Useful in diagnosing
Pain generators and evaluation of patients for vertebral augmentation.
Medication & Dietary Requirements
- Upon approval from their physician, patients must discontinue use of blood thinning agents for a minimum of 5 days prior to the procedure.
- Procedures may only be performed a minimum of 10 days following completion of antibiotics and ONLY if there is no active infection.
- Additional medication restrictions may be required and will be explained at the time of booking.
- Loose, comfortable clothing
- No jewlery
- Examination gowns are provided as necessary
Complete List of Patient Prep Instructions
What is Pain Management?
Pain management includes procedures to assess and control pain from various pain generators in the body. A small amount of steroid and anesthetic is injected to precise locations using live fluoroscopic guidance. This procedure will not fix the problem. What it will do is it is identify the pain generator and potentially, in some patients, alleviate pain for a short period of time.
It is important to remember that if the injection does not alleviate pain symptoms, it will let your doctor know where the pain is NOT originating from. From there, your doctor can order subsequent, appropriate follow-up imaging or other procedures that will work toward finding the cause of the pain.
An Expansion of Service
CAMIS is exited to announce the addition of Ultrasound Guided Breast Biopsy to the services provided at CAMIS. Using sterile technique, local anesthetic and ultrasound guidance, a radiologist advances a needle to a known lesion in the patients breast. Multiple specimens are taken and sent to the hospital laboratory for analysis.
CAMIS provides the following pain management and interventional procedures:
- Cervical, thoracic and lumbar spinal facet injections,
- hip injections
- shoulder injections
- miscellaneous joint injections
- sacroiliac injections
- lumbar medial branch blocks
- lumbar transforaminal and translaminar epidural blocks
- vertebral augmentation consultations
- ultrasound guided breast biopsies
CAMIS provides pain management procedures on patients over the age of 13. Upon receiving request forms from referring physicians, CAMIS staff research relevant imaging and protocol the procedure. CAMIS booking staff then call the patient with a scheduled date and review patient preparation. When the patient arrives at CAMIS, one of our pain management technologists reviews history and completes a consent form which the patient signs. Once the patient is positioned, the radiologist is called to review the relevant imaging, discuss the procedure with the patient and confirm consent. the procedure is then completed and the patient is asked to wait for 15-30 minutes prior to leaving with a responsible driver.
Follow up after the procedure
Depending on the procedure, patients will receive a Pain Diary to fill out. This exercise helps the referring physician assess the success of the procedure. CAMIS does not provide any follow up evaluation; patients should contact their physician to discuss next steps with respect to their pain management.
CAMIS provides consultation for patients who are potential candidates for vertebral augmentation using balloon kyphoplasty. If you have had a fracture of your spine and have osteoporosis, ask your doctor if this could be an option for you.
For Further Information
Please contact Tricia Adams, Manager, Pain Management.