Chronic pain changes everything. It affects how you work, how you sleep, and how you show up for your family. Many patients bounce between clinics, hospitals, and imaging centers with no clear plan. They see new doctors who never see the whole story. They collect prescriptions and reports, but do not feel closer to real relief.
Praesentia Healthcare takes a different path. Instead of treating each visit as a one-off, Praesentia Healthcare connects chronic pain, spine care, and diagnostic imaging into one integrated network. The group brings together clinics and centers across Canada, the United States, and Egypt under a single vision. The goal is simple. Give patients a clear journey from diagnosis to long-term recovery, not just another temporary fix.
This Spotlight Review walks you through that journey. You will see all the locations that Praesentia Healthcare covers. You will learn how each clinic, surgery center, and imaging branch fits into a bigger care model. You will also see how leadership at the top sets a standard that reaches from Ontario to Florida to major cities in Egypt.
What Is Praesentia Healthcare?
Praesentia Healthcare is a cross-border healthcare group focused on chronic pain, spine health, and diagnostic imaging. It is not a single clinic. It is a unified network that combines interventional pain clinics, spine surgery centers, and advanced imaging sites into one system of care.
The group operates through three leading brands:
- Pain Care Clinics – a network of interventional chronic pain clinics across Ontario, Canada.
- BioSpine Institute – a minimally invasive spine surgery and spine care network across Florida, USA.
- Alfa Scan – a diagnostic imaging network with branches in Ontario, Canada, and a large group of centers across Egypt.
Each brand serves a different step in the patient journey. Pain Care Clinics handle chronic pain assessment and targeted interventions. Alfa Scan provides the imaging that guides those decisions. BioSpine Institute offers advanced spine procedures when conservative options are not enough. Praesentia Healthcare connects them so patients do not fall through the cracks.
Leadership and Vision – The Role of Dr. Hany Demian
Leadership shapes culture. At Praesentia Healthcare, that leadership comes from Dr. Hany Demian. He is a physician with experience in trauma, emergency care, chronic pain, and regenerative medicine. Over the years, he moved from reacting to emergencies to building systems that prevent long-term suffering in the first place.
Under his leadership, Praesentia Healthcare grew from local efforts into a multi-country network. The group links chronic pain care, spine surgery, and diagnostic imaging while maintaining a single core idea. Treat the cause, not just the symptom. Use imaging and careful assessment to guide every major decision. Combine conservative care, interventional procedures, regenerative tools, and surgery in a logical order rather than in isolation.
You can learn more about his story and philosophy by visiting Dr. Hany Demian.
The Praesentia Healthcare Model in Plain Language
Praesentia Healthcare follows a simple but powerful structure. Start with careful assessment and imaging. Use conservative and interventional pain treatments first. Move to minimally invasive spine surgery only when needed. Then focus on recovery and long-term function. The group achieves this by placing each brand at the right point in the process.
- Assessment and interventional care happen at Pain Care Clinics in Ontario.
- Imaging and diagnostics happen at Alfa Scan in Ontario and across branches in Egypt.
- Spine surgery and advanced spine care happen at BioSpine Institute across Florida.
The same vision ties these arms together. Patients are not left to coordinate everything alone. They move through clear steps. Referral patterns and shared information give the care team a complete picture. This approach aims to cut down on guesswork, repeated tests, and conflicting advice.
Where Praesentia Healthcare Operates – Every Location
Praesentia Healthcare spans three countries. The group reaches patients through pain clinics and imaging centers in Ontario, spine centers across Florida, and imaging branches throughout Egypt. Here is a complete look at each region and every location.
Ontario, Canada – Pain Care Clinics
Pain Care Clinics is the chronic pain arm of Praesentia Healthcare in Canada. It operates a network of clinics across Ontario that focus on interventional pain management and related services. These clinics treat patients with back, neck, joint, nerve, and headache pain, as well as other complex pain conditions.
Current Pain Care Clinics locations include:
- Caledonia Clinic – Caledonia, Ontario
- Hamilton Clinic – Hamilton, Ontario
- Kitchener Clinic – Kitchener, Ontario
- Mississauga Clinic – Mississauga, Ontario
- Niagara Falls Clinic – Niagara Falls, Ontario
- Oakville Clinic – Oakville, Ontario
- Orangeville Clinic – Orangeville, Ontario
- St. Catharines Clinic – St. Catharines, Ontario
- Windsor Clinic – Windsor, Ontario
- Windsor County Clinic – Windsor, Ontario
- Welland Clinic – Welland, Ontario
These clinics share protocols, training, and support, so patients in different cities receive consistent care. Someone visiting the Mississauga clinic should expect the same structured assessment and interventional tools as someone visiting the Windsor or St. Catharines clinic.
