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Spine · movement and function

Move again
with greater confidence.

Neck and low-back pain can have different causes and consequences. At Unosaúde, assessment connects symptoms, clinical findings and function to define a clear, proportionate and individualised plan.

Symptoms and limitations

What may indicate
the need for assessment?

More than the name of a finding on a scan, it is important to understand what you feel, how you move and what the symptoms stop you from doing.

Assessment and treatment

A plan built
step by step.

Not everyone needs the same treatment. Care may combine rehabilitation, image-guided procedures and, only when necessary, surgical assessment.

01

Spinal assessment

The consultation connects symptoms, clinical examination and available investigations. The aim is to understand which structures may be involved and distinguish relevant changes from findings that do not, by themselves, explain the limitations experienced.

  • Cervical spine
  • Lumbar spine
  • Clinical assessment
02

Rehabilitation and functional recovery

The plan may include symptom control, restoration of mobility, guided exercise and a gradual return to usual activities. Goals are set individually and reviewed throughout care.

  • Mobility
  • Guided exercise
  • Return to activity
03

Fluoroscopy-guided procedures

Fluoroscopy uses real-time imaging to guide blocks, injections and other spinal procedures. Whether a procedure is suitable depends on the likely source of the symptoms and the consultation findings.

  • Image guidance
  • Blocks
  • Injections
04

Rhizotomy and neurolysis

In selected situations, these minimally invasive procedures may target nerve structures involved in transmitting pain. Treatment can include the cervical and lumbar regions after clinical confirmation of the indication.

  • Cervical region
  • Lumbar region
  • Radiofrequency
05

Surgical assessment when needed

Surgery is not the starting point for most people. When clinical criteria support surgical assessment, the options appropriate to the identified problem are considered, including minimally invasive techniques when indicated.

  • Individualised decision
  • Minimally invasive techniques
  • Follow-up
Explore procedures for persistent pain

Care pathway

Understand before
intervening.

01

Locate

We clarify where the symptoms occur, how they developed and which movements change them.

02

Connect

Clinical findings are considered alongside available investigations and functional impact.

03

Prioritise

We begin with options proportionate to the clinical situation and agreed goals.

04

Review

Progress guides adjustments to the plan and the need for other interventions.

Team

The spine seen
from different perspectives.

Assessment may bring together Neurosurgery, Physical and Rehabilitation Medicine, Sports Medicine and Rheumatology, according to the source of the symptoms and the recovery goals.

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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