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For adults in Vigan & Ilocos Sur living with chronic or acute pain

Non-surgical pain rehab, in Vigan City.

Doctor-led, image-guided treatment for chronic and acute pain — without the operating room.

Pick up your grandchild without wincing. Sleep through the night without the pain deciding your position. Get back to the work, the sport, the morning walk you stopped doing — not because you wanted to stop, but because the body stopped cooperating.

Untreated chronic pain doesn't plateau. It adapts — and the adaptations are usually losses. Muscles you stop using lose mass. The compensation patterns you develop become the new normal. The longer the wait, the more your recovery has to undo. None of this is fear-mongering. It's how the body works.

If You Wait

What changes if you do nothing.

Chronic pain doesn't stay the same. The body adapts to it — and the adaptations are usually losses that compound over time.

  • 01

    Muscles you stop using lose mass.

    Within weeks of guarding a painful joint, the surrounding muscles begin to atrophy. The longer you wait, the more strength you have to rebuild.

  • 02

    The nervous system rewires itself.

    Persistent pain makes the brain more sensitive to pain signals. What was once a 6/10 can become an 8/10 — not because the tissue is worse, but because the alarm system is louder.

  • 03

    Compensation patterns become the new normal.

    You stop using one side, lean differently, move differently. These adaptations create new pain in new places — and they take longer to undo than the original problem.

  • 04

    Treatment windows narrow.

    Some conditions respond well early and poorly later. The knee that's "bone-on-bone" in five years doesn't have the same non-surgical options as the knee with mild cartilage loss today.

None of this is meant to alarm you. It's the same information Dr. Rabara shares with patients who delayed care — and what they wish they'd known sooner.

The Consultation

You start with a diagnosis. Not a treatment.

Dr. Rabara personally examines you. He listens. He uses precision diagnostics — MSK ultrasound and EMG-NCV — to find the exact source of your pain. Not where it hurts. Where it comes from.

Only then do we treat. Non-surgically. With targeted procedures — injections, shockwave, PRP — performed under image guidance, in clinic, same day.

Three steps, one visit

  1. 1. Examine. Dr. Rabara physically assesses the joint, muscle, or nerve.
  2. 2. Image. Real-time MSK ultrasound shows the tissue in motion — tears, inflammation, entrapment.
  3. 3. Treat or refer. Procedure today if indicated, a written plan, or a referral to the right specialist if it's outside our scope.

Or wait, and…

Surgery means a wait for an OR date, weeks of post-operative recovery, and the real possibility that you still need rehabilitation afterward. Image-guided physiatry often treats the same problem in a single clinic visit — with the option to repeat, refine, or escalate if needed.

What We Use, and Why

Ten procedures. One purpose: find and treat the source.

Each procedure links to its full clinical guide. We don't push procedures — we recommend what's indicated for your case.

Need rehab in your home instead? For stroke recovery, frailty, or post-surgical support, see the Home Physical Therapy program.

The Proof

Outcomes we measure, not outcomes we guess.

Pain, function, mobility, balance, and strength are tracked from first visit to discharge. Our internal data, measured from over 5,000 patients since 2021, shows:

80%

achieve clinically meaningful pain reduction on a 0–10 scale

75%

regain functional independence — walking, stairs, work, sleep, self-care

85%

of home-based rehab patients reach outcomes equivalent to hospital-based PT

5,000+

patients treated since 2021

Validated against the published research.

  • PRP significantly reduces knee OA pain — Cochrane Database of Systematic Reviews, 2022
  • Home-based PT is as effective as clinic-based care — Physiotherapy Research International, 2020
  • Early mobilization improves post-stroke outcomes — American Heart Association Guidelines, 2022

And — equally important — we turn people away.

If you need emergency surgery, we won't pretend physiatry will fix it. We'll refer you to the right surgeon the same day if needed. If your problem is a tumor, an infection, an acute fracture, or anything that belongs in an operating room, we're not your clinic. If you want a pill to mask the pain without ever addressing the cause, we're not the right fit.

We'd rather lose a patient than mislead one. That standard is why our outcomes are real.

The Bridge

From your first visit, you leave with everything you need to decide.

The Time Question

Most in-clinic procedures take 15 to 45 minutes. You walk in, we treat, you walk out. No anesthesia. No recovery room. Most patients drive themselves home and return to normal activity the same day or the next.

