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We are accepting referrals for adults with MSK pain and for clinical hypnosis. We are not accepting paediatric/adolescent referrals for interventional procedures.
We do need a referral from you before we will see your patient. Please ask us to see a patient for "pain assessment", rather than a specific therapy, although of course let us know if you or the patient have specific preference about treatment. It would be helpful for us if you could include a medical summary (cumulative patient profile) and any relevant investigations (especially imaging) and previous consultation reports with your referral. We appreciate your referrals and will do our best to send back consultation notes as well as brief follow up notes in a timely fashion.
The above referral template may be used but it is preferable to send a referral via your EMR to include all relevant details.
Cost to the patient
Patients should also be advised that some of the therapies offered are not covered by MSP, and the patient will be billed directly. Third party insurers do not always cover these treatments either. We do not know of any insurer covering prolotherapy or clinical hypnosis performed by MDs.
Which patients respond the best?
Adolescents and children tend to tolerate injection modalities poorly. Patients with generalized muscle pain as in fibromyalgia, chronic fatigue or polymyalgia rheumatica tend not to respond as well to focused injection therapies as those with arthritis or tendinomuscular or ligamentous strain. Costochondritis, tennis elbow, shoulder/arm/hand pain, back pain, neck pain, migraines, trigeminal neuralgia, Morton's neuromata, plantar fasciitis, hip pain, pelvic instability, SI joint pain, and any neuralgic pain or peripheral neuropathy can respond well. The number of treatments depends on the condition and the patient's healing. Dr. David Bowler will accept referrals for fibromyalgia for motivated patients who are prepared to take an active role engaging in a comprehensive biopsychosocial approach to their chronic widespread pain and associated conditions.
No needles?
Please ensure that your patients understand that most of our work includes injections so patients should be comfortable with needles. Exceptions include some manual techniques, psychotherapeutic techniques, and clinical hypnosis. However, these are not insured services. If your patient has a genuine needle-phobia that he or she would like to permanently overcome then a referral can be made to Dr. David Bowler for clinical hypnosis, in office or online, as an uninsured service.
Contacting the patient
Our receptionist will contact the patient to arrange an appointment once we have received the referral. Occasionally things slip through the cracks - if for some reason your patient has not heard back from us within 2 - 3 weeks of you sending the referral, please ask them to call our office.
Please see the Research tab if you are interested in looking at some of the prolotherapy, PRP, clinical hypnosis, and perineural research.
We do need a referral from you before we will see your patient. Please ask us to see a patient for "pain assessment", rather than a specific therapy, although of course let us know if you or the patient have specific preference about treatment. It would be helpful for us if you could include a medical summary (cumulative patient profile) and any relevant investigations (especially imaging) and previous consultation reports with your referral. We appreciate your referrals and will do our best to send back consultation notes as well as brief follow up notes in a timely fashion.
The above referral template may be used but it is preferable to send a referral via your EMR to include all relevant details.
Cost to the patient
Patients should also be advised that some of the therapies offered are not covered by MSP, and the patient will be billed directly. Third party insurers do not always cover these treatments either. We do not know of any insurer covering prolotherapy or clinical hypnosis performed by MDs.
Which patients respond the best?
Adolescents and children tend to tolerate injection modalities poorly. Patients with generalized muscle pain as in fibromyalgia, chronic fatigue or polymyalgia rheumatica tend not to respond as well to focused injection therapies as those with arthritis or tendinomuscular or ligamentous strain. Costochondritis, tennis elbow, shoulder/arm/hand pain, back pain, neck pain, migraines, trigeminal neuralgia, Morton's neuromata, plantar fasciitis, hip pain, pelvic instability, SI joint pain, and any neuralgic pain or peripheral neuropathy can respond well. The number of treatments depends on the condition and the patient's healing. Dr. David Bowler will accept referrals for fibromyalgia for motivated patients who are prepared to take an active role engaging in a comprehensive biopsychosocial approach to their chronic widespread pain and associated conditions.
No needles?
Please ensure that your patients understand that most of our work includes injections so patients should be comfortable with needles. Exceptions include some manual techniques, psychotherapeutic techniques, and clinical hypnosis. However, these are not insured services. If your patient has a genuine needle-phobia that he or she would like to permanently overcome then a referral can be made to Dr. David Bowler for clinical hypnosis, in office or online, as an uninsured service.
Contacting the patient
Our receptionist will contact the patient to arrange an appointment once we have received the referral. Occasionally things slip through the cracks - if for some reason your patient has not heard back from us within 2 - 3 weeks of you sending the referral, please ask them to call our office.
Please see the Research tab if you are interested in looking at some of the prolotherapy, PRP, clinical hypnosis, and perineural research.