Acute and persistent pain
Acute pain often accompanies an injury or illness. Chronic pain persists or recurs beyond the expected recovery period.
07Interventional & Integrative Pain Management
Chronic Pain ManagementPersonalized pain care, multiple treatment approaches.
Physician-led chronic pain management combining targeted medical interventions with supportive integrative therapies. Dr. Parisa Soltani, MD, FRCPC, provides individualized medical assessments and interventional treatments, with complementary allied health services available to support mobility, function, and overall well-being.
Physician-led procedures may include
- Nerve blocks
- Trigger point injections
- Joint injections
*Eligible physician services may be covered under BC MSP with a valid medical referral. Complementary allied health services are billed separately.
Medical Leadership
Dr. Parisa Soltani, MD
FRCPC Anesthesiologist • Pain Practitioner
Treatment Approaches
Interventional & Integrative
Targeted medical care & supportive therapies
Care Plans
Personalized to You
Based on history, symptoms & goals
MSP Coverage
Eligible Medical Services
With an eligible medical referral
Understanding Your Pain
What is chronic pain?
Pain is real, even when scans do not show a clear explanation. Dr. Parisa Soltani explores how chronic pain differs from acute pain, why pain is not always a measure of tissue damage, and why understanding your experience matters when planning care.
Beyond the scan
Imaging is one part of an assessment. Normal findings do not invalidate your pain experience.
Understand the whole picture
Pain can be influenced by physical, emotional, and social factors that deserve attention together.
Begin with assessment
Your symptoms, medical history, and everyday goals help guide an individualized approach to care.
Physician-Led. Personalized Pain Care.
Dr. Parisa Soltani, MD, FRCPC, provides pain management consultations and selected interventional treatments. Depending on your needs, your care plan may also include support from other healthcare professionals.
01
Physician-Led Assessment
Understanding Your Pain
A consultation considers your symptoms, medical history, and goals to help guide your care.
02
Personalized Treatment Planning
Tailored to Your Goals
Individualized treatment recommendations based on medical history, symptoms, clinical assessment, and functional goals.
03
Ultrasound-Guided Procedures
Real-Time Visualization
Real-time ultrasound guidance may be used for selected nerve blocks, joint injections, and other targeted interventions.
04
Multidisciplinary Pain Management
Supportive Allied Health Services
Access to complementary therapies, including osteopathy, acupuncture, chiropractic care, and clinical counselling, to support different aspects of chronic pain management.
Treatment Philosophy
A Comprehensive Approach to Chronic Pain
Hear Dr. Parisa Soltani explain an integrative approach to pain management. Medical assessment, patient education, movement-based therapies, mental health support, and lifestyle strategies can work together in a care plan tailored to your needs and functional goals.
Understand the Pain
Your physician reviews your symptoms, medical history, and factors that may influence your pain and daily life.
Explore Treatment Options
Your physician discusses suitable treatment options based on your assessment, symptoms, and personal goals, including potential benefits and limitations.
Support Daily Function
Depending on your needs, complementary therapies may support movement, daily function, and emotional well-being as part of your care plan.
Manage Long-Term
Your care plan may be reviewed over time, with recommendations adjusted to your response, changing needs, and goals.
Treatment Pricing & MSP Coverage
Pain Management Coverage & Fees
Medically necessary physician consultations and eligible interventional procedures may be covered under BC MSP with a valid medical referral. Complementary allied health services are billed separately, with extended health benefits and direct billing available for eligible plans.
Clinical Service / Modality
Coverage & Fees · CAD
Physician Interventional Procedures
Dr. Parisa Soltani, MD, FRCPC · Medical Referral Required- Pain Management Consultation & Assessment
Comprehensive pain assessment, review of relevant medical history and imaging, and development of an individualized treatment plan.
MSP Coverage May Apply - Ultrasound-Guided Peripheral Nerve Blocks
Targeted diagnostic or therapeutic nerve blocks for selected pain conditions, using ultrasound guidance when appropriate.
MSP Coverage May Apply - Trigger Point Injections (TPI)
Targeted injections into painful muscle trigger points to help manage myofascial pain and muscle-related discomfort.
