Our Services
At DrGilete.com, we offer comprehensive evaluations and treatment plans tailored for complex spinal conditions. Our advanced diagnostic methods and innovative surgical techniques ensure that every patient receives individualized and expert care.
Evaluation of CCI/AAI
Our approach to evaluating CCI and AAI combines advanced imaging modalities—such as upright Cone Beam CT (uCBCT) and MRI—with a detailed clinical assessment. We measure key radiological parameters (including BDI, and BAI) to determine abnormal mobility at the junction between the skull and the upper cervical spine. This comprehensive evaluation lays the foundation for developing a personalized treatment plan that addresses both the structural and clinical aspects of these conditions.
Evaluation of Tethered Cord Syndrome
Tethered Cord Syndrome can be challenging to diagnose using standard imaging techniques. Our evaluation protocol includes prone and supine MRI studies that allow us to compare spinal cord positioning and identify subtle signs of tethering. This dynamic approach ensures a thorough assessment of the condition, helping us to determine whether surgical or conservative treatments are warranted.
Evaluation Arachnoiditis and root clumping
Arachnoiditis and root clumping can be challenging to diagnose using standard imaging techniques. Our evaluation protocol includes prone and supine MRI studies that allow us to compare spinal cord positioning and identify subtle signs of Arachnoiditis and root clumping. This dynamic approach ensures a thorough assessment of the condition, helping us to determine whether surgical or conservative treatments are warranted.
Evaluation of Chiari Malformation
Chiari Malformation is characterized by the herniation of cerebellum into the spinal canal, leading to a range of neurological symptoms. Our evaluation process involves advanced imaging that precisely defines the extent of the malformation and its impact on adjacent neural structures. We then correlate these findings with your clinical symptoms to devise a treatment strategy that effectively addresses the condition.
Evaluation of Cervical Conditions
Beyond CCI/AAI, our team evaluates a range of cervical conditions including disc degeneration, cervical spinal stenosis, and cervical myelopathy. By combining clinical assessment with dynamic imaging techniques, we accurately evaluate spinal alignment, mobility, and the degree of degeneration. This thorough approach ensures that each patient’s unique anatomical and functional needs are identified, paving the way for effective, personalized treatment.
Evaluation of Lumbar Conditions
Our lumbar evaluations cover conditions such as lumbar disc herniation, degenerative disc disease, spinal stenosis, and other lower back disorders. Utilizing advanced imaging and dynamic weight-bearing studies, we pinpoint the source of lumbar pain and dysfunction. Based on these detailed findings, we develop a treatment plan that may include both surgical and non-surgical options designed to restore function and alleviate pain.
Integrated Imaging & Consultation
Accurate, high-resolution imaging is essential for diagnosing complex spinal disorders—whether it’s Craniocervical Instability (CCI), Atlantoaxial Instability (AAI), Tethered Cord or Chiari Malformation. At DrGilete.com, we’ve developed several patient-centered pathways, adapted to individual health needs and geographic location: from comprehensive in-person evaluations here in Barcelona to fully remote consultations with imaging reviewed via telemedicine. A detailed description of each option follows.
Pharmacogenetics
Pharmacogenetics is the study of how an individual’s genetic makeup influences their response to drugs. It combines pharmacology and genetics to understand variations in drug efficacy, side effects, and metabolism. By identifying genetic markers, pharmacogenetics aims to tailor medications and dosages to individuals, improving treatment outcomes and minimizing adverse effects. This field plays a crucial role in personalized medicine, allowing for more precise and effective drug prescriptions based on a person’s genetic profile.
Physiotherapy
Physiotherapy in Ehlers-Danlos Syndrome (EDS) focuses on managing the condition’s symptoms and preventing joint instability, pain, and muscle weakness. EDS is a connective tissue disorder that leads to hypermobility, frequent dislocations, and skin that is prone to bruising or tearing. Physiotherapy aims to improve joint stability, strengthen muscles, enhance posture, and reduce pain through targeted exercises and techniques. It is essential to design individualized treatment plans to address specific challenges and improve the patient’s quality of life while avoiding further injury
Schedule Your Comprehensive Evaluation
If you are experiencing symptoms related to any of these complex spinal conditions, we invite you to schedule a comprehensive evaluation with our expert team. Our personalized approach and state-of-the-art diagnostic methods ensure that you receive the precise care you need.