Peripheral nerve surgery with a patient-first approach.
Dr. Demetrio J. Aguila III is a peripheral nerve surgeon who helps patients living with chronic nerve pain, numbness, and symptoms that may have gone unexplained or unresolved. His work combines advanced surgical training, careful diagnosis, and a commitment to understanding each patient one-on-one.
Careful diagnosis before the right treatment.
Dr. Aguila understands that getting to know patients one-on-one is key to successful diagnosis and treatment. When chronic pain does not have a clear explanation, a nerve problem may be part of the answer.
His process includes reviewing medical history, performing the necessary evaluation, and helping patients understand whether peripheral nerve surgery or another treatment path may be appropriate.
Dr. Aguila has helped patients with pain or numbness related to shingles, diabetes, chemotherapy, trauma, prior surgery, joint procedures, C-sections, and hernia repair.
A closer look at Dr. Aguila and the care environment.
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The goal is not just to treat pain. It is to find where the pain is coming from.
Many patients who reach Total Pain Solutions have already tried medication, injections, physical therapy, or other procedures without lasting relief. The question becomes whether a specific peripheral nerve may be contributing to the pain.
Listen carefully
Chronic pain patients often carry long histories. Dr. Aguila’s evaluation starts with understanding the symptoms, timing, prior treatments, and how pain affects daily life.
Evaluate the nerve source
When nerve involvement is suspected, the team looks for patterns that may point to a compressed, injured, irritated, or damaged peripheral nerve.
Recommend the right next step
Peripheral nerve surgery is not for every pain condition. The goal is to help patients understand whether they are a possible candidate and what options make sense.
Hear directly from Dr. Aguila.
These videos help patients understand the person behind the practice, the kind of problems he treats, and why careful evaluation matters when chronic pain may involve a peripheral nerve.
Learn more about Dr. Aguila and his approach to chronic nerve pain.
A patient-friendly look at the thinking behind peripheral nerve treatment.
More context for patients considering whether a consultation may be appropriate.
Military service shaped the way Dr. Aguila cares for patients and veterans.
Dr. Aguila joined the Air Force during his senior year of college. After Boston University, the Air Force sponsored his medical education, launching a career that combined surgery, aviation medicine, operational leadership, and deployed service.
His years as a combat flight surgeon gave him a direct view of service, trauma, discipline, and the needs of military patients. That experience continues to inform his commitment to patients seeking answers after years of pain.
Military honors and service awards.
Dr. Aguila’s military career included deployments, aviation medical service, surgical leadership, and recognition for service and teaching.
- Meritorious Service Medal, with Oak Leaf Cluster
- Aerial Achievement Medal
- Air Force Commendation Medal, with Oak Leaf Cluster
- National Defense Service Medal with Gold Star
- Armed Forces Expeditionary Medal
- Afghanistan Campaign Medal
- Global War on Terrorism Expeditionary Medal
- Global War on Terrorism Service Medal
- Korean Defense Service Medal
- Military Outstanding Volunteer Service Medal
- Air Force Expeditionary Service Ribbon with Gold Border
- Small Arms Expert Marksmanship Ribbon
- NATO Medal
- Air Force District of Washington Surgical Excellence Award
- Preceptor of the Year Award, Interservice Physician Assistant Program
Living with chronic nerve pain? Start with a conversation.
If you are dealing with chronic pain, numbness, PHN after shingles, or pain after surgery or trauma, Total Pain Solutions can help you understand whether a consultation with Dr. Aguila may be appropriate.
Contact Total Pain Solutions
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