Tokuda Hospital Sofia


Pain Relief Cabinet

Specialized Ward for pain treatment

 The “Pain Treatment Ward” treats acute and chronic pain with contemporary  western medicine as well as innovative traditional Chinese medicine. In addition to pain relive medications we offer acupuncture, acupressure, electro-puncture and other proven pain relief techniques. The methods have a positive effect on spinal cord and back pain, headaches, migraines, neurological and other acute and chronic pain.

Reiki Therapy

Reiki is a Japanese technique for stress reduction and relaxation that also promotes healing. It is administered by "laying on hands" and is based on the idea that an unseen "life force energy" flows through us and is what causes us to be alive. If one's "life force energy" is low, then we are more likely to get sick or feel stress, and if it is high, we are more capable of being happy and healthy.

The word Reiki is made of two Japanese words - Rei which means "God's Wisdom or the Higher Power" and Ki which is "life force energy". So Reiki is actually "spiritually guided life force energy."

A treatment feels like a wonderful glowing radiance that flows through and around you. Reiki treats the whole person including body, emotions, mind and spirit creating many beneficial effects that include relaxation and feelings of peace, security and wellbeing. Many have reported miraculous results.

Reiki is a simple, natural and safe method of spiritual healing and self-improvement that everyone can use. It has been effective in helping virtually every known illness and malady and always creates a beneficial effect. It also works in conjunction with all other medical or therapeutic techniques to relieve side effects and promote recovery.

Su Jok Therapy

Su Jok Therapy is a discovery by a Korean scientist who developed a new system of therapy using only the hands and feet to effect the same results as body acupuncture. He found a complete correspondence system representing the whole body, on the hands and the feet. In Korean, Su means “Hand,” and Jok means “Feet.”

The advantage of this system is its simplicity, safety and efficiency. It is easy to learn, and the speed of response is often dramatic. It employs no forbidden or dangerous points, and is therefore suitable for use by paramedics and laypersons for self-treatment.

  • EFFECTIVE - not only by the treatment of the common illnesses, which “chase” us in our daily round but also with cases difficult to cure even by the modern medicine - including some cancer diseases. Often the curing effect is immediate and proves itself by the very first procedure.
  • WIDE-SPECTRUM - the su jok therapy can cure almost every disease. With the help of this therapy every organ, every single part of the body can be cured.
  • HARMLESS - even if you don’t practise it correctly, it won’t do any harm to you. According to professor Zhanaidarov (president of the Su Jok association in Kazakhstan) su jok erases the borderline between self-treatment, which the official medicine doesn’t approve and prophylaxis, which is encouraged by this medicine.Up until now in the history of mankind such a treatment hasn’t existed, a method so simple, convenient to use, practical and efficient. That`s why su jok therapy is defined as one of the great medical discoveries of 20 th century.


The Pain and Its Treatment

“   Every person perceives the pain individually.”

What is pain?

We are used to thinking that the pain is something bad. However, this is not correct at all. The pain is a defensive reaction of the organism and has a protective role. It is the first sign from our body when there is danger. Nowadays, the pain has been defined as the scariest sensitive feeling and it is the most common reason for seeking medical assistance.

How many types of pain are there?

  • Acute (short-term) pain which is due to tissue damage and heals with the recovery. It lasts between 3 to 6 months. Usually the acute pain is related to a trauma, surgery, giving birth, medical examinations and illness.
  • Chronic (long-term) pain is caused by a continuous medical condition such as arthritis, muscular pain, migraine, oncologic or terminal illness.


If you are feeling pain at the moment, you should speak with the medical team. Your physician will offer you the suitable medical treatment.


