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ABOUT US
The Eques Indolor pain clinic is run by experienced specialists in anesthesia and interventional pain treatment, with a focus on personal care, safety and high medical competence.
We who work at Eques Indolor
Tobias Pettersson
Specialist in anesthesia and intensive care since 2015 with employment at Danderyd Hospital. Completed the SSAI program in pain and worked at Danderyd's Pain Clinic from 2020.
Johan Hambræus
Doctor of Medicine with a thesis in interventional pain management. Specialist in anesthesiology, general medicine and pain management. Has published several articles and is a hired lecturer in the field. Active at Eques Indolor since 2003 and has run the clinic under his own management since 2008.
Carmen Pichot
Dr. Carmen Pichot, specialist in rheumatology, Fellowship Interventional Pain Management via the World Institute of Pain.
Erik Rampell
Specialist in anesthesia and intensive care since 2019. Worked at Danderyd Hospital 2014-2024 and Sophiahemmet 2024-2025. Was medical manager for the day surgery operations for orthopedics and surgery at Danderyd for 3 years.
Patricia Flärwall
Specialist nurse in ambulance care since 2017 and prior to that experience in obstetric and neonatal care.
Our history
Dr. Sherdil Nath came to Umeå in the early 1970s after several years of work as an anesthesiologist in England. There, pain management was a natural part of the anesthesiologist's work, something that at that time was still an unknown area in Sweden.
As head of the neurosurgery anesthesia department, Dr. Nath came across a patient with severe pain who was planning to operate on a so-called DCS stimulator – an electrode placed on the spinal cord for pain relief. With a simple blockade, Dr. Nath was able to both localize and treat the pain without surgery. More patients were subsequently referred for similar trials.
One of the first successful treatments involved a heart surgery patient from Uppsala. Her husband, a journalist by profession, wrote an article that received a lot of attention. Soon the word spread, and Dr. Nath appeared on several television programs in Sweden, Denmark and Norway. The phones started ringing non-stop – the anesthesia clinic soon had a waiting list of over 80 patients.
Since the county council leadership in Västerbotten did not want to establish a special pain unit, Dr. Nath, together with Professor Reiz, contacted the Swedish Social Insurance Agency, and a cooperation agreement was concluded.
On February 18, 1980, the Pain Clinic in Umeå opened in Norrlands Hydraulik's premises on Björnvägen. After a few years, the business moved to a newly built clinic at Gräddvägen 11.
In the early 1990s, X-ray-transmitted precision diagnostics were developed, where blockades could be placed precisely. Dr. Nath introduced the method at Norrland University Hospital and in 1994 acquired the first X-ray machine for the Pain Clinic in Umeå. At the same time, Prof. Reiz moved to Lausanne in Switzerland, where he continued his work with precision diagnostics. The collaboration between them continued through international training courses in both Lausanne and Umeå.
In 1998, Dr. Hambræus began auscultating at the clinic, and from 2003 he worked there full-time. In 2008, he took over the clinic to continue the work together with Dr. Nath.
The clinic received patients from all over Sweden and also from the rest of the Nordic region. In May 2009, the operation moved to Kungsgatan 42 in Umeå. In the spring of 2011, the clinic became quality certified according to ISO 9001, ISO 14001 (via FR2000), and patients had then come from 18 of Sweden's 23 county councils.
In August 2014, the clinic opened in Vallentuna, and in December 2015, operations in Umeå ended after 35 years. The work with interventional assessment and treatment of pain has continued in Vallentuna since then, in the same spirit that Dr. Nath once began.
In 2024, the business will be taken over by Dr. Pettersson and moved to Kungsholmen.
Thesis
Interventional Pain Management Focused on Zygapophysial Joint Pain: A Health-Economic Evaluation
Umeå University, 2023 – Faculty of Medicine, thesis no. 2222
The thesis shows that interventional pain treatment of facet joint-related pain improves quality of life, is cost-effective and strengthens the patient's self-control. The method provides better results and lower costs than traditional pain rehabilitation.