Life Shouldn't Hurt
Pain & injury are part of our life experience. A Canadian sports injury and chronic pain physiotherapist since 1999, Grant Fedoruk shares his unique observations on pain, injury, business and life. He combines humour and laughs with interviews of his colleagues, patients and other experts in the field to learn how and why: Life Shouldn't Hurt.
Life Shouldn't Hurt
Precision Relief: Interventional Radiology Explained
In this episode of Life Shouldn’t Hurt, I sat down with Dr. Jason Motkoski, a physician and interventional radiologist from Canadian Diagnostic Centers. Many people think of radiology as simply reading X-rays or MRIs, but Dr. Motkoski explained how the field has advanced into what’s now called interventional radiology. This specialty uses imaging technology not just to diagnose, but to guide precise treatments for pain and injuries.
Targeted Treatments
Dr. Motkoski described how physicians use fluoroscopy (live X-ray) and ultrasound to guide needles into specific joints or soft tissues. This level of accuracy means patients receive treatment exactly where it’s needed, reducing guesswork and improving outcomes.
Injectable Options
We explored a range of therapies available through interventional radiology. Corticosteroids can reduce inflammation, hyaluronic acid can improve tissue health, and Platelet-Rich Plasma (PRP) offers a regenerative approach by using a patient’s own blood to help heal tendons.
Safety and Myths
One of the most important parts of our conversation was addressing misconceptions. Cortisone, for example, is often misunderstood. Dr. Motkoski emphasized that when doses and timing are carefully managed, it is safe and effective. He also reassured listeners that modern imaging equipment uses very low doses of radiation—often less than the natural background radiation differences between Canadian cities.
Diagnostic Tools
We broke down the differences between imaging modalities. X-rays are best for looking at bones, CT scans provide a three-dimensional “bread loaf” view, and MRIs deliver exceptional detail of soft tissues. Each tool has its place, and together they give physicians a comprehensive picture for diagnosis and treatment.
The Bigger Picture
Ultimately, Dr. Motkoski highlighted that these procedures are about delivering the right care to the right place. By targeting treatment, patients can manage pain more effectively, avoid unnecessary systemic medication, and get back to living their lives fully.