The Center of Pain and Palliative Care serves patients who experience any type of pain, such as:

• Neuropathic pain, i.e., pain from nerve dysfunction or damage, such as postherpetic neuralgia, trigeminal neuralgia, phantom limb pain, posttraumatic or postoperative neuropathy, painful diabetic neuropathy, painful angiopathy
• Pelvic pain, i.e., pain in the internal and external genital organs, urinary bladder pain, perineal pain
  Painful syndromes, such as fibromyalgia, knee, hip, shoulder and small joint arthralgia, plantar fasciitis / heel spurs, sickle cell anemia crisis

• Spine conditions with or without surgery indication or pain that persists after an intervention, such as degenerative spine condition pain, back pain / neck pain, vertebral fracture (osteoporotic, of metastatic etiology)
• Cancer pain and treatment side effects and/or concomitant conditions, such as nausea and/or vomiting, diarrhea / constipation, dry mouth / salivation, lymphedema, anorexia / cachexia, dyspnea, persistent cough, pruritus, post-radiation skin and mucosa lesions, sleep disorders, anxiety disorder, delirium / psychoorganic syndrome, etc.

The invasive procedures that are applied at the Center for all the above cases, where appropriate, include:

• Targeted drug infusions, application of radiofrequencies and pulsed radiofrequencies to the spine, to peripheral nerves, sympathetic ganglia, joints, tendons, ligaments, muscles and elsewhere.
• Implantation of a catheter into the epidural or subarachnoid space for continuous or on demand drug infusion.
• Implantation of electrodes in the epidural space or peripherally to the nerve presenting with neurostimulation of the structures related to the transmission of pain.

All interventions are performed under local anesthesia or sedation and under fluoroscopy or ultrasound guidance.