CHRONIC PAIN CLINIC
Chronic Pain Clinic
A personalized plan for pain that has lasted three months or more
Our physicians assess the cause of your pain and build a plan that may combine medication review, injections, infusions, physiotherapy and self-management, all in one building.
1–2 weeks
from referral to first visit
OHIP-covered with a referral and a valid Ontario health card
IS THIS CLINIC RIGHT FOR YOU?
Who we see
Chronic pain is pain that continues beyond normal healing time, usually three months or more. A referral from your family doctor, specialist or nurse practitioner is required.
Pain lasting three months or longer
Pain that hasn’t improved enough with treatment so far
Adults 18 and older
Non-cancer pain (see Referrals for conditions we don’t treat)
BEFORE YOU’RE REFERRED
Good to know
We don’t take over opioid prescribing.
We can’t see walk-in patients.
If you have an infection, active cancer pain, or abdominal or pelvic pain, your doctor can help you find the right service.
TREATMENTS WE OFFER
More than one approach
Your plan is built around your diagnosis and goals. Options may include:
Medication review
Optimizing non-opioid pain medications, with support from our on-site pharmacist.
Pain-relieving injections
Local anaesthetic injections, performed with ultrasound guidance where appropriate.
Lidocaine & ketamine infusions
IV infusions for selected nerve-related and widespread pain conditions.
PRP (Abundance Biologix)
High-dose platelet-rich plasma for tendon problems and knee osteoarthritis. Learn about PRP
Physiotherapy
Main Street Health physiotherapy is located in our building.
Self-management tools
Sleep, activity and pacing guidance, plus our patient resource library.
CONDITIONS WE TREAT
Common reasons for referral
Headache & migraine
Including cervicogenic headache and chronic migraine.
Back & neck pain
Mechanical back pain, sciatica and whiplash.
Joint pain & osteoarthritis
Knee, hip, shoulder and hand.
Fibromyalgia
Widespread pain, often with fatigue and poor sleep.
Nerve pain
Peripheral neuropathy, post-shingles pain and CRPS.
Muscle & tendon pain
Chronic myofascial pain and tendinopathy.
WHAT TO EXPECT
Your care, step by step
1
Referral
Your doctor sends a referral with the required workup. We contact you to book.
2
First visit
A pain physician reviews your history, examines you and discusses your goals.
3
Your plan
Together we agree on treatment, which may start the same day.
4
Follow-up
Regular visits to adjust your plan. We keep your referring clinician informed.
COST & COVERAGE
What’s covered
PHYSICIAN VISITS
OHIP
Covered with a referral and a valid Ontario health card.
INJECTIONS & INFUSIONS
Coverage varies
Ask one of our staff for details.
COMMON QUESTIONS
FAQ
Do I need a referral?
Yes. Ask your family doctor, specialist or nurse practitioner, or use our referral request form and we’ll contact them for you.
Will you take over my opioid prescription?
No. Your current prescriber continues to manage opioids. We can recommend changes to your overall pain plan.
Do I need imaging before my first visit?
Your doctor will include the required tests with the referral. See the workup list on our Referrals page.
How quickly will treatment help?
It depends on the condition and treatment. Some injections work within days; other approaches take weeks. We’ll set realistic expectations at your first visit.
Find out how we can help
Ask your doctor for a referral, or use our request form and we’ll contact your doctor for you.
