Procedures in this family
Nerve Blocks
Infiltration techniques with anesthetic in specific nerves or roots, used both for diagnostic support (identifying the source of pain) and therapeutic purposes, in selected pain conditions.
Image-Guided Block or Injection
Minimally invasive procedure consisting of injecting medications (anesthetics and/or anti-inflammatories) into selected nerves, joints, or tendons. Real-time ultrasound or fluoroscopy guidance increases application precision, with an efficacy profile documented in comparative literature against non-image-guided techniques. May also aid clinical diagnosis in selected cases.
Trigger Point Injection
Minimally invasive procedure focused on deactivating trigger points — localized areas of muscle tension associated with local and referred pain. Consists of applying an anesthetic substance directly to the point, with the goal of promoting relaxation of the treated muscle. Primary applicability in Myofascial Pain Syndrome.
Radiofrequency
Minimally invasive procedure that uses radiofrequency waves applied to selected nerves, with primary action in chronic facet joint spine pain and peripheral joints. May offer prolonged effect in responsive patients, with procedure time and discomfort varying by treated region.
Viscosupplementation with Hyaluronic Acid
Intra-articular treatment for mild-to-moderate osteoarthritis (Kellgren-Lawrence 2-3), mainly in knees, shoulders, and hips. Consists of injecting hyaluronic acid, a natural component of synovial fluid, directly into the joint. Goal: restore lubrication, improve shock absorption, and contribute to reducing inflammation. May result in symptomatic relief and improved mobility in responsive cases.
Tendon Supplementation with Hyaluronic Acid
Injectable technique for chronic tendinopathies. Hyaluronic acid is applied to the peritendinous space of the inflamed or degenerated tendon, acting as a biological lubricant that may reduce friction and pain during movement. Its anti-inflammatory properties may aid tendon regeneration processes, in clinical studies.
Extracorporeal Shock Wave Therapy (ESWT)
Non-invasive therapy that uses high-energy acoustic waves for treatment of chronic pain in tendons and peritendinous tissues. May stimulate regenerative processes, improve local microcirculation, and fragment calcifications in selected conditions. Primary applicability in plantar fasciitis, calcific shoulder tendinitis, and lateral epicondylitis (tennis elbow).
Prolotherapy
Injectable therapy that aims to stimulate a healing response in chronic musculoskeletal injuries, with primary applicability in ligament and tendon laxity. Consists of injecting an irritant solution (usually dextrose) into the injury site, inducing a controlled inflammatory response. May contribute to tissue strengthening and joint stabilization in selected patients, per protocol.
