Always tired & running on empty? Monoferric® can fully restore your iron levels in a single session, a nurse-monitored infusion when oral supplements have not worked.
Deeper-than-usual pregnancy fatigue? Safe, closely monitored Venofer® iV iron infusions for pregnant and postpartum patients, coordinated with your OB, midwife or primary care provider.
A concentrated solution from your own blood, rich in anti-inflammatory proteins, injected into the knee under ultrasound guidance. One visit, one injection.
Diagnostic ultrasound confirms the injury, then guides the injection in real time.
+
From your own blood
Concentrated platelets and growth factors, prepared on-site in 10–15 minutes.
1×
Same-day treatment
Blood draw, preparation and injection in a single visit.
$
Clear, up-front pricing
Single injection or a 2-injection protocol, with receipts for your insurer.
Choose your path
Information for patients & health-care providers
Regenerative Medicine
SportVis™ | Hyaluronic Acid
Tennis Elbow & Ankle Sprains
Optimize Your Health
Two quick injections of STABHA™, the only Health Canada-approved hyaluronic acid formulated for soft-tissue injuries. Designed to help you return to sport, work and daily life.
One 4 mL dose into the knee joint. No series of visits.
24h
Fast-Acting
The corticosteroid calms inflammation, with relief that can begin within a day.
6mo
Long-Lasting
MonoVisc® hyaluronic acid cushions the joint for up to 6 months of relief.
◎
Ultrasound-Guided
Administered by our medical team with real-time ultrasound for precise placement.
Choose Your Path
Information for patients & health-care providers
Regenerative Medicine
Botox®
TMJ Bruxism & Migraines
Release
Relieve
Restore
Relaxes overworked jaw muscles to ease TMJ pain, clenching and grinding, and is Health Canada–approved to help prevent chronic migraine. Quick 15–30 minute sessions with no downtime.
Botulinum toxin type A is a purified protein that temporarily relaxes the muscles it's injected into by quieting the nerve signals that make them contract. Used precisely, it can calm overworked jaw muscles, help prevent migraine attacks, and smooth the lines that form from repeated expression.
What changes from one use to the next is the dose and where it's placed. We tailor both to your goals and health history.
Typical dose: 30–50 units Repeat: every 3–4 months
Overworked jaw muscles (the masseter and temporalis) can cause jaw pain, clenching, grinding and tension headaches. Relaxing these muscles may help ease pain and reduce clenching, while you can still talk and chew normally.
May ease jaw, face and temple pain
May reduce clenching and grinding that wears down teeth
May soften a bulky jawline caused by muscle overuse
Relief often begins within 1–2 weeks
Headache
Chronic migraine
Health Canada–approved use
Typical dose: 155–195 units Repeat: every 12 weeks
For adults with chronic migraine: 15 or more headache days a month, each lasting 4 hours or more. Small injections across the forehead, temples, back of the head, neck and shoulders help block the pain signals involved in migraine.
Fewer headache days each month for many people
Milder attacks and better day-to-day function
May reduce reliance on daily or rescue medication
Benefit often builds over the first 2–3 treatment cycles
Aesthetic
Wrinkle relaxation
Approved cosmetic uses
Typical dose: 30–60 units Repeat: every 3–4 months
Softens lines that form from repeated expression and helps keep new creases from setting in. We aim for a refreshed look that keeps natural movement.
Frown lines between the brows (“11s”)
Forehead lines and crow's feet
Bunny lines, lip flip and chin dimpling
Subtle brow lift and neck bands, in selected cases
Who may benefit?
Treatment may be a good fit if you:
✓
Wake with a sore jaw, tight face or temple headaches
✓
Clench or grind your teeth, or have been told you do
✓
Notice jaw clicking or limited opening with muscle tension
✓
Have headaches on 15 or more days a month
✓
Have tried migraine preventives without enough relief
✓
Want to soften expression lines without surgery
!
Safety, in plain language
Most people tolerate treatment well. Mild redness, tenderness or a small bruise at the injection site is common and short-lived. Some people get a brief headache, neck stiffness or, rarely, a drooping eyelid or brow that settles as the product wears off. Treatment isn't suitable during pregnancy or breastfeeding, or for people with certain neuromuscular conditions. We review your health history first.
What to expect
1
Consultation
We review your symptoms or goals, health history and medications, then plan your treatment.
2
Your plan & estimate
We confirm the areas, units and cost. For migraine, our medical team helps you check coverage.
3
Treatment day
Fine-needle injections take 15–30 minutes. Most people return to normal activities right away.
4
Results & follow-up
Effects begin in 3–10 days and peak at about 2–4 weeks. Most results last 3–4 months.
Chronic migraine
Coverage & support programs
Botox® for chronic migraine can be covered. Our medical team, through Nurse Tia, helps with the paperwork. TMJ and cosmetic treatment usually aren't covered, though some extended health plans may reimburse TMJ care with a diagnosis and receipts.
Private drug plans
Many workplace and private plans cover Botox® for chronic migraine, often after a prior-approval form. We provide the documentation your insurer asks for.
Ontario Drug Benefit
If you're eligible for ODB, Trillium or OHIP+, Ontario's Exceptional Access Program may fund Botox® for chronic migraine when you have 15+ headache days a month, have tried three or more oral preventives, and are assessed by a physician with headache training.
Manufacturer support
AbbVie Care helps people prescribed Botox® with insurance paperwork and coverage applications. Your prescriber enrolls you. Phone 1-833-570-0818.
