Services

What Types of Chronic Pain?
Pain Care Clinics will treat physician-referred patients of virtually any source of CNCP, including the following:
Ontario residents referred to the clinic by an Ontario physician will have the costs covered under the Ontario Health Insurance Plan (“OHIP”).

Services

Botox ®

Most of us have heard of Botox ® for cosmetic use, however, Botox ® has been found to be quite effective in the treatment of chronic pain. It can be administered by physicians to control chronic pain; allowing patients to live more comfortable, happier and healthier lives.


Botox ® relaxes the muscle or muscle groups, which are associated with chronic pain. It is especially beneficially in the treatment of migraine and migraine prevention and lasts approximately three months. The use of Botox ® therapy for migraines greatly reduces the frequency, severity and amount of medication required for each patient. Botox ® relaxes the muscles and interrupts the muscle contractions, which are responsible for sending erratic, nerve firing and blood vessel spasms characteristic of migraine headaches.

How Botox ® is Administered

Botox ® is injected directly into specific trigger points and migraine sites. The treatment takes approximately 10-15 minutes and patients can return to work immediately after their treatment. Within 3-4 days after the procedure, patients will start to notice the difference. Their migraine symptoms become less severe while frequency of experiencing them decreases. These benefits last approximately 3 months.

Is Botox ® Covered by an Extended Medical Insurance Plan?

As plans vary, it is best to check with your service provider. However, most extended medical insurance plans in Canada will cover the cost of Botox ® as therapy medication.

Platelet Rich Plasma for Pain Management

The body's first response to the damage of muscles, ligaments and tendons is to deliver platelet cells. These cells initiate the healing process by attracting stem cells that are critical to repairing the body tissue. The PRP therapy intensifies the body's effort by delivering a higher concentration of platelets. The therapy involves taking a small sample of the patient's blood and placing it in a centrifuge that spins the blood at high speeds, separating the platelets from the other components. The PRP concentration of platelets is then injected into and around the point of injury, stimulating and significantly accelerating the body's healing process. This process has no risk of transmissible infection and a very low risk of allergic reaction. The procedure takes approximately 1 to 2 hours, and typically given within a six-month time frame performed 2-3 weeks apart. Treatment is known to give patients considerable to complete relief after the first or second injection. This method is becoming more popular as a way to heal chronic injuries and chronic long-term pain, as opposed to relying on painkillers and anti-inflammatory drugs that suppress symptoms.


An initial consultation and first pain therapy session offers an in depth pain assessment that helps the clinician determine how best to treat the pain the client is experiencing, where the pain is located and whether a combination of therapy services would be beneficial. The data collected will be computerized so that we not only monitor how the therapy sessions are progressing on a pre– and post-session basis but also how their pain level is changing over time. The consultation will take ten minutes. Every pain therapy session will include evaluations of pain levels, which will be added to the personalized file for follow-up purposes.

Mesotherapy and Biopuncture

Mesotherapy and biopuncture are known as injection techniques used to treat pain with botanical substances, such as Traumeel, anesthetic drugs such as Lidocaine and Procaine, and vitamins. The therapy involves injecting these solutions into the skin layer that is rich in blood vessels and nerves just under the skin along pain zones. Mesotherapy involves pricking of the skin with a thin needle to stimulate healing of the injured area. Biopuncture is similar, except the solutions are injected into traditional acupuncture points where they stimulate the reflex responses of the immune and nervous systems to promote healing. Treatments are initially given weekly for up to six weeks and the frequency is reduced as symptoms improve. Depending on the duration of symptoms, some patients may experience significant improvement within a few treatments, while others with more chronic injuries may respond optimally after longer treatment courses. Mesotherapy and biopuncture can be effective in managing a variety of pain conditions, including chronic neck pain, whiplash, chronic back pain, sciatica, arthritis, muscle spasm, tendinitis, bursitis, tennis and golfer’s elbow, and fibromyalgia.

Medication Management

Our specialized team will provide an overall assessment of your previous and current medications. Focusing on the best medication regimen, to minimize any adverse effects, our physicians will discuss and make recommendations to your family physician.

Epidural Injection

An epidural injection is the delivery of anti-inflammatory medicine directly into the epidural space, the outside of the sac of fluid around your spinal cord. This will reduce inflammation of the disc and nerve and will provide pain relief.

Therapeutic Nerve Blocks

Therapeutic Nerve Blocks involve local anesthetic and anti-inflammatory medication injected near a specific nerve or group of nerves to relieve pain.

Intercostal Nerve Block

This procedure is performed for pain due to Shingles, medically known as Herpes Zoster. This acute viral infection causes inflammation of the nerves that spread outward from the spine. It involves a local anesthetic with anti-inflammatory medication injected between two ribs.


The Intercostal Nerve Block, may also be performed for pain caused from a surgical incision in the chest area or to help determine the cause of your pain, commonly referred to as a Diagnostic Nerve Block.

Lumbar Sympathetic Block

This procedure is performed if you are suffering from Complex Regional Pain Syndrome, CPRS. This is an uncommon form of chronic pain that usually affects an arm or a leg. Complex regional pain syndrome typically develops after an injury, surgery, stroke or heart attack, but the pain is out of proportion to the severity of the initial injury.


This is an injection of local anesthetic, around a group of nerves in the lower back.

Facet Nerve Block

This procedure is performed on facet joints of the spine if the physician suspects that your neck or lower back pain is caused by the small facet joints of the spine.


An injection of anti-inflammatory and anesthetic medication is placed in and around the facet joint area of the spine. This reduces the swelling around the nerve.

Celiac Plexus Block

This procedure is performed for pain relief in the upper abdominal areal due to cancer or chronic pancreatitis.


An injection of anesthetic and anti-inflammatory medication is placed around the group of nerves that affect the abdominal region.

Stellate Ganglion Block

This procedure is performed on people that suffer from circulation problems, to decrease pain and increase the circulation and blood supply to the affected limb; or have nerve injuries such as: Complex Regional Pain Syndrome (CRPS), Causalgia, Herpes Zoster and Phantom Limb Pain.


An injection of anesthetic medication around the collection of nerves that affect the upper limb.

Trigger Point Injections

This procedure is performed on people that suffer from pain or tenderness in the muscles, tension headaches, myofascial pain, and/or fibromyalgia.


A trigger point injection involves the injection of anesthetics and anti-inflammatory medications directly into the trigger point.