MSP Coverage May Apply - Targeted Joint & Bursa Injections
Targeted injections for selected joint and bursal conditions, with ultrasound guidance when appropriate.
MSP Coverage May Apply - Therapeutic Injections for Chronic Migraine
Physician-administered injections for eligible patients with chronic migraine, based on clinical assessment and treatment criteria.
Coverage Varies
Complementary Allied Health Therapies
Private Fees · Direct Billing Available for Eligible Plans- Manual Osteopathy (Mehrdad Darvish, DOMP)
50-minute hands-on treatment focused on improving mobility, addressing muscular tension, and supporting physical comfort.
$160 - Acupuncture & Neuromuscular Therapy (Ramin Keshmiri, R.Ac)
60-minute acupuncture treatment to help manage musculoskeletal pain, muscle tension, and associated discomfort.
$130 - Chiropractic Care & Mobilization (Dr. Amir Bonyanpour, DC)
Individualized spinal and joint care incorporating manual adjustments, mobilization, and soft tissue techniques.
From $130 - Clinical Counselling & Coping (Hamid Afshar, RCC)
Individualized counselling to support emotional well-being, stress management, and coping with persistent pain.
Contact for Rates
MSP coverage is subject to eligibility, medical necessity, and applicable billing criteria. Allied health fees and extended health benefits vary by service and insurance provider.
Questions about MSP coverage or your referral?
Eligible physician consultations and certain medically necessary interventional procedures may be covered under BC MSP with an appropriate medical referral. Our team can assist with referral requirements, coverage inquiries, and extended health direct billing.
Clinical Conditions
Conditions Evaluated & Treated
Our physician-led team assesses a range of chronic pain conditions, from musculoskeletal discomfort to nerve-related pain. Treatment recommendations are tailored to your symptoms, medical history, and individual needs.
Back & Neck Pain
Chronic lower back or neck pain, stiffness, sciatica, and discomfort associated with degenerative discs or spinal joints.
Chronic Headaches & Migraines
Recurring migraines or headaches that may involve throbbing pain, neck tension, or discomfort radiating from the back of the head.
Joint Pain & Arthritis
Ongoing knee, hip, or shoulder pain, stiffness, swelling, or limited movement associated with arthritis, bursitis, or joint inflammation.
Nerve-Related Pain
Burning, tingling, shooting, or radiating pain associated with irritated or compressed nerves, including sciatica and post-shingles nerve pain.
Muscle & Myofascial Pain
Deep muscular tightness, tender trigger points, spasms, or aching in the neck, shoulders, back, and postural muscle groups.
Post-Surgical Pain & Discomfort
Persistent pain following surgery or physical injury, including localized tenderness, nerve sensitivity, or ongoing discomfort that interferes with movement and daily activities.
Treatment suitability and response vary based on each individual’s medical history, condition severity, and clinical evaluation. Multiple sessions or multimodal therapies may be recommended.
Ultrasound Guidance
Precision-Guided Pain Interventions
For selected interventional procedures, Dr. Soltani uses point-of-care ultrasound to visualize targeted nerves, joints, and surrounding tissues in real time. Ultrasound guidance supports accurate needle placement and helps clinicians identify important anatomical structures during treatment.
Real-Time Anatomical Visualization
Allows direct visualization of nerves, vascular structures, and soft tissue landmarks throughout the procedure.
Targeted Needle Placement
Supports accurate placement of the needle tip to deliver therapeutic solutions to the targeted area.
Clinical Modalities
Interventional Pain Procedures
Physician-led procedures may include targeted injections and treatments for chronic migraine. Recommendations depend on symptoms, medical history, and clinical assessment.
01
Muscle Pain Management
Trigger Point Injections (TPI)
Injections into selected irritable muscle bands may help reduce localized tenderness and support movement.
May be considered for
Persistent myofascial pain, muscle tension, and selected tension headaches.
02
Diagnostic & Therapeutic
Peripheral Nerve Blocks
Local anesthetic, sometimes with anti-inflammatory medication, is placed near selected nerves to assess or manage pain.
May be considered for
Selected neuralgias, headaches, neuropathic pain, and peripheral nerve irritation.
