Chronic pain affects your work, your family life, your sleep, and your ability to enjoy simple things. When pain does not respond to basic care, you need a focused team. Pain Care Clinics is a dedicated network of chronic pain clinics led by physician founder Dr. Hany Demian. The group focuses on real answers instead of quick fixes. The goal is simple: reduce pain, restore function, and help you get your life back.
Who Leads Pain Care Clinics?
The clinic network was founded and is led by Dr. Hany Demian, a chronic pain and regenerative medicine specialist who has treated thousands of patients. He moved from front-line emergency care into pain medicine after seeing how many people lived for years with spine, nerve, and joint pain.
Dr. Demian brings together experience in surgery, emergency medicine, and chronic pain. He uses imaging, ultrasound guidance, and a wide range of interventional techniques to target the actual source of pain. He also mentors other doctors and speaks about chronic pain, longevity, and regenerative care in medical and business circles, including as a contributor to Forbes Business Council.
At the core, his philosophy remains simple: listen first, diagnose with precision, and then choose the least invasive option that delivers the most relief. He focuses on what helps you regain function, independence, and confidence, not just what lowers a pain score on paper.
To learn more about his background and personal story, read the Featured Article we published on Dr. Hany Demian.
What Makes Pain Care Clinics Different?
Pain Care Clinics focuses on the person, not just the pain scale. When you arrive, the team reviews your medical history, imaging, prior treatments, and daily activities. The plan is then built around goals that matter to you, such as lifting your kids again, walking without fear, or going back to work.
Instead of relying solely on medication, the clinic uses a multidisciplinary approach. Physicians, nurses, and allied health professionals work together to build plans that may include interventional procedures, regenerative therapies, infusions, targeted medication management, and coordination with physical therapy and other services.
Pain Care Clinics also stays current with new approaches in pain science, imaging, and regenerative medicine. You benefit from a clinic network focused solely on chronic pain and related conditions. This focus helps the team see patterns, refine protocols, and improve results over time.
That focus shows up in a few key ways:
- Accurate diagnosis first. Your story, exam, and imaging come together before anyone decides on injections, medications, or surgery referrals. The team works to find the actual pain generator, not just describe symptoms.
- Stepwise treatment plans. Instead of jumping straight to the most aggressive option, your plan starts with the safest, most logical steps, then progresses only when needed.
- Non-opioid options whenever possible. Medication can help, but the team looks for ways to reduce pain through targeted procedures, regenerative care, and self-management strategies.
- Real-world outcomes. The clinic measures success by how well you move, work, sleep, and show up for your life, not just how many visits you complete.
Conditions Treated at Pain Care Clinics
Pain Care Clinics helps patients with a wide range of conditions, including:
- Chronic neck and back pain
- Degenerative disc disease and spinal stenosis
- Radiculopathy and nerve root compression
- Headaches and migraines
- Joint pain in the shoulders, hips, knees, and other areas
- Post-surgical pain and post-traumatic pain
- Athletic and overuse injuries
- Neuropathic pain and complex regional pain syndromes
- Multi-site or widespread chronic pain
Behind that list is a clear structure for how the team thinks about pain.
Spine and Nerve Pain
Many people arrive with back or neck pain that radiates into the arms or legs. That often involves nerve irritation or compression from discs, joints, or spinal cord narrowing. The team reviews imaging and uses targeted physical exams to sort out whether nerves, joints, muscles, or a combination are driving your symptoms. Treatment may involve nerve blocks, epidural injections, radiofrequency-based procedures, or regenerative options, depending on what they find.
Headaches and Migraines
Chronic headaches and migraines drain your energy, disrupt work, and damage relationships. The clinic looks at triggers, neck mechanics, and nerve pathways that can drive persistent headaches. Options can include Botox injections for chronic migraine, nerve blocks, lifestyle strategies, and coordination with your primary care doctor or neurologist when needed.
Joint and Body Pain
Shoulder, hip, and knee pain limit your ability to move, train, or work. Over time, joints can develop arthritis, labral tears, or tendon damage. The team uses ultrasound and other diagnostics to target inflamed structures and design a plan. That plan may include injections, PRP, physical therapy coordination, bracing, or activity modifications that still let you live a full life.
Post-Surgical and Post-Traumatic Pain
Even after surgery or after a major injury heals, pain can linger. Scar tissue, nerve irritation, joint changes, and altered movement patterns can all play a role. Pain Care Clinics considers the full chain rather than focusing solely on the old injury site. The team builds a plan that respects what has already been done while opening up new options to reduce pain and improve function.
Neuropathic and Complex Pain
Neuropathic pain comes from irritated or damaged nerves. It can feel like burning, electric shocks, tingling, or numbness. Complex regional pain syndromes bring swelling, color changes, and extreme sensitivity. Cases like these demand a careful balance of medication, procedures, and self-management tools. The clinic takes time to explain what is happening and how each step in your plan addresses specific nerve pathways.
Athletic and Overuse Injuries
Active people face their own set of challenges. Repeated stress on joints and tendons can cause chronic pain that simple rest does not fix. The team helps athletes and active patients understand which tissues are failing and what load those tissues can handle. Plans may include regenerative therapies, guided injections, taping, bracing, and clear training guidelines to keep you moving while you heal.
People who come to the clinic often feel like they have “tried everything”. Many have already seen multiple specialists. The team reviews what has helped, what has failed, and where there may be missed options. That review alone can give you a sense of direction after years of confusion.
Treatments and Services at Pain Care Clinics
The treatment options at Pain Care Clinics range from conservative to advanced. Your plan depends on your diagnosis, goals, and risk profile. You and your physician decide on each step together.
Diagnostic Techniques
A correct diagnosis sits at the center of every plan. The clinics use focused physical exams, review of prior imaging, and, when needed, new imaging or diagnostic injections. In some cases, a temporary numbing injection into a joint or around a nerve can confirm whether that structure is the primary source of pain. This careful work prevents you from undergoing procedures that target the wrong area.
Interventional Pain Procedures
Pain Care Clinics offers a variety of image-guided procedures to reduce pain and improve function. These may include nerve blocks, epidural injections, facet joint procedures, radiofrequency-based treatments, trigger point injections, and other targeted interventions. The team uses ultrasound and fluoroscopy to guide needles with precision and enhance safety.
Some procedures aim to calm inflamed nerves. Others reduce pain coming from small joints in the spine. Radiofrequency-based treatments can quiet pain signals for months by targeting tiny nerve branches. Every option comes with a clear explanation so you understand why it is being recommended and what to expect afterward.
Regenerative and Biologic Therapies
When appropriate, the team can incorporate regenerative options such as platelet-rich plasma (PRP) or stem cell–based therapies. These approaches focus on supporting the body’s own repair processes in joints, tendons, and specific spine-related structures. Regenerative treatments are not right for every case, so they are discussed openly with clear expectations about likely benefits, timelines, and costs.
Patients who choose these therapies often want to stay active, protect joint surfaces, and delay or avoid major surgery. The team discusses how regenerative injections fit into your broader plan rather than presenting them as a stand-alone cure.
Botox Treatment for Pain
Many people recognize Botox as a cosmetic treatment, but it also holds a strong place in chronic pain care. In the right patients, Botox injections can reduce muscle overactivity and nerve-driven pain, especially in chronic migraine and certain muscle spasm conditions. The clinic screens each case to see whether this option fits your diagnosis and risk profile.
Ketamine Therapy
Pain Care Clinics offers ketamine therapy for select patients under careful supervision. Ketamine can help interrupt stubborn pain cycles and also support mental wellness in specific scenarios. This service requires a detailed assessment, preparation, and monitoring plan. The focus stays on safety, clear indications, and integrated follow-up rather than quick infusions without context.
Medical Cannabis
For some chronic pain conditions, medical cannabis can play a role in symptom control. Pain Care Clinics helps patients understand dosing, formats, and realistic expectations. The goal is to use cannabis as one part of a broader strategy, not as the single solution. Education around side effects, interactions, and responsible use stays front and center.
Infusion Therapy
Infusion therapies deliver medication directly into the bloodstream over a set period of time. In chronic pain care, infusions may support patients with complex regional pain syndromes, neuropathic pain, or other complicated cases. Pain Care Clinics evaluates whether you are a candidate and outlines what each infusion visit looks like from start to finish.
Chronic Pain Self-Management Program
Living with chronic pain demands more than procedures and prescriptions. It requires a set of skills you can use every day. The Chronic Pain Self-Management program focuses on tools you can apply between visits: pacing, activity planning, sleep strategies, stress reduction techniques, and practical ways to communicate about your pain with family and employers. When you gain these skills, you become an active partner in your own care.
Stress Management and Mental Health Support
Stress, anxiety, and low mood magnify pain signals. They also make it harder to stick with treatment plans. Pain Care Clinics takes stress management seriously. Education, referrals, and practical tools help you reduce the pressure that chronic pain creates. The team treats mental health as part of pain care, not an afterthought or a separate problem.
Coordination With Other Providers
Pain Care Clinics works with family doctors, surgeons, neurologists, physiotherapists, chiropractors, and mental health professionals. Chronic pain affects every part of life, so communication between providers matters. When needed, the clinic can help organize referrals and share information to keep everyone aligned around your care.
Rapid Access Through the Self-Referral Program
Many people living with chronic pain wait months or years for specialist care. Pain Care Clinics created a self-referral pathway to speed up the process. Instead of relying only on traditional referrals, you can reach out directly.
The Pain Care Clinics’ self-referral program starts with a simple form or a phone call to the central access line. After you submit your details, a team member contacts you to schedule an initial virtual assessment. That first visit often takes place with a clinician based at the Oakville or Mississauga clinic.
During the virtual Pain Care Clinics assessment, you discuss your history, current symptoms, and goals. The clinician reviews any records you can share. From there, they recommend the next steps and arrange in-person care at the clinic location closest to you. This model makes it easier for you to get expert input without long delays or unnecessary travel.
Where You Can Find Pain Care Clinics
Pain Care Clinics operates across multiple locations so you can access specialized pain care closer to home. The network serves communities across Ontario and surrounding regions, including major urban centers and smaller cities.
You can find the current list of locations, contact details, and directions on the official Pain Care Clinics website. This page helps you find the closest clinic, book an appointment, or send a referral.
Many patients start with a virtual assessment and then shift their in-person visits to the site that best fits their home or work schedule. That flexibility matters when you are balancing appointments with family, employment, and other responsibilities.
Support for Families and Caregivers
Chronic pain affects more than the person who feels it. It also affects spouses, children, parents, and friends. Pain Care Clinics recognizes that reality. The team offers education and resources that help family members understand what you are facing and how to support you without burning themselves out.
Caregivers often need guidance on how to encourage activity without pushing too hard, how to respond to flare-ups, and how to communicate with employers or schools. When your family understands the plan and feels included, your chances of success rise.
How Pain Care Clinics Fit Into a Larger Healthcare Network
Pain Care Clinics is part of a broader healthcare group led by Dr. Demian. Under the parent organization, Praesentia Healthcare, several specialized brands work together to support patients with pain, spine problems, and long-term health goals.
For patients who need advanced spine surgery after a full assessment, Pain Care Clinics can coordinate evaluation through the team at BioSpine Institute. This micro-invasive spine surgery center focuses on procedures that aim to reduce tissue damage, shorten recovery time, and help patients return to everyday life faster.
Diagnostic and therapeutic ultrasound also plays a key role in this ecosystem. The imaging and ultrasound brand Alfa Scan supports this pain network’s work through detailed imaging and guided procedures. This connects diagnostics, interventional pain care, and surgical options into one aligned pathway.
This larger network matters if your case involves complex spine issues, multi-level disease, or suspected structural problems that might need surgical attention. Instead of leaving you to navigate detached systems on your own, the team guides you through each step.
What to Expect on Your First Visit
When you first visit Pain Care Clinics, the team starts by listening. You share your story, past treatments, current medications, and goals. Your physician reviews available imaging and may recommend further testing if needed.
You can expect:
- A detailed discussion about your pain history
- A review of your medical records and imaging
- A focused physical examination
- Clear explanations of possible diagnoses
- Discussion of treatment options and next steps
Before any procedure or new therapy, the team explains the risks, benefits, and alternatives in plain language. You can ask questions and involve your family if you choose.
Your Long-Term Journey With the Clinic
Pain care does not end after one visit or one procedure. The team expects to walk with you through phases: assessment, active treatment, stabilization, and long-term maintenance. That might mean a series of injections, a block of self-management classes, check-ins after regenerative treatments, or coordinated care with surgeons or therapists.
Over time, the focus may shift from crisis control to building strength, endurance, and confidence. You learn which movements help, which warning signs to watch for, and how to prevent flare-ups when possible. The relationship becomes a partnership built around your goals and your progress.
Is Pain Care Clinics Right for You?
You may be a good candidate for Pain Care Clinics if:
- You have chronic pain that has lasted longer than three months
- Basic treatment from your family doctor has not been enough
- You want more than medication alone
- You are willing to be an active partner in your care
This clinic is not an emergency service or a walk-in clinic. It is designed for thoughtful, stepwise care of complex pain. If you are in crisis or have red-flag symptoms such as sudden weakness, loss of bowel or bladder control, chest pain, or shortness of breath, you still need emergency care right away.
For ongoing pain that is holding you back, Pain Care Clinics offers a structured, evidence-based path forward. You get access to a team that understands chronic pain, uses advanced tools, and stays focused on your long-term function and quality of life.
If you are ready to explore options, start by reaching out to the closest location or asking your primary care provider to send a referral. This pain group focuses on helping you move from “just coping” to living with more strength, confidence, and freedom.
Take the Next Step With Pain Care Clinics
You do not have to face chronic pain alone. A network of focused clinics, led by experienced physicians and supported by a broader healthcare ecosystem, stands ready to help. If you are tired of short visits, quick fixes, and vague answers, this may be the right time to connect with a team that treats chronic pain as a serious, solvable problem.
Reach out, share your story, and see what changes when you have a dedicated team on your side.
Sources for factual clinic details: official “Conditions We Treat,” “Treatments & Services,” “Self Referral Program,” and home pages on the Pain Care Clinics website.
