Advanced Interventional Pain &
Musculoskeletal Procedures

Image-guided minimally invasive treatments for pain and functional restoration.

Precision Through Image Guidance

Every procedure at Active Nexus Center is performed under real-time imaging, ensuring accuracy, safety, and superior outcomes compared to landmark-guided techniques.

Fluoroscopy-Guided Procedures

Fluoroscopy provides real-time X-ray imaging enabling precise needle navigation within the spine and deep joint structures. This is the gold standard for spinal injections including epidurals, facet blocks, and SI joint procedure

Ultrasound-Guided Injections

High-resolution musculoskeletal ultrasound allows real-time visualization of tendons, muscles, nerves, and joint spaces. This enables precise needle placement without radiation exposure ideal for peripheral joints and soft tissue structures

SPINAL INTERVENTIONS

Spine Procedures

Fluoroscopy-guided spinal interventions for discogenic, facet, and nerve-related pain conditions of the cervical, thoracic, and lumbar spine.

Epidural Steroid Injections

Targeted delivery of corticosteroid medication into the epidural space to reduce inflammation around compressed nerve roots. Effective for disc herniations, spinal stenosis, and radiculopathy causing radiating arm or leg pain.

Facet Joint Blocks

Diagnostic and therapeutic injections into the small joints of the spine that guide movement. Used to identify and treat facet-mediated pain in the cervical, thoracic, and lumbar spine

Radiofrequency Ablation (RFA)

A minimally invasive procedure that uses heat generated by radio waves to interrupt pain signals from specific nerves. Provides durable relief for facet joint pain, typically offering the longest-lasting relief among available options.

Sacroiliac Joint Injections

Precise injections into the Sl joint to diagnose and treat pain arising from the junction between the spine and pelvis a common but underdiagnosed source of low back and buttock pain

PERIPHERAL JOINT INTERVENTIONS

Joint Procedures

Ultrasound-guided joint and soft tissue injections for shoulder, knee, hip, and other peripheral musculoskeletal conditions.

Shoulder Injections

Ultrasound-guided injections for rotator cuff pathology, subacromial bursitis, glenohumeral arthritis, and AC joint pain, Real-time imaging ensures accurate needle placement and optimal therapeutic effect.

Knee Injections

Targeted treatments for knee osteoarthritis, meniscal irritation, and patellar tendinopathy. Options include corticosteroid, hyaluronic acid, and PRP injections guided by ultrasound

Hip Injections

Image-guided injections for hip osteoarthritis, trochanteric bursitis iliopsoas tendinopathy, and labral pathology providing diagnostic clarity and targeted pain relief,

Platelet-Rich Plasma (PRP) Therapy

A regenerative treatment derived from your own blood. Concentrated growth factors are injected into damaged tissue to stimulate the body’s natural healing cascade for tendons, ligaments, and joints,

NERVE & HEADACHE INTERVENTIONS

Nerve Procedures

Specialized nerve blocks, neuromodulation injections, and botulinum toxin therapies for headache disorders, occipital neuralgia, and peripheral nerve pain

Occipital Nerve Blocks

Ultrasound-guided injections for rotator cuff pathology, subacromial bursitis, glenohumeral arthritis, and AC joint pain, Real-time imaging ensures accurate needie placement and optimal therapeutic effect.

Botox for Chronic Migraine

Health Canada-approved onabotulinumtoxinA injections at 31 sites around the head and neck every 12 weeks. Clinically proven to reduce migraine frequency by 50% or more in chronic migraine sufferers.

Peripheral Nerve Injections

Ultrasound-guided nerve hydrodissection and perineural injections for entrapment neuropathies, nerve irritation syndromes. and regional pain conditions affecting the extremities.

What Our Patients Experience

Our image-guided approach consistently delivers measurable improvements in pain, function, and quality of life.

Significant Pain Reduction

Most patients experience meaningful relief within days to weeks of their procedure

Improved Mobility

Reduced pain enables active participation in physiotherapy and rehabilitation

Functional Restoration

Return to work, sport, and daily activities with a structured, integrated care plan.

Ready to Explore Your Options?

Our physicians will review your history, imaging, and goals to recommend the most appropriate interventional approach for your condition.