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


Procedural Medicine / 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.

PAIN CONDITIONS TREATED
Injections Offered:

  • Chronic pain management consultations
  • Glossopharyngeal Nerve Block
  • Maxillary Nerve Block
  • Mandibular Nerve Block
  • Ultrasound Guided Spinal Accessory Nerve Block
  • Auriculotemporal Nerve Block
  • Infraorbital Nerve Block
  • Mental Nerve Block
  • Supraorbital Nerve Block
  • Zygomatic Temporal Nerve Block
  • Ultrasound Guided Occipital Nerve Block
  • Ultrasound Guided Deep Cervical Plexus Block
  • Ultrasound Guided Superficial Cervical Plexus Block


Benefits:

  • Chronic Headaches: Cervicogenic, Migraines, Cluster, Tension
  • Various types of neuralgia: Trigeminal Neuralgia, Occipital Neuralgia
  • Temporomandibular Joint Disorder (TMJ Syndrome)
  • Spinal accessory nerve injury or trapezius muscle dysfunction
  • Nerve impingement caused by a cervical herniated disc, degenerated disc, or spinal stenosis (narrowing of the spinal canal)
  • Whiplash and related injuries

Injections Offered:

  • Ultrasound Guided Proximal Radial/ Medial/ Ulnar Nerve Block
  • Ultrasound Guided Suprascapular/ Transcapular Nerve Block
  • Ultrasound Guided Upper Extremity/ Brachial Plexus Block
  • Ultrasound Guided Stellate Ganglion Nerve Block


Benefits:

  • Chronic Headaches: Cervicogenic, Migraines, Cluster, Tension
  • Chronic shoulder, elbow, or wrist pain caused by arthritis, osteoarthritis, joint pain, tendinitis, bursitis
  • Multiple Sclerosis (MS), Fibromyalgia
  • Overuse Conditions: Carpal Tunnel Syndrome (CTS), Lateral and Medial Epicondylitis
  • Trigger Finger
  • Rotator Cuff Syndrome
  • Complex Regional Pain Syndrome (CRPS) and other peripheral neuropathies such as causalgia (severe burning pain caused by the peripheral nerve) and reflex sympathetic dystrophy (RSD)
  • Phantom Limb Pain
  • Shingles

Injections Offered:

  • Intercostal Nerve Block


Benefits:

  • Shingles
  • Post-herpetic Neuralgia
  • Chronic pain after surgery on the chest

Injections Offered:

  • Ultrasound Guided Proximal Radial/ Medial/ Ulnar Nerve Block
  • Ultrasound Guided Suprascapular/ Transcapular Nerve Block
  • Ultrasound Guided Upper Extremity/ Brachial Plexus Block
  • Ultrasound Guided Stellate Ganglion Nerve Block
  • Ultrasound Guided Pudendal
  • Ultrasound Guided Ilioinguinal/ Iliohypogastric
  • Ultrasound Guided Genitofemoral
  • Ultrasound Guided Hypogastric Plexus Block
  • Ultrasound Guided Ganglion of Impar Plexus Block


Benefits:

  • Chronic Headaches: Cervicogenic, Migraines, Cluster, Tension
  • Various types of neuralgia: Trigeminal Neuralgia, Occipital Neuralgia
  • Temporomandibular Joint Disorder (TMJ Syndrome)
  • Spinal accessory nerve injury or trapezius muscle dysfunction
  • Nerve impingement caused by a cervical herniated disc, degenerated disc, or spinal stenosis (narrowing of the spinal canal)
  • Whiplash and related injuries
  • Chronic pain from the vaginal, penile, scrotal, perineal, pelvic, groin, pubic area, colon, bladder, lower intestines, uterus or ovaries, prostate or testicles
  • Genitofemoral neuropathy
  • Ilioguinal neuropathy
  • Endometriosis
  • Irritable bowel syndrome (IBS)
  • Radiation injuries
  • Coccygodynia (tailbone pain)
  • Various pelvic visceral pain disorders such as dysmenorrhea and dyspareunia

Injections Offered:

  • Ultrasound Guided Proximal Radial/ Medial/ Ulnar Nerve Block
  • Ultrasound Guided Suprascapular/ Transcapular Nerve Block
  • Ultrasound Guided Upper Extremity/ Brachial Plexus Block
  • Ultrasound Guided Stellate Ganglion Nerve Block
  • Ultrasound Guided Femoral Nerve Block
  • Ultrasound Guided Sciatic Nerve Block
  • Ultrasound Guided Popliteal Nerve Block
  • Ultrasound Guided Lower Extremity/ Lumbar Plexus Block
  • Ultrasound Guided Lumbar Sympathetic Nerve Block


Benefits:

  • Chronic Headaches: Cervicogenic, Migraines, Cluster, Tension
  • Various types of neuralgia: Trigeminal Neuralgia, Occipital Neuralgia
  • Temporomandibular Joint Disorder (TMJ Syndrome)
  • Spinal accessory nerve injury or trapezius muscle dysfunction
  • Nerve impingement caused by a cervical herniated disc, degenerated disc, or spinal stenosis (narrowing of the spinal canal)
  • Whiplash and related injuries
  • Chronic pain of the hip, knee, or ankle caused by arthritis, osteoarthritis, joint pain, tendinitis, bursitis
  • Multiple Sclerosis (MS), Fibromyalgia
  • Morton’s Neuroma
  • Sciatica
  • Post-operative or pain resulting from trauma
  • Complex regional pain syndrome
  • Baker’s cyst

Injections Offered:

  • Ultrasound Guided Proximal Radial/ Medial/ Ulnar Nerve Block
  • Ultrasound Guided Suprascapular/ Transcapular Nerve Block
  • Ultrasound Guided Upper Extremity/ Brachial Plexus Block
  • Ultrasound Guided Stellate Ganglion Nerve Block
  • Ultrasound Guided Caudal Epidural Blocks
  • Ultrasound Guided Nerve Root Blocks
  • Sacroiliac Joint Injection
  • Ultrasound Guided Facet Joint Blocks
  • Medial Branch Block
  • Peri-Articular Facet Blocks
  • Paravertebral Facet Blocks


Benefits:
  • Chronic Headaches: Cervicogenic, Migraines, Cluster, Tension
  • Various types of neuralgia: Trigeminal Neuralgia, Occipital Neuralgia
  • Temporomandibular Joint Disorder (TMJ Syndrome)
  • Spinal accessory nerve injury or trapezius muscle dysfunction
  • Nerve impingement caused by a cervical herniated disc, degenerated disc, or spinal stenosis (narrowing of the spinal canal)
  • Whiplash and related injuries
  • Chronic back pain
  • Injury in any areas of the neck, mid back, low back, buttocks, upper legs
  • Vertebral disc inflammation or degeneration
  • Failed Back Syndrome
  • Symptoms of sciatica
  • Radiculopathy (Cervical, Thoracic, Lumbar)
  • Lumbago
  • Piriformis Syndrome
  • Sacroiliac Joint Dysfunction
  • Spinal Stenosis
  • Coccydynia

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