We are ONLY accepting referrals for botox for migraine, clinical hypnosis, prolotherapy and platelet-rich plasma. Please note that these treatments are not covered by MSP but botox for migraine may be covered by extended health plans. 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 preferences 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.
Please send a referral via your EMR to include all relevant details.
Cost to the patient
Patients should also be advised that the therapies mentioned above are not covered by MSP, (except for nerve blocks and trigger point injections for returning patients) 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. Patients can enquire at our office about current costs for treatments.
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.
Clinical hypnosis and Pain Reprocessing Therapy (PRT) are uninsured services: 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. IBS, chronic pelvic pain, phobias, and relatively circumscribed PTSD (not cPTSD or borderline personality disorder) often respond well to clinical hypnosis. PRT is intended for the management of psychophysiological or stress-related disorders.
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.
A new Toronto study on perioperative clinical hypnosis demonstrated reduced opioid requirements in patients who received hypnosis pre- and post-surgery. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10775151/
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 preferences 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.
Please send a referral via your EMR to include all relevant details.
Cost to the patient
Patients should also be advised that the therapies mentioned above are not covered by MSP, (except for nerve blocks and trigger point injections for returning patients) 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. Patients can enquire at our office about current costs for treatments.
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.
Clinical hypnosis and Pain Reprocessing Therapy (PRT) are uninsured services: 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. IBS, chronic pelvic pain, phobias, and relatively circumscribed PTSD (not cPTSD or borderline personality disorder) often respond well to clinical hypnosis. PRT is intended for the management of psychophysiological or stress-related disorders.
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.
A new Toronto study on perioperative clinical hypnosis demonstrated reduced opioid requirements in patients who received hypnosis pre- and post-surgery. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10775151/