Carolina Kobayashi, MD

18 years in practice

Rheumatologist — Pain Medicine · Instituto Assaly Medicina Personalizada

Rheumatology and pain medicine for autoimmune disease, fibromyalgia, chronic pain, and unclear symptoms

Functional MedicinePortuguese
Carolina Kobayashi, MD portrait

About

Carolina Kobayashi, MD is a rheumatologist and pain-medicine physician at Instituto Assaly. She trained in medicine at PUC-SP, completed internal medicine at Hospital Santa Marcelina and HCFMUSP, then completed rheumatology at HCFMUSP and postgraduate pain-medicine training at USP. She holds the Brazilian rheumatology specialist title through SBR and AMB-recognized pain-medicine credentials. Her clinical work emphasizes differential diagnosis for people with unexplained symptoms, autoimmune disease, chronic pain, and treatment plans that combine medication with habit change and exercise.

What to Know

Signature approach

Kobayashi is useful when symptoms are difficult to sort: pain, fatigue, autoimmune markers, joint complaints, fibromyalgia, low back pain, or overlapping rheumatic conditions. Her workup pairs rheumatology exam, labs, and imaging with pain-medicine training, then builds a plan that may include medication, exercise, and habit change.

What sets them apart

  • Rheumatology plus pain medicine. Formal SBR rheumatology and AMB pain-medicine credentials let her evaluate autoimmune disease and chronic pain from one seat.
  • USP teaching role. She collaborates with the USP Pain Center and teaches in the USP Pain Course.
  • National-society involvement. Her SBR Pain Commission role places her in the group shaping pain practice within Brazilian rheumatology.

Before You Book

  • Schedule: Assaly visits are Friday only; she also runs Instituto Kobayashi in the Sorocaba area.
  • Care focus: Autoimmune disease, rheumatic symptoms, chronic pain, fibromyalgia, and unclear inflammatory or musculoskeletal complaints.
  • Billing: Her external Sorocaba profile is private-pay; confirm Assaly fees and convênio handling before booking.
  • Language: Portuguese is the working clinical language.

Expertise

Focus areas

Functional Medicine

Patient types

Autoimmune ConditionsGeneral Adult LongevityAdults 65+Metabolic & Weight Management

Protocols & technologies

Differential diagnosis for undiagnosed rheumatic and pain conditionsPharmacologic management of autoimmune diseaseChronic pain managementLifestyle and habit Change counselingExercise prescription for rheumatic disease

Conditions treated

17
  • Chronic pain

    Chronic pain syndromes

  • Tendonitis

    Tendinitis

  • Osteoarthritis

    Osteoarthritis (osteoarthrosis)

  • Rheumatoid arthritis

  • Low back pain

    Low back pain (lumbalgia)

  • Diabetic neuropathy

    Diabetic peripheral neuropathy

  • Spondylitis

    Ankylosing spondylitis / spondyloarthropathy

  • Lupus

    Systemic lupus erythematosus (SLE)

  • Psoriasis and psoriatic arthritis

    Psoriatic disease

  • Scleroderma

    Systemic sclerosis (scleroderma)

  • Vasculitis

    Systemic vasculitis

  • Sjögren's syndrome

  • Antiphospholipid syndrome

    Antiphospholipid syndrome (APS)

  • Gout

    Gout / gouty arthritis

  • Soft-tissue rheumatism

  • Myofascial pain

    Myofascial pain syndrome

  • Fibromyalgia

Credentials

Education

  • MD

    Pontifícia Universidade Católica de São Paulo (PUC-SP) (2008)

  • Residência em Clínica Médica, Internal Medicine

    Hospital Santa Marcelina

  • Residência em Clínica Médica (R3), Internal Medicine

    Hospital das Clínicas, Faculdade de Medicina USP (HCFMUSP)

  • Residência em Reumatologia, Rheumatology

    Hospital das Clínicas, Faculdade de Medicina USP (HCFMUSP)

  • Pós-Graduação em Dor, Pain Medicine

    Universidade de São Paulo (USP)

Board certifications

  • Título de Especialista em Reumatologia

    Sociedade Brasileira de Reumatologia (SBR)

    Brazilian Rheumatology Society specialty title — the formal recognized credential to practice as a rheumatologist in Brazil, comparable to US board certification by the American Board of Internal Medicine in Rheumatology.

  • Área de Atuação em Dor

    Associação Médica Brasileira (AMB)

    Brazilian Medical Association recognized area of practice in Pain Medicine — a formal AMB credential held by physicians qualified to treat chronic pain. Held alongside the rheumatology title, this dual-track combination is uncommon.

Residency

  • Internal Medicine

    Hospital Santa Marcelina

  • Internal Medicine (R3)

    Hospital das Clínicas, Faculdade de Medicina USP (HCFMUSP)

  • Rheumatology

    Hospital das Clínicas, Faculdade de Medicina USP (HCFMUSP)

Additional certifications

  • CRM 133.939 (São Paulo)

    Conselho Regional de Medicina do Estado de São Paulo (CRM-SP)

    Brazilian medical license — São Paulo state medical council registration. Equivalent to a US state medical license.

  • RQE 89335 / 89336

    CRM-SP (Registro de Qualificação de Especialista)

    Brazilian specialist qualification registrations — three RQE numbers covering Internal Medicine, Rheumatology, and Pain Medicine area of practice.

Years in practice

18

Affiliations

Staff Physician

São Paulo, SP

Other specialists at Instituto Assaly Medicina Personalizada

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