CHAnGEPAin's layered care approach

1 in 5 people in BC (and North America!) have chronic pain, yet there are very few trained physicians specializing in pain management.

At CHANGEpain, we use a layered care approach.  Our aim is to start pain patients with effective, low risk techniques first.  

Why? Science and our own clinic results show that most people get significant benefit in the first layers of care.  This applies to patients that have tried these approaches in the past without success.

Your doctor will recommend pain treatments that they think you would benefit from. We always try the simplest, lowest risk treatments first. If you do not get benefit from these treatments, then we may refer you to more complex treatments. This layered care approach helps make sure that riskier and more expensive treatments are only offered to those that really need them. 

Layers 1 and 2

Pain patients may quickly access our Integrative Pain Services without a referral.  We recommend patients try these services as early as possible, while waiting for their doctor consultation, to get a jump start on their pain management plan.  

For our Medical Services, patients need to get a physician referral.  Unfortunately, we have a large number referrals to our MSP services and this has resulted in wait lists.  

After your first visit, you will be encouraged to participate in programs suited for you in Layers 1 and 2:


Layer 3 and 4

Many people get significant benefit from layers 1 and 2, and may not need Layer 3 or 4 services.  That said, advanced care for pain patients is in high demand! Unfortunately this means there can be a further wait for a one-on-one consultation with a pain specialist.