About
Dr. Edward Dieguez Jr. is an anesthesiologist and interventional pain specialist who has practiced medicine in Saint Augustine since 1988. He earned his medical degree from the European University of Santiago de Compostela School of Medicine in Spain, a university founded in 1495. His maternal grandfather graduated from the same institution in 1906. After graduation, Dr. Dieguez served as an unpaid surgical intern under Professor Jose Luis Puente Dominguez, a member of the Royal Academy of Medicine and Surgery of Spain. He then completed a surgical residency at a Johns Hopkins-affiliated program in Baltimore, Maryland, followed by an anesthesiology residency at the University of Miami. He also trained in Medical Acupuncture at the University of Miami Department of Complementary Medicine.
Dr. Dieguez holds a Diplomate designation from the American Academy of Pain Management and membership in the American Society of Interventional Pain Physicians. He is a Fellow of the Interventional Orthobiologic Foundation and maintains an affiliation with The Orthobiologic Institute. Earlier in his career, he chaired the Department of Anesthesia at Flagler Hospital and pioneered post-surgical epidural pain control for major cases including aortic aneurysm repair and Whipple procedures. He organized the first musculoskeletal and spine clinic in Saint Johns County before launching his private practice dedicated exclusively to Interventional Orthobiologics. Born in Cuba, Dr. Dieguez arrived in the United States as a child in 1964 and lived in Europe for eight years before completing his medical training. He and his wife Tessy Goyenechea MD have been married 51 years and have two daughters. His first Prolotherapy patient was his own daughter, treated for a soccer ankle injury. He sees every patient personally and never delegates visits to a physician assistant or nurse practitioner.
Education & Training
Medical School
European University of Santiago de Compostela School of Medicine, Spain
Residency
Surgery (unpaid intern), University of Santiago de Compostela; Surgical residency, Johns Hopkins affiliated program, Baltimore, MD; Anesthesiology, University of Miami, Florida
Additional Training
Medical Acupuncture training, University of Miami Department of Complementary Medicine
Certifications
Conditions Treated
Who is Dr. Dieguez Jr. right for?
Dr. Dieguez is a strong fit for adults seeking nonsurgical, non-opioid options for musculoskeletal pain. Patients with spine conditions such as herniated discs, spinal stenosis, or failed back surgery syndrome benefit from his interventional approach. He treats a wide range of orthopedic conditions including knee osteoarthritis, rotator cuff tears, ACL tears, plantar fasciitis, and tennis elbow. Athletes and active individuals managing sports injuries also find his regenerative medicine focus well-suited to their goals. Patients who want to see the physician personally at every visit, without delays or handoffs to physician extenders, align well with his practice style.
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Frequently Asked Questions
Dr. Dieguez treats a broad range of musculoskeletal, orthopedic, and spine conditions. These include sciatica, herniated discs, spinal stenosis, knee osteoarthritis, rotator cuff tears, ACL and meniscus tears, plantar fasciitis, tennis elbow, sacroiliac joint dysfunction, and sports injuries. He also treats nerve-related conditions such as occipital neuralgia, intercostal neuralgia, and post-herpetic neuralgia.
Dr. Dieguez holds a Diplomate designation from the American Academy of Pain Management. He is also a member of the American Society of Interventional Pain Physicians and a Fellow of the Interventional Orthobiologic Foundation. He completed his anesthesiology residency at the University of Miami and trained in Medical Acupuncture at the University of Miami Department of Complementary Medicine.
Dr. Dieguez earned his medical degree from the European University of Santiago de Compostela School of Medicine in Spain. He completed a surgical residency at a Johns Hopkins-affiliated program in Baltimore, Maryland, and finished his anesthesiology residency at the University of Miami. He later trained in Medical Acupuncture at the University of Miami Department of Complementary Medicine.
Yes. Dr. Dieguez sees every patient himself at every visit. The practice does not use physician assistants or nurse practitioners. Patients consistently note this as a defining feature of care at The Orthobiologic Clinic.
Dr. Dieguez offers Platelet Rich Plasma (PRP), Bone Marrow Aspirate Concentrate (BMAC), Progenikine adipose concentrate therapy, and Prolotherapy with hypertonic dextrose. He uses Emcyte Corporation systems for PRP and Progenikine preparations. He does not use amniotic fluid or cord blood products.
No. Dr. Dieguez does not prescribe controlled substances. The Orthobiologic Clinic is not a pain management clinic in the traditional sense. His focus is exclusively on nonsurgical, non-opioid treatment using minimally invasive interventional and regenerative techniques.
Dr. Dieguez has practiced medicine in Saint Augustine since 1988. He began at Saint Augustine General Hospital providing anesthesia and ICU care, then chaired the Department of Anesthesia at Flagler Hospital. He pioneered Interventional Orthobiologics in Northeast Florida in 2010 and still holds staff privileges at Flagler Hospital.
Yes. Dr. Dieguez performs all injections under fluoroscopy and/or ultrasound guidance. This approach allows precise needle placement and helps minimize procedural complications.
Dr. Felix Linetsky MD served as Dr. Dieguez's mentor in Prolotherapy. Dr. Dieguez went on to pioneer the technique in Northeast Florida, and his first Prolotherapy patient was his own daughter, treated for a soccer ankle injury.
Doctor profile last updated June 11, 2026