Orthopaedic Rehabilitation Institute (ORI) is a multidisciplinary outpatient facility that aims to streamline both primary and private healthcare services.

O ur vision is to execute high quality evidence-based practices and provide equal opportunities for all patients with Chronic Pain injuries.

ORI is pleased to offer OHIP funded medical consultations for assessment in the following areas:

  • Chronic pain management consultations
  • Procedural Medicine/Injections
  • Narcotic Reduction and Pain Transition Program


Narcotic Reduction and Pain Transition Programs

NARCOTIC REDUCTION PROGRAM

Our narcotic reduction program focuses on waning patients off narcotics and helping them transition back to their normal lives.

Eligibility
To be eligible for this program, patients must first have a family physician who can refer them to our clinic. After a scheduled primary visit, our physicians will work alongside the patient to develop a plan for reducing narcotic consumption.

Program Details
The program varies in length depending on patient status and improvement. As all patients are different, some may improve faster than others, requiring less treatment and time. Patient participation in this program is minimal; patients will sign consent forms and attend regular follow-ups that are scheduled approximately every 2 weeks. During follow-up visits, we will continue with the established plan, advising patients on how to effectively and efficiently taper their consumption of medication in order to minimize withdrawal symptoms. We utilize a general guideline of tapering dosages by 10% on a bi-weekly basis and modify as necessary to cater towards our patients’ bodies and needs.

Symptoms
As it normally takes the brain a little over a week to adjust to the reduced dosages, patients may experience symptoms of insomnia, mood changes, muscle aches, restlessness, etc. During your primary visit, our physicians will explain in details what sort of withdrawal symptoms to expect during your transaction. While the transition period may be difficult, it is beneficial in the long-term and as your healthcare providers, we are here to guide and support you every step of the way towards your recovery.

PAIN REDUCTION PROGRAM

Our pain transition program focuses on helping patients manage their pain, so they can get back enjoying life. Unfortunately, a cure for chronic pain does not exist, however, it is possible to reduce the level of pain with the right program!

Eligibility
To be eligible for this program, patients must first have a family physician who can refer them to our clinic. After a scheduled primary visit, our physicians will then determine if the problem can be treated by interventional pain management such as lidocaine infusions, Botox injections, nerve blocks, or nerve freezing. If possible, the patients will be enrolled in the program. It is important to note that this treatment may not work for everyone and is more effective in conjunction with physical therapy and counseling.

Program Details
During subsequent visits, patients’ progress will be monitored, and the prescribed treatments will be modified based on this. We will also perform more interventional procedures as needed, as well as provide patients with the knowledge on how to effectively and efficiently manage their pain with self-management techniques. At our clinic, we emphasize teaching and helping patients understand their symptoms as it is a vital part of the process that can often be overlooked. Our healthcare staff is always accessible to answer any questions and more than happy to guide you to a life with reduced pain.

INJECTIONS

Lidocaine Injections

Numbing agent commonly used for those suffering from Fibromyalgia, neuropathic pain, spinal cord injuries, and some causes of complex regional pain syndrome.

Ketamine

  • Analgesic and anti-inflammatory agent commonly used to treat migraines and a variety of chronic pain conditions.

Joint Aspiration & Injections

  • This procedure involves the removal of joint fluid from a swollen joint, or injecting medication into the joint.
  • Technique is used to treat a variety of inflammatory conditions such as tendonitis, bursitis, arthritis, gout at a variety of joints in the body.
  • Provides pain relief, decreases joint stiffness, improves range of motion.

Prolotherapy Injections

  • Refers to injections that promote long-term, permanent pain relief by encouraging the body to heal itself.
  • This clinic offer a type of prolotherapy called Platelet-Rich Plasma (PRP) Injection.
  • Platelets are known to clot blood, but also have properties to repair and heal cells.
  • Used to stimulate and accelerate the natural repair process of the body.
  • Blood is collected from the patient, then spun in a centrifuge until the highest concentration of platelets are collected; these platelets are then injected into the target site that requires healing.

Trigger Point Injections

  • Refers to areas of the muscle that produce pain when stimulated.
  • Injections at these points are beneficial for those suffering from myofascial pain.

Botox Therapy

  • “Botulinum toxin” blocks nerve activity in the muscles.
  • Beneficial for those with spastic disorders, chronic migraines, urinary incontinence, temporomandibular joint disorder (TMJ syndrome), piriformis syndrome, occipital neuralgia, sacroiliac joint dysfunction.

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