03
Joint Care
Joint Injections
Injections may help manage pain and inflammation in selected joints. Ultrasound guidance may be used when appropriate.
May be considered for
Selected knee, hip, and shoulder conditions, including arthritis-related pain.
04
Anti-Inflammatory
Bursa Injections
Injections into or around an affected bursa may help manage localized inflammation and pain.
May be considered for
Selected hip or shoulder bursitis and regional soft-tissue inflammation.
05
Chronic Migraine
Therapeutic Neuromodulators
May be considered for eligible patients with chronic migraine after physician assessment.
May be considered for
Patients who meet clinical criteria for chronic migraine treatment.
Ongoing Physician Care
Medication Assessment & Management
A physician reviews current pain medications, their effects, and potential side effects to inform ongoing care.
May be useful for
Patients who would benefit from a structured review of their pain medication regimen.
Treatment response varies according to the condition, medication, and individual patient. Procedures are recommended based on individual clinical assessment.
Integrative Therapies for Comprehensive Pain Care
Allied health therapies may complement physician-led care based on a patient’s assessment and goals. These services may support movement, address muscular tension, and promote emotional well-being as part of a comprehensive care plan.
Manual Osteopathy
Mehrdad Darvish, DOMP
Gentle hands-on care to support mobility and ease muscular tension.
Chiropractic Care
Dr. Amir Bonyanpour, DC
Personalized spinal and joint care to support mobility and physical function.
Acupuncture & Neuromuscular Therapy
Ramin Keshmiri, R.Ac
Registered acupuncture to help manage muscle tension and selected pain conditions.
Clinical Counselling
Hamid Afshar, RCC
Practical support for pain coping, stress, and the emotional impact of persistent pain.
Physician-Led Multimodal Care
The Turn Pain Into Power® Program
Created by Dr. Parisa Soltani, Turn Pain Into Power® brings together nine clinical and wellness therapies within a personalized, physician-led pain management program. In this video, Dr. Soltani introduces an approach that considers the person, their pain experience, and their goals for everyday life.
Understand your pain
Physician-led assessment and pain education help inform your individual care plan.
Combine appropriate therapies
Depending on your needs, care may include counselling, injections, yoga, rehabilitation, and other supportive therapies.
Tailored to the person
Your plan reflects your medical history, preferences, functional goals, and response to care.
Plan your access to care
Eligible physician services may be covered under BC MSP. Allied health therapies are billed separately, and a medical referral is required for the physician consultation.
The Care Process · What to Expect
Your Pain Management Journey
From initial referral to ongoing care, our process is designed to ensure thorough evaluation, transparent communication, and personalized support.
01
Obtain a Medical Referral
Ask your family physician or nurse practitioner to submit a referral for pain management assessment.
02
Referral Review
Our clinical team reviews the referral information and coordinates the next steps.
03
Physician Consultation
Dr. Soltani reviews your medical history, symptoms, previous treatments, and clinical findings to determine appropriate management options.
04
Personalized Treatment Plan
Depending on your assessment, recommendations may include interventional procedures, supportive therapies, or ongoing medical management.
Collaborative Reporting
Download Medical Referral FormClear reporting back to your family doctor.
Relevant consultation findings, treatment recommendations, and procedural summaries may be communicated to your referring healthcare provider to support continuity of care.
Preparation & Aftercare
Before & after your pain appointment
Practical guidelines to help you prepare for your consultation and care for yourself following an interventional procedure.
Part 01
Before Your AppointmentPreparing for Your Visit
01
Bring Medical Records & Imaging
Bring your BC Services Card (Personal Health Number), and copies of relevant spine or joint imaging reports (X-Ray, MRI, CT) or consultation records.
02
Provide Medication & Supplement List
Have an updated list of all medications, dosages, and supplements. Inform your physician if you take blood thinners or other medications that may affect treatment. Do not stop or adjust prescribed medications unless instructed by your treating healthcare provider.
03
Inform Your Physician of Health Conditions
Tell your healthcare provider about allergies, blood-thinning medications, active infections, or any medical conditions that may affect treatment.
04
Wear Loose, Comfortable Clothing
Wear comfortable, two-piece clothing allowing easy access to the examination area (neck, shoulder, back, or knee).
