ISCOPE

Interventional Pain Management Procedures

Interventional Pain Procedures are non-surgical, minimally invasive procedures using specialized pain injections or treatments. All procedures are performed under image guidance by using either ultrasound or live x-ray (fluoroscopy), which uses real-time images of the body to visualize and target specific sites. The goal of interventional pain management procedures is to relieve, reduce, and manage pain, as well as improve the patient’s quality of life. These techniques are specifically designed to diagnose and treat painful conditions in both the short- and long-term. Interventional pain management focuses on helping patients return to daily living while reducing reliance on pain medications.

What to Expect

Step

01

Assessment

An assessment and imaging review is completed by our Interventional Pain Management Team, which consists of a nurse practitioner, specialist physician, as well as additional supporting practitioners (kinesiologists, chiropractors, physiotherapists). They will identify your eligibility for any of our Interventional Pain Management Procedures and will collaborate on an individualized treatment plan to address your specific concerns.

Step

02

Procedure

If eligible, our administration staff will schedule you for your Interventional Pain Management Procedure. They will review all pre and post instructions with you and will ensure you are informed of everything prior to the day of your procedure.

Step

03

Re-Assessment

Following your procedure, we will schedule a follow-up appointment to determine efficacy of the procedure and to assess whether we need to adapt your current pain management strategies in any way.

Protocols

1. On the day of your treatment, you are required to be accompanied by a driver. You are also unable to drive for the remainder of the day following your procedure.

2. Some patients may require a prescription if they are feeling anxious prior to the procedure. This should be discussed with your Pain Specialist prior to scheduling the procedure.

3. Upon arrival at the clinic, our medical team will measure your heart rate, blood pressure, and oxygen levels before the procedure begins.

4. Before we begin, we clean the skin surface of the treatment site to prevent infection. The product used to clean the skin may leave a brownness on your skin which will wash off. It may not wash off your clothing. Consider wearing loose-fitting clothing that you do not mind getting a small stain on for your procedure date.

5. Due to anatomic changes from one person to the next, we use imaging guidance with a fluoroscope or ultrasound to locate the treatment target. Depending on the treatment you are having done, we may use a small amount of contrast dye to confirm the needle has been properly placed.

6. Local anesthetic is used to reduce the pain that may be experienced during treatment.

1. No driving for the remainder of the day after procedure. The patient must have a driver accompany them to the appointment.

2. Patients may eat or drink as they would normally before and after their appointment, unless otherwise advised by the physician.

3. It is common for patients to experience discomfort after their treatments, including possible transient worsening of their symptoms. This almost always passes in a day or 2, and patients should respond to their usual pain medications.

4. On the day of treatment, patients should refrain from strenuous physical activity. It is recommended that patients rest the day of treatment. Patients may resume regular physical activity the next day; however, this should be based on the individual’s level of tolerance.

5. Patients may use local ice therapy at the site of treatment. Heat should not be used in the area for 48 hours.

6. Patients may shower or bathe the next day and remove any local bandages.

7. If medication was stopped for the treatment, please follow the physician’s directions on restarting the medication. (The normal guideline is to re-start medications the day after the procedure).

8. If patients develop a fever or significant worsening of their pain that is out of character for them, patients are to call the clinic (416-900-7007) between the hours of 9:00am-5:00pm. For after-hours care, patients should seek urgent medical care at the emergency department or by calling 911.

9. Any unplanned hospitalizations within 10 days of procedure must be reported to us by calling the clinic.

Procedure

Epidural steroid injections are a common treatment option for many forms of back pain. They have been used for decades and are considered an integral part of non-surgical low back pain management. The injection is named an epidural steroid injection because it involves injecting a local anesthetic and steroid medication directly into the epidural space that surrounds the spinal cord and nerve roots. The goals of an epidural steroid injection are to

1- Control pain by reducing inflammation in and around the nerve roots

2- Reduce the need for pain medications.

