Dr. Steven Helper

I am a subspecialist in the field of Interventional Spine Pain Management. My practice focusses on the
identification and treatment of specific spine pain generators (E.g. injured joints, disc herniations,
degenerated discs).

Before a patient ends up in my office, they will typically participate in conservative treatment measures, such as physical therapy, massage therapy, kinesiology, and chiropractic care. Patients who not improving will then seek out further medical opinion. When they present to my office, I will help them decide whether x-ray guided injection procedures are appropriate.

However, not all patients with back +/or buttock pain require medical procedures. In some cases, the early suggestion for rehab is correct. It simply was unsuccessful. For patients with resistant cases, it is common to identify deficits of posture (malalignment) and biomechanics (movement). These patients can be very difficult to treat. Even in the hands of very experienced therapists, these patients often achieve incomplete recovery.

In the last two years, I have observed consistently superior results for individuals with these common
presentations when I have referred patients to the Performax Rehabilitation Centre. I now routinely refer patients to Mr. Dean Kotopski for rehabilitation. I am supportive of Mr. Kotopski’s Force Balance
Technique theory, focusing on alignment, stability, and mobilization. I am happy to endorse Mr.
Kotopski’s skill set.

Steven Helper, MD, FRCPC
Interventional Spine
Division of Physical Medicine, Rehabilitation, UBC
False Creek Healthcare Centre