Abraham Espinoza Álvarez

Abraham Espinoza Álvarez

AnesthesiologyPain Therapy Clinic

Patient Demographics: Adult, Eldery

"The treatment of pain not only brings benefits for the patients but also for the relatives. I believe that the optimal management from the first consultation prevents relapses and the prolongation of suffering. My goal is to ease the pain of difficult control."

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Procedures (26)

Ablation by Pulsed radiofrequency nerve
Annuloplasty and / or nucleoplastias, lumbar, thoracic or cervical
Blocks or transforaminal lumbar infiltrations, thoracic or cervical
Emergency intubation
Epidurogramas and myelograms
General anesthesia
Implants intrathecal baclofen pump
Intrathecal implantation of morphine pumps
Joint Locks
Locks or lumbar, thoracic epidural injections and / or cervical
Lumbar, thoracic or cervical discography
Management of cardiac arrest
Neuraxial anesthesia
Periarticular infiltration
Placement of arterial lines
Placement of central venous
Preoperative medical evaluation
Radio Frecuency Therapy for disc herniation
Radiofrequency for painful shoulder, knee and hip
Radiofrequency for Trigeminal neuralgia, carpal tunnel and other nerves
Radiofrequency in cancer pain
Regional anesthesia
Spinal cord stimulation
Spinal stimulator implant
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Medical conditions (17)

Back pain
Cervical pain
Chronic cervical pain
Chronic joint pain
Cronic lower back pain
Herniated discs
Lumbar disc hernia
Myofascial syndrome
Occipital neuralgia
Pain vertebral crush
Pelvic pain
Sciatic nerve pain
Thoracic disc herniation
Trigeminal neuralgia
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General Info


English, Español


  • Specialty in Anesthesiology and Recovery. Universidad de Costa Rica. January 2005 - February 2009
  • Bachelor of Medical Sciences. UCIMED - Escuela de Medicina. January 2002
  • Subspecialty in Clinic and Pain Therapy. Autonomous University of Mexico

  • Interventional Pain Management

  • Theoretical practical workshop: Brachial plexus block guided by ultrasound

  • Program: Risk Minimization Opioid Oncology

  • Advanced Course: Palliative Care

  • Course: Integral Management of Oncologic Bone Pain

  • Course: Addictions in the management of opiates in pain treatment

  • Ultrasound Life Support-Advanced LEVEL

  • Ultrasound Life Support, Basic Level

  • Internship

    Workshop: Intradiscal radiofrequency for discogenic pain

  • Internship

    Workshop: Spinal stimulation in corpses

  • Internship

    Workshop: Neuromodulation


  • Physicians and Surgeons College of Costa Rica cod. MED7059 - active

    Medic and Surgeon - Costa Rica

  • Anesthesiologists Association of Costa Rica
  • Former Professor of Anesthesiology Postgraduate Course - CENDEISSS, University of Costa Rica
  • Expositor: II Curso Internacional de cirugía de Mano, Abril 2013
  • Profesor pregrado - Universidad Hispanoamericana, 2012-2014
  • Expositor: 75 Congreso Médico Nacional, 2013
  • Expositor: 74 Congreso Médico Nacional, 2012
  • Profesor Ad honorem: Posgrado Anestesiología y Recuperación - UCR, 2012-2014