These are the procedures I perform regularly. Whether each one is indicated depends on the specific condition and on each patient's characteristics. Every intervention requires a prior evaluation visit and, depending on the case, additional imaging studies.
Image-guided nerve blocks
Ultrasound- or fluoroscopy-guided injection of local anesthetic — alone or combined with a corticosteroid — onto the nerve, joint or ligament structures responsible for the pain. Includes facet blocks, epidural injections (caudal or interlaminar), foraminal injections, peripheral nerve blocks and sympathetic blocks.
⏱ Relief: weeks to months Lumbar epidural injection → What nerve blocks are →Radiofrequency ablation (thermal and pulsed)
Controlled delivery of high-frequency current to a specific nerve to interrupt or modulate pain transmission. Thermal radiofrequency creates a heat lesion (long-lasting effect, 6-12 months); pulsed radiofrequency modulates the nerve without creating a lesion (useful for mixed nerves).
⏱ Relief: 6-12 months on average Lumbar facet radiofrequency ablation → Knee radiofrequency ablation → How radiofrequency ablation works →Regenerative medicine with PRP
Platelet-rich plasma: a sample of the patient's own blood is drawn and centrifuged to concentrate the platelets, then injected under image guidance into the area being treated (joint, tendon, ligament) to stimulate tissue repair processes.
⏱ Relief: months to over a year PRP and regenerative medicine → What the evidence says →Image-guided joint injections
Ultrasound-guided injection of medication (corticosteroid, hyaluronic acid) into the affected joint (knee, shoulder, hip, etc.). It can relieve pain, improve function and postpone more invasive treatments.
⏱ Relief: 2 to 12 months Ultrasound-guided injection → Knee radiofrequency ablation →Interventional headache treatment
Image-guided blocks of the nerves responsible for pain in refractory chronic headaches: greater and lesser occipital nerve blocks, cervical trigger-point injections, sphenopalatine ganglion block, and botulinum toxin for chronic migraine.
⏱ Relief: weeks to months Learn more →Trigeminal neuralgia treatment
For patients with an insufficient response to specific medication: trigeminal nerve blocks and radiofrequency ablation of the Gasserian ganglion (thermal or pulsed), performed under fluoroscopic guidance. An outpatient procedure with well-documented efficacy.
⏱ Relief: months Learn more →Cancer pain management
Celiac plexus and hypogastric plexus blocks, neurolysis, vertebroplasty for painful vertebral metastases, analgesic medication adjustment, and palliative care in coordination with oncology.
⏱ IndividualizedWhat the patient journey looks like
Every patient starts with an evaluation visit. There we talk about your pain, review your imaging and build a treatment plan together. The goal is not always to schedule a procedure at the first visit: we often begin with medication adjustment and targeted physical therapy, and reserve procedures for cases where they are clearly indicated.
When a procedure is scheduled, you receive a written informed consent form, the benefits, risks and alternatives are explained, and the date is coordinated. The vast majority are outpatient: patients go home the same day, with clear instructions.
Coverage and costs
I see patients through the main private health plans and insurers (OSDE, Swiss Medical, Galeno, Medifé, among others), as well as on a self-pay basis and by virtual consultation. Some procedures — such as regenerative medicine with PRP — are not covered by most health plans; in those cases, costs are discussed in advance and in writing.
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