Our mission is to confirm or establish an accurate diagnosis for those suffering from musculoskeletal, spinal or chronic pain disorders and offer safe, timely, evidence based treatment options.

We aim to decrease reliance on oral medications, perform only minimal procedures where indicated and use steroid sparing interventions when possible.


Our facility is a state of the art, paperless medical centre that adheres to the rigorous standards of the College of Physicians and Surgeons of Ontario, Out of Hospital Premises Inspection Program. We have developed and implemented stringent written policies and procedures to ensure the delivery of safe, effective health care services. Ample free parking is available.

Interventional Pain Medicine:

Interventional Pain Medicine is the use of image-guided minimally invasive techniques to precisely deliver medication to relieve pain.

Regenerative Medicine:

Regenerative Medicine is a branch of medicine concentrated on repairing, regrowing or replacing damaged or diseased cells and tissues.


Physiatrists are specialist medical doctors that focus on enhancing and restoring functional ability and quality of life to those with physical impairments from pain, injury or disease.


Dr. Jeremy P. Fennell, MD, PT, FRCPC, Dip Sport Med
Interventional Physiatrist
Dr. Fennell is the only physician in Canada with the combination of specialty training in Physical Medicine and Rehabilitation (a.k.a. Physiatry), Anesthesiology based fellowship training in Pain Medicine and a Diploma in Sports Medicine from the Canadian Academy of Sport and Exercise Medicine. Additionally, he has previous clinical experience as a Registered Physiotherapist prior to embarking on a career in medicine. His distinctive multispecialty and multidisciplinary education and clinical experience afford him a unique perspective on the diagnosis and management of musculoskeletal disorders and chronic pain conditions.
His main clinical interest involves the diagnosis and management of spinal, musculoskeletal and chronic pain disorders through fluoroscopy and ultrasound guided interventional procedures. This includes but is not limited to; nerve blocks, epidural steroid injections, platelet rich plasma injections, spinal intradiscal procedures, deep joint injections, percutaneous tenotomy and radiofrequency nerve ablations.


  • McGill University: Pain Management Fellowship (Department of Anesthesia)
  • University of Toronto: Physical Medicine & Rehabilitation Residency
  • University of Sydney (Australia): Medical School (Awarded with Honours)
  • Queens’ University: Physical Therapy (Awarded with Honours)
  • University of Windsor: BSc, General Science


  • Royal College of Physicians and Surgeons of Canada – Physical Medicine & Rehabilitation (Pass)
  • American Board of Physical Medicine & Rehabilitation (Percentile Rank: 99.8)
  • Canadian Academy of Sport and Exercise Medicine (Pass)
  • Canadian Physiotherapy Competency Examination (Pass)


  • Staff Physician: Spine Centre, Trillium Health Partners, Toronto, Ontario
  • Lecturer: Department of Medicine, University of Toronto, Ontario
  • Staff Physician: Sports Clinic, University of Toronto Mississauga, Ontario
  • Medical Director/Staff Physician: Precision Sport & Spine, Oakville, Ontario


  • Spine Intervention Society (SIS)
  • American Society of Interventional Pain Physicians (ASIPP)
  • North American Spine Society (NASS)
  • Canadian Academy of Sport and Exercise Medicine (CASEM)
  • Canadian Pain Society (CPS)


  • Canadian Academy of Physical Medicine and Rehabilitation Annual Scientific Meeting, Original Research Award
  • Canadian Pain Society, Clinical Pain Management Fellowship Award
  • Queen’s University Mildred K. Walters Award in Physical Therapy


Interventional Procedures

Interventional Pain Relieving Procedures Under X-Ray and/or Ultrasound Guidance

A variety of interventional procedures can be used to treat a range of painful conditions (arthritis, low back pain, migraine headaches, tendonitis, etc…). Many of these techniques are performed using X-Ray or ultrasound guidance, which helps the physician deliver the therapy—whether it’s regenerative medicine, a steroid injection or heat-based remedy—to the exact source of pain. Specialist medical doctors at Precision are skilled in determining the most appropriate interventional procedure for each patient and administering that procedure to achieve the greatest possible pain relief.
We are pleased to provide a range of interventional treatment options, including but not limited to the following:

interventional treatment options

Platelet Rich Plasma Injections

Platelets are cell fragments that are rich in growth factors and play a key role in wound and soft tissue healing. In this procedure a patient’s own blood is concentrated to extract fluid rich in these growth factors. This fluid is then injected under image guidance (X-Ray or ultrasound) to promote healing of ligaments, tendons, joints or intervertebral discs.

These procedures take approximately twenty minutes to perform.

