Dr Željko Kojadinović — NEUROHIRURGIJA I LEČENJE BOLA
Dr Zeljko Kojadinovic — Pain Treatment & Neurosurgery
Author: Dr. Zeljko Kojadinovic, MD, PhD – Neurosurgeon and Pain Management Specialist
Last medically reviewed: November 10, 2025
How the Consultation Works (Clear Steps From First Message to Treatment)
1. Patient message (initial contact)
„Hi. After having shingles, I’ve been experiencing intense burning pain near my ribcage. When can we do a consultation?“
Sent via WhatsApp / Messenger / Email
„Hi. After having shingles, I’ve been experiencing intense burning pain near my ribcage. When can we do a consultation?“
Sent via WhatsApp / Messenger / Email
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2. Our reply within 2 hours:
„Please describe your condition and treatment history. If you have reports, feel free to send them. We have availability Wednesday at 11am. The consultation costs…“
„Please describe your condition and treatment history. If you have reports, feel free to send them. We have availability Wednesday at 11am. The consultation costs…“
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3. Patient confirms the time & sends documents
„That time works. I’ve had symptoms for 2 months… Sending you my scans and payment confirmation.“
„That time works. I’ve had symptoms for 2 months… Sending you my scans and payment confirmation.“
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4. We send instructions and schedule the call
„Thank you for the documents. We’re sending diagrams for self-testing pressure points to help locate your pain source. We’ll call you via WhatsApp at the agreed time.“
„Thank you for the documents. We’re sending diagrams for self-testing pressure points to help locate your pain source. We’ll call you via WhatsApp at the agreed time.“
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VIDEO CALL: 30 minutes detailed consultation
VIDEO CALL: 30 minutes detailed consultation
5. Medical opinion & therapy
„I will now prepare a written medical report with my opinion and therapy plan. It will include your diagnosis, prescribed medication, and instructions.“
„I will now prepare a written medical report with my opinion and therapy plan. It will include your diagnosis, prescribed medication, and instructions.“
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6. Patient follow-up after 5 days
„I filled the prescription. Five days in, the pain is much lower. Some areas still hurt when touched…“
„I filled the prescription. Five days in, the pain is much lower. Some areas still hurt when touched…“
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7. We respond and suggest second consultation
„Glad to hear you’re improving. Since your symptoms are decreasing, I wouldn’t change the therapy.
Let’s schedule a second consultation 10 days after starting the medication.“
Second consultation: day 10 of treatment
„Glad to hear you’re improving. Since your symptoms are decreasing, I wouldn’t change the therapy.
Let’s schedule a second consultation 10 days after starting the medication.“
Second consultation: day 10 of treatment
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SECOND VIDEO CALL: 30 minutes
SECOND VIDEO CALL: 30 minutes
8. Final step: What happens next?
„After the second video call, we send another report with instructions. If everything goes well, no further consultations are needed.
But if pain persists or therapy needs adjustment — we schedule a third consultation to finalize the treatment plan.“
„After the second video call, we send another report with instructions. If everything goes well, no further consultations are needed.
But if pain persists or therapy needs adjustment — we schedule a third consultation to finalize the treatment plan.“
📄 You will receive a PDF report after each consultation, including the diagnosis, therapy, instructions, and prescription notes (with signature and stamp).
What Makes This Consultation Different?
Many patients are told their pain is caused by “degenerative changes” seen on imaging — but the real source of pain is often missed. My approach starts from the assumption that there is always a specific pain point — whether in a muscle, joint, ligament, or nerve — and that this source can often be identified even when MRI or CT scans appear normal.
During the video consultation, I review your medical documentation, ask highly targeted questions, and guide you through simple motion and pressure tests that you perform yourself. This helps locate the exact anatomical source of your pain — by reproducing or relieving it through specific actions.
This functional evaluation has the same diagnostic value as an in-person physical exam. Effective treatment begins only after the true cause of pain is identified — and that starts with a conversation guided by a physician who understands pain anatomy and knows exactly what structures can generate pain in your case.
This approach can lead to improvement even in long-term, chronic pain — often reducing the need for medications, immobilization, or unnecessary surgeries.
Start Your Telehealth Consultation with a Pain Specialist
If your pain treatment has failed or you’re unsure what to do next — don’t wait. A detailed telehealth consultation can help identify the exact cause of your pain, even if previous therapies didn’t work.
- ✔ First, send a short message describing your problem
- ✔ You’ll receive a reply within 24 hours if and how we can help — including the consultation cost and a suggested time
- ✔ Only then, you can send your medical documentation
- ✔ The video consultation is followed by a written report and follow-up questions (up to 10 days)
- ✔ Secure payment by credit card, PayPal invoice (USD), or bank transfer.
Consultation fees typically range from $180–250, depending on the complexity of your case.
This is within the usual range for specialist telehealth consultations worldwide.
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Frequently Asked Questions
What if I don’t have all my medical reports ready?
That’s not a problem. You can start by sending a short message describing your symptoms. If we can help, we’ll guide you on what documents are useful — but in many cases, the key information comes from the consultation itself, not the scans.
How do I know this is not a scam or a waste of money?
You don’t pay until we tell you whether we can help and suggest a consultation time. You’ll receive a signed PDF report, direct communication with a specialist, and the option to follow up afterward — just like in a private clinic.
What if I start the therapy but stop responding?
You are free to stop the process at any time — but we recommend staying in touch so we can monitor the effects and adjust the treatment if needed. That’s how results are usually achieved — step by step.
What happens if the pain comes back later?
At the end of the consultation process, we always provide clear instructions on what to do if symptoms reappear.
If pain does return weeks or months later, you’re welcome to contact us again. Since we’ve already analyzed your case, the follow-up is usually easier, faster, and more targeted.
Online pain consultation in detail
Answers to questions about the process and success of video consultations
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.
All forms of long‑lasting and persistent pain can be treated this way, including headaches, neck pain, cervical disc herniation, facial pain, low back pain, lumbar disc herniation, pain after lumbar discectomy, herpes zoster neuralgia, occipital neuralgia, intercostal neuralgia, pain in interstitial cystitis, pain that mimics organ disease, Tarlov cyst pain, foot pain, and others.
See more about postsurgical pain,
Video consultation is also known as a virtual visit, video visit, online consultation, remote consultation or telehealth appointment.
English homepage – overview of neurosurgery and pain consultation