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Pain medicine doctors online in Spain

Book an online consultation with Pain medicine doctors. Discuss your symptoms or follow up on your treatment online.

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Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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Maria Martelli

AnaesthesiologyPain medicine12 years of experience

Dr Maria Martelli is a medical doctor specialising in anaesthesiology and pain medicine. She provides online consultations for adults, focusing on the assessment and management of acute, chronic, and complex pain conditions, as well as supportive care in serious illness. She graduated from the Medical University of Silesia in Katowice and completed her specialisation in Anaesthesiology and Intensive Care. Alongside hospital work, she has extensive experience in home and inpatient hospice care, supporting patients with severe pain and advanced disease. Since 2021, she has been a certified specialist and continues to work in anaesthesiology, intensive care, and pain treatment. Patients consult her for: 

  • Chronic pain lasting more than 3 months (musculoskeletal, neuropathic, mixed pain).
  • Acute pain requiring medical assessment and treatment planning.
  • Post-operative pain and recovery support.
  • Cancer-related pain and symptom relief.
  • Palliative care support and quality-of-life improvement.
  • Adjustment and optimisation of pain medication.
  • Second opinions for complex or treatment-resistant pain.

Dr Martelli takes a structured, evidence-based approach, carefully analysing symptoms, previous treatments, and overall health status. Her consultations focus on realistic pain control goals, safety of therapy, and improving daily functioning. She is especially attentive to patients living with long-term pain or serious illness, providing clear explanations, compassionate guidance, and medically sound recommendations adapted to each individual situation.

Pain medicine doctors for comprehensive assessment and management of pain

How pain medicine evaluates different pain conditions, identifies contributing factors, and defines appropriate care pathways

What pain medicine focuses on

What pain medicine focuses on

Pain medicine is a medical specialty dedicated to the structured evaluation and management of pain as a clinical condition. It addresses pain not only as a symptom of another disease, but as a complex experience influenced by biological, neurological, and functional factors.

Pain medicine doctors work with patients whose pain persists, recurs, or significantly interferes with daily activities, sleep, and quality of life. This includes situations where the original cause of pain is known, as well as cases where pain continues without a clear or single diagnosis.

The specialty focuses on understanding how pain develops, how it is maintained, and what factors contribute to its persistence. These may include nerve involvement, musculoskeletal changes, central sensitisation, or previous injury or surgery.

The primary goal of pain medicine is careful assessment and clinical reasoning before any treatment decisions are made.

Common reasons to see a pain medicine doctor

Common reasons to see a pain medicine doctor

Chronic musculoskeletal pain, such as back pain, neck pain, or joint pain, is one of the most frequent reasons for referral. These conditions often persist despite standard treatments and require more detailed evaluation.

Patients also commonly seek pain medicine consultations for nerve-related pain, including neuropathic pain, radicular pain, or pain following trauma or surgical procedures. Such pain often has distinct characteristics, such as burning, shooting, or electric sensations.

Headaches, facial pain, and widespread pain conditions may also fall within the scope of pain medicine when they are persistent or difficult to manage. In some cases, patients are referred due to ongoing pain without a clearly identified cause.

Pain that limits mobility, disrupts sleep, or reduces the ability to work or function socially is a key indication for pain medicine assessment.

Acute pain, chronic pain, and pain patterns

Acute pain, chronic pain, and pain patterns

Pain medicine distinguishes between acute pain and chronic pain, not only by duration but also by underlying mechanisms. Acute pain is typically related to tissue injury or inflammation and often resolves as healing occurs.

Chronic pain persists beyond the expected period of healing and may involve changes in how the nervous system processes pain signals. In such cases, pain can become disproportionate to the original injury or continue even after tissue recovery.

Pain medicine doctors analyse pain patterns, including whether pain is constant or intermittent, localised or widespread, and what factors trigger or relieve it. These patterns provide important diagnostic clues.

Understanding the temporal and functional characteristics of pain is essential for determining appropriate management strategies.

Diagnostic assessment and multidisciplinary approach

Diagnostic assessment and multidisciplinary approach

Pain medicine consultations are centred on detailed diagnostic assessment rather than immediate intervention. This includes reviewing medical history, previous diagnoses, treatments tried, and their outcomes.

Doctors often analyse imaging studies, laboratory results, and reports from other specialists to build a comprehensive clinical picture. The aim is to identify contributing factors rather than focus on a single presumed cause.

Pain medicine frequently involves collaboration with other specialties such as neurology, orthopaedics, rehabilitation medicine, or mental health professionals. This reflects the fact that pain often has overlapping physical and neurological components.

A multidisciplinary perspective helps avoid fragmented care and supports more informed clinical decisions.

When pain medicine may not be enough

When pain medicine may not be enough

Certain pain-related situations require urgent medical attention rather than scheduled pain medicine consultation. These include sudden severe pain with neurological deficits, loss of bladder or bowel control, fever with pain suggesting infection, or rapidly worsening symptoms.

Pain medicine doctors also recognise when pain is secondary to conditions that require direct treatment by another specialty, such as active inflammatory disease, malignancy, or acute surgical pathology.

Not all pain can be fully eliminated, particularly in long-standing or complex cases. In such situations, management may focus on reducing pain intensity, improving function, and supporting daily activities.

Clear discussion of limitations and realistic goals is an essential part of responsible pain medicine care.

Pain medicine doctors: frequently asked questions

Key questions about medical pain assessment and management

Pain medicine doctors assess a wide range of pain conditions, including chronic musculoskeletal pain, neuropathic pain, post-injury pain, post-surgical pain, and complex pain syndromes.

When pain persists beyond expected healing, worsens over time, interferes with daily functioning, or does not respond to initial treatment approaches.

No. While chronic pain is common, pain medicine also evaluates complex or recurrent acute pain that requires deeper diagnostic assessment.

They analyse pain characteristics, medical history, previous treatments, imaging, and neurological findings to identify contributing mechanisms rather than relying on a single diagnosis.

No. Pain medicine complements other specialties and often works alongside them, especially in complex cases.

Not always. In some cases, the goal is improved function, symptom control, and quality of life rather than complete pain elimination.

Assessment always comes first. Any interventions depend on individual clinical evaluation and clear medical indication.

Sudden severe pain, new neurological symptoms, weakness, fever, or rapidly worsening pain require immediate medical evaluation.

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