UNOSAÚDESpine · Pain · NeurosciencesOpening soon
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Persistent pain · individual assessment

When pain persists,
it is important to understand it.

Each person experiences pain differently. At Unosaúde, we seek to identify its likely source, understand its effect on daily life and define a clear and appropriate care pathway.

Signs and impact

When should you seek
an assessment?

A consultation considers more than pain intensity. Duration, location, associated symptoms and the activities you can no longer do are all important.

Treatment options

Procedures selected
for each situation.

A procedure is not, in itself, a treatment plan. Its indication depends on clinical assessment, available investigations, previous treatment and jointly agreed goals.

01

Rhizotomy and neurolysis

Minimally invasive procedures directed at specific nerve structures involved in transmitting pain. They may be considered in selected situations, including in the cervical region, after clinical assessment and confirmation of the likely source of symptoms.

  • Cervical region
  • Lumbar spine
  • Radiofrequency
02

Fluoroscopy-guided procedures

Fluoroscopy shows spinal structures in real time and guides positioning accurately. It may be used for blocks, injections and other procedures selected for each clinical situation.

  • Spine
  • Image guidance
  • Precision
03

Neuromodulation and neurostimulators

For persistent pain that is difficult to control, neuromodulation may help alter how pain signals are transmitted. Neurostimulator treatment requires specialist assessment and careful clinical selection.

  • Persistent pain
  • Specialist assessment
  • Follow-up
04

Ultrasound-guided procedures

Ultrasound can guide procedures in muscles, tendons, joints and soft tissues without radiation exposure. It may be used for injections and other musculoskeletal interventions when indicated.

  • Ultrasound
  • Muscles and joints
  • Soft tissues
05

Shockwave therapy

A non-invasive treatment used for some musculoskeletal injuries and tendinopathies. Individual assessment is completed first to confirm whether this option is appropriate for the diagnosis and recovery goals.

  • Tendinopathies
  • Musculoskeletal injuries
  • Functional recovery

Care pathway

From the first consultation
to follow-up.

01

Understand

We listen to the history of the pain, its impact and previous treatments.

02

Assess

Clinical examination and relevant investigations help identify the likely source of symptoms.

03

Define

We explain the options and build a plan proportionate to each person’s needs.

04

Follow up

The response to treatment is reviewed and the plan adjusted when needed.

Team

Different expertise.
One coordinated plan.

The nature of the pain and the procedure being considered help identify the most appropriate professional to begin care.

LR

Neurosurgery · Persistent and difficult-to-control pain

Dr. Leandro Ribeiro

  • Interventional pain treatment
  • Rhizotomy and neurolysis, including cervical procedures
  • Neuromodulation and neurostimulators
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SG

Focused Shockwave Therapy · Sports and Exercise Medicine

Prof. Dr. Santiago Gómez García

  • Extracorporeal focused shockwave therapy
  • Chronic tendinopathies and calcifications
  • Plantar fasciopathy and epicondylalgia
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FH

Physical and Rehabilitation Medicine · Spine

Dr. Felipe Hauber

  • Spinal conditions
  • Fluoroscopy-guided spinal procedures
  • Musculoskeletal pain and functional limitation
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PC

Rheumatology · Inflammatory joint diseases

Prof. Dr. Pedro Carvalho

  • Rheumatoid arthritis
  • Spondyloarthritis and psoriatic arthritis
  • Joint pain, stiffness and inflammation
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