Image-Guided Procedures
Fluoroscopy (X-ray) and Ultrasound-Guided Procedures
Precision-Guided Pain Relief You Can Trust
At Silver Pain Centre, many of our treatments are performed using advanced imaging techniques like Fluoroscopy (X-ray) and Ultrasound Guidance. These tools allow physicians to see beneath the skin and precisely guide needles or instruments during procedures. By improving accuracy, imaging increases treatment success, reduces complications, and provides patients with safer, more effective pain relief.
What Are Fluoroscopy and Ultrasound-Guided Procedures?
Fluoroscopy (X-ray Guidance):
Fluoroscopy provides real-time X-ray imaging, allowing physicians to track needle placement with pinpoint accuracy. This ensures that medication or treatment reaches the exact pain generator. Fluoroscopy is the evidence-based recommended method for most spine interventions because it significantly improves patient outcomes and reduces risks.
Ultrasound Guidance:
Ultrasound uses sound waves to visualize soft tissues, joints, and nerves in real-time. Unlike blind injections—which can fail up to 70% of the time in shoulders and 40% in hips—ultrasound dramatically improves accuracy and safety. It ensures medication is placed exactly where it is needed, improving pain relief and lowering risks such as skin changes, tendon rupture, or misplaced injections.
Together, these methods help our specialists deliver more reliable and longer-lasting pain relief compared to palpation or landmark-guided procedures.
Why Use Image-Guided Procedures?
Greater Accuracy – Ensures the medicine or therapy reaches the exact target area.
Higher Success Rates – Imaging guidance increases patient satisfaction and outcomes.
Lower Risk of Complications – Reduces misplaced injections, nerve injury, or ineffective treatments.
Diagnostic Clarity – Correct needle placement can confirm the true source of pain.
Evidence-Based – Clinical studies consistently show image-guided methods outperform blind techniques.
How the Procedure Works
At Silver Pain Centre, all injections are performed under fluoroscopy or ultrasound for maximum precision.
Step-by-Step Process:
Initial Consultation
Your visit begins with a thorough consultation with one of our pain specialists. We review your medical history, assess your symptoms, and may order diagnostic imaging if needed. Based on your assessment, we determine whether fluoroscopy or ultrasound guidance is best for your procedure.
Imaging Guidance
Using fluoroscopy (X-ray) or ultrasound, the physician visualizes the target area in real time.
Needle Placement
A thin needle is advanced under image guidance to the precise location.
Contrast or Verification
For fluoroscopy, a small amount of contrast dye may be used to confirm exact positioning.
Treatment Delivery
Medication such as local anesthetic, corticosteroid, or other agents is carefully injected exactly where needed.
Recovery and Repeatability
Most procedures take 15–45 minutes, and patients are usually able to resume light activities the same day.
Why Choose Fluoroscopy & Ultrasound at Silver Pain Centre?
Precision-Targeted Relief
Fluoroscopy and ultrasound allow our specialists to visualize the exact source of pain and guide treatments with pinpoint accuracy, ensuring medication is delivered exactly where it’s needed.
Minimally Invasive
These procedures are safe, outpatient treatments with no surgical incisions, minimal downtime, and a low risk of complications.
Evidence-Based & Effective
Both imaging methods are backed by clinical research. They significantly improve success rates, reduce complications, and enhance patient satisfaction compared to blind injections.
Specialist-Led Care
All procedures are performed by experienced pain specialists trained in advanced interventional techniques.
Image-Guided Accuracy
Real-time imaging ensures precise placement of needles and injectables, improving treatment effectiveness while reducing the risk of misplaced medication or incomplete relief.
Convenient & OHIP-Covered
When medically indicated, image-guided procedures are covered by OHIP.
Frequently Asked Questions
How Long Does Relief Last?
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The duration of relief depends on your condition and the type of injection performed.
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Many patients report significant improvement after a single procedure, especially when combined with physiotherapy or a broader pain management plan.
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Image-guided precision helps ensure medication is delivered exactly where needed, often leading to faster relief and longer-lasting results.
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Some patients may require follow-up treatments to maintain progress and manage chronic conditions.
Is This Treatment Right for You?
Fluoroscopy and ultrasound-guided procedures are often recommended if you’ve had limited success with blind injections or over-the-counter medications. These treatments are safe, minimally invasive, and designed for patients with joint pain, spine pain, or nerve-related conditions.
Why Choose Silver Pain Centre?
Our team combines advanced imaging with years of expertise in interventional pain management. Every procedure is performed by specialists using real-time guidance to maximize safety and effectiveness. With OHIP coverage when medically indicated, high-quality care is accessible without added financial stress.
What to Expect at Silver Pain Centre?
At Silver Pain Centre, we make your experience safe, personalized, and focused on lasting relief.
Complete Your Self-Referral: Submit your information through our secure online form. Our team will review it within 72 hours and contact you to schedule a consultation. No referral is required, and consultations are OHIP-covered when medically necessary.
Consult With a Specialist: During your in-person or virtual consultation, our specialists will review your symptoms, medical history, and any imaging to confirm whether fluoroscopy or ultrasound-guided treatment is right for you.
Begin Treatment: Depending on your needs, you’ll receive a precisely targeted injection under real-time imaging. The procedure usually takes 15–45 minutes and is performed on an outpatient basis.
Resume Your Routine: Most patients can return to light activities the same day. Image-guided accuracy reduces risk and improves success rates, helping you regain function and manage pain more effectively.
Interventional pain procedures performed to date
Years of specialized pain management experience
%
Patient-reported satisfaction based on post-visit surveys
Image-guided injections performed monthly
Explore Our Full Range of Pain Management Solutions
Learn about our pain management treatments and explore the options available at Silver Pain Centre.
Your Partner in Pain Management
At Silver Pain Centre, we understand the challenges of chronic pain. We offer comprehensive care for a wide range of conditions, including joint and back pain, chronic headaches, nerve pain, muscle injuries, post-surgical pain, sports injuries, and more.
Located in North Toronto, our modern 20,000 sq. ft. facility offers shorter wait times and free parking, making access to care easier. With a patient-centered, multidisciplinary approach, we create tailored treatment plans to deliver long-lasting relief when traditional methods have not succeeded.
Explore Silver Pain Centre Difference
Take the First Step Toward Strength & Recovery—Start Your Self-Referral Today!
If chronic back, joint, or nerve pain is limiting your mobility or quality of life, image-guided procedures may provide safe and effective relief. At Silver Pain Centre, our specialists review your self-referral within 72 hours and guide you through an OHIP-covered consultation—available virtually or in person.