Coverage depends on your plan and eligibility and isn't guaranteed. Clinic treatment fees are billed separately from medication.
Fee schedule
Per unit
$11
Consultation
$0
TMJ & bruxism (30–50 units)
$330–$550
Chronic migraine (155–195 units)
$11 per unit
Wrinkle relaxation (30–60 units)
$330–$660
Estimates only. Your exact units are confirmed at your consultation. TMJ and cosmetic treatment repeat every 3–4 months; migraine every 12 weeks. Detailed receipts are provided for insurance.
Evidence is strongest for chronic migraine and for cosmetic lines. For TMJ and bruxism, research is still growing and results vary from person to person.
Randomized trials
1,384 adults
Chronic migraine
In the pooled PREEMPT trials, adults treated every 12 weeks had significantly fewer headache days and better quality of life than those given placebo.
Health Canada approves Botox® for preventing headaches in adults with chronic migraine. Use for TMJ and bruxism is off-label and based on clinical judgment.
Testing chosen for your history, not a fixed panel.
+
Evidence Informed
Conventional assessment with a functional approach.
2
Two Clinics
Mississauga and Oakville, plus virtual consults.
Our Functional Medicine Approach
Your whole health
Functional medicine at MedCAiRE Health is our approach to care. We integrate conventional medical assessment with a deeper analysis of the factors that shape your health: history, symptoms, medications, nutrition, sleep, exercise and relevant blood lab results.
Our Nurse Practitioner identifies what may be affecting your health and creates a clear, personalized plan to move you forward. Your next steps may include lifestyle changes, treatment, additional testing or a specialist referral.
Whole-Picture Assessment
Health history, symptoms, goals and family history reviewed together, not one symptom at a time.
Medically Guided
Assessment, diagnosis within scope, prescribing and monitoring by a licensed Nurse Practitioner.
Targeted Testing
Bloodwork chosen for your history and presentation, not a fixed panel for everyone.
Connected Care
We work alongside your family physician, specialists and pharmacy where needed.
Your assessment is individualized. Depending on your goals and history, it may include:
01
Health History
Past conditions, diagnoses and care to date
02
Symptoms & Goals
What brings you in, and what you want to change
03
Medication
Current prescriptions and supplements
04
Family History
Inherited risk factors worth knowing about
05
Lifestyle, Sleep & Stress
Daily patterns that influence health
06
Nutrition & Exercise
How you eat, move and recover
07
Metabolic Risk
Blood pressure, weight trends and markers
08
Lab Testing
Ordered when your history calls for it
09
Prevention & Screening
Age-appropriate screening discussions
Bloodwork & Diagnostic Review
Your Health Data
Lab results are most valuable alongside your symptoms, health history and goals. Testing may include:
Common Markers
✓
Complete blood count (CBC)
✓
Ferritin & iron studies
✓
Vitamin B12
✓
Vitamin D
✓
Glucose & HbA1c
✓
Fasting insulin, where appropriate
✓
Lipid profile
✓
Liver & kidney function
When Indicated
✓
Thyroid (TSH, free T4, free T3)
✓
Thyroid antibodies
✓
Inflammatory markers
✓
Hormone testing
✓
Other tests based on your history
i
No one-size-fits-all panel
There is no single panel everyone receives, and not every result outside the reference range needs treatment. Your Nurse Practitioner explains what your results mean for you.
Metabolic health covers how your body manages blood sugar, fats, blood pressure and energy. We look at these markers together with sleep, stress, activity, medications and thyroid health to understand your overall risk.
What We Look At
✓
Glucose regulation, HbA1c and insulin resistance
✓
Cholesterol and lipid levels
✓
Blood pressure
✓
Body composition and lean mass
✓
Thyroid considerations
✓
Medications that may affect metabolism
Nutrition That Fits Your Health
✓
Eating patterns that suit your goals and preferences
✓
Adequate protein and fibre
✓
Meal structure that fits your day
✓
Micronutrients, guided by bloodwork
✓
Realistic habits you can keep
Medically Guided Weight Management
A plan built on metabolic assessment, sustainable nutrition, activity and strength training, sleep, and regular follow-up, with medical factors and medications reviewed along the way.
For Eligible Patients
Prescription Weight Management
For eligible patients, prescription medication may be considered as one part of a broader plan that includes nutrition, activity, metabolic assessment and ongoing monitoring. Eligibility is determined by our Nurse Practitioner after assessment and bloodwork.
How Your Health Connects
Hormones, thyroid and nutrients
These systems often overlap. We review them together when clinically relevant, then point you to the right care.
Hormonal Health
Women's & Men's Hormones
Perimenopause, menopause, PCOS and cycle health have a dedicated pathway. Hormone-related concerns in men are assessed here as part of a full review.
Thyroid issues can affect energy, mood, weight and hair, but so can many other things. Testing may include TSH, free T4, free T3 and antibodies when indicated.
Iron & Nutrients
Ferritin, B12 & Vitamin D
Low iron, B12 or vitamin D are common and easy to miss. Your results guide whether oral, injection or iV options make sense.
Many risks build quietly. A preventive review helps you see where you stand, identify relevant risks and make informed decisions about what to do next.
Heart & Metabolic
Blood pressure, cholesterol and glucose in context.
Family History
Knowing what runs in your family shapes screening.
Strength & Bone
Muscle and bone health for mobility and independence.
