Chronic Pain Program

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The Chronic Pain Program provides outcomes-focused, coordinated, goal-oriented interdisciplinary team services. The program can benefit persons with impairments associated with pain that impacts their activity and participation. Our multidisciplinary team of healthcare providers includes chronic pain doctors, orthopaedic/sport medicine doctors, physiotherapists, chiropractors, occupational therapists, psychologists. Interdisciplinary therapy protocols focused on functional restoration, self-management and cognitive behaviour show clinically significant improvements in the following outcomes: pain levels, activity levels, psychological functioning, return to work, healthcare utilization, and reduction in opioid medication use.

Interventional Medicine is a part of our Chronic Pain Program. We perform ultrasound guided injections such as Hyaluronic Acid, Plate-Rich Plasma and many more. Frequent monitoring is also important to ensure that problems are identified and treated early before they escalate. Proper management of a healthy lifestyle, along with these other measures can improve quality of life.

WHO CAN ENROLL

The Chronic Pain Program is appropriate for people who have suffered from pain for more than 6 months as a result of any condition, including:

Cervical Radiculopathy
Coccydynia
Musculoskeletal Pain
Degenerative Disc Disease
Facet Joint Syndrome
Herniated Discs
Lumbar Radiculopathy (Sciatica)
Migraine Headaches
Whiplash (CAD Syndrome)
Headaches
Myofascial Pain Syndrome
Peripheral Neuralgia
Phantom Limb Pain
Post Laminectomy Syndrome
Scoliosis
Spinal Stenosis
Spondylolisthesis
Trauma
Sport Injury
Carpal Tunnel Syndrome
Plantar Fascilitis
Rotator Cuff
Osteoarthritis
Fibromyalgia
Neuropathic Pain
Pelvic pain
TMJ Syndrome

EXCLUSION CRITERIA

This program of care has some exclusion criteria, which are significant red flags that may prevent the individual from being eligible to partake in this program. Please consult a healthcare practitioner or contact us to confirm eligibility.

WHAT CAN I EXPECT ON MY FIRST VISIT

A healthcare provider will conduct an assessment for treatment planning to initialize the Program of Care. The assessment includes the following: taking a complete medical history, subjective evaluation of the primary complaints related to the injury, a thorough physical examination including range of motion evaluation, orthopaedic testing, muscle testing, and neurological testing. The healthcare provider will also administer outcome measures to obtain baseline measures of pain and function. These may include, but are not limited to, the Numeric Pain Rating Scale (NPRS), the Oswestry Disability Index, the Neck Disability Index (NDI), the Lower Extremity Functional Scale (LEFS), or the Upper Extremity Functional Scale (UEFS).

The healthcare provider will also assess for possible yellow flags, which can indicate psychological risk factors that may have an impact on their recovery as a result of behaviour, expectations and recovery from injury. A discussion on achievable goals from the treatment program will be discussed as well as responsibilities of the person’s served and health care provider through the duration of the program.

WHAT IS THE DURATION OF THE PROGRAM

The duration of the Chronic Pain Program of Care is determined after the initial assessment and is dependent on the needs of each individual.

WHEN WILL I BE DISCHARGED

To be discharged from the Chronic Pain Program, one or more of the following criteria must be met:

The person served shows a normal range of motion, strength and function.
There is no evidence of pain or other subjective complaints.
The person served has achieved the goals that he or she established with the rehabilitation team.
The services of skilled therapists are no longer necessary or appropriate.
The person’s progress has slowed or temporarily stopped, and he or she is no longer benefiting from the services of the program.
The rehabilitation program is “put on hold” due to prosthetic fittings, resolution of medical problems, pending surgical intervention, or the arrival of specialized equipment.
It is the therapist’s conclusion and/or consensus that other programs or levels of care and treatment are more appropriate for the person served.