Services
Image-guided pain procedures, planned around you
Each patient is assessed individually. Based on history, physical examination, radiology and electrophysiological results, the physician provides a treatment plan that the patient and physician agree on together.
- Nerve blocks
- Epidural steroid injections
- Facet joint blocks
- Stellate ganglion blocks
- Ketamine & lidocaine infusions
- Paravertebral cervical, thoracic, lumbar & sacral blocks
- Peripheral & cranial nerve injections
- Intercostal blocks
- Joint injections
- Muscle & trigger point injections
- Tendon sheath injections
- Botulinum injections for migraine
- Botulinum injections for spasticity & dystonia
Treatments
Interventional procedures, planned at your first visit
Because your MRI is completed the same day as your assessment, your physician can review the images with you and recommend a plan without a second wait.
Nerve blocks
Local anaesthetic placed at a specific nerve to confirm the source of pain and relieve it.
Epidural injections
Image-guided injection near an irritated spinal nerve to reduce inflammation and leg or arm pain.
Facet joint blocks
Targeted treatment of the small spinal joints that often drive chronic back and neck pain.
Stellate ganglion blocks
A neck-level sympathetic block used for certain nerve-related head, face, arm and chest pain.
Ketamine & lidocaine infusions
Monitored intravenous infusions for selected nerve-related and widespread pain conditions.
Image guidance
Procedures are performed with imaging so medication reaches the intended target precisely.
What we do
Treatments and interventions offered at the clinic include nerve, joint, muscle, tendon sheath and trigger point blocks and injections to the face, scalp, arms, legs, thorax, abdomen, pelvis and spine.
They may include paravertebral cervical, thoracic, lumbar and sacral blocks, peripheral and cranial nerve injections, intercostal blocks, epidural steroid injections, and botulinum injections for migraines, spasticity and dystonia.
Not every treatment is suitable for every person. Your physician will discuss the options, benefits and risks that apply to you.
Conditions we treat
Pain that has not responded to usual care
Our physicians assess the source of your pain and, where appropriate, treat it directly with image-guided procedures.
Back & neck pain
Chronic low back and neck pain, including pain from degenerative discs and facet joints.
Nerve pain
Sciatica, radiating arm or leg pain, and other pain caused by irritated or compressed nerves.
Joint pain
Persistent shoulder, hip, knee and sacroiliac joint pain that has not settled with other care.
Post-surgical pain
Pain that continues after spine or joint surgery and needs a dedicated treatment plan.
Complex regional pain
Burning, hypersensitive limb pain assessed for targeted sympathetic nerve treatment.
Widespread pain
Long-standing pain affecting multiple areas, reviewed for infusion-based treatment options.
During and after a procedure
- Procedure pain scores are recorded for each patient before and after treatment.
- Vital signs are monitored and recorded during procedures and assessed by the physicians and nurse, to confirm the treatments are safe.
- All records are kept in electronic format and can be sent to the referring office at any time.
- Not every treatment is suitable for every person. Your physician will explain which options apply to you. Call 416-256-0600 if you have questions.