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
About the Clinic
At ORI's Chronic Pain Clinic, we treat and manage many conditions related to pain, including back, neck and knee pain, sciatica, neuropathic (hyper-sensitive) pain, headaches, and more. We also offer a Narcotic Reduction and Pain Transition Program. Our doctors are patient-centered and are committed to utilizing an interdisciplinary and evidence-based approach to managing painful conditions.
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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
- Face, Head, & Neck
- Upper Extremities
- Chest Cavity
- Abdominal & Pelvis
- Lower Extremities (all US guided)
- Spine
Injections Offered:
Benefits:
- 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:
Benefits:
- 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:
Benefits:
- Intercostal Nerve Block
Benefits:
- Shingles
- Post-herpetic Neuralgia
- Chronic pain after surgery on the chest
Injections Offered:
Benefits:
- 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:
Benefits:
- 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:
Benefits:
- 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
