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Function and Pain

Our Function and Pain Centre (FPC) offers an intensive, personalized program, usually lasting 30-40 treatment days, and integrates both psychological and physical treatments for patients suffering with chronic pain. The FPC works in collaboration with the Wasser Pain Management Centre at Mount Sinai Hospital which provides patient care, education and research in the area of chronic pain disorders.

Funding for these services may be available through the WSIB, motor vehicle accident (MVA) insurers, long term disability (LTD) insurers or employers. Self-pay is also an option.

No formal referral is required.

 

Treatment Description Roles

Functional Restoration Component

  • This component includes a supervised exercise program specifically tailored to the patient’s functional and vocational goals.
  • The Functional Restoration stage provides posturing and positioning, assistive devices and ergonomic equipment when making the transition from the clinical setting to the home or work site.
  • The Kinesiologist helps to improve a patients’ performance with stretches and exercises while monitoring the patient’s motivation and pain behaviours.
  • The Occupational Therapist provides transitional support, in-home functional assessments or treatment, job site analyses, physical demands analyses, ergonomic assessment, return-to-work program design and implementation.

Medical Component

 

  • The medical management includes both initial assessment and reassessment of the patient during treatment as well as attending weekly rounds where each patient’s progress is reviewed.
  • The Medical Consultant, together with the Clinical Pharmacist, reviews all medications and recommends optimal therapy.
  • The Medical Consultant also communicates with family physicians and other specialists when needed, which may entail explaining the program as well as requesting support for their patients’ recovery plan.

Physical Component

 

  • Treatment includes manual techniques that focus on soft tissue and joint dysfunction.
  • Biofeedback is an advanced treatment method using computerized technology that provides instant feedback related to muscle tension, blood flow, and breathing patterns and skin temperature.
  • Massage Therapy relieves the tightness of muscles and releases active trigger points while stretching and anxiety reduction techniques improve mobility.
  • The Physiotherapist/Chiropractor selects the most appropriate therapies for each patient’s needs and recommends a routine that includes education on conditioning, posture, stretches, soft tissue & joint mobilization, and mobility exercises.
  • The Physiotherapist/Chiropractor supervises the Biofeedback Therapist and Kinesiologist.
  • The Registered Massage Therapist and the rest of the team work closely in an integrated program.

Psychological Component

 

 

  • Individualized psychological treatment focuses on the identified emotional and psychological issues to help maximize the patient’s adjustment and functioning.
  • Provides patients insight into the causes of stress, while cognitive behavioural training techniques provide the basis for the pain management strategies taught throughout the program.
  • The Psychologist supervises the psychological aspects of the program and provides recommendations on how best to manage the emotional, cognitive, and personality relevant to the patient’s progress.
  • The Cognitive-Behavioural Therapist assists the patient in recognizing how his or her thoughts and behavioural patterns affect mood and pain levels.