ARAI

About ARAI

The story, mission, and people behind Romania's first interventional algology association.

Mission & Vision

Who We Are and What We Aim to Achieve

ARAI — the Romanian Association of Interventional Algology — is the national organization that brings together specialists dedicated to modern pain therapy. We focus on promoting minimally invasive interventional techniques, bringing European standards to clinical practice in Romania.

We represent the interests of medical specialists nationally and internationally, facilitating access to continuous training, research, and professional networks of excellence. Our mission is to transform patients' quality of life through responsible medical innovation.

Professionalism
Rigor
Empathy
Innovation
Trei persoane pe scenă la Congresul Internațional ARAI, o femeie îmbrățișând un bărbat tânăr.
Tehnicieni medicali în combinezoane albastre și veste de protecție lucrează cu echipament medical într-un laborator.
Status & History

Founded for Excellence

For 5 years, ARAI has been promoting clinical excellence, continuing medical education, and research in the field of chronic pain management, bringing together physicians, nurses, physiotherapists, physical therapists, and other healthcare professionals. Specifically, we organize:

Cursuri workshopuri și programe de instruire în terapia durerii intervenționaleCourses, workshops, and training programs in interventional pain therapy

Congrese naționale, conferințe și simpozioane științifice, precum și participării la manifestări internaționaleNational congresses, conferences, and scientific symposia, as well as participation in international events

Proiecte de cercetare medicală și un cadru educațional standardizat pentru profesioniștii din domeniuMedical research projects and a standardized educational framework for professionals in the field

Sistemul de acreditare națională pentru specializările în terapia durerii intervenționalăThe national accreditation system for specializations in interventional pain therapy

Educația medicală a personalului de sănătate și a populației generaleMedical education for healthcare staff and the general population

Field

What is Interventional Pain Management?

Interventional Pain Management is a medical specialty dedicated to the diagnosis and treatment of chronic pain using minimally invasive techniques — nerve blocks, neuromodulation, radiofrequency, spinal endoscopic procedures, and ablations. It offers an effective alternative to classic surgery or long-term chronic medication, focusing on patients whose pain persists in the absence of surgically correctable causes, significantly impacting their quality of life.

Integrated Approach

A multidisciplinary team centered around the patient

Effective treatment means not only eliminating symptoms but also deeply understanding their causes — which are often multiple and interconnected. Interventional algology brings together specialists from complementary fields who continuously collaborate to choose the solution with the best outcome for each patient.

All procedures are evidence-based and follow the recommendations of international pain management associations — ESRA, WIP, IASP. Pain therapy focuses on patients with persistent painful symptoms for whom conventional treatments have not provided a solution.

Unique Center in Central and Eastern Europe
ESRA accredited for training in Interventional Pain Therapy
NORD NEXT European Training Center
Interventional Pain Therapy and Minimally Invasive Spinal Surgery
Un grup de zece profesioniști medicali stând în picioare în fața unui banner NORD într-un spațiu interior.
Multidisciplinary Team

Specialties integrated into interventional algology

Interventional algology brings together specialists from complementary fields who continuously collaborate for each patient's optimal outcome.

Click on a card to see the specialty's role
Anesthesiology and Intensive Care
Anesthesiology and Intensive Care
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Anesthesiology and Intensive Care
Image-guided interventional techniques (ultrasound, fluoroscopy, CT): nerve blocks, chemical, thermal, or cryoablation nerve ablations, and neuromodulation procedures for chronic pain control.
Interventional Radiology
Interventional Radiology
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Interventional Radiology
Precision image guidance for infiltrations, vertebroplasties, and ablations. Essential role in musculoskeletal, oncological, and neuropathic pain, in collaboration with neurologists and anesthetists.
Neurosurgery
Neurosurgery
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Neurosurgery
Nerve decompressions, vertebral stabilizations, and percutaneous analgesic administration. Minimally invasive interventions targeting the source of pain.
Neurology
Neurology
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Neurology
Evaluation of cephalalgic, spinal, and neuropathic pain through neurophysiological investigations (EMG). Direct treatments: botulinum toxin for chronic migraine, post-stroke spasticity, or myofascial syndrome.
Rheumatology
Rheumatology
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Rheumatology
Musculoskeletal and systemic conditions with refractory pain. Minimally invasive options that complement pharmacological treatments and improve patients' quality of life.
Orthopedics and Traumatology
Orthopedics and Traumatology
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Orthopedics and Traumatology
Osteoarthritis, tendinopathies, plantar fasciitis, phantom limb pain, postoperative pain syndromes. Minimally invasive procedures with accelerated recovery.
Physical Medicine and Rehabilitation
Physical Medicine and Rehabilitation
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Physical Medicine and Rehabilitation
Kinesiotherapy, physiotherapy, and complementary techniques (acupuncture, reflexology). Essential role in functional reintegration and discomfort reduction in chronic and subacute pain.
Psychology
Psychology
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Psychology
Assessment and counseling for pain with a psycho-emotional component. Affective disorders and stress can perpetuate chronic pain — interdisciplinary collaboration is essential.
Psychiatry
Psychiatry
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Psychiatry
Integrated approach for chronic pain cases supported by affective disorders or secondary gains, with an emphasis on treatment adherence and patient engagement.
Conditions Treated

