One specialist, one examination room, one written plan you can actually follow. No conveyor belt, no guesswork.
An orthopedic consultation is the foundation of every good musculoskeletal decision. Before anyone talks about injections, surgery, or rehab, a competent specialist has to understand the joint in front of them — its history, its loading pattern, its imaging findings, and the life it has to support. At Myntrava, that conversation takes a full 45 minutes because rushing it is the single most common reason patients arrive here on their second or third opinion, having been handed scans and scripts without any framework to interpret them.
Your session is led by a Philippine Regulatory Commission (PRC)-licensed orthopedic surgeon, most of them Fellows of the Philippine Orthopaedic Association (FPOA). We operate under DOH Administrative Order 2021-0013 for out-patient specialty clinics, which sets the standards we follow for documentation, infection control, and informed consent. Our founder, Dr. Miguel Aguinaldo, trained through Makati Medical Center's Orthopedic Service and fellowships in Nanjing and Royal Melbourne before starting Myntrava in 2013.
The exam follows a repeatable structure: focused history, inspection and palpation, range-of-motion measurement with a goniometer, reflex and neurovascular screening, and joint-specific special tests (Lachman's, McMurray, impingement, Thomas test, straight-leg raise — whichever the complaint demands). We then review any imaging you bring, add a WOMAC or VAS pain score where relevant, and grade osteoarthritis on the Kellgren-Lawrence scale if plain films are available. You leave with a typed, itemised plan — not a verbal summary you'll forget in the jeepney home.
We would rather spend 45 minutes once and be right than see you for 10 minutes four times and still be guessing. — Dr. Miguel Aguinaldo, Medical Director
If your problem is chronic joint pain, it may also help to read our primer on how osteoarthritis actually develops in the knee before your visit. If the issue is post-surgical or post-injury, this recovery overview covers what good rehab timelines look like. Many consultations end with a referral into our physical rehabilitation programme rather than anything more invasive.
We map the onset, mechanism, aggravators (stairs, long drives, monsoon flares), HMO coverage, medications, and past interventions. 10 minutes, sitting down, no clipboard shuffle.
Posture, alignment, swelling, effusion, tenderness points, muscle bulk. We compare sides and document asymmetries in the chart.
Goniometer-measured ROM, reflex hammer, neurovascular screen, joint-specific special tests. Numbers on paper, not impressions.
We read your X-rays, MRI, or ultrasound alongside the exam — on-screen, with anatomical models — and grade any OA on Kellgren-Lawrence.
Conservative, injectable, surgical — we walk through each with expected outcomes, costs, and HMO pathways. You pick the pace.
A printed, typed summary with diagnosis, plan, medication list, and follow-up triggers. Sent to your email the same evening.
No. Most patients self-refer. If you are on an HMO, your insurer may require an LOA (Letter of Authorization) before the visit — we can walk you through the request with Maxicare, Medicard, Intellicare, ValuCare, Kaiser, or EastWest Healthcare.
Yes. Bring everything, even scans that are two or three years old. Comparing plain films over time is one of the most useful tools in grading osteoarthritis and deciding whether a joint is progressing.
Sometimes. If the exam suggests a meniscal tear, rotator cuff tear, or labral pathology, we may recommend an MRI or musculoskeletal ultrasound. These are not done in-clinic — we refer to a vetted imaging partner and review the study at your follow-up.
No. The ₱1,500 fee is the evaluation and plan. If an injection, brace, or rehab block is appropriate, we discuss cost and timing before anything is scheduled. See our injections page for PRP, HA, and corticosteroid pricing.
It depends on the condition. Mechanical back pain often improves in 2–4 weeks with a structured programme. Knee OA management is a longer horizon — typically 8–12 weeks to see meaningful WOMAC score change. We set expectations on day one.
Yes. We book you with one physician and one PTRP for the life of the episode. Continuity is not optional here.
One specialist, one exam room, one plan in writing. Mon–Fri 8:00–19:00, Sat 9:00–15:00 at 12F G.T. International Tower, Ayala Avenue.
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