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Understand painbefore treating it.
Musculoskeletal pain consultation with clinical examination, ultrasound imaging, and image-guided procedures, with clear explanation for every decision.
Where does it hurt?
Select a body region to explore frequent complaints and treatments that may be considered.
Selected region
Shoulder
Pain when lifting the arm, sleeping on the affected side, or loss of range of motion.
Evaluation for shoulder pain
Detailed clinical history, physical examination, and musculoskeletal ultrasound in the same consultation.
Book consultationFrequent conditions
How the consultationworks.
Listen to the whole story
Detailed clinical history and physical examination focused on the complaint, movement triggering pain, and personal context.
Visualise the structure
Integration of clinical exam with real-time musculoskeletal ultrasound and review of previous imaging, when available.
Decide together
Clear explanation of the condition, available options, limitations, and the proposed treatment pathway.
Ultrasound during the procedure
Ultrasound shows tendons, muscles, nerves, and joints in real time and guides the needle during the procedure, awake patient and without ionizing radiation.
Indications, potential benefits, and limitations are discussed case by case, prior to any intervention.
View treatmentsTreatments, bycondition type.
The right option depends on clinical diagnosis, affected tissue, and the stage of the condition.
Ultrasound-guided procedures
High-resolution clinical ultrasound enables direct real-time visualization of muscles, tendons, joints, and nerves, guiding minimally invasive procedures with elevated safety and precision.
- Ultrasound-guided injections
- Perineural hydrodissection
- Capsular hydrodistension
- Ultrasound-guided aspiration and drainage
Biological and intra-articular treatments
Targeted joint and tissue therapies administered under ultrasound guidance, evaluated thoroughly on an individualized clinical basis.
- PRP (Platelet-Rich Plasma)
- BMAC (Bone Marrow Aspirate Concentrate)
- Viscosupplementation (Hyaluronic Acid)
Interventional pain treatment
Specialized interventions targeting peripheral and articular nerve pathways in persistent musculoskeletal pain syndromes, performed with ultrasound control.
- Diagnostic and therapeutic nerve blocks
- Radiofrequency therapy
- Dry needling
Blog
Como decorre a primeira consulta
O que acontece numa primeira consulta de Medicina Física e de Reabilitação: história clínica, exame físico, ecografia quando é útil e um plano explicado em linguagem clara.
Ecografia musculosquelética: o que permite ver
Um exame feito no momento da consulta, que observa tendões, músculos e articulações em tempo real e com movimento.
Tratamentos ecoguiados: o que significa
Procedimentos realizados com controlo ecográfico, com a agulha visualizada em tempo real durante todo o percurso.
- View all articles
AndréVarandas Borges
Specialist in Physical and Rehabilitation Medicine, focusing on musculoskeletal pain, sports medicine, and interventional ultrasound.
- Physical and Rehabilitation Medicine
- Musculoskeletal pain
- Sports medicine
- Interventional ultrasound
Book a consultation.
The consultation includes clinical history, physical examination, and ultrasound when relevant to clinical decision-making.