The overarching panorama of the heroin rehabilitation industry is marked by an intricate tapestry of complex variables ranging from socio-economic dynamics to evolving treatment methodologies. This comprehensive overview seeks to unveil some key findings and crucial insights that have been unearthed in a recent report regarding this sector.

The initiation point of our discourse is the role of socio-economic factors and their profound impact on drug addiction and consequent treatment patterns. Research posits that socio-economic disparity creates an environment conducive to substance abuse, and heroin is no exception. This claim is underpinned by empirical data which demonstrates that economically marginalized communities are disproportionately affected by the heroin epidemic. As a result, the demographic makeup of those seeking treatment in rehab centers is intrinsically tied to socio-economic stratification.

The relevance of this insight becomes clear when we juxtapose it against the backdrop of the Rehabilitation Industry's operational model. As these centers predominantly operate on a fee-for-service model, the economic disparity inadvertently contributes to a treatment disparity. This dichotomy is evident in the differential access to rehabilitation services, which is primarily determined by an individual’s financial capability. Thus, this crucial finding urges a re-evaluation of the current funding models and economic strategies within the rehab industry.

From a geographical perspective, the report indicates a stark urban-rural divide in heroin addiction patterns and subsequent treatment accessibility. Urban areas, with their higher population density, have a higher concentration of rehab facilities as they represent a larger customer base for these centers. However, the rural areas, despite having an undeniable prevalence of heroin addiction, are often underserved due to lack of infrastructure and resources. This insight underscores the need for a more strategic allocation of resources to cater to rural communities.

On a temporal spectrum, the report showcases an alarming trend of increasing heroin use over the last decade, a phenomenon corroborated by data from the Substance Abuse and Mental Health Services Administration (SAMHSA). Pertinently, the rise in heroin use has not been accompanied by a commensurate increase in the number of rehabilitation facilities or treatment programs, highlighting an ever-widening treatment gap.

Our attention now turns to the methodologies employed in the heroin rehab industry. The report underscores two primary treatment modalities – Medication-Assisted Treatment (MAT) and cognitive-behavioral therapy. MAT, involving the use of medications like Methadone or Buprenorphine, aims at reducing physical dependence on heroin. The other modality, cognitive-behavioral therapy, seeks to change the thought patterns and behaviors that lead to heroin addiction.

Each of these approaches comes with its unique set of pros and cons. MAT, while proving effective in reducing withdrawal symptoms and cravings, has been criticized for potentially creating a new dependence. On the other hand, cognitive-behavioral therapy, though effective in providing tools to prevent relapse, does not address the physical symptoms of withdrawal. This comparison illuminates the need for an integrated and holistic approach which combines the strengths of both modalities.

Speculating on the future trajectories of the heroin rehab industry, it seems likely that technological advancements will play a pivotal role. The integration of telemedicine and digital health technologies can potentially address the challenges of accessibility and affordability, and foster a more inclusive treatment environment. However, this is contingent upon policy-level changes that encourage technological integration and ensure equitable access.

In summation, the heroin rehab industry report provides fundamental insights into the complex mechanics of the sector. A profound understanding of these dynamics is vital for fostering an effective, equitable, and accessible treatment landscape. The proposed solutions, though conjectural, are borne out of a synthesis of these findings and insights, and serve as plausible pathways towards a more responsive and resilient heroin rehab industry.