Types of pain

Patients who benefit from interventional pain management are individuals with chronic pain lasting at least 3 months, for whom conventional treatments have not provided a satisfactory solution. The interventions are minimally invasive, personalized, and designed to reduce pain, accelerate recovery, and restore quality of life.

Back pain (axial, discogenic, radicular)
Oncological pain — metastases, vertebral tumors
Headache and chronic headache
Visceral pain (abdomen, chest, pelvis)
Joint pain — gonarthrosis, coxarthrosis
Trigeminal neuralgia
Chronic pelvic pain
Pudendal neuralgia
Peripheral neuropathic pain
Postherpetic neuralgia
Procedures

Main categories of interventional procedures

Interventional pain management covers a wide range of techniques, from day procedures with immediate recovery to long-term implants.

Ablation & Thermotherapy
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Ablation & Thermotherapy
Thermal and Pulsed Radiofrequency
Endoscopic Rhizotomy
Nerve Cryoablation
Vertebral Metastasis Ablation
Vertebroplasty / Kyphoplasty
Spinal Endoscopy
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Spinal Endoscopy
Percutaneous Endoscopic Discectomy
Epiduroscopy
Endoscopic Foraminoplasty
Endoscopic Cervical Decompression
Microdiscectomy
Neurostimulation & Biologics
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Neurostimulation & Biologics
Spinal Cord Stimulation — SCS Implant
Implantable Morphine Pump (ITP)
rTMS — transcranial magnetic stimulation
Regenerative medicine — PRP, stem cells
Continuous ketamine infusion
Guided Injections & Blocks
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Guided Injections & Blocks
Epidural anesthetic / corticosteroid injections
Diagnostic/therapeutic peripheral nerve blocks
Radicular and foraminal injections
Botulinum toxin injection
Medial branch block
Bărbat în costum medical albastru închis cu logo NORD pe piept, zâmbind pe fundal gri.
Founder of NORD Medical Group
Pain Therapy Center Coordinator
Senior Physician, ICU & Algology
Founder & Opinion Leader

Dr. Ovidiu Palea

Senior Physician in Anesthesiology and Intensive Care, subspecialized in Interventional Pain Therapy and Minimally Invasive Spinal Surgery.

In 2017, he became the first Romanian physician accredited by the World Institute of Pain® in interventional pain therapy. He completed his training in the United States, at George Washington University Hospital and Washington Hospital Center, where he specialized in anesthesiology, intensive care, and pain therapy.

Through ARAI, Dr. Palea aims to train generations of doctors and raise the standards of interventional algology practice nationwide, bringing Romania closer to European pain management standards.

„Pain therapy doesn't mean hiding the symptom — it means understanding the mechanism. Every chronic pain patient has a complex story, and the solution comes from collaboration, not from a single specialty."

