We Accept All Requisitions from Any Clinic
Purpose of Image Guided Pain Management
Unlike standard oral or topical pain medication, Image Guided Pain Management treats the pain or discomfort directly by injecting medication with a needle into the affected area using image guidance. This is done by our specially trained team led by renowned radiologist Dr. April Halliday, MD, FRCP(C).
At Glenwood Radiology we offer both Musculoskeletal (MSK) Ultrasound (sound waves) and Fluoroscopy (x-ray) guidance for pain management procedures. Both offer real time imaging to ensure accurate needle placement and effective delivery of medication to the affected area.
Injectable Therapies Offered at Glenwood Radiology
Image Guided Pain Management can help to reduce or eliminate pain associated with a variety of disorders or trauma to the area including (but not limited to): Bursitis, Arthritis, Frozen Shoulder, Adhesive Capsulitis, Calcific Tendinitis, Ganglion Cyst, Baker’s Cyst, Tendinitis & Tenosynovitis (Plantar Fascia, Bicep Tendinitis, Tennis or Golfer’s Elbow, etc.), Nerve Pain (Sciatica, Carpal Tunnel, etc.), Morton’s Neuroma, Piriformis Syndrome, Trauma to the Area (accidents, falls, fractures, sprains, etc.) and more.
Cortisone or corticosteroids are steroid based medications that act as an anti-inflammatory to help reduce pain and discomfort caused by various medical conditions including (but not limited to): bursitis, arthritis tendinitis, tenosynovitis and nerve pain This procedure is covered by most Provincial Healthcare such as Alberta Health.
Monovisc is a hyaluronic acid injection that acts as a lubricant for joints and is used to treat joint pain primarily caused by (but not limited to): arthritis and/or osteoarthritis. The procedure is not covered by Provincial Healthcare such as Alberta Health. This is a patient pay exam. If you have secondary health care coverage please check with your provider to see if this is covered under your plan.
Botox a purified neurotoxin produced from the bacterium Clostridium Botulinum and isused to treat various medical conditions including (but not limited to): chronic migraines and muscle stiffness/spasms. The procedure is not covered by Provincial Healthcare such as Alberta Health. This exam requires the patient to bring the prescribed medication to the appointment. If you have secondary health care coverage please check with your provider to see if this is covered under your plan.
Pain in your shoulder may be caused by pressure due to calcium build up around the rotator cuff leading to pinching of the tendons. Barbotage or Tendon Calcification Therapy is a less invasive method used to dissolve and remove the calcium build up to alleviate the pressure and pain. Learn more
What to Expect During Your Exam
- Your appointment will take approximately 20-30 minutes depending on your exam. Upon arriving to your appointment, you will be you will be greeted by our friendly staff who will help prepare you for your appointment by checking you in and having you fill out the required consent forms. You will then be asked to change into a clinic provided gown
- When called into the exam room you will be positioned on the exam table by an assisting technologist.
- The area being injected is cleansed using an antiseptic agent and a local anesthetic called Xylocaine/Lidocaine is then injected to numb the area. If booked under Fluoroscopy guided the contrast solution is then injected in the area. This allows for the Radiologist to precisely see the area being injected on our real time image screen. The corticosteroid medication is then injected.
- The degree of discomfort during the procedure is generally mild as the injection is precisely guided and the corticosteroid injection follows the anesthesia injection; however, each individual will experience this differently.
- The radiologist may determine that imaging is required prior to the injection (such as x-rays or ultrasound). In these cases you will be scheduled for this exam immediately before the injection and your appointment may be 10-30 minutes longer.
- A greater degree of discomfort may occur if:
- The area to be injected is severely painful or the underlying inflammation is severe
- There is general anxiety/phobia of needles and other medical procedures
- After the procedure you will be asked to wait in our waiting area for ten minutes. Although side effects are rare this measure is put in place to ensure there are no immediate reactions succeeding the injection.
How to Prepare for Your Exam
- Please be sure to arrive at least 15 minutes before your appointment to allow enough time to change and prepare for your examination.
- Please note: if there is a chance that you are pregnant, the exam may not be possible. If pregnancy is suspected other options using ultrasound guidance may be considered by the Radiologist.
- Continue to take all regular medications as prescribed by your doctor.
- Please be aware that your doctor may need to prescribe medication changes prior to your procedure if you are on blood thinners.
- If possible, do not take any pain medications on the day of your exam. This allows us to better assess your response to our treatment.
- If your doctor has prescribed a medication for us to inject please call us as we can likely provide it to you directly.
- Gowns are provided for your comfort. If you prefer to wear your own clothing and full undergarments, be advised that your clothing could be accidentally stained by disinfectant.
- Once treatment is complete a staff member will ask that you remain in the waiting area for 10 minutes and will re-evaluate your pain level.
- Please refrain from any heavy lifting or strenuous activities for at least 24 hours following your treatment, or as advised by your doctor.
- Serious complications are extremely rare but can happen. It may be normal to experience some mildly increased pain and discomfort the day after your procedure. However, if you suffer steadily worsening pain, experience fever/chills or any sign of infection, develop new numbness or weakening in your limbs, or lose normal bladder/bowel control contact your doctor immediately. If your doctor is unavailable, proceed directly to the nearest hospital Emergency Department.
- All procedures have the potential to affect your ability to operate a motor vehicle. Glenwood Radiology recommends that you arrange transportation to and from the exam.
How to Book Your Exam
- Exams require a requisition form from your family physician.
- You can book by phone by calling us during our regular business hours.
West Edmonton: 780-705-9982
Spruce Grove: 587-461-2221
- You can also conveniently book online.
Find a Family Physician in your area
- If you do not have a family physician or need assistance with a requisition form or referral letter, here are several medical clinics that are accepting patients in your area:
Led by Dr. April Halliday, MD, FRCP(C)
Dr. April Halliday brings her years of experience to now lead Glenwood’s Pain Management program with a special interest in improving the care of those suffering from cancer and musculoskeletal pain and advocates safer and more effective ways to manage patients’ pain.