{"id":4596,"date":"2025-08-03T07:31:43","date_gmt":"2025-08-03T05:31:43","guid":{"rendered":"https:\/\/neurohirurgija.in.rs\/?page_id=4596"},"modified":"2025-12-27T09:46:55","modified_gmt":"2025-12-27T08:46:55","slug":"step-by-step-how-the-pain-online-consultation-works","status":"publish","type":"page","link":"https:\/\/neurohirurgija.in.rs\/en\/step-by-step-how-the-pain-online-consultation-works\/","title":{"rendered":"Step-by-Step: How the Online Consultation Works"},"content":{"rendered":"

Author:<\/strong>\u00a0Dr. Zeljko Kojadinovic, MD, PhD \u2013<\/a>\u00a0Neurosurgeon and Pain Management Specialist<\/strong><\/p>\n\n\n\n

Last medically reviewed: November 10, 2025<\/p>\n\n\n\n

How the Consultation Works (Clear Steps From First Message to Treatment)<\/strong><\/h2>\n\n\n\n
\n \n \n
\n 1. Patient message (initial contact)<\/strong>
\n „Hi. After having shingles, I\u2019ve been experiencing intense burning pain near my ribcage. When can we do a consultation?“<\/em>
\n Sent via WhatsApp \/ Messenger \/ Email<\/span>\n <\/div>\n\n
\u2193<\/span><\/div>\n\n \n
\n 2. Our reply within 2 hours:<\/strong>
\n „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\u2026“\n <\/div>\n\n
\u2193<\/span><\/div>\n\n \n
\n 3. Patient confirms the time & sends documents<\/strong>
\n „That time works. I\u2019ve had symptoms for 2 months\u2026 Sending you my scans and payment confirmation.“\n <\/div>\n\n
\u2193<\/span><\/div>\n\n \n
\n 4. We send instructions and schedule the call<\/strong>
\n „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.“\n <\/div>\n\n
\n \ud83d\udcf9<\/span>
\n VIDEO CALL: 30 minutes detailed consultation<\/span>\n <\/div>\n\n \n
\n 5. Medical opinion & therapy<\/strong>
\n „I will now prepare a written medical report with my opinion and therapy plan. It will include your diagnosis, prescribed medication, and instructions.“\n <\/div>\n\n
\u2193<\/span><\/div>\n\n \n
\n 6. Patient follow-up after 5 days<\/strong>
\n „I filled the prescription. Five days in, the pain is much lower. Some areas still hurt when touched\u2026“\n <\/div>\n\n
\u2193<\/span><\/div>\n\n \n
\n 7. We respond and suggest second consultation<\/strong>
\n „Glad to hear you\u2019re improving. Since your symptoms are decreasing, I wouldn\u2019t change the therapy.
\n Let\u2019s schedule a second consultation 10 days after starting the medication.“
\n Second consultation: day 10 of treatment<\/span>\n <\/div>\n\n
\n \ud83d\udcf9<\/span>
\n SECOND VIDEO CALL: 30 minutes<\/span>\n <\/div>\n\n \n
\n 8. Final step: What happens next?<\/strong>
\n „After the second video call, we send another report with instructions. If everything goes well, no further consultations are needed.
\n But if pain persists or therapy needs adjustment \u2014 we schedule a third consultation to finalize the treatment plan.“\n <\/div>\n\n \n
\n \ud83d\udcc4 You will receive a PDF report<\/strong> after each consultation, including the diagnosis, therapy, instructions, and prescription notes (with signature and stamp).\n <\/div>\n\n<\/div>\n\n\n\n
\n

What Makes This Consultation Different?<\/h2>\n

Many patients are told their pain is caused by \u201cdegenerative changes\u201d seen on imaging \u2014 but the real source of pain is often missed. My approach starts from the assumption that there is always a specific pain point \u2014 whether in a muscle, joint, ligament, or nerve \u2014 and that this source can often be identified even when MRI or CT scans appear normal.<\/p>\n\n

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 \u2014 by reproducing or relieving it through specific actions.<\/p>\n\n

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 \u2014 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.<\/p>\n\n

This approach can lead to improvement even in long-term, chronic pain \u2014 often reducing the need for medications, immobilization, or unnecessary surgeries.<\/p>\n<\/div>\n\n\n\n

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Start Your Telehealth Consultation with a Pain Specialist<\/h2>\n

If your pain treatment has failed or you’re unsure what to do next \u2014 don’t wait. A detailed telehealth consultation can help identify the exact cause of your pain, even if previous therapies didn\u2019t work.<\/p>\n \n