Part 02
During RecoveryAfter Your Procedure
01
Follow Physician Instructions
Carefully follow the personalized post-procedure instructions provided by Dr. Soltani regarding activity, bathing, and medications.
02
Monitor Your Response
Pay attention to your symptoms and any relief or changes over the days following your procedure to discuss at your follow-up.
03
Attend Recommended Follow-Ups
Follow-up visits allow your care team to evaluate treatment effectiveness and adjust your ongoing management plan.
04
Seek Medical Attention if Needed
Seek immediate medical attention for severe or rapidly worsening symptoms. Contact the clinic for unexpected or persistent concerns following your procedure.
Physician-Led Pain Care
Meet Your Pain Management Physician
Dr. Parisa Soltani provides physician-led pain assessment and individualized treatment planning, helping you understand your options for managing persistent pain and improving everyday function.
Dr. Parisa Soltani
MD, FRCPC, GC Pain
Double Board Certified Anesthesiologist · Pain Practitioner · Master Injector · Co-Founder & Medical Director
North Vancouver · Chilliwack
With over 20 years of experience, Dr. Parisa Soltani is a respected Pain Management Practitioner and the Founder of Parsa Wellness Clinic. She created the Turn Pain Into Power program to deliver comprehensive, patient-centered care for chronic pain. Dr. Soltani’s approach integrates medical treatments, restorative therapies, and holistic strategies to address pain in all its dimensions. Her dedication helps patients overcome limitations, regain control, and rediscover quality of life.
Medical Intake & Referrals
Referrals & Pain Consultations
Patients seeking chronic pain management with Dr. Parisa Soltani, MD, FRCPC, require a medical referral from a family physician, walk-in doctor, or nurse practitioner for an MSP-insured consultation. Our clinic coordinates referral intake and appointment scheduling following review.
For Patients
Request a Pain Consultation
If you’re experiencing persistent or recurring pain, speak with your family physician, walk-in clinic physician, or nurse practitioner about a referral to Dr. Soltani.
Once your referral is received and reviewed, our clinic will contact you regarding the next steps, where appropriate.
Intake phone:(604) 770-4816
For Referring Healthcare Providers
Refer a Patient to Dr. Soltani
We welcome referrals from physicians and nurse practitioners for interventional assessment of chronic musculoskeletal, neuropathic, and spine-related pain conditions.
Please complete the medical referral form and submit it with relevant clinical history, current medications, and available diagnostic imaging reports.
Dedicated medical e-fax:(604) 770-4817
North Vancouver Clinic
1631 Capilano Rd, North Vancouver, BC V7P 3B4
Chilliwack Clinic
46245 Yale Rd, Level 2, Suite 4, Chilliwack, BC V2P 2P5
MSP Coverage Information
Eligible physician consultations and medically necessary interventional procedures may be covered under BC MSP. Coverage depends on patient eligibility, referral requirements, and whether the service is insured. Complementary allied health therapies (such as osteopathy, acupuncture, chiropractic care, and clinical counselling) are billed separately through extended health benefits or private payment.
*Referral submission does not guarantee an immediate appointment or treatment; all requisitions are triaged based on clinical urgency and suitability.
Common Inquiries
Frequently asked questions about pain management
Everything you need to know about BC Medical Services Plan (MSP) coverage, obtaining a physician referral, injection sensation, and integrative therapies.
Medically necessary physician consultations and specific interventional procedures may be covered by BC MSP when the service is insured and eligibility and referral requirements are met. Most allied health services are billed through extended health benefits or private payment. Eligible residents may receive limited MSP supplementary benefits for acupuncture or chiropractic care from approved providers. Confirm coverage for your situation with MSP and your insurer.
Yes. A medical referral from a family physician, walk-in clinic physician, or nurse practitioner is required to arrange a chronic pain management consultation with Dr. Soltani through our referral pathway. Following referral review, our clinic will contact you regarding the next steps.
Our clinic assesses a wide spectrum of persistent pain conditions, including back and neck pain, sciatica, chronic migraines, peripheral joint and arthritic pain, localized nerve irritation, and muscle-related myofascial pain.
