The Techniker Krankenkasse has initiated an innovative, nationwide, groundbreaking contract in accordance with Section 140f SGB for the integrated care of insured persons with migraines, chronic headaches, neuralgia and nerve pain in order to enable its insured persons throughout Germany to receive modern, high-quality care. first prize for health networkers in 2012 as the best integrated care project in Germany .

The interests of your insured persons, their care and treatment, are the focus. The Kiel Pain Clinic developed integrated care with its conception in 1992 and established it in care in 1997. The accompanying scientific research confirmed high and sustainable efficiency.

Integrated care is described as “the form of care of the future”. The term hides a simple but very effective approach: the three service areas of the healthcare system - outpatient, inpatient and rehabilitative care for patients - should be better networked. Health professionals from different disciplines in practices and hospitals should not only cooperate more closely with each other, but also with non-medical service providers such as pharmacists, physiotherapists or psychologists.

Such networking primarily benefits patients. Because more knowledge and a better exchange of information between everyone involved and working together on a clearly defined therapy goal are the basic requirements for good and sustainably effective care.

With the health care reform of 2004, integrated care, the networking of individual medical and non-medical care areas, is placed at the center of treatment and specifically promoted. This noticeably improves the quality of medical care for patients.

Below you will find out how you can take part in the treatment programs, how they work and which doctors and clinics are involved. Numerous other health insurance companies have joined the care concept. Information can be found here


Who can participate?

Dr Brunkhorst left - Prof. Dr. Göbel right integrated care pain clinic Kiel

Dr. Johann Brunkhorst, head of the TK state representation in Schleswig-Holstein (left) and Prof. Dr. Hartmut Göbel, director of the Kiel Pain Clinic (right) initiated the nationwide headache treatment network

In the Techniker Krankenkasse 's IV project a national network of specialists from the outpatient and inpatient sectors work together to alleviate pain across disciplines and sectors using contemporary methods in an optimally coordinated and hand-in-hand manner. The treatment network is geared towards the specialized, interdisciplinary care of severely affected patients with severe chronic headache diseases, such as

  • Severe and frequent migraines,
  • Chronic tension-type headaches
  • Cluster headache
  • Medication overuse headaches
  • Post-traumatic headaches
  • Other symptomatic headaches
  • Neuralgia
  • Headache with complex comorbidities
  • Rare forms of headache with severe suffering etc.


How is the treatment coordinated?

Integrated connected care consists of three phases:

  • Phase I: Specialized diagnostics, selection of cross-sector treatment paths, on-site treatment
  • Phase II: Full inpatient cross-sector neurological-behavioral medical treatment in the Kiel Pain Clinic
  • Phase III: Outpatient progress and success control, cross-sector monitoring of the therapy progress on site


Phase I

The pain disorder is diagnosed and the treatment process is planned in a coordinated manner. The measures include:

  • Standardized anamnesis and evaluation of external findings
  • Pain analysis
  • Clarification of the diagnosis
  • Setting up a therapy plan
  • If the admission criteria are met, register for inpatient treatment as part of Phase II
  • An admission conference with the referring doctor decides on admission

Phase II

In this section, the cross-sector neurobehavioral medical treatment takes place on a fully inpatient basis in the Kiel Pain Clinic, with the integrated therapeutic procedures being used in a coordinated manner at the same time.

  • Clarification, updating and supplementation of neurological and behavioral medicine diagnostics (multiprofessional individual case diagnostics)
  • Analysis of the biological, psychosocial and economic conditions of pain illness.
  • Reduction of pain-induced disability.
  • Improving future performance.
  • Specific diagnosis and treatment of psychological and social illness conditions and their effects on the experience of illness.
  • Advice on individual pain disorders, mechanisms of development, drug and non-drug treatment methods for self-control and self-treatment of pain disorders.
  • Advice on questions about remaining performance at work and possibly initiation of career-promoting measures.
  • Offering a multidimensional inpatient treatment concept that combines medication and non-medication strategies, among other things
    • Recognizing and avoiding triggering and reinforcing mechanisms
    • Medication break, withdrawal
    • Diet change
    • Relaxation procedures, e.g. B. progressive muscle relaxation
    • Biofeedback procedure
    • Stress management training
    • Operant and cognitive processes
    • Self-confidence training
    • physiotherapy
    • Physical therapy methods
    • Stimulus procedure
    • medication-based pain prophylaxis
    • drug attack therapy etc.
  • Offering individual and group therapeutic, behavioral medicine treatment concepts to manage acute and chronic pain conditions
  • Everyday behavioral medical and sociotherapeutic measures for reintegration into family and work
  • Development of aftercare and long-term concepts hand in hand with the pre- and post-care doctor for further outpatient treatment


Phase III

Over a period of one year after enrollment in the integrated care program, an outpatient progress and success check is carried out at regular intervals and the therapy is adapted to the individual.

  • Standardized recording of therapy effectiveness every three months
  • If necessary, short-term hospital readmission
  • Patient seminars on coping with illness
  • Cross-sector training for participating doctors, psychologists, etc.
  • Online consultation, digital progress and success monitoring with the migraine app, etc


How can I participate?

First make an appointment with a local network partner. Pain experts who cooperate in the nationwide headache treatment network can be found on the headache network partner map. For a quick search, enter your zip code and city (e.g. 24149 Kiel) in the area search. All addresses that are within the selected radius of the entered location are displayed. The addresses are also listed below the map. There you can find the individual information clearly. You can also find local pain experts via the migraine app .

Your treating doctor will decide with you on site based on the examination findings whether the treatment program is suitable for you and your illness. Talk to him about it. He will help you decide. In cases of doubt, your doctor can clarify the admission decision via the network management telephone, Tel: 0431-20099-400.

If you cannot get a timely appointment on site, an outpatient appointment be arranged at the Headache Center at the Kiel Pain Clinic. You can get advice and an appointment by calling 0431-20099-400. online consultation hours are also available to you.

participate in the program as a TK member by signing the enrollment form


The individual steps

Further information about the treatment process

You can find detailed information about the treatment process on our website Homepage and in ours Clinic information brochure
Further individual information about inpatient admission can be obtained by email or obtained via the central management telephone. Please be so kind as to inform yourself in detail about the general formalities here on our homepage. In the Internet age, we do not send brochures and documents by post.
Phone: 0431-20099120
Fax: 0431-20099129
iv-netz@ pain


Outpatient pre- and post-treatment

The registration for outpatient pre- and post-treatment as well as to the outpatient follow-up examinations in our headache center as part of integrated care is possible via:
Phone: 0431-20099400
Fax: 0431-20099409
praxis@ pain


What you should bring with you to the consultation

Please compile the following documents for outpatient treatment and bring prepared copies of all documents for your stay with us to your appointment: