For Health Professionals
The Transitional Pain Service (TPS) at the Toronto General Hospital is the first-of-its-kind clinic providing specialized evidence-based multidisciplinary care for patients who are at an increased risk for developing chronic post-surgical pain.
Welcome to the TPS
The TPS Offers Patients Integrated Pre- and Post-Surgical Care
The TPS follows patients from pre-admission, before surgery, and throughout their hospital stay to provide care plans and strategies to help facilitate the transition from hospital to home.
Patients are then seen in the outpatient setting by medical and nursing staff, psychologists, and a physiotherapist to help increase functioning, optimize pain control, reduce opioid consumption, and receive emotional and psychological support.
Identify Risk Factors for Chronic Post-Surgical Pain
Pain that develops after surgery and persists for at least 3 months is referred to as chronic-post surgical pain.
The primary predictor of chronic post-surgical pain is a pre-existing chronic pain condition. See our infographic below for an overview of common risk factors.
Benefits of Referring your Patient
Patients gain access to a multidisciplinary team that delivers coordinated pain treatment.
Our team is composed of health professionals whose practice is informed by the Triad of Chronic Pain Treatment model, including:
anesthesiologists, nurse practitioners, psychologists, a physiotherapist, and other allied health providers
Treatment can take place in-clinic at the Toronto General Hospital or by Telemedicine, and includes:
pharmacotherapy, interventional pain procedures, psychotherapy, physiotherapy, acupuncture, and patient education
Triad of Chronic Pain Treatment
Referring guidelines for pre- and post-surgical patients
Pending surgery or surgery within past 6 months and struggling with pain management
History of chronic pain
Taking opioid medication before surgery and/or difficulty weaning off opioids after surgery
History of depression, anxiety, and/or PTSD or current emotional distress
Catastrophic thinking about pain
History of substance misuse or dependency
Referrals to the Transitional Pain Service can be made through the central referral hub at the Toronto Academic Pain Medicine Institute (TAPMI).
The Transitional Pain Service (TPS) at the Toronto General Hospital is an evidence-based treatment model based on the latest research in transitional and chronic pain care. Please visit our Research page to learn more about studies conducted at the TPS.
We have created a resource page for interested professionals with information and a TPS How-To Guide to support them in establishing a TPS in their healthcare setting.