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.
PrecisionEvery decision begins with careful assessment
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.
- 01Neck or low-back pain that persists or returns
- 02Pain extending into the arms or legs
- 03Restricted movement, sleep or daily activities
- 04Pain that remains difficult to control despite previous treatment
- 05Prolonged muscular, joint or tendon pain
- 06A need to clarify the source of pain and the available options
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.
01Rhizotomy 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
02Fluoroscopy-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
03Neuromodulation 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
04Ultrasound-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
05Shockwave 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.
01Understand
We listen to the history of the pain, its impact and previous treatments.
02Assess
Clinical examination and relevant investigations help identify the likely source of symptoms.
03Define
We explain the options and build a plan proportionate to each person’s needs.
04Follow up
The response to treatment is reviewed and the plan adjusted when needed.
LR
Neurosurgery · Persistent and difficult-to-control pain
Dr. Leandro Ribeiro
- Interventional pain treatment
- Rhizotomy and neurolysis, including cervical procedures
- Neuromodulation and neurostimulators
View profile ↗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
View profile ↗FH
Physical and Rehabilitation Medicine · Spine
Dr. Felipe Hauber
- Spinal conditions
- Fluoroscopy-guided spinal procedures
- Musculoskeletal pain and functional limitation
View profile ↗PC
Rheumatology · Inflammatory joint diseases
Prof. Dr. Pedro Carvalho
- Rheumatoid arthritis
- Spondyloarthritis and psoriatic arthritis
- Joint pain, stiffness and inflammation
View profile ↗