Welcome to Schmerzzentrum Granata
Your specialized center for pain management, headache treatment, and cluster headache expertise in Zurich.
Conquering Pain, Improving Lives.
Dr. Livia Granata, M.D. (med. univ.)
SPS pain specialist
SGSS pain specialist
Specialist in neurology and pain medicine
Certified in Pain Medicine, American Board of Pain Medicine
Certified in Headache Medicine, American Board of Neurology & Psychiatry
Certified in Neurology and Pain Medicine, American Board of Neurology & Psychiatry
SGCM-SSCM Specialist (Swiss Society for Cannabis in Medicine)
Member of SÄPT (Swiss Medical Association for Psycholytic Therapy)
Hope for chronic pain patients.
Transforming lives through therapy.
Services
We are more than pain therapy experts. With our passion and expertise, we accompany you on your way to a healthier and more fulfilling quality of life through pain reduction.
We can make a difference.
Ketamine
With many years of professional experience in our pain center, we offer individually tailored Ketamine IV treatments. Our experienced team is at your side.
Psychedelics
With certain requirements and patient-specific BAG approval. With many years of professional experience, we offer individually tailored psychedelic treatments (LSD & psilocybin).In therapy refractory cluster KS, therapy refractory migraine, therapy referekte depression and anxiety.
Ozonetherapy
Medical Ozone-Oxygen Therapy
Medical ozone has been used for over 100 years, primarily in wound care, due to its cleansing and disinfecting properties.
Today, its range of applications is much broader, and the methods of administering medical ozone vary. For example, the gas can be applied externally to a target area (gums, wounds, skin conditions/lesions, etc.), or injected directly into the affected tissue for pain treatment.
We use medical ozone dissolved in blood/plasma (autohemotherapy). In this process, the blood is cleaned with medical ozone using the micro-perl system outside the body, and then reinfused. Once adapted to the body, the ozone can deliver detoxifying and pain-relieving effects throughout the entire system.
This method triggers a mild, temporary, and controlled oxidative stress in the bloodstream and, through circulation, in target tissues. This activates the body’s own antioxidant mechanisms and positively influences immune modulation.
Ozone therapy promotes microcirculation, has anti-inflammatory properties, and exhibits mild direct antiviral, antibacterial, and antifungal effects.
Medical ozone therapy can be used for a wide range of chronic (pain-related) conditions, including:
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Fibromyalgia
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COVID-19 infections / post-COVID syndrome
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Neuropathic pain
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Tumor-related pain
Simplified mechanism of action (Image source: Ozone Society)
Further reading for those interested:
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Ozone in Chemotherapy-Induced Peripheral Neuropathy – Current State of Art, Possibilities and Perspectives, K. Szklener, A. Rudzinska et al., International Journal of Molecular Sciences, 2023, 24, 5279. PMID: 36982352
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Ozone: Complicated Effects in Central Nervous System Diseases, Zhang et al., Medical Gas Research, 2024. PMID: 39436168
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Ozone Therapy in 65 Patients with Fibromyalgia: An Effective Therapy, U. Tirelli et al., European Review for Medical and Pharmacological Sciences, 2019; 23(4): 1786–1788. PMID: 30840304
Websites:
Video link: https://youtu.be/x3fyPobYDFo?si=0cxn3hcy-sN3L5ja
Laughing Gas
Under certain conditions and with a patient-specific authorization from the BAG (Federal Office of Public Health), we offer individually tailored treatments with nitrous oxide (dinitrogen monoxide) based on many years of professional experience.
Therapy for:
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Refractory cluster headaches
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Refractory migraines
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Refractory depression
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Anxiety disorders
Services
Using the state-of-the-art Apollo TMS machine from MAG & More, we offer advanced Transcranial Magnetic Stimulation (TMS) treatments. Under expert supervision, our TMS therapies are tailored to conditions such as refractory migraines, treatment-resistant depression, and anxiety disorders.
Our approach combines cutting-edge technology with years of professional experience to deliver precise magnetic impulses to targeted areas of the brain—providing effective relief and enhancing overall well-being.
Neuro Check-up
Our Neurological Check-Up Offering
is specifically focused on assessing the risk of arteriosclerosis in the brain-supplying blood vessels.
These vessels are essential for delivering key nutrients like glucose and, most importantly, oxygen to the brain. When they become narrowed, oxygen deficiency can occur, potentially leading to a stroke or a condition known as “vascular” dementia.
Arteriosclerosis in these vessels develops due to so-called vascular risk factors, which include high cholesterol levels, smoking, diabetes mellitus, high blood pressure, sleep apnea syndrome, and obesity.
Sometimes, even in the absence of these risk factors, genetic predispositions may lead to early calcification of the vessels.
Chronic low-grade inflammation in the body—triggered by certain dietary habits, stress, or viral infections—can also damage vessel walls and contribute to arteriosclerosis. Additionally, there are specific neurological and/or rheumatological diseases that may involve inflammation of the blood vessels.
The check-up includes a detailed medical history (anamnesis), a thorough neurological examination, and a standard blood test panel, including:
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Long-term blood sugar (HbA1c)
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Cholesterol and triglyceride levels
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Homocysteine
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Inflammation markers (ESR, hs-CRP, etc.)
We also perform a high-resolution ultrasound examination of the brain-supplying arteries in the neck (carotid, vertebral, temporal, and ophthalmic arteries) and directly within the brain (intracerebral arteries).
If specific suspicions or individual concerns arise, the blood work can be expanded to include B-vitamin levels, thyroid function, liver and kidney function, etc. We can also estimate intracranial pressure using ultrasound.
With ultrasound, we can assess the vessel walls and detect plaque buildup in high resolution. The vessels are lined with a very fine inner layer—thickening of this layer (the Intima-Media Thickness, or IMT) is one of the earliest signs of systemic vascular calcification.
Ultrasound allows for precise, real-time monitoring of actual blood flow, including the rate and direction—something not always possible with other diagnostic methods, which often require additional, sometimes radiation-based tests.
Equipped with state-of-the-art ultrasound technology and decades of experience in this method, we offer evaluations at the highest technical level.
Naturally, we also provide regular follow-up monitoring for patients with known vascular changes.
Sports Neurology
This specialized examination is designed for physically active individuals experiencing symptoms such as dizziness, coordination issues, or concentration problems. The goal is to identify potential causes within the nervous system, preserve athletic performance, and prevent long-term consequences related to sports activity.
Vagus Nerve Stimulation
Vagus nerve stimulation (VNS) involves delivering gentle electrical impulses to the vagus nerve, typically via the outer ear. As a key component of the parasympathetic nervous system, stimulating the vagus nerve helps regulate stress responses, reduce inflammation, and rebalance the autonomic nervous system.
This non-invasive therapy can be effective for:
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Chronic pain
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Fatigue syndromes
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Functional neurological disorders
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Mood and anxiety conditions
Our clinic is one of the first in Switzerland to offer this cutting-edge treatment.
Botox
We offer Botox treatments for a variety of medical and aesthetic concerns, including chronic migraine, tension headaches, spasticity, dystonias, and frown lines. Book your appointment now – we’re happy to provide personalized advice!