Trigger point injections involve administering a small amount of local anesthetic (with or without other medications) directly into irritable, taut bands of muscle. The goal is to help relax the muscle, relieve local tenderness, and support physical rehabilitation.
Ultrasound-guided nerve blocks are procedures where real-time sonography is used to locate targeted peripheral nerves. A local anesthetic solution is placed near the nerve to temporarily interrupt pain signals, helping both to identify pain generators and provide therapeutic relief.
Patients may experience a brief pinch, pressure, or temporary discomfort during an injection. Depending on the procedure, local anesthetic and ultrasound guidance may be used to support patient comfort and accurate needle placement. Dr. Soltani will explain what to expect before treatment.
Bring your BC Services Card, an updated list of all medications and supplements, and copies of any relevant diagnostic imaging reports. Wear comfortable, loose clothing that allows easy examination of the affected body area.
Follow the instructions Dr. Soltani and the clinical team provide for your specific procedure. Do not drive if you received sedation or if numbness, weakness, dizziness, or other effects could affect your ability to drive safely. After a nerve block, avoid driving until normal sensation and movement have returned. Ask the team in advance if you are unsure whether you will need a ride.
Many extended health insurance plans provide benefits for services such as chiropractic care, acupuncture, and clinical counselling. Osteopathy coverage varies by insurer and practitioner eligibility. Patients should confirm their individual benefits before booking. Direct billing may be available for eligible plans.
They may be used together when appropriate. Whether supportive allied health services are recommended alongside physician-led care depends on your clinical assessment, treatment goals, and response to care. Dr. Soltani can discuss suitable options with you.
Explore Related Services
Explore other services in Pain Management & Integrative Health. A provider can help you understand which options may be appropriate for your concerns and goals.
Therapeutic Neuromodulator Treatment
Physician-led therapeutic botulinum toxin care for selected chronic migraine, jaw-muscle, and underarm sweating concerns. Treatment protocols and suitability depend on the condition and product.
Explore service
Turn Pain Into Power Program
Take a multidisciplinary approach to persistent pain through structured rehabilitation and personalized care. This program integrates medical oversight, physical therapies, and psychological support to improve pain management, daily functioning, and overall quality of life.
Explore service
Acupuncture
Support pain management and overall well-being with registered acupuncture treatments. Using precisely placed sterile needles, traditional acupuncture and electroacupuncture may help manage musculoskeletal discomfort, tension headaches, stress-related symptoms, and selected chronic pain conditions.
Explore service
Chiropractic Care
Improve musculoskeletal function and manage discomfort with personalized chiropractic care. Treatments may include spinal adjustments, joint mobilization, soft tissue therapy, and rehabilitative techniques addressing back pain, neck stiffness, TMJ dysfunction, and movement-related concerns.
Explore service
Manual Osteopathy
Improve mobility and manage musculoskeletal discomfort through gentle manual osteopathic techniques. Treatment may include joint mobilization, myofascial release, and soft tissue approaches addressing postural imbalances, muscle tension, restricted movement, and persistent physical discomfort.
Explore service
Naturopathic Medicine
Explore individualized health management through naturopathic medicine. Our naturopathic doctor combines clinical assessment, laboratory investigations, nutrition, and evidence-informed treatment strategies to address cardiometabolic health, digestive concerns, hormonal symptoms, and other individualized wellness needs.
Explore service
Clinical Counselling
Receive professional psychological support through individualized clinical counselling. Evidence-based approaches, including cognitive behavioural therapy and acceptance and commitment therapy, help address anxiety, depression, stress, burnout, life transitions, and challenges associated with chronic illness.
Explore service
MoCA Cognitive Screening
Assess memory, attention, language, and executive functioning with the Montreal Cognitive Assessment. This standardized cognitive screening helps identify potential changes in cognitive performance and determine whether further medical evaluation or additional assessment may be appropriate.
Explore service
Physician Consultation · Supportive Care
Ready to explore a personalized pain care plan?
Speak with your family physician or nurse practitioner about a referral for chronic pain management with Dr. Parisa Soltani. Our team can also provide information about available interventional treatments, supportive allied health services, and the referral process.
MSP for Eligible Medical ServicesNorth Vancouver & ChilliwackInterventional & Integrative Care