3- Improve mobility and function in the area injected.

Allow patients to participate in and make progress with comprehensive physical therapy and rehabilitation programs.

Video: https://www.spine-health.com/treatment/injections/lumbar-epidural-steroid-injections-low-back-pain-and-sciatica

Facet joint injections are used to diagnose and treat pain stemming from facet joints in the spine. Facet joint injections involve injecting a local anesthetic and steroid medication directly into the facet joint. The goals of a facet joint injection are to

  1. Control pain by reducing inflammation in and around the diseased facet joints.
  2. Reduce the need for pain medications.
  3. Improve mobility and function in the area injected.
  4. Allow patients to participate in and make progress with comprehensive physical therapy and rehabilitation programs.

 

Video: https://www.spine-health.com/video/facet-joint-injections-procedure-video

Nerve Root Block injections are used to both diagnose and treat an inflamed spinal nerve. Nerve root block injections involve injecting a local anesthetic and steroid medication directly near the spinal nerve as it exits the spinal column (near the intervertebral foramen). The goals of a nerve root block injection are to

  1. Control pain by reducing inflammation of the spinal nerve root.
  2. Reduce need for pain medication.
  3. Improve mobility and function in the area injected.
  4. Allow patients to participate in and make progress with comprehensive physical therapy and rehabilitation programs.

 

Video: https://www.spine-health.com/treatment/injections/selective-nerve-root-block-injections

Radiofrequency Ablation is a minimally invasive procedure that uses heat to target diseased tissue. When radiofrequency is applied to nerve tissue, it damages nerves, which prevents or stops the pain signal from reaching the brain and results in pain relief. The goals of radiofrequency ablation are to

  1. Control or reduce pain without surgery and little to no recovery time required
  2. Reduce the need for pain medications.
  3. Allow patients to participate in and make progress with comprehensive physical therapy and rehabilitation programs.

 

Video: https://www.spine-health.com/treatment/injections/radiofrequency-ablation-rfa-procedure-and-recovery?source=pop-block

Pulsed Radiofrequency is a minimally invasive procedure that uses alternating radiofrequency waves to provide pain relief without causing significant damage to nerve tissue. The pulsed radiofrequency treatment reduces pain by changing the pain signal pathway. The goals of Pulsed Radiofrequency treatments are to

  1. Control or reduce pain without surgery and little to no recovery time required
  2. Reduce the need for pain medications.
  3. Allow patients to participate in and make progress with comprehensive physical therapy and rehabilitation programs.

Joint steroid injections are a common treatment option for many forms of joint pain. The injection is named a joint steroid injection because it involves injecting a local anesthetic and steroid medication directly into the joint space. The goals of an epidural steroid injection are to

  1. Control pain by reducing inflammation in and around the joint.
  2. Reduce the need for pain medications.
  3. Improve mobility and function in the area injected.
  4. Allow patients to participate in and make progress with comprehensive physical therapy and rehabilitation programs.

 

Video: https://www.spine-health.com/video/sacroiliac-joint-steroid-injection-video

Radiofrequency Ablation is a minimally invasive procedure that uses heat to target diseased tissue. When radiofrequency is applied to nerve tissue, it damages nerves, which prevents or stops the pain signal from reaching the brain and results in pain relief. It is typically utilized for the hip, knee, shoulder or SI joint. The goals of this procedure are to

  1. Control or reduce pain without surgery and little to no recovery time required
  2. Reduce the need for pain medications.
  3. Allow patients to participate in and make progress with comprehensive physical therapy and rehabilitation programs.

 

Video: https://www.spine-health.com/treatment/injections/radiofrequency-ablation-rfa-facet-and-sacroiliac-joint-pain

Refer a Patient

iScope is currently accepting new patients. A referral from your primary care physician or specialist is required for consultations covered by your provincial plan. If you require rehabilitation services a referral is not required.

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