Pain Outpatient Clinics

Interventional Pain Clinic

8th Floor - D Wing 
Providence Building, Room 8219
St. Paul's Hospital
1081 Burrard Street
Vancouver, B.C V6Z 1Y6

Telephone: 604-806-8824
Fax: 604-806-9117


  • Dr. Michael Butterfield
  • Dr. Jill Osborn (Medical Lead for Interventional and Complex Pain clinics)
  • Dr. Aaron Rizzardo
  • Dr. Ainsley Sutherland
  • Dr. Vishal Varshney
  • Dr. Clinton Wong
  • Dr. Katarina Kojic 

Complex Pain Clinic

4th Floor - Burrard Building, Room 437
St. Paul's Hospital
1081 Burrard Street
Vancouver, B.C V6Z 1Y6

Telephone: 604-806-8019
Fax: 604-806-9117


  • Dr. Michael Butterfield
  • Dr. Aaron Rizzardo
  • Dr. Christopher Robertson
  • Dr. Dr. SreeLakshimi Borra,
  • Dr. Herman Lau

Pain Management Program

  • The interdisciplinary Pain Management Program is for patients requiring treatment for pain that has been unresponsive to conventional treatment (e.g. physiotherapy, NSAIDs).
  • Emphasis is placed on self-management and rehabilitation. All patients will participate in self-management classes if deemed suitable.
  • Patients may be recommended for interventional pain treatment.
  • The consultative service provided by the Pain Management Program is not for long-term follow-up. The Program typically follows patients for 6 to 12 months. Patients must be followed by their Primary Care Provider during and after their participation in the program. The Pain Management Program is an interdisciplinary program and patients will be triaged according to our predetermined criteria and seen by the appropriate provider(s).
  • The program does NOT assume prescribing, including opioids or other pain medications; the program may provide physician to physician consultation on dosing. The program can provide guidance for reducing opioid prescriptions.

Patient criteria for Pain Management Program

Inclusion criteria:

  • Patient is 18 years of age or older.
  • Patient lives in Vancouver Coastal Health (VCH) catchment. Exception: If the service is not offered in your health authority, we may accept the referral.
  • The pain has been unresponsive to conventional treatment.
  • Patient is agreeable to learning self-management strategies and working with a multidisciplinary team.
  • Patient is agreeable to participate in a light-moderate activity or exercise program.

Exclusion criteria:

  • Patient has an active untreated psychiatric condition (e.g. psychosis, severe depression, suicidality).
  • Patient has active untreated substance use disorder.
  • Referral source’s primary goal is medical legal consultation, or to obtain controlled substances, including opioid prescriptions.
  • Patient has an ongoing infection source without treatment.
  • Patient has previously received treatment at the SPH Pain Management Program for the same issue and has not followed treatment recommendations.
  • Patient has previously completed pain group management programs in tertiary centres, counseling and/or interdisciplinary consult and there are no new pain management approaches available
  • Initial request is related to preparation of a return to work report or other documentation that is provided on cost recovery basis.
  • Patient is currently attending another pain medicine program which offers same services (e.g. Canadian Pain & Regenerative Institute, CHANGEpain, Jim Pattison Outpatient Care Pain Clinic, Victoria or Nanaimo Pain Program, Bill Nelems Pain & Research Centre, BC Women’s Hospital programs).
  • Patient would be better referred to a tertiary pain clinic specializing in the primary reason for referral.

Download the St. Paul's Hospital Pain Clinic Referral Form.