Sleep & Energy
Sleep, stress and nutrients reviewed when energy is low.
How It Works
Your assessment, step by step
1
Book your assessment
In person at either clinic or virtually. No referral needed.
2
Review your health history
Symptoms, goals, medications and family history.
3
Targeted testing
Bloodwork where appropriate for you.
4
Review your results
What they mean and the options available.
5
Build your plan
Agreed together, based on your goals.
6
Follow up & monitor
Progress reviewed and the plan adjusted.
Connected Care
Part of your care team, not a replacement for it
Functional medicine works best alongside conventional care. With your permission, we share findings and coordinate with the people already looking after you.
Family physician
Specialists
OB/GYN
Endocrinology
Pharmacy
Other treating clinicians
Fee schedule
Initial assessment
$190
Initial Health Assessment (in clinic or virtual)
$190
Results Review & Plan
$0
Any testing, prescriptions or treatment are discussed with you before they happen. Clinic fees are not covered by OHIP; many extended health plans reimburse Nurse Practitioner visits, and detailed receipts are provided.
Precision nutrient drips that go straight to the bloodstream. Recharge your energy, sharpen your focus, accelerate recovery and power up your metabolism, all monitored by a registered nurse.
Free 15-min phone or virtual consult before your first drip.
RN
Nurse-Administered
Placed and monitored by a registered nurse.
$
Starting at $180
Bundled care package (coming soon). Single drips $260.
2
Two Clinics
Mississauga and Oakville. Self-referrals welcome.
How iV Therapy Works
Skip the gut & straight to the bloodstream.
Unlike oral supplements, IV therapy delivers vitamins, minerals, amino acids, and hydration directly into your bloodstream, bypassing digestion for immediate availability.
Each treatment begins with a personalized health review to ensure the infusion meets your needs. Relax in a comfortable, private room while our nurse administers your IV therapy, typically 45–60 minutes.
HydrationEnergyRecoveryImmune Support
Made Fresh, Never premixed.
We prepare each iV as a single dose, right before your infusion. No third-party iv bags, Never stored refrigerated product.
Watch: a drip at MedCAiRE, in under a minute.
The Drip Menu
Choose your protocol.
9 iV drips, each built around a goal. Not sure which one fits? Book a free 15-minute phone or virtual consult and your nurse can tailor a formula best suited to you.
Most PopularRecharge
Myers' Cocktail
The original performance drip.
This formula was first developed by Dr. John Myers in the 1970s. A broad-spectrum reset of B vitamins, vitamin C and key minerals with fluids. It's the basis of any functional medicine practice.
Your gut caps how much vitamin C you can absorb from pills. Delivered by iV, vitamin C reaches blood levels many times higher than any oral dose, where it works as a powerful antioxidant. HDVC is integral in functional medicine, and is studied as a complement to conventional cancer care.
Vitamin C, Zinc, & B-complex vitamins with a balanced electrolyte blend. Vitamin C and zinc contribute to normal immune function. This formula can be further tailored and modified to your needs. Most people book it in early fall, ahead of the busy season.
Known as the "universal antioxidant," ALA works in both water and fat throughout the body. It helps calm inflammation and oxidative stress, supports nerve and brain health, glucose metabolism and detox, and recharges glutathione and vitamin C.
ALA is best known for its role in diabetic and peripheral neuropathy, and is studied as supportive care for chemotherapy-related neuropathy.
Targeted nutrients to support fat metabolism, energy production, lean muscle and metabolic health. L-carnitine shuttles fatty acids into your mitochondria to be burned for energy, while MIC and B12 power fat and liver metabolism. Use it to kickstart a weight-loss program, reset after periods of overindulgence, or level up your fitness and nutrition routine.
L-Arginine for circulation and exercise performance
Phosphatidylcholine is a key building block of every cell membrane and is involved in how the body transports and processes fats and cholesterol. It supports healthy lipid balance, liver health and vascular function as part of your metabolic and weight-management program.
Glutathione is the antioxidant your body makes itself, central to cellular defence and your natural detoxification pathways. A biohacker favourite on its own or as an add-on after another drip, and also available as a quick injection.
NAD+ is a coenzyme found in every cell, essential for turning food into energy in your mitochondria and for the body's normal DNA repair processes. Levels decline with age, which is why NAD+ has become a cornerstone of longevity-focused care.
Pure rehydration, no extras. A balanced electrolyte solution of sodium, potassium, calcium and lactate, delivered straight into your bloodstream to restore fluids quickly. Ideal when you want fluids without added vitamins.
Not covered by OHIP. Some extended health plans reimburse the cost; detailed receipts are provided. Iron infusions are a separate medical service: see Iron Deficiency & Anemia.
Is a Drip Right for You?
Built for people who want to perform at their best.
Running low on energy? Recharge with B vitamins, minerals and hydration.
Training hard or travelling often? Rehydrate and recover between efforts.
Interested in immune support? Get ahead of the fall and winter season.
Working on weight or metabolic health? Power up your plan with targeted nutrients. See our Health Assessment.
Safety, in plain language
Most people tolerate nutrient iVs well. Mild, short-lived effects such as tenderness or bruising at the needle site, a cool sensation in the arm or light-headedness can happen. iV therapy isn't right for everyone: pregnancy, breastfeeding, some kidney or heart conditions and certain medications need a different approach, so we review your history first.
