Dr Željko Kojadinović — NEUROHIRURGIJA I LEČENJE BOLA
Dr Zeljko Kojadinovic — Pain Treatment & Neurosurgery
Author: Zeljko Kojadinovic, MD, PhD – Neurosurgeon & Pain Specialist
Last medically reviewed: November 12, 2025
Artificial Intelligence (AI) can be a powerful tool in the assessment of chronic pain and complex neurosurgical conditions.
Many patients who reach out to us suffer from conditions that are not only difficult to diagnose, but also involve overlapping issues from other organ systems. In such cases, we may use AI-assisted analysis — either before or after the video consultation — to support a more complete understanding of the case. Video consultation is also known as a virtual visit, video visit, online consultation, eConsult, remote consultation or telehealth appointment.
AI in medicine enables:
- Access to a wide range of medical literature across specialties
- Insightful analysis based on the latest studies related to your symptoms
- A different perspective than what previous doctors may have considered
- Identification of new or emerging treatment options
- Assistance in reading MRI scans and suggesting broader differential diagnoses through specialized AI agents trained in medical imaging
The key to effective AI use is not just having access to the technology — but knowing how to ask the right questions.
In our consultations, AI is not a substitute for medical expertise. Rather, it supports clinical reasoning by integrating medical knowledge from multiple disciplines. When combined with a doctor’s experience and targeted questioning, it can lead to better insights and more effective treatment decisions. Everything said on this page applies to most pain syndromes, such as trigeminal neuralgia, occipital neuralgia, postherpetic neuralgia, neck pain,lumbar disc herniation, pain after lumbar discectomy, spinal stenosis, pudendal neuralgia, pain in interstitial cystitis, pain that mimics organ disease, postsurgical pain, Tarlov cyst pain, low back pain, cervical disc herniation, shoulder pain, hip pain, etc.
During the consultation, AI complements clinical decision making — it does not replace it.
How AI is Used During Your Consultation
Here is how it works in practice:
- I personally analyze your case, imaging, and symptom pattern based on anatomy and neurosurgical experience.
- AI is used to review medical literature, rare-case reports, and guidelines related to your symptoms if there is any uncertainty.
- If needed, a specialized imaging-AI model may assist in reviewing your MRI or CT images and suggest possible differential diagnoses (e.g., nerve entrapment, joint pathology, or radiculopathy). AI output does not replace radiologist or physician interpretation — the final diagnosis is always made by the physician.
- Final diagnosis and treatment decisions are always made by the physician, not the AI tool.
AI acts as a research assistant.
The physician remains the decision maker.
This results in a broader, faster, and more precise diagnostic process — especially in complex pain cases where multiple pain generators overlap.
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.
Learn more about how AI is used in pain treatment and complex case analysis.
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. Thousands of patients worldwide already use telehealth consultations for second opinions — it’s safe, accepted, and effective.
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Frequently Asked Questions
Can AI really help diagnose complex pain conditions?
Yes. AI provides access to a wide range of medical literature and helps analyze overlapping symptoms that may be missed by standard diagnostics. It supports the physician in identifying the likely anatomical source of pain based on your unique presentation.
Do I need a confirmed diagnosis before the consultation?
No. Many patients reach out precisely because they don’t have a clear diagnosis. The consultation aims to evaluate your symptoms thoroughly and suggest possible causes and next steps based on anatomy and clinical reasoning.
What kind of medical documentation should I prepare?
You can send any recent imaging reports (MRI, CT), lab results, and previous specialist evaluations — but even without complete documentation, the consultation can still be effective due to the clinical approach based on functional assessment.
English homepage- overview of neurosurgery and pain consultation