SPINE CONDITION

Chronic back pain

Months — sometimes years — of back pain without a clear plan is the daily reality of many Québec patients. Franchir restarts your trajectory with a structured assessment in Montréal and, when appropriate, fast access to a French specialist.

Recognising the symptoms

Chronic pain is more than just pain. Sleep, mood, work and family life suffer too. A serious plan addresses all of these.

Typical symptoms

  • Back or neck pain lasting more than 3 months
  • Repeated flare-ups with limited periods of relief
  • Disrupted sleep and growing fatigue
  • Avoidance of activities you used to enjoy

When to consult

  • Failure of at least two rehabilitation programmes
  • Long-term reliance on painkillers, including opioids
  • Sick leave or modified work for several months
  • Disability claims pending

Red flags

  • Unexplained weight loss or night sweats
  • Fever associated with localised spine pain
  • New neurological symptoms (weakness, numbness)
  • Pain after a fall or trauma

Causes and diagnosis

Chronic spine pain is rarely caused by a single anatomical problem. Tissue changes, deconditioning, sleep deprivation and central sensitisation reinforce each other. Treating only one piece of the puzzle is why generic prescriptions keep failing.

Franchir treats every chronic case the same way: a careful diagnostic interview, a critical review of imaging, and a personalised plan that combines what can be done in Québec with what is only available in France.

Diagnostic process

  • Structured pain interview and functional questionnaires
  • Review of all prior imaging and treatments
  • Diagnostic blocks (facet, sacroiliac, root) when relevant
  • Multidisciplinary review in France
  • Personalised plan with measurable objectives

Treatments we offer

We always start with the least invasive option that delivers durable relief. Surgery is reserved for cases where conservative care has failed or red flags are present.

  1. Stage 1

    Structured rehab in Québec

    Active rehab, graded exposure, sleep and stress strategies. Franchir refers you to trusted partners in Montréal if you do not yet have a team.

  2. Stage 2

    Mini-invasive treatments in France

    Image-guided infiltrations, radiofrequency rhizotomy, endoscopic procedures when a precise generator is identified.

  3. Stage 3

    Surgery only when truly indicated

    Targeted spine surgery is offered only when imaging and diagnostic blocks confirm a specific lesion that explains the pain. Mini-invasive techniques are preferred.

Surgical technology

B-Dyn posterior dynamic stabilization system
Posterior dynamic stabilisation (B-Dyn): relieves pain while preserving controlled motion of the segment.

Why choose Franchir

Treated in 4 to 8 weeks

Dedicated international slots reserved with our French partner surgeons — no 12 to 18 month waiting list.

3D navigation & robotics

Minimally invasive procedures, intra-operative imaging and the latest implants — often unavailable locally.

Fully bilingual pathway

Coordination from Montréal to France in French and English, with your home physician kept in the loop.

Transparent quote

Detailed pricing before any procedure, insurance support and no hidden fees.

Your journey, step by step

  1. Step 1

    Initial review

    45-minute appointment with our clinical nurse specialist to review imaging, symptoms and history.

  2. Step 2

    Specialist file — 48 h

    Your case is shared with the most relevant French spine surgeon. Treatment plan delivered within 48 hours.

  3. Step 3

    Travel & surgery

    Concierge organises stay, transport and admission. Surgery takes place in a partner centre of excellence.

  4. Step 4

    Coordinated follow-up

    Post-op recovery in Québec with shared follow-up between Franchir's team and your home physician.

Frequently asked questions

We hear this often. Sometimes pain is genuinely non-surgical and rehab is the right answer. Sometimes a careful review identifies a specific generator that had been missed. Either way, a structured second opinion clarifies the way forward.

Check your eligibility

Send us your imaging and medical history. A specialist reviews your file and confirms whether surgery is the right option — for free.