24/04/2025
With over a decade of dedicated specialization in neurosurgical conditions associated with connective tissue disorders, in our ongoing effort to better understand, diagnose, and treat these complex and often misunderstood conditions, we are pleased to announce that Dr. Vicenç Gilete—Medical Director of PromoHealth and Dr. Gilete Neurosurgery & Spine Surgery—has successfully completed advanced training in Immunology.
He has earned the HMX Pro Certificate in Immunology: Novel Therapies for Chronic Inflammation, Autoimmunity, and Allergy from Harvard Medical School.
This expanded expertise, informed by clinical experience, research, and continued medical education, strengthens our ability to address the biological drivers that may underlie or exacerbate mechanical conditions such as Craniocervical Instability (CCI) and Tethered Cord Syndrome. Our goal is to provide earlier and more accurate diagnoses that can lead to improved patient outcomes and potentially reduce the need for invasive surgical interventions.
Our clinic has increasingly encountered patients presenting with chronic immunological and inflammatory diseases. While many of these individuals do not meet the diagnostic criteria for a genetic connective tissue disorder, they often exhibit overlapping clinical features and comorbidities. Conditions such as Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), Lyme disease, post-acute COVID-19 syndrome, and related disorders now comprise nearly half of our patient population.
We are now incorporating advanced diagnostic tools into our clinical practice, including biomarker screening for inflammatory, autoimmune, and autonomic dysfunction markers. Immunological checkpoints treatment modalities could be indicated in some cases. Both biological and biomechanical evaluation are important in the diagnosis and recommendations of non-surgical or/and surgical treatments for our patients.