— Dr. Ovidiu Palea, Founder of ARAI
FULL CURRICULUM VITAE

Competencies

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Medical License in District of Columbia, USA
Medical License in Romania
Board-certified Anesthesiology Specialist in the USA
Board-certified Intensive Care Specialist in the USA
Specialist Physician certified in Romania
Senior Physician certified in Romania

Minimally Invasive Procedures

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Endoscopic Discectomy
Percutaneous Discectomy / Nucleoplasty
Stem Cell Injection
Epiduroscopy
Chemotherapy Port Placement
Long-life Dialysis Catheter Placement

Conditions and Treatments

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Port placement for chemotherapy administration in oncology patients
Long-life catheter placement in dialysis patients
Disc herniation: large hernias or with ruptured fragments (Endoscopic Discectomy); small hernias without annular tear (Percutaneous Discectomy/Nucleoplasty); small hernia with dehydrated disc — stem cell injection for disc regeneration
Lumbosacral back pain, back pain radiating to a limb
Chronic pain, pain in oncology patients
Moderate lumbar spinal canal stenosis (Epiduroscopy)
Post-laminectomy syndrome due to postoperative fibrosis (Epiduroscopy)
Small fibrotic hernias on the nerve root (Epiduroscopy)
Other conditions and treatments: trigeminal ablation, knee ablation, sacroiliac ablation, infiltrations, medial branch ablation, foraminoplasty, epidurolysis, Arnold nerve ablation, Botox for migraine, spinal cord stimulator, kyphoplasty, ganglion impar, pudendal nerve, postherpetic neuralgia, stem cell injection

Education

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2017
Certified Member of the World Institute of Pain (first Romanian accredited by this institution in Interventional Pain Management)
2009
Pain Management Specialization, Washington Hospital Center
2008
Commenced Doctoral Studies, Carol Davila University of Medicine and Pharmacy, Bucharest
2008–2009
Washington Hospital Center, Pain Management Specialization
2004
Critical Care Fellowship, George Washington University Hospital
2003–2004
George Washington University Hospital, USA, Research
2003
Anesthesiology Residency, George Washington University Hospital
2000–2003
George Washington University Hospital, USA, Anesthesiologist
1999–2000
St. Agnes Hospital, USA, Surgery
1989–1995
Carol Davila University of Medicine and Pharmacy, General Practitioner

Professional Experience

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2016–present
International Trainer, Practical Workshops on Pain Management Procedures
2012–present
General Manager, Senior Anesthesiology and Intensive Care Physician and Pain Management Specialist, Medical City Blue, Bucharest
2011–present
General Manager, Senior Anesthesiology and Intensive Care Physician and Pain Management Specialist, Provita Diagnostic and Treatment Center, Bucharest
2010–2012
Anesthesiology and Intensive Care Specialist, University Emergency Hospital, Bucharest
2008–2009
Anesthesiology and Intensive Care Specialist, Fundeni Clinical Institute, Bucharest
2007–present
Company Administrator, Bucharest
2007–2011
General Manager, Pain Management, Private Clinic
2005–2007
Anesthesiologist and Intensive Care Specialist, Washington Hospital Center, Washington, USA
2004–2005
Anesthesiologist and Intensive Care Specialist, Greater Southeast Community Hospital, Washington, USA
1998–1999
General Practitioner, Bucharest
1995–1997
Family Physician, Moreni City Hospital, Moreni

Publications

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“Airway Management in a Patient with Klinefelter Syndrome” — PGA Meeting, New York, 2003
“Cardiac Resynchronization Therapy – Anesthetic Implications” — PGA Meeting, New York, 2004

Member of National and International Medical Scientific Societies

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2004–2005
Member of the Infectious Diseases Committee, Greater Southeast Community Hospital, Washington, DC
2002–2003
Director of the Anesthesia Club, George Washington University Hospital, Washington DC
Team

ARAI Board of Directors

Each card contains the full CV. Click for details.

Dr. Anca Ionescu – Rheumatology Specialist

Dr. Anca Ionescu

Rheumatology Specialist
Rheumatology, Pain Management
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Dr. Anca Ionescu – Rheumatology Specialist

Dr. Anca Ionescu

Rheumatology Specialist
CURRICULUM VITAE

Professional Training

  • 2008–2014: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Faculty of General Medicine
  • 2018: DXA Certification – Clinician Attestation of Achievement – "Osteoporosis: Essentials of Densitometry, Diagnosis and Management", international course IOF & ISCD – Didier Hans

Clinical Experience

  • 2019 – Present: Rheumatology and Pain Management Specialist, Provita Clinic, Bucharest
  • 2015 – 2018: Rheumatology Resident, Department of Internal Medicine and Rheumatology, Sfânta Maria Clinical Hospital, Bucharest

