M.D. Mehmet Ali Sayan

A 72-year-old retired fisherman from the Black Sea coast presented with debilitating phantom limb pain following a traumatic amputation 40 years prior. Traditional medications had failed. Dr. Sayan pioneered a novel protocol combining mirror therapy with targeted peripheral nerve stimulation, requiring the patient to visualize his missing hand performing specific fishing knots. After six weeks, the patient reported an 80% reduction in pain and began teaching knot-tying to local children.

A 19-year-old elite rhythmic gymnast developed complex regional pain syndrome (CRPS) in her right foot after a competition fall. Her career was jeopardized. Dr. Sayan designed a multidisciplinary regimen involving graded motor imagery, hydrotherapy in a specially designed pool, and a carefully titrated ketamine infusion series. She returned to modified training in 4 months and later won a national bronze medal.

A 42-year-old Syrian refugee and former tailor, now working in a textile factory, suffered from severe, treatment-resistant fibromyalgia exacerbated by trauma and poor living conditions. Dr. Sayan coordinated a holistic program including cognitive behavioral therapy for pain, myofascial release techniques taught to his daughter, and community-based gentle exercise groups. The patient regained the ability to sew for his family, a profound psychological milestone.

An 8-year-old boy with cerebral palsy and severe spasticity-related pain was unable to tolerate his physiotherapy. Dr. Sayan performed ultrasound-guided phenol neurolysis to specific obturator and hamstring motor branches. This precise, chemical intervention provided 9 months of relief per session, allowing for intensive, pain-free therapy that significantly improved his gait and independence.