Areas We Help · Chronic Pain

Living With Pain That Resists Easy Answers?

Some pain does not fit neatly into one joint, one scan, or one diagnosis. It moves, it lingers, and it often arrives alongside poor sleep, fatigue, or a low hum of frustration with not being heard. A physician-led consultation is a calm place to lay the whole picture on the table.

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300+
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30min
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How it shows up

When pain becomes part of the day, the day reorganizes around it.

Persistent pain rarely arrives all at once. It builds quietly, and the rest of life rearranges to accommodate it. The pattern below is what most patients describe by the time they reach our clinic.

Sleep frays first

Falling asleep becomes a negotiation. Waking through the night is the new normal. A full night of rest depends on how you lie.

Energy and focus thin out

Work takes longer. Concentration slips. Small tasks carry a weight that other people cannot see, and weekends become recovery time.

Activities quietly drop off

Social plans get declined. Hobbies shrink. The list of things that still feel worth the cost grows shorter without anyone deciding it should.

Common patterns we hear

Pain that has its own logic.

The shapes of chronic pain are varied, but patients tend to recognize themselves in a few of these. None of these are imagined, and none are something to push through alone.

Pain that moves between areas Today the lower back, next week the shoulders, and the connection is not obvious.
Migrating
Imaging that has not given a clean answer Scans, labs, and notes from several clinicians, with no single picture that explains it all.
Unresolved
Flares that follow stress or weather Long stretches of manageable days, then weeks where everything intensifies for no clear reason.
Episodic
Long-standing, with fatigue alongside Pain that has lasted years, often paired with low energy, slower recovery, and mood that shifts with it.
Persistent
The physician you will speak with

A consultation with Dr. Alejandro Giraldo.

Dr. Alejandro Giraldo, pain management physician at Colombia Care Anesthesiology · Pain Management
Your Physician

Dr. Alejandro Giraldo

The patients I see have usually been through several rounds of imaging and short visits. The first thing I want to do is hear the whole story.
  • Board-certified anesthesiologist
  • Specialist in pain management
  • Focus on lumbar pain, chronic back pain, and chronic pain conditions
  • Consults in English and Spanish
  • Reviews your history and any imaging you already have, before the call
Read the full bio on the About page
The consultation, step by step

A first call built around listening.

Thirty minutes, virtual, no cost, no obligation. You leave with a written summary of what was discussed and a clear sense of whether traveling to Medellín for a closer look makes sense for you.

You share what is going on

You book a time that suits you and send any imaging or notes you have. The physician reviews them before the call.

The physician listens

The first conversation is about hearing the full story — sleep, energy, what has helped, what has not — not just where it hurts most today.

You discuss next steps

The physician shares what they are seeing in plain language, and which physician-led options would be worth considering.

You decide at your pace

You receive a written summary. No follow-up pressure. If a visit to Medellín makes sense, the concierge team handles every detail.

The Medellín skyline at night
Medellín, the city

A calm place to step away and think.

Patients tell us the change of scenery matters as much as the consultation. Mild weather, walkable streets, and a bilingual concierge team that handles every logistical detail of the visit.

Bring these to your call

Questions worth asking.

A good consultation is one where you do plenty of the talking. These are questions patients often find useful to bring to the first call.

  • Given my full history, what patterns do you notice that other visits may have missed?
  • How do you think about pain that does not fit a single diagnosis or area of the body?
  • What role do sleep, fatigue, and stress tend to play in cases like mine?
  • What physician-led options would you discuss for someone in my situation?
  • What would you want to assess in person before discussing anything further?
  • What should I gather, history or imaging, to make the consultation most useful?
Areas We Help

Start with a conversation.

A free, no-obligation virtual consultation with Dr. Alejandro Giraldo is the simplest first step. Physician-led, bilingual, and entirely at your pace.

Book a Free Virtual Consultation
Free virtual consultation