Ontario, Canada – Alfa Scan Diagnostic Imaging
In Ontario, Alfa Scan supports Praesentia Healthcare with dedicated imaging centers. These sites provide X-rays, ultrasound, and bone mineral density tests that help pain and spine specialists make precise decisions.
Current Alfa Scan locations in Ontario include:
- Alfa Scan Hamilton – 1223 Barton Street East, Unit S4, Hamilton, Ontario
- Alfa Scan Caledonia – 55 Argyle Street North, Caledonia, Ontario
These centers often work closely with nearby Pain Care Clinics locations. For example, a patient seen in the Hamilton pain clinic can receive imaging at Alfa Scan Hamilton. The same applies to patients near Caledonia. This tight link between assessment and imaging saves time and keeps the focus on what helps the patient most.
Florida, USA – BioSpine Institute
In the United States, Praesentia Healthcare reaches patients through a spine care network in Florida. BioSpine Institute focuses on minimally invasive spine surgery and advanced spine care for patients with herniated discs, spinal stenosis, degenerative disc disease, and other complex spine issues.
BioSpine Institute operates clinics and a surgery center at the following locations across Florida:
- Tampa Clinic – 4211 W. Boy Scout Blvd., Corporate Center II, 4th Floor, Tampa, Florida
- Tampa Surgery Center – 5301 Avion Park Dr., Tampa, Florida
- Orlando Clinic and Surgery Center – 3900 Millenia Blvd., Orlando, Florida
- Spring Hill Clinic – 7101 Mariner Blvd., Spring Hill, Florida
- Lakeland Clinic – 439 S. Florida Ave., 3rd Floor, Lakeland, Florida
- Fort Myers Clinic – 13350 Metro Pkwy., 4th Floor, Fort Myers, Florida
- Deltona Clinic – 1119 Saxon Blvd., Suite 202, Deltona, Florida
- Sarasota Clinic – 6600 University Parkway East, Suite 204, Sarasota, Florida
These clinics provide Florida patients with local access to consultations, imaging reviews, and pre- and post-operative visits. The Tampa surgery center and the Orlando surgery location provide the operating rooms and surgical teams for the spine procedures themselves. The shared protocols and leadership make sure that a patient in Sarasota receives the same level of spine care as a patient in Tampa or Orlando.
Egypt – Alfa Scan Imaging Network
Praesentia Healthcare also oversees an extensive diagnostic imaging network in Egypt through Alfa Scan. These branches provide MRI, CT, ultrasound, mammography, nuclear medicine, and other imaging services. They serve patients across Cairo, Giza, and the surrounding areas.
The Alfa Scan network in Egypt includes the following branches:
- Mohandeseen Branch – Mohandeseen, Giza
- Maadi Corniche Branch – Maadi Corniche, Cairo
- Concord Plaza Branch – New Cairo
- Plaza España Branch – Sheikh Zayed (Plaza España)
- Dokki Branch – Dokki, Giza
- Faisal Branch – Faisal
- Orabi Branch – Orabi
- Heliopolis Branch – Heliopolis, Cairo
- Arkan Plaza Branch – Arkan Plaza, Sheikh Zayed
- Nasr City Branch – Nasr City, Cairo
- Fontana Sq. Branch – Fontana Square, Maadi
- Arabella Plaza Branch – Arabella Plaza, New Cairo
- Mosadak Branch – Mosadak
This network gives doctors in Egypt fast access to scans and detailed reports. Those scans guide care for spine, cardiac, oncology, and many other conditions. The scale of this network adds depth to Praesentia Healthcare as a whole. It brings decades of imaging experience into the larger group.
Inside Pain Care Clinics – Chronic Pain Care in Ontario
Chronic pain patients often feel stuck. They bounce between primary care, specialists, and emergency rooms. Many receive pain pills, short-term therapies, or generic advice that never addresses root causes. Pain Care Clinics exists to change that pattern for patients across Ontario.
At Pain Care Clinics, the visit starts with a focused assessment. The clinical team reviews pain history, prior treatments, imaging results, and functional goals. The goal is not only to rate pain on a scale of 1 to 10. The goal is to understand what the pain stops you from doing and why it is happening.
From there, the team may recommend:
- Targeted nerve blocks
- Facet joint injections
- Epidural injections
- Trigger point injections
- Botox for chronic migraine
- Platelet-rich plasma (PRP) injections in select cases
- Medication review and safer long-term strategies
Each plan looks different. A patient in Mississauga with chronic neck pain may need staged medial branch blocks and radiofrequency ablation. A patient in Windsor with low back pain may require a mix of injections, targeted exercise, and medication changes. Over time, the team adjusts the plan based on actual results rather than guesses.
Patients and referring physicians can learn more about the chronic pain network at Pain Care Clinics.
Inside BioSpine Institute – Minimally Invasive Spine Care in Florida
Not every back or neck pain problem needs surgery. Many patients respond to interventional pain management and focused rehabilitation. Some do not. When imaging and symptoms indicate clear structural problems, spine surgery may be the best path forward. BioSpine Institute provides that service within Praesentia Healthcare.
The team at BioSpine Institute focuses on minimally invasive spine surgery. Surgeons often use small incisions, precision instruments, and targeted techniques to relieve pressure on nerves and stabilize the spine. The aim is to reduce muscle damage, blood loss, and recovery time compared to extensive open procedures.
Conditions treated at BioSpine Institute often include:
- Herniated discs
- Spinal stenosis
- Degenerative disc disease
- Spondylolisthesis
- Radiculopathy (nerve root compression)
A typical patient journey might look like this:
- Consultation at a local BioSpine clinic in Tampa, Orlando, Sarasota, or another Florida city
- Review of MRI and other imaging
- Discussion of non-surgical options and surgical alternatives
- Scheduling of a minimally invasive procedure at a surgery center
- Post-operative follow-up and rehab guidance
Florida residents and snowbirds who spend time in the state often choose BioSpine Institute for this focused approach to spine care. You can explore more details about the Florida spine network at BioSpine Institute.
Inside Alfa Scan – Imaging That Drives Better Decisions
Good decisions depend on good information. Imaging is a key part of that. Alfa Scan gives Praesentia Healthcare a strong imaging arm in two regions. In Ontario, the centers in Hamilton and Caledonia provide X-rays, ultrasound, and bone mineral density tests. In Egypt, the Alfa Scan network delivers MRI, CT, mammography, ultrasound, and many other modalities.
For chronic pain and spine care, imaging supports several crucial steps:
- Confirming or ruling out structural causes of pain
- Guiding interventional procedures with ultrasound or fluoroscopy
- Planning spine surgery and monitoring post-operative results
- Flagging unrelated but important issues, such as bone density loss
In Ontario, Alfa Scan centers often work in lockstep with nearby Pain Care Clinics locations. A patient can receive an assessment, undergo imaging, and then resume treatment without long delays. In Egypt, Alfa Scan branches provide local physicians with detailed scans and reports that guide care for a wide range of conditions.
The Praesentia Healthcare Patient Journey
What does all this mean for a real person dealing with pain every day? The best way to see it is to walk through a few simple examples of the Praesentia Healthcare model in action.
Example 1 – Ontario Patient With Chronic Low Back Pain
Imagine a patient in Kitchener with years of low back pain. They tried chiropractic care, physiotherapy, and medications from their family doctor. The pain still limits work and family life.
Here is how Praesentia Healthcare might guide their journey:
- The family doctor refers them to the Kitchener Pain Care Clinics location.
- The clinic team reviews their history, examines them, and checks previous imaging.
- If imaging is out of date, the team orders new X-rays or an ultrasound at Alfa Scan Hamilton or Alfa Scan Caledonia.
- Based on the results, the physician recommends targeted injections, medication changes, and a clear follow-up schedule.
- If symptoms do not improve and imaging shows a structural spine issue, the team reviews options with the patient.
- For complex cases, the patient may be referred for a spine surgery consult at BioSpine Institute in Florida.
The key difference is continuity. Instead of forcing the patient to rebuild their story at every stop, Praesentia Healthcare gives them a connected path forward.
Example 2 – Florida Patient With Severe Neck Pain and Arm Numbness
Now, picture a Florida patient with severe neck pain and numbness down one arm. The MRI shows a large cervical disc herniation compressing a nerve root. Conservative treatments did not work.
The journey here might look like this:
- The patient visits the Tampa clinic at BioSpine Institute.
- The team reviews imaging, confirms the diagnosis, and explains all options.
- They recommend a minimally invasive cervical procedure at the Tampa Surgery Center.