  • If you react quickly, when the pain appears, you can prevent its intensification
  • The anxiety, the fear and the depression could worsen your feelings and quality of life

You have the right to:

  • Get the relevant information and answers
  • Be informed that your treating physician is taking good care of you
  • Quick reaction from the medical team when you complain about your pain
  • Feel that your complaint is understood

You have the responsibility to:

  • Describe your pain to the medical team
  • Assist the medical team that treat you
  • Help the team in assessing your pain
  • Always announce when your pain is not soothing after taking analgesic

 You need to know that:

  • The opium analgesics have a positive effect when used on prescription
  • The addiction to opiates during the pain treatment should not be expected
  • All analgesics have side effects, which however could be controlled and will disappear with time
  • The reduction or the lack of effect of the anesthesia is not a reason for giving up the medical treatment.  If the medicine does not have the desired effect, it should be changed.
  • The medicaments are not the only method for healing the pain. A lot of others effective remedies useful for pain treatment could be added in addition to those medicaments
  • Not all types of pain could be entirely healed

How are we going to assess your pain?

The pain is beneficial only when it has a defensive function. If not treated, the acute pain could lead to complications, slow down the recovery and extend the stay in the hospital. The untreated pain could lead to emotional and psychological problems.

It is our duty to heal your pain but we need to know what type of pain it is. You need to help us by actively communicating with us.

What do you need to know about assessing the pain?

The pain is assessed only in certain time intervals, because:

  • Only you know how much does it hurt
  • The magnitude of pain is changing in time
  • Your medicine might need to be changed

First you need to familiarize with the material in the brochure and then to describe your pain by filling the form, which was given to you.

You need to respond to the following questions:

  • Do you feel any pain?
  • Where does it hurt?
  • In what way does it hurt (acute, obtuse, colicky, stinging, relapsing, permanently or other)?
  • Since when does it hurt?
  • What calms and what worsens your pain?”


Have you taken a medicine now?

  • Always mark not only the prescribed but also the analgesics which you have already bought

 What should you do if the pain is not affected or a new pain appears?

  • Tell a doctor or a nurse
  • Always say how much does it hurt, before and after the anesthesia

We assess the magnitude of your pain from 0(no pain) to 10 (the most severe pain) while using the following chart:


 What can I expect regarding the treatment of my pain?

The pain is an individual feeling, which could be described with difficulties to other people. A lot of patients who feel pain are thinking that their complaints are not taken seriously from the medical team. The acute (traumatic) pain must and can be cured with the resolution of the illness. The chronic (long-term) pain cannot be healed entirely – the combination of medicaments and non-pharmacological techniques will improve your feeling and quality of life.

Treatment of the Pain

There are a lot of methods to treat the pain. Your treating physician will choose the most suitable method for you and your pain. The methods of pain treatment are divided into three main groups which could be applied either separately or could be combined.

  • Medicamentous treatment methods

The analgesics could be applied orally, as an intramuscular or intravenous injection; as epidural catheter or through the skin (via plaster).

Types of Analgesics

  • Non-opioid Analgesics (nonsteroidal anti-inflammatory drugs) – include paracetamol, ibuprofen and diclofenac. They reduce the inflammation and lower the temperature.
  • Opioid Analgesics – morphine, tramadol, codeine, oxycontin. They are applied for medium and strong pain.
  • Auxiliary Drugs - muscle relaxants, antidepressants, anticonvulsant medicaments. They are applied for certain types of pain.


  • Invasive Techniques(plexus blockade, epidural analgesia, etc.) with a single or a multiple anesthesia) :
    •  Anesthesia with an epidural catheter – provision in the epidural space of local anesthetics/opiates
    •  Patient-controlled analgesia – a method, which allows the patient to apply local anesthetic and/or opiates by himself with the help of a programmed pump. The program does not allow overdosing. It is applied for severe pain or post-operatively.


  • Non-pharmacological methods :
  •  Acupuncture
  •  Distraction Techniques – reading, games, conversations, relaxation
  •  Physiotherapy – Currents with anesthetic effect – TENS (transcutaneous electrical nerve stimulation), diadynamic currents, ionophoresis, interference current
  •  Magnet therapy, ultrasound therapy
  •  Laser Therapy and Laser Puncture
  •  Kinesitherapy – medical exercises and massages
  •  Manual therapy, Yumeiho therapy
  •  Homeophatic Treatment 

Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.


From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.