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(Pain Management Specialist)

Dr. Paul Tellez

Medical | Algology | Alternative Medicine

Interventional Algologist Surgeon in Puerto Vallarta Mexico. Expert in acute and chronic pain, from cancer, degenerative diseases, and terminal patients.

Dr. Tellez’s Specialties

  • Chronic pain
  • Pain Intervention
  • Palliative Care
  • Comprehensive Pain Medicine


Identify The Pain


Chronic pain


There are hundreds of types of chronic pain conditions which can be more broadly categorized into either nociceptive, neuropathic or nociplastic pain.

To complicate matters, it is not uncommon to have a “mix” of pain types. Your pain management is never decided on by pain type alone, but it can be an important factor in guiding evidenced based treatment and management strategies.


Chronic pain is often referred to as an ‘invisible illness’ where you can feel pain 24/7, however externally people might think you don’t look unwell. Living with pain has an impact on all parts of a person’s life. Some of our members living with pain have described learning techniques for ‘managing’ their pain which allowed them to gradually take back their lives and return to meaningful, and enjoyable activities in life with a pain reduction.


Pain Intervention

Interventional pain management uses minimally invasive techniques such as nerve blocks or implantable drug delivery systems. Some of the more common interventional procedures include:

  • Radiofrequency Nerve Ablation is the use of radiofrequency waves to heat and destroy nerve tissue, thus reducing pain signals that are emitted from the source. Performed using X-ray guidance, radiofrequency nerve ablation delivers precisely controlled heat to temporarily and selectively disable nerves identified as being responsible for pain.
  • Discography is an “inside” look at the spinal discs to determine if they are the source of pain.
  • Percutaneous Discectomy/Nucleoplasty is a procedure to remove tissue from the spinal disc in order to decompress and relieve pressure.
  • Injections. Steroid injections target pain points in the body to reduce inflammation. Commonly administered injections are muscle and joint injections. Additionally, facet joint, trigger point, and epidural injections can help relieve pain resulting from osteoarthritis and other inflammatory conditions.
  • Pain Pump. This device is surgically implanted and delivers pain medications directly to the location where the pain originates.
  • Nerve, root, and medial branch blocks are procedures that interrupt the nerve-to-brain signals to relieve pain. The block can also help reduce inflammation. Sometimes a block is used as a diagnostic tool.
  • Rhizotomy is a procedure using heated electrodes that “turns off” pain signals when applied to specific nerves.
  • Spinal Cord Stimulation is the application of an electrical current to the source of pain via a tiny, implanted medical device. The electrical signals block the brain’s ability to perceive pain signals.

Palliative Care

Palliative care is used to manage a disease or medical condition that is serious or life threatening by easing pain and other associated physical, emotional, or psychosocial symptoms.

Palliative care provides advanced care planning and a support system to help you live a life that is as active, fulfilling, and as pain-free as possible.

Palliative care may last for weeks, months, or years, and the relief of moderate to severe pain during that time can greatly improve quality of life. By starting this type of care early, and by using the right type of pain management, nearly all pain problems can be relieved or reduced.

Learn More

Some effective treatments

  • Nerve blocks
    Interrupt pain signals to provide relief, guided through the ultrasound fluoroscopy.
  • Infusions
    Pain relief drugs delivered directly into the body to give immediate management.
  • Injections
    Epidural Steroid Injections, Facet Joint Injections and Trigger Joint Injections.
  • Radiofrequency Ablation
    Radio wave to produce an electrical current. Long term effect (years).

Conditions Treated

  • Headaches | Facial pain
  • Chronic pain
  • Cancer pain | Palliative care
  • MS | Fibromyalgia | Neuralgia
  • Rheumatoid Arthritis
  • Spine (neck, back, lower back-leg)
  • Shoulder & arm pain
  • Pains associated with vascular occlusion
  • Neuropathic Pain (see FAQ)
  • Sacroiliitis (see FAQ)
  • Unidentified pain

Live A Pain Free & Active Life!

· Book an Appointment ·

Select a category to expand


All types of minimally invasive pain control methods are ambulatory. This way, the patient doesn’t need to stay in the hospital and can recover at home.


  • College of Anesthesiology of Mexico
  • AMETD Ultrasound Guided Pain Management Course
  • Diploma in palliative medicine from the University of La Rioja


National Institute of Pediatrics of Mexico
– Learned to manage chronic acute pain and terminal patients in pediatrics.

National Institute of Rehabilitation
– Gained experience and skills in trauma management

National Institute of Neurology and Neurosurgery of Mexico
– Acquired skills and experience from patients with neurological diseases

National Cancer Institute of Mexico
– Completed his training as an Algologist


  • Association for the study and treatment of pain in Mexico
  • Jalisco College of Anesthesiologists
  • IASP (International Association for the Study of Pain)
View Phone Number

Online Consultation?

If you are not currently in Mexico but would like an online consultation, fill out the form below to set up a meeting. 



PLAZA ROBLE – Blvd. Riviera Nayarit #2-6 (Between Bucerias & Nuevo Nayarit)


Monday – Friday (4 pm – 8 pm)
Saturday (10 am – 4 pm)

What is Sacroiliitis?

It is the inflammation of one or both of your sacroiliac joints. These two joints are located where the sacrum (the triangular last section of the spine) meets the ilium (a part of the pelvis).

Sacroiliitis is a common source of lower back pain or pain in the buttocks or thighs.

What is Neuropathic pain?

Neuropathic pain refers to pain that originates from pathology of the nervous system. Diabetes, infection (herpes zoster), nerve compression, nerve trauma,  and autoimmune disease.

What is Interventional Pain?

Interventional pain management is a method which utilizes pain blocking techniques to help make day-to-day activities less difficult, and effectively restore quality of life for patients.

Surgery, electrostimulation, nerve blocks or implantable drug delivery systems may be used as part of the treatment process