Publications & Research

  • 2018: "A rare case of pyoderma gangrenosum with complete soft palate destruction", Case Report, RJR Vol. XXVII, No. 1, 2018 (lead author)

International Affiliations

  • Romanian Society of Rheumatology
  • Romanian Society of Internal Medicine
Dr. Cătălin Lulciuc – Consultant in Radiology and Medical Imaging

Dr. Cătălin Lulciuc

Consultant in Radiology and Medical Imaging
Oncological and Vascular Interventional Radiology
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Dr. Cătălin Lulciuc – Consultant in Radiology and Medical Imaging

Dr. Cătălin Lulciuc

Consultant in Radiology and Medical Imaging
CURRICULUM VITAE

Professional Training

  • 2017 – present: PhD Candidate, University of Medicine and Pharmacy of Craiova
  • 2022: Ablation from A to Z – Strasbourg, Prof. Afshin Gangi, ESIR
  • 2019: Reliability in Percutaneous Tumor Ablation – Innsbruck, Austria, Prof. Reto Bale, ESIR
  • 2008 – 2014: Carol Davila University of Medicine and Pharmacy, Bucharest

Clinical Experience

  • 2024 – present: Consultant in Radiology and Medical Imaging
  • 2021 – present: Oncological Interventional Radiologist, NORD Medical Group
  • 2019 – present: Specialist and Consultant in Interventional Radiology, Suceava County Hospital
  • 2014 – 2018: Resident Physician in Radiology and Medical Imaging, Carol Davila Central Military Hospital, Bucharest
  • National Firsts: the first minimally invasive CT-guided lung tumor cryoablation in Romania; the first external biliary drainage procedure using the Rendez-Vous technique in Romania; over 2,500 minimally invasive procedures for oncological diagnosis and treatment

Publications & Research

  • PhD Candidate, University of Medicine and Pharmacy of Craiova

International Affiliations

  • 2024 – Fellow and Trainer, ARAI
  • 2024 – Member, ECIO
  • 2018 – present: Member, Cardiovascular and Interventional Radiological Society of Europe (CIRSE)
  • 2014 – present: Member, ESOR, ESR, SRIM, SNRIR
Dr. Ionuț Branea – Specialist in Anesthesiology, Intensive Care and Pain Medicine

Dr. Ionuț Branea

Specialist in Anesthesiology, Intensive Care and Pain Medicine
Anesthesiology, Intensive Care, Interventional Pain Medicine
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Dr. Ionuț Branea – Specialist in Anesthesiology, Intensive Care and Pain Medicine

Dr. Ionuț Branea

Specialist in Anesthesiology, Intensive Care and Pain Medicine
CURRICULUM VITAE

Professional Training

  • 2010 – 2016: Doctor of Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș
  • 2022 – 2023: Pain School International, FIPP training, Budapest, Hungary
  • 2019: ECFMG Certificate (Step 1, Step 2 CK and CS, OET)
  • 2025: CNCAN Level 2 Permit – operation of fluoroscopy and angiography equipment
  • 2023: Fellow of Interventional Pain Practice, World Institute of Pain

Clinical Experience

  • 2025 – present: Specialist in Anesthesiology and Intensive Care, Târgu Mureș County Emergency Clinical Hospital
  • 2022 – 2025: Specialist in Anesthesiology, Intensive Care and Pain Medicine, Provita – NORD, Bucharest
  • 2017 – 2021: Resident Physician in Anesthesiology and Intensive Care, Târgu Mureș County Emergency Clinical Hospital
  • Interventional procedures for chronic pain: neurolysis for oncology patients, epidural and joint injections, according to the FIPP curriculum

Publications & Research

  • 2021: "A case report of anesthesia management for an intracranial aneurysm embolization in a patient with atrial septal defect", European Journal of Anaesthesiology
  • 2022: "Inflammatory Biomarkers Associated with In-Hospital Mortality in Critical COVID-19 Patients", International Journal of Molecular Sciences

International Affiliations

  • ARAI – trainer and speaker at all editions
  • Romanian Society of Regional Anesthesia and Pain Therapy – lecturer at 3 editions
  • Magyar Multidiszciplináris Intervenciós Fájdalomterápiás Társaság (MaMIFT) – trainer
  • World Institute of Pain

Join the ARAI community

Become part of the only association specializing in interventional algology.

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