G6PD screening is required before High Dose Vitamin C (HDVC). It's a simple blood test that confirms high-dose vitamin C is safe for you & we also check kidney function. Our other vitamin C drips, including the Myers' Cocktail and Immune Support, don't need this test.
Every drip is placed and monitored by a registered nurse.
Your Visit
From consult to drip in four steps.
1
Free 15-Min Consult
By phone or virtual: your goals, health history, medications and any recent bloodwork. No fee.
2
Screen & Formula
Booking High Dose Vitamin C (HDVC)? A G6PD blood screen clears you first. We design your formula and confirm the price up front.
3
Drip Day
A registered nurse places your iV in a private room and monitors you throughout.
4
Your Rhythm
Some come monthly, others seasonally. Your nurse sets the timing that suits you.
★★★★★
“I had a great experience at Medcaire Health. Nurse Tia was incredibly helpful and knowledgeable—I learned a lot from her during my visit. I received the IV Myers Cocktail, and she stayed by my side the entire time, which made me feel very comfortable and at ease. She is truly caring and attentive to her patients. Highly recommend!”
Settle into a private chair while your nurse paces the drip to you. Work, stream or switch off for 1.5 to 3 hours, then walk straight back into your day.
1.5–3 HoursPrivate ChairZero Downtime
What Is NAD+
The molecule your cells run on.
A coenzyme found in every living cell, NAD+ is the charge in your cellular batteries. Levels tend to fall as we age, which is why it sits at the centre of longevity science.
Fuel
Powers the mitochondria
Drives the reactions that make ATP, the energy every cell spends.
Repair
Feeds DNA repair
The enzymes that maintain your DNA burn NAD+ as they work.
Signal
Switches on sirtuins
The “longevity proteins” that tune metabolism and stress response.
Why iV NAD+
The Big Gun of iV Therapy.
NAD+ is the flagship of our drip menu: the full molecule, infused straight into the bloodstream and paced by a registered nurse.
Straight to the source.Delivered directly into circulation.
Slow by design.Paced to you for a smooth, comfortable session.
Built into your protocol.Stack it with the drips that fit your goals.
Potential Benefits
Your mental and physical reboot.
Calm
1. Inflammation
Raising NAD+ lowered inflammatory markers in a double-blind trial.
Circulate
2. Heart & Vessels
Early trial data on healthier blood pressure and arteries.
Metabolic
3. Metabolic Health
Raising NAD+ improved muscle insulin sensitivity in a placebo-controlled trial.
Recharge
4. Energy & Vitality
Fuel for the cellular engine when you're running on empty.
Sharpen
5. Focus & Clarity
Popular before big launches, deadlines and presentations.
Perform
6. Recovery
A recovery tool for athletes and hard trainers.
Longevity
7. Healthy Aging
Restores a molecule that naturally declines with age.
Balance
8. Mood & Resilience
Back-up for busy seasons and high-stress stretches.
Benefits 1–3 link to the research below. Results vary by person.
The Protocol
Load, then maintain.
NAD+ works best as a series, built around your goals.
Scientific ReviewNAD+ and the biology of aging. How NAD+ drives energy, DNA repair and sirtuin signalling, and why it declines with age. Covarrubias et al., Nature Reviews Mol Cell Biol, 2021.Read →
Results vary by person. Your MedCAiRE clinical team will confirm whether NAD+ suits you.
★★★★★
“Nurse Tia was incredibly helpful and knowledgeable. I received the IV Myers Cocktail, and she stayed by my side the entire time, which made me feel very comfortable and at ease. Highly recommend!”
Nikki M. · Google review · Oakville · 4.9 Oakville / 4.8 Mississauga on Google
Safety
Comfortable when it's slow.
Warmth, flushing, a flutter in the stomach or chest tightness can happen during the drip. Your nurse eases the rate and it usually settles within minutes.
Not for pregnancy or breastfeeding, active cancer treatment, or some heart and kidney conditions. We review your history at your consult first.
Part of a Plan
NAD+ delivers the most alongside sleep, nutrition and training, and works with your regular care. Pair it with a Comprehensive Health Assessment.
iV Therapy & Nutraceuticals
iV Glutathione
The Master Antioxidant Protocol
Optimize Your Health
Your body's own frontline defence against oxidative stress, delivered straight to the bloodstream by a registered nurse. A clean-up crew for cells working hard, training hard and aging well.
Glutathione is a small molecule built from three amino acids (glutamine, cysteine and glycine) and found in nearly every cell. It's often called the master antioxidant because it neutralizes free radicals directly and helps recharge other antioxidants. Your liver makes the most of it, and stress, illness and age can draw stores down.
Neutralize
Quenches free radicals
Glutathione donates electrons to unstable molecules, helping protect cell membranes, proteins and DNA from oxidative damage.
Recycle
Recharges other antioxidants
It helps regenerate vitamins C and E after they've done their job, keeping your wider antioxidant network running.
Process
Supports liver detox pathways
In the liver, glutathione binds to toxins and waste products so the body can clear them, one of its best-understood roles.
Why iV
Skip the gut. Go straight to the source.
Much of the glutathione you swallow is broken down during digestion before it reaches your cells. Daily oral supplements can raise levels slowly, over months. An iV delivers glutathione directly into the bloodstream in a single nurse-monitored session.
Oral Supplements
Partly broken down by digestion
Levels build slowly, over months
Taken daily at home, unsupervised
iV Glutathione
Delivered directly to the bloodstream
Bypasses the digestive system
Ordered and monitored by our clinical team
Potential Benefits
Defend, recover, restore.
