Pain management solutions in Vancouver and Burnaby

Find relief from chronic muscle pain when you visit our pain clinic near Vancouver, BC.

Pain is like an onion.

Reduce pain with our proven pain management treatments

If you are living with chronic muscle pain, you know how difficult each day can be. You may struggle to get through the workday, do the things you love, or even manage basic care tasks. However, you should know that relief is possible.

At White Oak Pain Clinic in Burnaby, BC, we have a special focus in advanced pain management techniques, including platelet-rich plasma (PRP), trigger point injections (TPI), and more.

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 your body's natural healing process, which then reverses degeneration and damage to your soft tissues. Since we are repairing the damage, we expect improvements to last years to decades.

Injections are given about every 4 weeks. Typically, 3-6 treatments are required.

Prolotherapy 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 with 0.1% lidocaine is the injected solution. 3-6 sessions are generally required for each area.

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, 2-3 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
Tennis elbow or golf elbow
Whiplash injuries
Low back pain caused by SI joint instability
Greater trochanteric pain syndrome

PRP is not covered under MSP. Your physician will provide a quote for the cost after a consultation, based on the complexity of your case.

Nerve hydrodissection

Nerves can become trapped by surrounding tissues. Nerves that are trapped can cause pain, weakness of muscles, and numbness/tingling. Nerve hydrodissection is an injection technique that releases the nerves to allow them to function properly again.

5% dextrose and 0.1% lidocaine is the injected medication. The injections are always done under high resolution ultrasound guidance at our clinic to ensure accuracy and effectiveness.

2-4 treatments are typically required. Since we are treating the underlying problem, we expect nerve hydrodissection to provide months to years of pain relief, as long as the right spot is treated.

This technique can treat various conditions such as:

Scapula dyskinesis
Thoracic outlet syndrome
Carpal tunnel syndrome
Anterior cutaneous nerve entrapment syndrome
Meralgia paresthetica

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 with 0.1% lidocaine.

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

Nerve blocks

We provide peripheral nerve blocks for the following conditions:

Migraine headaches
Occipital neuralgia
SI joint pain
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.

5% dextrose with 0.1% lidocaine is the injected solution, spaced 2-8 weeks apart.

We do NOT provide the following nerve 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

Trigger point injections

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.

Our pain management treatments

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.

How Much Do Pain Management Treatments Cost?

Your pain management treatment may be covered under your Medical Services Plan (MSP). However, some treatments, such as PRP, are typically not covered. We will work with you to determine the best course of action.

How It Works

SERVICES

During our initial consultation, we will get to know you and learn more about the discomfort you are experiencing.

Initial Consultation

Step 1

After we've learned more about your situation, we will determine which treatments would be best for you.

Develop a Plan

Step 2

We will work closely with you to ensure that our plan provides you with the relief you need.

Begin Treatment

Step 3

Talk to a Pain Management Doctor Near You

Pain doesn't have to consume your life any longer. If you are dealing with persistent muscle pain and other treatments haven't worked, contact White Oak Pain Clinic in Burnaby, near Vancouver, today.

How it works

Your journey from consultation to a personalized pain management plan

Step 1

Initial Consultation

During our initial consultation, we will get to know you and learn more about the discomfort you are experiencing.

Step 2

Develop a Plan

After we learn more about your situation, we will determine which treatments would be best for you.

Step 3

Begin Treatment

We will work closely with you to ensure that our plan provides you with the relief you need.

Q1

How Much Do Pain Management Treatments Cost?

Your pain management treatment may be covered under your Medical Services Plan (MSP). However, some treatments, such as PRP, are typically not covered. We will work with you to determine the best course of action.

Q2

Talk to a Pain Management Doctor Near You

Pain doesn't have to consume your life any longer. If you are dealing with persistent muscle pain and other treatments haven't worked, contact White Oak Pain Clinic in Burnaby, near Vancouver, today.

Trigger point injections

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.

Nerve blocks

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.

Fascia hydrodissection

Perineural Injection Therapy is an effective treatment for soft tissue pain originating around small nerves and the fascia layer.

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.

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.

Perineural Injection Therapy (PIT)

Perineural Injection Therapy is an effective treatment for soft tissue pain originating around small nerves and the fascia layer.

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

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 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

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

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.

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

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.

Nerve hydrodissection

Nerve hydrodissection (HD) is a technique used when treating entrapped nerves which involves the injection of an anesthetic, saline, or 5% dextrose in water to separate the nerve from the surrounding tissue, fascia, or adjacent structure. The most commonly used solution is 5% Dextrose.

This treatment is always done under high resolution ultrasound at White Oak Pain Clinic to ensure accuracy and effectiveness. It would usually only require 1-2 treatments if the correct nerve is identified and the location of entrapment is found.

This technique can treat various conditions but not limited to carpel tunnel syndrome, neck and shoulder pains, meralgia parenthetica, and any commonly known nerve entrapment syndromes.