Pain Management Center

Diagnosis and treatment of acute and chronic pain, with the aim of improving patient functionality and quality of life.

Department Overview

The Pain Management Center is focused on the diagnosis and treatment of acute and chronic pain, with the aim of improving patient functionality and quality of life.

The center applies a comprehensive, individualized approach, combining clinical assessment, medication therapy, interventional procedures, and multidisciplinary care.

Diseases and Conditions

  • Acute pain
    postoperative pain or pain related to acute conditions and injuries
  • Chronic pain
    long-term pain syndromes persisting for months or years
  • Neuropathic pain
    pain related to the nervous system
  • Musculoskeletal pain
    pain affecting the spine, joints, muscles, and surrounding structures

Diagnostics and Treatments

The department applies a structured and individualized approach to assess and manage pain, determining its cause, intensity, and impact on quality of life.

Detailed medical history and physical examination to define the type of pain (acute or chronic, neuropathic, inflammatory, or musculoskeletal), its location, intensity, and aggravating/relieving factors. When needed, the assessment is complemented by laboratory and imaging studies.

Individually tailored treatment based on the type and severity of pain, which may include analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, muscle relaxants, neuropathic agents, and adjuvant therapies. Treatment is dynamically adjusted with regular monitoring of effectiveness and potential side effects.

Minimally invasive techniques used in patients with chronic or refractory pain, including nerve blocks, epidural injections, radiofrequency ablation, and other targeted procedures to reduce pain and improve function.

Integrated care involving collaboration between anesthesiologists, neurologists, orthopedic specialists, physiotherapists, and other specialists. This approach combines medication, physical therapy, psychological support, and interventional techniques to achieve long-term pain relief and improved quality of life.

This structured approach targets not only symptom control but also the underlying cause of pain, with a focus on functional recovery.

Specialists

Center for Inpatient Care Anesthesia Intensive Care and Pain Management
Anesthesia Resuscitation and Intensive Care, Pain Management Center

Dr. Emil Stoicovski

Specialist in Anesthesiology and Resuscitation

Center for Diagnostics and Laboratory Medicine, Center for Inpatient Care Anesthesia Intensive Care and Pain Management
Anesthesia Resuscitation and Intensive Care, Pain Management Center

Dr. Aleksandra Jakimovski

Specialist in Anesthesiology and Intensive Medicine

Center for Diagnostics and Laboratory Medicine, Center for Inpatient Care Anesthesia Intensive Care and Pain Management
Anesthesia Resuscitation and Intensive Care, Preoperative And Postoperative Care

Dr. Tanja Gramosli

Specialist in Anesthesiology and Intensive Care

Center for Diagnostics and Laboratory Medicine, Center for Inpatient Care Anesthesia Intensive Care and Pain Management
Anesthesia Resuscitation and Intensive Care, Pain Management Center

Dr. Marko Gjorgon

Specialist in Anesthesiology and Intensive Care

Center for Diagnostics and Laboratory Medicine, Center for Inpatient Care Anesthesia Intensive Care and Pain Management
Anesthesia Resuscitation and Intensive Care, Pain Management Center

Dr. Dragica Vezenkova-Vuchkova

Specialist in Anesthesiology and Intensive Care

Center for Diagnostics and Laboratory Medicine, Center for Inpatient Care Anesthesia Intensive Care and Pain Management
Anesthesia Resuscitation and Intensive Care, Pain Management Center

Dr. Sanja Marinkovikj Bojadzievska

Specialist in Anesthesiology and Intensive Care

Center for Diagnostics and Laboratory Medicine, Center for Inpatient Care Anesthesia Intensive Care and Pain Management
Anesthesia Resuscitation and Intensive Care, Pain Management Center

Dr. Jovana Stojmenovikj

Resident in Anesthesiology and Intensive Medicine

Center for Diagnostics and Laboratory Medicine, Center for Inpatient Care Anesthesia Intensive Care and Pain Management
Anesthesia Resuscitation and Intensive Care, Pain Management Center

Dr. Simona Despotovska

Resident in Anesthesiology and Intensive Medicine

Patient Journey

  • Consultation
    Initial pain assessment and clinical evaluation.
  • Diagnostics
    Determination of the cause and type of pain.
  • Treatment Plan
    Development of an individualized approach.
  • Treatment
    Medication therapy or interventional procedures.
  • Follow-Up
    Ongoing monitoring and adjustment of therapy.
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