What people come in for. Responses vary from person to person, and your consultation sets realistic goals for you.
Antioxidant Defence
May help restore glutathione stores when oxidative stress is running high. 1
Liver Support
Supports the liver's natural clearance pathways. Early research in fatty liver is promising. 2
Recovery & Performance
Hard training creates oxidative stress. A tool for athletes looking to bounce back between efforts.
Healthy Aging
Oxidative stress is one of the drivers of cellular aging. Part of a longevity plan with sleep, strength and bloodwork.
Immune Support
Immune cells rely on glutathione to work properly. Pairs well with our Immune Support iV.
Skin Health
Antioxidant support for skin exposed to sun, pollution and stress. Not a skin-lightening treatment.
Brain & Nerve Health
The brain is especially sensitive to oxidative stress. Research here is early and still evolving. 3
Bounce Back
Popular after travel, long work stretches or periods of overindulgence.
Numbered findings link to studies in What the research shows. Most human trials so far used oral glutathione; trials of the iV form are still small.
Two Ways to Take It
The full drip, or a quick shot.
Glutathione is one of the few therapies on our menu offered both ways. Your nurse helps you choose based on your goals, schedule and what else is in your plan.
Most people tolerate glutathione well. Tenderness or bruising at the needle site, a brief odd taste, mild stomach upset or light-headedness can happen and usually pass quickly.
It isn't right for everyone. Pregnancy, breastfeeding, asthma, active cancer treatment, some kidney or liver conditions and certain medications need a different approach. We review your history at your consultation, and every treatment is ordered only after that review.
We don't offer glutathione for skin lightening.
+
Part of a plan, not a shortcut
Glutathione delivers the most alongside sleep, nutrition and movement, and it works with your regular medical care, not instead of it. Managing a liver or neurological condition? Keep your doctor in the loop.
Clinical Evidence
What the research shows.
Glutathione's role as an antioxidant is well established. Human trials of glutathione as a therapy are smaller and more mixed, and most used the oral form. Here's an honest snapshot.
1Randomized Trial
Raising body stores
In healthy adults, six months of daily oral glutathione raised glutathione levels in blood and other tissues compared with placebo.
Richie et al., European Journal of Nutrition, 2015
In an open-label pilot in people with non-alcoholic fatty liver disease, four months of oral glutathione alongside lifestyle changes lowered liver enzyme (ALT) levels. Larger trials are needed.
A small placebo-controlled trial of iV glutathione found it well tolerated, but symptom changes were not significantly different from placebo. It's one reason we don't present glutathione as a treatment for disease.
A widely cited review explains glutathione's roles in neutralizing oxidants, recycling other antioxidants and helping the body process toxins, and how it is made in the body.
Forman, Zhang & Rinna, Molecular Aspects of Medicine, 2009
Results are not guaranteed and vary by person. Your MedCAiRE clinical team will confirm whether glutathione suits you.
★★★★★
4.9 Oakville (31 reviews) · 4.8 Mississauga (54 reviews) on Google
“I had a great experience at Medcaire Health. Nurse Tia was incredibly helpful and knowledgeable—I learned a lot from her during my visit. I received the IV Myers Cocktail, and she stayed by my side the entire time, which made me feel very comfortable and at ease. She is truly caring and attentive to her patients. Highly recommend!”
Targeted nutrients in a single shot, given by a registered nurse in minutes. Recharge your energy, support your immune system and top up between drips, with no downtime.
By phone or virtual. Goals, health history, medications and any recent bloodwork.
2
Your Plan
Which shot, how often and the price, confirmed up front. Vitamin D3 needs a recent blood test.
3
Injection Day
A registered nurse gives your shot in a private room. It takes minutes, with no downtime.
4
Your Rhythm
Weekly, monthly or seasonal. Your nurse sets the timing and adjusts as you go.
Safety, in Plain Language
Quick, simple and well tolerated.
Most people tolerate vitamin injections well. Brief soreness, redness or a small bruise where the needle went in is common and settles quickly.
Shots aren't right for everyone. Pregnancy, breastfeeding, bleeding disorders or blood thinners, some kidney or liver conditions and certain medications need a different approach, so we review your history at your consult first. Vitamin D3 is dosed only after a recent blood test.
Part of a Plan
A boost, not a shortcut.
Injections deliver the most alongside sleep, nutrition and movement, and they work with your regular medical care, not instead of it.
“Nurse Tia was incredibly helpful and knowledgeable. I learned a lot from her during my visit. She is truly caring and attentive to her patients. Highly recommend!”
Osteopathy is a hands-on, drug-free approach to pain and movement. Your osteopath looks at how your joints, muscles, fascia and nerves work together, then treats the area that hurts and the areas that may be loading it, like a stiff hip behind a sore knee.
At MedCAiRE we pair that hands-on work with functional exercise, so the relief you feel on the table carries into training, work and daily life.
Drug-FreeWhole-Body AssessmentSports & Everyday InjuriesReturn-to-Activity Plan
Five stages, one plan. Most people move through them over a few visits; athletes and post-injury patients may spend longer in the later stages.
1
Stage 1 of 5
Assess
We look past the sore spot: posture, joint motion, muscle balance and how you move under load. You leave understanding what we found and why.
How We Treat
Three ways we get you moving.
Your plan blends what you need. Most visits combine hands-on work with movement; regenerative or medical care is added only when your assessment points to it.