- In many cases, the patient returns home the same day after surgery.
- Follow-up visits at the Tampa clinic track recovery, strength, and function.
Again, the process is structured. The patient receives a plan, timelines, and clear expectations, rather than vague advice and open-ended waiting.
Example 3 – Cairo Patient Needing Accurate Imaging
Now consider a patient in Cairo with persistent back pain and other symptoms that point to more than simple strain. The local physician sends the patient to an Alfa Scan branch for MRI and other tests.
The steps might include:
- The patient books an appointment at the Alfa Scan branch in Maadi Corniche, Heliopolis, or Nasr City.
- Technicians perform MRI and any related scans needed.
- Radiologists read the scans and send structured reports back to the physician.
- The physician uses those results to decide whether interventional care, surgery, or conservative treatment makes sense.
In this case, Alfa Scan gives the physician and patient the data they need. The Praesentia Healthcare connection brings shared standards and leadership to those imaging practices.
Who Praesentia Healthcare Serves
Praesentia Healthcare focuses on people who are ready for clear answers and structured plans. Common patient groups include:
- Adults with chronic back or neck pain that has lasted longer than three months
- People with nerve pain, sciatica, or numbness that points to possible spine problems
- Patients with chronic headaches or migraines that do not respond to simple treatments
- People with pain after surgery, injury, or long-standing joint issues
- Patients who tried standard therapy and basic medications but still have life-limiting pain
Geographically, Praesentia Healthcare serves:
- Ontario residents in and around Caledonia, Hamilton, Kitchener, Mississauga, Niagara Falls, Oakville, Orangeville, St. Catharines, Windsor, Windsor County, and Welland
- Florida residents near Tampa, Orlando, Spring Hill, Lakeland, Fort Myers, Deltona, and Sarasota
- Patients in Cairo, Giza, and nearby areas who visit Alfa Scan branches in Mohandeseen, Maadi Corniche, Concord Plaza, Plaza España, Dokki, Faisal, Orabi, Heliopolis, Arkan Plaza, Nasr City, Fontana Sq., Arabella Plaza, and Mosadak
In each region, the same logic applies. Look for the real cause. Use imaging wisely. Combine conservative care, interventions, and surgery in a way that makes sense for that person.
Evidence, Outcomes, and Scale
Scale matters when it is matched with quality and consistency. Praesentia Healthcare brings together:
- High-volume interventional pain care across Ontario
- Large numbers of spine procedures at BioSpine Institute in Florida
- Decades of imaging experience at Alfa Scan in Egypt
Large case volumes mean the teams have seen countless variations of chronic pain and spine problems. This experience helps them spot patterns and avoid mistakes that might appear in lower-volume settings. Standardized protocols also support safer, more predictable care.
The leadership at Praesentia Healthcare continues to focus on improving pain management, regenerative treatments, and spine techniques. The group invests in physician training, team building, and process refinement so patients benefit from the latest knowledge, not outdated approaches.
How to Engage With Praesentia Healthcare
If you or someone you care about lives with chronic pain or a suspected spine condition, the first step is to connect with the right part of the network.
- In Ontario, contact the nearest Pain Care Clinics location in cities such as Hamilton, Mississauga, or St. Catharines, and ask about assessment and interventional options.
- In Florida, contact the closest BioSpine Institute clinic in Tampa, Orlando, Sarasota, or another Florida city to schedule a spine consultation.
- In Egypt, book an imaging at the Alfa Scan branch nearest to you and work with your physician to interpret the results.
Before your visit, gather any previous imaging reports, test results, and medication lists. Write down when your pain started, what makes it worse, and what has helped. Also, list your goals. Do you want to stand longer, lift your kids, play sports, or work without constant distraction? Clear goals make it easier for your care team to build a plan that fits your life.
Why Praesentia Healthcare Stands Out
Many healthcare systems treat each appointment as a separate event. Praesentia Healthcare treats your journey as a connected story. From Ontario to Florida to Egypt, the group ties together chronic pain clinics, spine surgery centers, and imaging networks under one shared philosophy.
Praesentia Healthcare offers:
- A clear map from assessment to treatment to recovery
- Every Canadian, American, and Egyptian location is listed in one connected network
- Strong links between pain clinics, imaging centers, and spine surgery teams
- Leadership focused on cause-based care, not just symptom control
If you live with pain that limits your life, ask yourself a simple question. Does your current care feel this coordinated? If not, exploring your options with Praesentia Healthcare may be the next right step toward real, lasting change.
