can Fail

See the page “Possible Reasons for Poor Pain Treatment Effectiveness” for an explanation of why conventional chronic pain treatments often fail—and what we do differently.

How an Online Pain Consultation Is Conducted

Schematic explanation of the video consultation

Topics of these consultations can include all neurosurgical diseases of the brain, spine, or nerves described on our website (brain tumors, meningiomas, gliomas, neurinomas, brain injuries, herniated discs, brain aneurysms, nerve injuries, etc.) as well as all types of long‑lasting and persistent pain (headaches, neck pain, facial pain, back pain, herpes zoster neuralgia, intercostal neuralgia, etc.).

The online consultation process:

1. You first send a message with a short description of your symptoms.
2. We quickly respond to let you know if we can help, what documentation to send, the consultation fee, and propose a time.
3. You then send, by email or mobile app, a description of your symptoms and details about your condition, along with any questions you have.
4. If you have medical records, send them as well.
5. After reviewing all the information, we may ask additional questions to prepare for the consultation.
6. The video consultation with the specialist takes place.
7. After the consultation, we provide a signed report with our opinion on the condition and treatment recommendations.
8. We follow your recovery with messages and answer any follow‑up questions for 10 days during the recommended therapy.

This approach allows us to detect and resolve problems in a high percentage of cases, even when the pain has been long‑lasting and seems unsolvable.

Advantages of Online Consultations for Chronic Pain Treatment

• Not limited to a short visit—follow‑up questions can be asked as they arise. In a standard in‑office visit (about 10–20 minutes), the doctor reviews your records, talks briefly, and writes a report, often without prior preparation for complex cases. In our case, you send your documentation and medical history first. We analyze it, ask follow‑up questions if necessary, and for complex cases, we consult literature, AI, or colleagues with similar cases. We then start the consultation prepared, which lasts 30 minutes, followed by a detailed report. We continue to answer your questions via messages for the next 10 days. In this way, you speak with a knowledgeable specialist who has already prepared for your case. The total time devoted to your case is about 90–120 minutes (reviewing records, consulting literature/colleagues, preparing questions, consultation, writing the report, and follow‑up answers).
• For complex cases, AI or other expert consultation is used before the video call.
• You will have enough time until everything is clear.
• No travel is needed, and you get an opinion from an expert who knows all causes of pain and has vast experience.
• This is often the most effective and most affordable treatment if you have long‑lasting pain that local doctors have not resolved. In most cases, your pain will be relieved quickly and more effectively than with other methods, often in just 1–3 consultations.

Online Neurosurgical Second Opinion

You can also get a second opinion on the best neurosurgical treatment approach. If you have been diagnosed and offered surgical or non‑surgical treatment, we can provide our view on whether surgery is indicated, what operative methods exist, where in the country such surgeries are performed, what the risks are, and how to minimize them.

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Frequently Asked Questions

Additional Information and Resources on Online Pain Consultation and Telemedicine

Details on the possibilities of telemedicine in remote diagnosis and treatment

English homepage – overview of neurosurgery and pain consultation