
DR. SANTIAGO MANZANAL
Specialized in hip and knee replacement surgery.
Orthopedic & Trauma Specialist with over 15 years of experience.
Services
01
Knee and hip replacement
Joint replacement is performed with advanced materials for effective treatment of irreversible damage, like fractures, severe cartilage damage, birth deformities, or hereditary abnormalities. Relieves pain, restores mobility and improves quality of life.
02
Sports orthopedics
We offer treatment for musculoskeletal and ligamentous problems, including acute injuries related to sports. Remember that it is essential to perform an orthopedic evaluation before starting any physical therapy
03
Joint infiltrations
Minimally invasive treatments to improve joint injuries. We use techniques such as infiltration of steroids, hyaluronic acid or platelet-rich plasma. These are performed on an outpatient basis for an effective and quick recovery.
04
Trauma surgery
We provide fast and safe treatment of acute injuries such as ligament ruptures, fractures and sprains.
05
Arthroscopy
Minimally invasive outpatient procedure; used to diagnose and treat injuries in the knee and shoulder joints.
06
Preventive and restorative orthopedics
Our methodology promotes injury prevention, functional training and stepwise measures to achieve relief and functional improvement.

What is the process of having surgery with Dr. Manzanal like?
01
First assesment
A detailed medical history and physical examination will first be taken. Then it is determined which diagnostic studies are necessary (x-rays, magnetic resonance imaging, among others).
Finally, a pain relief plan is established during the diagnostic process.
02
Determination of the plan to follow
Once the complementary tests have been analyzed, Dr. Manzanal will explain the range of therapeutic alternatives, from the least invasive to the most complex. Together with the patient, the recommended steps to follow will be determined.
03
Surgical intervention
If it is determined that this is the ideal alternative, Dr. Manzanal's team will help you complete procedures with private insurers. In the same way, the preoperative evaluation will be carried out in people over 65 years of age. The next step will be to schedule and coordinate the surgery and hospitalization and there we will provide you with pre-, peri- and post-operative instructions and assistance
04
Rehabilitation and incorporation into daily life
Dr. Manzanal and his team will give you the necessary recommendations to recover your joint health and achieve the best possible results. As part of the comprehensive service, we will offer you follow-up to prevent future injuries.
Our patients talk
Testimonials
"I lived with unbearable and constant pain in my hip, everything changed thanks to Dr. Manzanal who performed my hip replacement four years ago. He is an excellent professional and of unmatched human quality. Now I can carry out all activities normally. I recommend to Dr. Manzanal because he made an effort to find the replacement that best suited my condition, I achieved a successful recovery and my life is completely different."

Marcela Carballo, Costa Rica
Hip Replacement
"Dr. Manzanal was very professional and straightforward. His diagnosis of degenerative arthritis was a huge relief to me as I was anticipating an MRU and possible knee replacement. Dr. Manzanal spoke very clear English and was able to communicate with me to answer all of my questions. questions. I had a very good experience and would highly recommend it to anyone with orthopedic problems.”

Robert Hileman, USA
Knee Replacement
"After years of hip pain and ineffective therapies, I finally made it to Dr. Manzanal's office, who offered me a clearly and carefully explained surgery. Their human quality and constant support made me feel confident and secure. The surgery was totally successful and I recovered my quality of life."

Giuseppa D’Agostino, Costa Rica
Total Hip Replacement
“Dr. Manzanal's treatment and hospitality were excellent, which made the entire process a positive experience. Today, 8 months after the surgery I can play soccer, I feel very good, I have no pain or discomfort, I have completely recovered. “I am very grateful to Dr. Manzanal for helping me with my knee so I can have a normal life, get back to exercising and spending time with my loved ones.”

Cristopher Mora, Costa Rica
Cruciate Ligament Reconstruction
Our Insurance Partners
WE WORK WITH THE BEST









Contact
If you have any questions, queries or would like to know more information, contact us, we will be happy to help you:
Doctor's journal

How can I coordinate my surgery from my country?
01
Assessment appointment
A detailed medical history and physical examination will first be taken. Then it is determined which diagnostic studies are necessary (x-rays, magnetic resonance imaging, among others).
Finally, a pain relief plan is established during the diagnostic process.
02
Travel coordination and surgical procedure
Once the complementary tests have been analyzed, Dr. Manzanal will explain the range of therapeutic alternatives, from the least invasive to the most complex. Together with the patient, the recommended steps to follow will be determined.
Consultation Hours
24-hour availability in emergency cases.
* Consider emergencies in cases of fracture or acute injuries, remember to call 911 first. For regular consultations, please coordinate your appointment through the appointment system.
09:00 am - 02:00 pm
Tuesday
Hospital La Católica
09:00 am - 02:00 pm
Thursday
Hospital Clínica Bíblica
09:00 am - 02:00 pm