Osteopathic Manual Therapy
Precise, hands-on techniques chosen for your body and your goals that day.
Soft Tissue Work
Muscles, connective tissue and fascia, to ease tension and support circulation.
Joint Mobilization
Gentle articular techniques to restore range of motion and ease irritated tissue.
Cranial Osteopathy
A subtle approach to the head, spine and sacrum, often used for tension and headaches.
Visceral Manipulation
Gentle work around the abdomen, where tension may be feeding into back or hip pain.
Added where they help: trigger point therapy, myofascial release, lymphatic drainage and sports massage.
Built Into Your Visits
Treat it on the table. Train it on your feet.
Rehab is part of your osteopathy care, and also available through our Physio & Athletic Therapy service.
Functional Exercise Rehab
Relief lasts longer when your body can hold it. We coach the movements that matter to you, from carrying groceries to a 10K.
Movement Screen
How you squat, hinge, reach and balance, to see where load is going.
Mobility & Control
Range you can actually use, built with control rather than stretching alone.
Strength Progressions
Graded loading for tendons, joints and the muscles that protect them.
Return to Sport & Work
Sport- or job-specific drills, plus a home program to keep progress going.
Some injuries need more than hands and movement. Because we are an integrated clinic, your osteopath can bring in the right next step without sending you across town.
Sudden severe pain, numbness, weakness or loss of bladder or bowel control needs urgent medical care. Call 911 or go to your nearest emergency department.
Filipe Corredoura
Osteopath Manual Practice · Clinic Director
Your Osteopath
25+ years of hands-on care.
Filipe Corredoura founded MedCAiRE's manual therapy practice and has spent more than 25 years treating sport, work and motor vehicle injuries. A recreational triathlete himself, he knows what it takes to train, recover and get back out there.
Trained in Osteopathic Manual Therapy at the Canadian College of Osteopathy and the Southern Ontario College of Osteopathy, with diplomas in Athletic Therapy (Sheridan College), Massage Therapy and Acupuncture (McMaster University).
Sports and active-lifestyle injuries
Chronic and recurring pain, posture and desk-related strain
Rehab after injury or surgery, once cleared by your surgeon
Your history, your pain, and what you want to get back to.
2
Assess
Posture, joints, tissue and movement tests, head to toe.
3
Treat Today
Hands-on treatment starts in your first session.
4
Your Plan
Visit rhythm, home exercises and any next steps, agreed together.
Fees & Coverage
Wear comfortable clothes you can move in, like shorts and a t-shirt. Osteopathy is not covered by OHIP, but many extended health plans include it. We provide detailed receipts for your insurer.
Initial assessment & treatment$180
Follow-up treatment Based on session length$100–$180
Fine, sterile, single-use needles placed at specific points to influence the nervous system, ease muscle tension and support pain relief. We use it alongside manual therapy and rehab, not instead of it.
May help with
Neck and back pain, tension-type headaches, stress and sleep.
What it feels like
A light prick at insertion, then 15–20 minutes of rest on the table.
★★★★★
[Placeholder: add a real Google review about osteopathy or a sports injury before publishing to production.]
Name · Google review · Clinic
4.9 Oakville (31 reviews) · 4.8 Mississauga (54 reviews) on Google
Injections need imaging (X-ray or MRI) first. Our Nurse Practitioner can provide requisitions.
Your Rehab Pathway
Progress you can see, stage by stage.
You move on when you're ready, not when the calendar says so. Your therapist checks strength, range and confidence along the way and adjusts the plan with you.
1
Settle
Calm pain and protect what is healing.
2
Restore
Get range of motion and control back.
3
Strengthen
Build load capacity, one step at a time.
4
Return
Rehearse your sport, job and daily tasks.
5
Stay Ahead
A simple plan to keep moving well.
Your First Visit
What happens when you come in.
Your first session is about understanding your injury and your goals, then getting started the same day.
1
Your Story
Injury history, past care and what you want to get back to.
2
Movement & Injury Testing
Strength, range, balance and how you move under load.
3
Start Treatment
Hands-on care where it helps, plus your first exercises.
4
Leave With a Plan
Visit rhythm, home program and milestones, agreed together.
Wear clothes you can move in, like shorts and a t-shirt. Bring any imaging reports or surgical notes you have.
Coverage differs by plan and discipline. Check your extended health plan before booking.
Your Rehab Team
Athletic therapists who train, too.
Two clinicians with sport in their background and rehab at the centre of their work.
Emma Daigle
Certified Athletic Therapist, CAT(C)
Emma holds a Bachelor’s degree in Athletic Therapy from Sheridan College and is a Certified Personal Trainer Specialist. A former international synchronized skater for Canada, she builds rehab and training plans that help you recover from sport and work injuries and stay ready for what comes next.
Filipe Corredoura
Athletic Therapist · Osteopath Manual Practice · Clinic Director
Filipe brings more than 25 years of hands-on care for sport and work injuries. He holds a diploma in Athletic Therapy from Sheridan College and trained in osteopathic manual therapy. A recreational triathlete, he knows what it takes to train, recover and get back out there.
Not covered by OHIP. Some extended health plans cover athletic therapy, so check your plan. Detailed receipts are provided.
Related Service
Massage therapy, at our Mississauga clinic
Hands-on soft tissue treatment to ease muscle tension, support recovery between training sessions and help you feel looser. It pairs well with an active rehab plan.
Techniques
Swedish, deep tissue, myofascial release, trigger point work and lymphatic drainage.
