Prior to interventional treatment, all patients undergo consultation with a specialist to determine the appropriate procedure.
All procedures, whether basic or advanced, are done under ultrasound or fluoroscopic (X-ray) guidance, to ensure maximum accuracy and patient benefit.
Please see information sheets for select programs and procedures available here: For Referring Clinicians & Patients
Our rehabilitation therapists will work with patients to develop a movement-based exercise program and optimize their function.
Psychological and Self-Management Strategies
We can help identify the impact that chronic pain can have on mental health and work proactively to help develop solutions. There are a variety of options including group self-management programs which are MSP covered, individualized Registered Clinical Counseling sessions, and individualized Registered Psychology sessions.
Medication Management Strategies and Initiation
Our physicians have extensive knowledge and experience with all classes of pain medications and abide by Canadian and International guidelines for opioid, anti-neuropathic and adjunct medications.
Interventional Pain Procedures
- Continuous radiofrequency neurotomy for facet joint pain in cervical, thoracic, lumbar and sacral spine.
- Continuous radiofrequency neurotomy for hips and knee joint innervation.
- Pulsed radiofrequency to nerve root.
- Pulsed radiofrequency of peripheral nerve (e.g. Suprascapular nerve, Occipital nerve).
- Pulsed radiofrequency for Sphenopalatine ganglion, Trigeminal nerve and sympathetic chain.
- Third occipital nerve (TON) block and radiofrequency neurotomy.
- Cervical medial branch block.
- Cervical intra-articular joint injection.
- Cervical medial branch radiofrequency neurotomy.
- Cervical transforaminal epidural steroid injection.
- Cervical interlaminar epidural steroid injection.
- Cervical sympathetic chain (stellate ganglion).
- Thoracic medial branch block.
- Thoracic medial branch radiofrequency neurotomy.
- Thoracic transforaminal epidural steroid injection.
- Thoracic selective nerve root block.
- Thoracic interlaminar epidural steroid injection.
- Thoracic facet intra-articular injection.
- Lumbar medial branch block.
- Lumbar medial branch radiofrequency neurotomy.
- Lumbar transforaminal epidural steroid injection.
- Lumbar selective nerve root block.
- Lumbar interlaminar epidural steroid injection.
- Lumbar facet intra-articular injection.
- Lumbar diagnostic discography.
- Lumbar intradiscal biacuplasty.
- Adhesiolysis (epidural lysis of adhesions).
- Sacroiliac joint (SI joint) corticosteroid injection.
- Sacral lateral branch block.
- Sacral radiofrequency neurotomy.
- Sphenopalatine ganglion (SPG) bock and pulsed radiofrequency.
- Trigeminal nerve block and pulsed radiofrequency.
- BOTOX injections for chronic migraine prophylaxis.
- Occipital, Supraorbital nerve block and pulsed radiofrequency.
- Cervical sympathetic chain (stellate ganglion block)
- Lumbar sympathetic plexus block.
- Superior and inferior hypogastric plexus block.
- Ganglion impar block.
- Intra-articular hip, knee, ankle, shoulder, elbow, wrist and small joint injections.
- Percutaneous tenotomy procedures for calcific tendinopathy, trigger finger, tendinosis, and partial tears.
- Percutaneous fenestration for plantar fascia and contractures.
- Barbotage and percutaneous tenotomy for rotator cuff and greater trochanteric pain syndromes.
- Glenohumeral capsular hydrodilatation/ distension.
- Entrapment neuropathy injections (e.g. carpal tunnel).
- Genicular nerve block and radiofrequency neurotomy.
- Suprascapular nerve block and pulsed radiofrequency.
- Trigger point injections/ myofascial release.
- Platelet rich plasma (PRP).
- Regenerative treatments are guided by evidenced-based medicine.