Types of Treatments

CPM Centres for Pain Management provides many types of treatment for the management of chronic pain including:

Medication Management – Our trained staff will assess your previous and current medications. This will help them to make specific recommendations to your primary care practitioner regarding an optimal medication regimen. Every effort is made to minimize adverse effects of medications and their interference with a normal lifestyle. As treatment progresses and pain decreases, some patients may be carefully withdrawn from certain pain medications. This is because certain pain medications may be causing more side effects over time than pain relief.

Epidural Injection – An outpatient/office procedure which involves placement of anti-inflammatory agents into the epidural space. This helps to reduce disc and nerve inflammation, producing relief.

Therapeutic Nerve Blocks – An outpatient/office procedure where local anesthetic and anti-inflammatory medication injections are given near a specific nerve or group of nerves to relieve pain.

Intercostal Nerve Block – An injection of a local anesthetic and anti-inflammatory medication in the area between two ribs. An intercostal nerve block is performed for pain due to herpes zoster (commonly known as shingles). Herpes zoster is an acute viral infection that causes inflammation of the nerves that spread outward from the spine. It may also be performed for pain caused from a surgical incision in the chest area or to help determine the cause of your pain (diagnostic nerve block).

Lumbar Sympathetic Block – An injection of local anesthetic around a group of nerves in your lower back. It may be done if you have complex regional pain syndrome (CRPS). CRPS is a disease involving a disturbance of circulation to the skin or neuropathic pain (pain caused by a disorder of the nervous system).

Facet Nerve Block – An injection of anti-inflammatory and anesthetic medication in and around the facet joint area to reduce the swelling around the nerve. This is performed if your doctor suspects that your neck or lower back pain may be caused in part by the small facet joints of the spine (facet joints are located on the side of your spine, away from the spinal cord).

Stellate Ganglion Block – An injection of anesthetic medication around the collection of nerves that affect the upper limb. This may be performed to decrease pain and increase the circulation and blood supply to the affected limb. A stellate ganglion may be performed for people who have circulation problems or the following nerve injuries:

  • Complex Regional Pain Syndrome (CRPS)
  • Causalgia
  • Herpes Zoster
  • Phantom Limb Pain.

Trigger Point Injections – An outpatient/office procedure where small amounts of local anesthetics and anti-inflammatory medications are injected in the area of the muscle where you have pain or tenderness. These areas are called trigger points because they produce pain when stimulated. Trigger Point Injections are performed if you have myofascial pain (pain in a specific muscle or muscle group).

Viscosupplementation Injections – An injection of hyaluronic acid is injected directly into a joint capsule. The hyaluronic acid fills the joint area to increase lubrication, improving movement and function. CPM Centres for Pain Management offers this injection-based therapy through a facilitated referral basis for those patients awaiting specialist appointments for osteoarthritis of the knee.

BOTOX® Injections – An injection of BOTOX® to prevent headaches in adults with chronic migraines. BOTOX® is injected by a doctor into 7 specific areas in the head and neck with very fine needles. You must have 15 or more days each month with headaches lasting 4 or more hours each day to be considered an appropriate candidate for this treatment.

Lidocaine Infusions – A local anesthetic is given intravenously (IV) to calm nerves and provide relief from certain chronic pain conditions.  These infusions can be particularly helpful when a person is suffering from pain in multiple sites (such as Fibromyalgia), certain types of neuropathic (nerve) pain, Complex Regional Pain Syndrome, and from central neuropathic pain, due to Multiple Sclerosis or post-stroke pain syndromes. This safe and painless, physician-supervised procedure is offered at the Oshawa CPM clinic. The infusion will take up to 2 hours per visit roughly once per month. This procedures is covered by OHIP up to 6 infusions per calendar year.