What to expect
You stay draped and comfortable. Pressure and focus are set to your goals.
★★★★★
[Placeholder: add a real Google review about athletic therapy or a sports injury before publishing to production.]
“I’ve been getting the iron IV with nurse Tia and nurse Catherine. It’s been such a great experience from the initial inquiry, through to the after care follow up… warm, welcoming, and transparent about the process.”
Google review · Oakville clinic
★★★★★
“My daughter had 2 iron infusions… She started feeling better within a week of her first infusion. Nurse Tia was amazing at explaining everything to my daughter and making her feel comfortable.”
“Wonderful experience for an iron infusion. Catherine & Tia are super kind and welcoming. The environment and clinic are calm and welcoming as well. Highly recommend!”
Google review · Oakville clinic
★★★★★
“I’ve been getting the iron IV with nurse Tia and nurse Catherine… such a great experience from the initial inquiry, through to the after care follow up. Warm, welcoming, and transparent about the process.”
Iron deficiency affects millions of people, leaving you fatigued, foggy, and running on empty. At MedCAiRE Health, we offer advanced intravenous iron therapy using Health Canada-approvedVenofer® and Monoferric®, restoring your iron levels quickly and safely — especially when oral supplements haven't worked.
Appropriate for ages 14 to Adults.
Are you Pregnant or postpartum? We offer OB-approved iV iron care — see our dedicated Pregnancy iV Iron webpage.
Who Benefits from iV Iron Therapy?
iV iron may be considered when iron stores can't be adequately restored through diet or oral supplementation, including:
Iron deficiency, with or without anemia
Chronic fatigue, burnout, or brain fog
Dizziness, frequent headaches, or shortness of breath
Heavy menstrual bleeding, Ongoing or unexplained blood loss
Poor tolerance or inadequate response to oral iron supplements
Cold hands, feet, pale skin, or brittle nails
Your Treatment Options:
Venofer® (Iron Sucrose)
Small gentle doses spaced over 2–3 visits
Ideal for those with complex health needs, lower-dose preferences and pregnancy
Monoferric® (Iron Derisomaltose)
A high-dose option that can fully restore iron levels in a single visit — fewer appointments, faster relief from fatigue and other symptoms.
Often just one infusion needed
Fewer visits than Venofer®
Ideal for moderate-to-severe deficiency or those who haven't responded well to oral iron
Your MedCAiRE provider will recommend the best option based on your current iron status, blood tests, medical history, and stage of pregnancy.
What to Expect, Step-by-Step
Before initiating treatment, we perform a detailed blood panel assessment of your iron status and help guide your personalized therapy plan. These blood labs help determine the optimal dose, formulation and frequency of iV iron while ensuring your treatment is safe and effective. Treatment is never based on a single lab value alone. We also monitor your levels post-treatment to confirm iron stores are replenished without risk of overload.
Step 1: ✅Consultation & Bloodwork
Book 15-minute consultation by phone 905-848-3010 or email Tia@MedCAiRE.ca or create an online profile via our website.
No family doctor? No problem — We can help arrange bloodwork for you.
Deposit fee: $90 (credit card or eTransfer) initiates your blood work review and coordination of your medication order via the pharmacy.
Consultations may be completed in-person, by telephone or virtually via computer or mobile phone.
Prior to your consult appointment, please email a complete copy of your recent bloodwork to Tia@MedCAiRE.ca
If you already have bloodwork from your family physician, OB or midwife, we will review and place your pharmacy order.
Step 2: ✅Personalized Treatment Plan
We'll walk you through your results and recommend Venofer® or Monoferric® based on your needs
We coordinate your medication order directly with the pharmacy — they'll call you to confirm insurance details and coverage
Your medication is dispensed straight to our clinic, ready for your infusion day
Your infusion appointment is scheduled at our Mississauga or Oakville clinic at the conclusion of our consultation.
Step 3:✅Infusion Day
Quiet, comfortable, private infusion room
Your iV is placed by an experienced RN medical team member
Infusion takes 45–90 minutes, with monitoring throughout
Infusion fee: $390 (balance of $300 due upon infusion)
Reimbursed by most extended health Insurance companies, detailed receipt provided.
FEE SCHEDULE
Consultation
$0
Blood Work Review & Pharmacy Coordination
(deposit) $90
Infusion Day
(balance due) $300
+ Medication (per 500mg-1000mg)
$280-$530 (covered by most insurance plans)
$390 total clinic fee
Medication is coordinated through pharmacy and billed separately, covered by most insurance drug plans.
Repeat bloodwork 6–8 weeks later confirms your iron stores are restored
Venofer® is typically given 1–2 times per week over several weeks
Monoferric® is a one-time infusion
Your follow-up plan is customized to your results, symptoms and how you're feeling.
Book Your iV Iron Consultation Today!
If you’re constantly fatigued, or struggling with unexplained mental fog, low energy and weakness, don’t ignore the signs, iron deficiency could be the root cause. Our expert team will guide you through every step, from diagnostic testing to therapy and beyond.
Iron deficiency affects millions of people, leaving you fatigued, foggy and running on empty. We offer intravenous iron therapy using Health Canada-approved Monoferric® and Venofer®, restoring your iron levels quickly and safely, especially when oral supplements haven't worked.
