Image-Guided Procedures May Help Relieve Chronic Pain

The Rothbart Centre for Pain Care is now offering new image-guided procedures as therapy for back and neck pain and sciatica treatment. Treatment options include radiofrequency and epidural steroid injections performed with guidance by fluoroscopy (x-ray).

Chronic pain, defined as any pain lasting more than three months, can sideline an individual from everyday activities like walking or standing for an extended period. It’s often painful to drive, exercise or even pick up a child. That pain doesn’t go away when you go to bed at night either – there’s a vicious cycle of back and neck pain and sleep issues that influence each other.

“Using fluoroscopy to guide procedures like radiofrequency neurolysis (RFN) and epidural steroid injections increases the accuracy of the procedures, thereby allowing maximal benefit,” says Dr. Faisal Motlani, MD, a board-certified anesthesiologist at the Rothbart Centre. “The use of imaging may also increase the safety of the intervention and also minimizes discomfort as there is less needle manipulation.”

Neck and back (lumbar) pain are common complaints for many adults aged 50 or older. Frequently caused by arthritis, this type of chronic pain is brought on when disc and cartilage degeneration results in inflammation or irritation of the surrounding nerves, which in turn transmits pain signals to the brain.

The pain management professionals at the Rothbart Centre for Pain Care in Toronto use image-guided lumbar epidural steroid injections as a common treatment for many forms of back and leg pain, including sciatica, and radiofrequency neurolysis (RFN) for chronic pain of the neck and lower back. An epidural injection is a minimally-invasive procedure which can often relieve discomfort from pain radiating from the lower (lumbar) spine into the legs. RFN utilizes heat to destroy selected nerve fibers to effectively block pain signals to the brain, which can reduce or eliminate various types of pain.

Patients receiving these treatments experience pain relief that can last six to 12 months and, in some cases, even longer. Both are outpatient procedures performed in the Rothbart Centre’s state-of-the-art facilities. Services are covered by the Ontario Health Insurance Plan (OHIP) for individuals currently living in Ontario who are referred to the clinic by a primary care physician.

In addition to epidural steroid injections and radiofrequency neurolysis, the Rothbart Centre for Pain Care offers facet blocks, sympathetic blocks, peripheral and cranial nerve blocks, adhesiolysis, sacroiliac joint injections and more.

The Rothbart Centre for Pain Care is a Toronto-based medical treatment centre specializing in the management and treatment of chronic pain of the head, neck, face and back. Doctors at the Centre specialize in interventional treatments and minimally invasive techniques that can offer healing relief to patients suffering from everything from chronic headaches to degenerative joint disease. They offer advanced solutions to achieve the best outcomes for chronic pain patients so that they can live healthier, happier and more successful lives.

For pain management care in Ontario, simply call (416) 512-6407.

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IMPORTANT NOTICE FOR ROTHBART CENTRE PATIENTS AND REFERRING PHYSICIANS.

The Rothbart Centre is no longer in operation. The "Silver Medical Group Centre for Pain Care" (CPC) is now open at the same location and is currently accepting new patients as well as continuing care for former Rothbart patients. Please visit the CPC clinic website to learn more or to schedule an appointment.