The Most Recent Advancements in Modern Minimally Invasive Procedures

Dr Leano is a Board-Certified Anesthesiologist, fellowship trained and Board-Certified in Pain Management. He is the Medical Director at Palm Beach Pain located in Palm Beach Gardens. He is very aware of the opioid crisis and his motto is to maximize the mobility and quality of life of our patients with the lightest touch of medicine. With this in mind, Dr Leano at Palm Beach Pain is always informed, educated, and trained in the most recent advancements in modern minimally invasive procedures. Those procedures are truly minimally invasive and show incredible results. They are also performed in such a way that the presence of a neurosurgeon is not even necessary. Most of those procedures are performed in less than 30 minutes and can be performed under sedation avoiding the use of general anesthesia which may carry a major risk. Some procedures must be performed in an ambulatory surgery center, but others can be performed in his office where he has brand-new state-of-the-art equipment to assure the safety of his patients.

These novel procedures include the newest spinal cord stimulator (SCS) and peripheral nerve stimulators (PNS) with nanotechnology that eliminates the need of a battery implanted in the patient’s body. The PNS may help patients with knee pain after knee replacement, diabetic neuropathic pain, shoulder pain, groin pain after hernia repair, etc. The SCS helps patients with pain after lumbar or cervical surgery and patients with diagnosis of CRPS.

Another minimally invasive procedure is the interspinous fusion system that will be suitable for patients with pinched nerves, lumbar spinal stenosis, degenerative disc disease, facet arthritis and spondylolisthesis. To treat those problems, spinal surgeons perform a major surgery including laminectomy and/or fusions with placement of screws in close proximity to very delicate neurological structures and rods to fix those screws. Now, in less than 30 minutes, if the patient is a candidate, Dr Leano can try to fix the problem with this new device.

Sacroiliac joint pain is a very common problem forgotten by many physicians that may account for up to 30% of lumbar pain. With a minimally invasive procedure Dr Leano can fuse the joint, eliminating the friction of that joint and hence the pain.

At Palm Beach Pain, Dr Leano also uses Regenerative Medicine to mainly treat osteoarthritis in the knees and hips. He prefers to treat those joints because those are the joints that respond best to this new treatment. All those procedures and devices mentioned before are FDA approved, this one is not. Regenerative medicine is not approved by FDA but is very well accepted and recommended among the medical community.

Dr Leano is always ahead of the game, getting trained in the latest advancements for Pain Management to help his patients get the spring back into their step. He has had performed hundreds of classic procedures to help patients reduce pain and improve their quality of life and many of these new novel state-of-the-art minimally invasive procedures.

At Palm Beach Pain, Dr. Leano fights his own war against the Opioid crisis using the latest skills in Pain Management. With these modern techniques and procedures, he hopes to reduce the use of opioids that have killed so many Americans in the last recent years.

You Might Also Enjoy...

Major Depressive Disorder

Ketamine is a general anesthetic that may reverse the symptoms of Major Depressive Disorder with minimal, if any, long term side effects within 24 hours.


Disinfect without using harsh chemicals. Protect patient and staff with UV-C Light Sanitizing Wand. Help to stop COVI-19


Ketamine is a “rapid acting antidepressant” that can terminate suicidal ideation and is effective in up to 80% of the most difficult-to-treat cases of depression.

Digital Subtraction Imaging

We, at Palm Beach Pain, are very proud to share some great news. We just acquired a brand-new state of the art technology to better provide safe care to our patients.