Pain is like an onion.

 

Each person is unique and develops a different injury. Sometimes multiple tissues are injured in the same person.

The different soft tissues that can be injured are:

  • Muscles
  • Fascia
  • Ligaments
  • Tendons

 

Each soft tissue needs a different type of injection to fix. As we treat one type of tissue, we peel away one layer of the onion.

Sometimes, pain is caused by years of incorrect movement patterns. These often require both injections and exercises to fix. Our doctors can advise you on exercises to correct movement patterns. We also have trusted kinesiologists and physiotherapists to refer to for more complex cases.

 

Individualized treatments

We apply an individualized approach to your treatment. We build on traditional medical knowledge with innovative techniques. We start by treating the injured tissues, then we provide advice for rehabilitation of movement patterns. For certain injuries, correcting movement patterns prevents the problem from returning.

 

Using the right tool for the right job

You would not use a hammer to turn a screw. Our physicians have multiple tools in our belt and the experience to know when to use each tool.

The most common type of injection we do is trigger point injections, which is fully covered under MSP.

 

See below for injections available at our clinic. Real-time ultrasound is used to guide the injections when required.

Trigger Point Injections (TPI)

 

 

Trigger point injections are used to treat tight and painful muscles. A trigger point is the medical name for a “knot” in your muscles. Releasing the knots restores normal muscle function, improves range of movement, and reduces pain.

TPI is a powerful way of releasing muscles quickly. It can be used as a stand-alone treatment to release a muscle that is in spasm, such as when you wake up with a kink in your neck or strain your back with lifting.

TPI can also be used along with rehabilitation to correct muscle movement patterns.

We usually inject 1% lidocaine, but normal saline can be used if you have an allergy or sensitivity. Most patients need 5-10 sessions. Each session is spaced 1-3 weeks apart.

Nerve Blocks

 

We provide peripheral nerve blocks for the following conditions:

  • Migraine headaches
  • Occipital neuralgia
  • SI joint pain
  • Nerve entrapment syndromes
  • Chronic pain conditions that are not well-managed with oral medications

Nerve blocks can provide pain relief for several weeks to months. In some cases, releasing nerves that are trapped by surrounding soft tissues can lead to permanent improvements.

1% lidocaine is the injected solution, spaced 2-8 weeks apart.

 

We do NOT provide the following injections:

  • Epidural injections
  • Facet joint injections and medial branch blocks (we DO perform lateral branch blocks for SI joint pain)
  • Nerve root blocks
  • Brachial plexus blocks

Perineural Injection Therapy (PIT)

 

Perineural Injection Therapy is an effective treatment for soft tissue pain originating around small nerves and the fascia layer. This is also known as the Lyftogt Technique, and was previously known as neural prolotherapy.

The injected medication is 5% dextrose.

For conditions that are curable, 5-10 sessions are needed. Some conditions require long-term treatment for pain management. Treatments are spaced 1-3 weeks apart.

Please see this external website for more information: https://www.lyftogtmed.com/about

Prolotherapy

 

Prolotherapy is an injection treatment that triggers your body to heal yourself for ligaments and tendons that have been injured. Once the injured ligament or tendon has been healed, function, range of movement, and pain levels improve.

15-25% dextrose is injected. It causes inflammation, which then triggers the healing process. Since we are repairing the damage, we expect improvements to last years to decades.

Injections are given about every 4 weeks. Typically, 2-6 treatments are required.

Prolotherapy is not covered under MSP.

 

Platelet Rich Plasma (PRP)

 

 

PRP is a stronger version of prolotherapy. It also triggers healing of damaged tendons and ligaments. We use PRP for injuries that are more severe or for patients who want to recover faster. Each session of PRP is equivalent of several prolotherapy sessions.

Blood is drawn from your arm in a procedure similar to getting a blood test. The portion of your blood called platelet rich plasma is separated from the rest, then it is injected back into the injected area.

Injections are given about every 6 weeks. Typically, 1-2 treatments are required.

We expect benefits from PRP to last years to decades.

 

Conditions that respond well to prolotherapy and PRP:

  • Rotator cuff tendinosis/tears
  • Whiplash injuries
  • Low back pain caused by SI joint instability
  • Greater trochanteric pain syndrome

 

PRP is not covered under MSP.

Fascia Hydrodissection

 

Fascia hydrodissection is a cutting-edge treatment for chronic soft tissue pain which is not available at the majority of other pain clinics.

Fascia is a layer of connective tissue that covers all your muscles. One of its functions is to allow gliding between different tissues during movement. Fascia can become thickened and stuck, which causes pain and reduced range of movement. The thickening can be caused by trauma, whiplash, repetitive use, and aging.

Injection into this layer breaks up the areas that are stuck to restore normal gliding.

5% dextrose is the injected solution. 3-6 sessions are generally required for each area of pain.

Location

104 – 3965 Kingsway

Burnaby, BC V5H 1Y8

Contact

Need additional assistance? Please contact us:

info@whiteoakpain.ca

Phone: (604) 630-2411

Fax: (604) 461-3999

Hours

Mondays: 9am to 5pm

Tuesdays: 9am to 4:30pm

Wednesdays: 9:30am to 4:30pm

Thursdays: 10am to 5:30pm

Fridays: 9am to 4:30pm

Saturdays: 9am to 4:30pm