Inventional 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
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.
During the assessment, we will review your:
- Medical history
- Current medications
- Pain-specific medications (current and previous)
- Medical allergies
- Previous imaging (example: MRI)
Lastly, we will review procedure-specific medications and any contra-indications. The more information we have ahead of time, the faster we can provide the correct treatment for you.
- 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.
- 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.
- Upon arrival at the clinic, our medical team will measure your heart rate, blood pressure, and oxygen levels before the procedure begins.
- 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.
- 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.
- Local anesthetic is used to reduce the pain that may be experienced during treatment.
- No driving for the remainder of the day after procedure. The patient must have a driver accompany them to the appointment.
- Patients may eat or drink as they would normally before and after their appointment, unless otherwise advised by the physician.
- 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.
- 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.
- Patients may use local ice therapy at the site of treatment. Heat should not be used in the area for 48 hours.
- Patients may shower or bathe the next day and remove any local bandages.
- 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).
- 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.
- Any unplanned hospitalizations within 10 days of procedure must be reported to us by calling the clinic.
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
- Control pain by reducing inflammation in and around the nerve roots
- Reduce the need for pain medications.
- Improve mobility and function in the area injected.
- Allow patients to participate in and make progress with comprehensive physical therapy and rehabilitation programs.
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