  • A clear diagnosis — written, in plain language.

    You won't have to remember what the doctor mumbled in the hallway. The diagnosis is on paper, in your hand, before you leave.

  • A real-time view of your own joint on the ultrasound screen.

    See what Dr. Rabara sees. No translation needed — the picture tells the story.

  • A written treatment plan with a defined timeline and defined goals.

    You know what's happening, in what order, with what expected outcomes, and over what duration — before you commit to anything.

  • A procedure today if it's indicated — or no procedure if it isn't.

    We don't sell treatments. We recommend what your case requires. If nothing is required, we say so.

Our Evaluation Guarantee

If after your visit you don't have a clear diagnosis and a written treatment plan, your second visit is on us. No questions asked.

We don't promise to cure you. We promise to find the cause, tell you the truth, and build the shortest evidence-based path back to the life you want.

The Close

Certainty — on price, on family, on access.

Certainty on Price

₱1,000 per evaluation

In clinic or teleconsultation. The fee is on the website because we believe in transparent healthcare. No "starting at," no surprise add-ons.

Senior citizens and PWDs receive the 20% discount and 12% VAT exemption mandated by Philippine law — automatically applied. We work with HMO partners (verify your coverage). For longer treatment plans, we offer packages that bring the per-visit cost down significantly.

Certainty for Your Family

The first visit is the moment your family needs to hear what we heard and see what we saw. We'll explain everything in plain language — Tagalog, Ilocano, or English.

If you're an adult child worried about a parent's joint replacement — bring them in, hear the alternatives together. If you're a spouse who's been watching someone manage pain alone — come with them. If you're a caregiver helping someone decide — ask every question you have.

No jargon. No rushing. No decisions made in the parking lot. Bring whoever matters.

A Note on Access

TeraCare accepts only 10 new evaluations per week. Dr. Rabara personally examines every patient. This isn't a marketing scarcity tactic — it's a clinical capacity limit. Smaller numbers, deeper work, better outcomes. If this week's slots are full, we'll tell you when the next one opens.

The first conversation is the one you should have had a year ago. Have it now.

Or call 0917 505 9589 · Mon–Sat, 10:00 AM – 5:00 PM

Pain Clinic FAQ

Common Questions

What conditions do you treat in the pain clinic?
Chronic and acute joint, muscle, tendon, and nerve pain — knees, shoulders, hips, back, neck, elbows, hands, and feet. We treat post-surgical pain that hasn't resolved, sports and work injuries, and chronic pain that hasn't responded to medication or generic PT. We do not treat tumors, infections, or acute fractures — those belong in an operating room.
Do the procedures hurt?
Most image-guided procedures cause mild discomfort, not significant pain. We use local anesthetic at the injection site, and ultrasound guidance lets us place the needle precisely — fewer passes, less tissue trauma. You'll feel pressure, sometimes a momentary sting. Most patients leave the clinic walking.
How long does a typical procedure take?
Most in-clinic procedures take 15 to 45 minutes from preparation to completion. Your first visit — consultation, diagnostic imaging, and treatment plan — typically takes 45 to 75 minutes. We don't rush. Dr. Rabara personally examines every patient.
Will my insurance cover pain procedures?
We work with several HMO partners — verify your coverage on our insurance page. The first-visit evaluation is ₱1,000 (in clinic or teleconsultation); procedure costs depend on what's indicated. Senior citizens and PWDs receive the 20% discount and 12% VAT exemption mandated by Philippine law. We offer treatment packages for patients who need multiple sessions.
How do I know which procedure is right for me?
You don't have to know in advance — that's what the consultation is for. Dr. Rabara examines you, uses MSK ultrasound and EMG-NCV when indicated, and recommends the procedure (or non-procedure path) that fits your case. If physiatry isn't the right fit, he'll tell you — and refer you to the right specialist.
Will I need to take time off work?
Most in-clinic procedures require no time off work. Your first visit typically takes 45 to 75 minutes; most procedures themselves take 15 to 45 minutes. There's no anesthesia and no recovery room. Most patients drive themselves home and return to normal activity — work, driving, daily life — the same day or the next day. For procedures that need a short recovery window, we'll tell you in advance so you can plan.

Medically reviewed by Dr. Ben Paolo C. Rabara, M.D. — Diplomate, Philippine Academy of Rehabilitation Medicine.

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