Stem Cell Therapy

Stem cells are undifferentiated cells that are capable of differentiating into specialized cells (muscle, bone, skin, etc.). These cells can be extracted from bone marrow or adipose tissue and injected under image guidance (X-Ray or ultrasound) into damaged tissues to promote healing.

These procedures take approximately thirty minutes to perform.

Intradiscal PRP / Intradiscal Stem Cell Therapy

Intradiscal Platelet Rich Plasma Injections and Intradiscal Stem Cell Therapy are minimally invasive procedures used to decrease pain and promote healing of damaged intervertebral discs. A diagnostic procedure called Provocative Discography is first performed to diagnose pain originating from the intervertebral disc and to help identify the appropriate level/levels for therapy. PRP or stem cells are then injected into the disc/discs using live X-Ray (fluoroscopy).

These procedures take approximately thirty minutes to perform.

Medial Branch Blocks / Facet Joint Injections

Medial Branch Blocks and Facet Joint Injections are minimally invasive procedures performed under live X-Ray guidance that are used to diagnose and treat pain arising from the small joints of the spine (facet joints). Diseases of these joints can produce pain in the neck, upper and lower back, and buttocks. Just like any other joint in the body (such as the knee or elbow) these joints may be acutely injured or produce chronic pain due to conditions such as arthritis. Medial Branch Blocks and Facet Joint Injections deliver low doses of long-lasting corticosteroids and local anesthetics directly to the source of the pain to alleviate discomfort.

These procedures take approximately five minutes to perform.

Major Joint Injections (Knee, Hip, Shoulder, Sacroiliac, etc.)

Joint injections are minimally invasive procedures performed either under live X-Ray or ultrasound guidance to treat pain resulting from various causes, including osteoarthritis. Medications such as corticosteroids, local anesthetics, or hyaluronic acid (i.e. Synvisc, Durolane, etc.) are injected directly into the source of the pain to provide relief from mild to moderate osteoarthritis.

These procedures take approximately five minutes to perform.

Radiofrequency Nerve Ablations

Radiofrequency Nerve Ablation is a minimally invasive procedure performed under live X-Ray guidance to treat back and neck pain by using precisely controlled heat to temporarily and selectively disable nerves responsible for pain. The procedure involves inserting a specialized needle with a heated tip near the problematic nerve, where the heat interrupts the nerve’s ability to send pain signals.

These procedures take approximately twenty minutes to perform.

Epidural Steroid Injections

An Epidural Steroid Injection is a minimally invasive procedure performed under live X-Ray guidance that is used to treat pain in the neck, shoulders, arms, upper and lower back, buttocks, and legs that results from irritation of spinal nerve roots. A variety of conditions such as herniated disc, degenerative disc disease, and arthritis can cause a stenosis (narrowing) of the openings through which nerves exit the spine, which can be irritating to the nerves. By injecting low doses of long-lasting corticosteroids (potent anti-inflammatory pain medications) targeted directly to the source of the pain (instead of much larger oral or intravenous doses) this inflammation can be decreased, providing pain relief.

These procedures take approximately five minutes to perform.

Percutaneous Tenotomy / Barbotage

Percutaneous Tenotomy and Barbotage are minimally invasive procedures performed to treat degenerative tendons or calcific tendonitis. Under ultrasound guidance a needle is used to either make small holes to stimulate the healing process or break apart calcium deposits in a tendon. Repeated injection and withdrawal of fluid (local anesthetic or saline) is then performed to wash away the debris.

These procedures take approximately five minutes to perform.

Conditions We Treat

  • Complex regional pain syndrome
  • Painful peripheral neuropathy
  • Painful nerve injuries
  • Painful osteoarthritis
  • Fibromyalgia
  • Sciatica
  • Low back pain
  • Neck pain
  • Failed back surgery syndrome
  • Herniated discs
  • Cervical dystonia
  • Myofascial pain syndrome
  • Spinal cord injury and stroke spasticity and pain
  • Cancer pain
  • Painful herpes zoster (shingles)

Here’s how to reach out

Medical Appointments, Advice and Referrals

Please note that we do not provide medical advice via email. We strongly recommend that you discuss concerns with a qualified healthcare provider or physician.

To make a medical appointment at Precision Sport & Spine, you must obtain a referral for consultation from your physician.

Hours of Operation

Monday to Friday: 9:00am – 4:30pm.

Please note we are closed for lunch from 12:30pm – 1:30pm.

To change or cancel a medical appointment, please call us at 905-847-5755.

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2334 Lakeshore Road West
Oakville Ontario, L6L 1H5
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Phone: 905-847-5755
Fax: 855-892-6240