Pain treatment by using local anesthetics is of old tradition and its
utilization in functional disorders might be the remedy of choice; an
existing pathomorphology is at least an indication for a supporting us
e. Findings of segmental reflexes and knowledge of chronically stressi
ng factors can help for an efficient and cost-sparing treatment. The m
ajor part of time has to be spent on examination but there is no need
for high-tech instruments when anamnesis is carefully directed and pal
patoric examination and functional probes are carried out conscientiou
sly (including anatomical knowledge). In therapy there are also used t
he segmental reflectoric pathways as well as <<neural techniques>> mea
ning vegetative structures (sympathetic trunk, ganglions and plexuses)
. In question of resistance to therapy is, considering chronic irritat
ing conditions, the so-called <<treatment of the disturbing region>> a
causal treatment in a strict sense.