When iron stores can't be restored through diet or oral supplements, including:
✓
Iron deficiency, with or without anemia
✓
Chronic fatigue, burnout or brain fog
✓
Dizziness, frequent headaches or shortness of breath
✓
Heavy menstrual bleeding, ongoing or unexplained blood loss
✓
Poor tolerance or response to oral iron
✓
Cold hands and feet, pale skin or brittle nails
Your treatment options
Adults & teens
This page
Monoferric® (iron derisomaltose)
A high-dose option that restores iron levels in a single visit.
· Often just one infusion needed · Fewer visits than Venofer® · Ideal for moderate-to-severe deficiency
Used in pregnancy
Venofer® (iron sucrose)
Small, gentle doses spaced over 2–3 visits.
· Ideal for complex health needs · Suits lower-dose preferences · Used in pregnancy
Your MedCAiRE provider recommends the best option based on your iron status, blood tests and medical history.
!
Safety, in plain language
iV iron is generally well tolerated. Some people have mild, temporary effects like flushing or a headache. Serious reactions are uncommon, and a registered nurse monitors you closely throughout your infusion.
What to expect
1
Consultation & bloodwork
A 15-minute consult by phone, virtually or in person. No family doctor? We can help arrange bloodwork.
2
Personalized treatment plan
We recommend Monoferric® or Venofer® and coordinate your medication with the pharmacy.
3
Infusion day
A private, comfortable room. An RN places your iV; 45–90 minutes, monitored throughout.
4
Follow-up care
Repeat bloodwork 6–8 weeks later confirms your iron stores are restored.
Fee schedule
Total clinic fee
$390
Consultation
$0
Bloodwork review & pharmacy coordination(deposit)
(deposit)$90
Infusion day(balance due)
(balance due)$300
+ Medication billed direct viapharmacy(500 mg–1000 mg)(per 500 mg–1000 mg)
$280–$530
Medication is covered by most insurance drug plans.
Clinic fee is reimbursed by most extended health insurance or health spending accounts.
During pregnancy your ferritin drops significantly, and deeper fatigue is often a sign your body needs more support than oral supplements alone. We offer safe, closely monitored iV iron infusions for pregnant and postpartum patients using Health Canada-approved Venofer®, coordinated with your OB, midwife or primary care provider.
For pregnant and postpartum patients, typically from 14 weeks.
Your MedCAiRE provider confirms the right plan for your stage of pregnancy, bloodwork and medical history.
!
Safety, in plain language
Venofer® is well-studied and considered safe in the second and third trimesters. We typically see patients from 14 weeks onward, based on your bloodwork and assessment. Every treatment is coordinated with your OB, midwife or primary provider, and a registered nurse monitors you throughout your infusion.
What to expect
1
Consultation & bloodwork
A 15-minute consult by phone, virtually or in person. We review your labs and pregnancy history, and coordinate with your OB or midwife.
2
Personalized treatment plan
We confirm Venofer® is right for your stage of pregnancy and coordinate your medication with the pharmacy.
3
Infusion day
A private, comfortable session of 60–90 minutes, with a registered nurse monitoring you throughout.
4
Follow-up care
Most patients need 2–4 infusions, every 1–2 weeks. Follow-up bloodwork confirms your levels through delivery and beyond.
nSTRIDE® APS (Autologous Protein Solution) is an advanced biologic platelet-rich plasma injection for knee osteoarthritis. It uses a concentrated solution from your own blood, rich in anti-inflammatory proteins, IL-1 receptor antagonist (IL-1ra), growth factors and platelets, to target joint inflammation, pain and degeneration.
Unlike steroid or lubricating injections, nSTRIDE® is designed to interrupt the inflammatory cascade, support joint health, improve mobility and help protect cartilage from further breakdown.
X-ray confirms osteoarthritis and joint anatomy first
Who may benefit?
nSTRIDE® may be a good fit if you:
✓
Have mild to moderate knee osteoarthritis
✓
Want to avoid surgery or frequent steroid injections
✓
Had limited response to corticosteroids or hyaluronic acid
✓
Want a biologic option using your own blood
What to expect
1
Assessment & imaging
A focused knee exam and review of your diagnostics. X-ray, ultrasound or MRI may be recommended to stage your osteoarthritis.
2
Blood draw & on-site processing
A small blood sample is taken from your arm and processed in the clinic to prepare your APS solution.
3
Ultrasound-guided injection
Your APS is injected precisely into the knee joint during the same visit.
4
Recovery & rehab
Most people return to light activity within 24–48 hours, with a personalized rehab plan for your goals.
See it in our clinic
Watch Nurse Tia perform an nSTRIDE® treatment
See how your own blood is drawn, processed on-site into APS, and injected into the knee under real-time ultrasound guidance, all in one visit at our clinic.
↗
Results timeline
2–4 weeks Some patients report early improvement.
2–3 months Peak effects are often seen.
Up to 12 months Meaningful relief for many, depending on severity, activity and joint health.
Fee schedule
All-in fee
$1,290
nSTRIDE® APS injection
Included
Blood draw & on-site APS processing
Included
Real-time ultrasound guidance
Included
nSTRIDE® is not covered by OHIP. Some extended health plans may reimburse a portion depending on your plan.
Platelet Rich Plasma (PRP) is a regenerative injection made from your own blood. We draw a small sample and spin it in a centrifuge to concentrate the platelets, which are rich in growth factors. The PRP is then injected into the injured tendon, ligament or joint to support your body's natural healing and help reduce pain.
Because it comes from your own blood, PRP is a natural, non-surgical option for persistent soft-tissue injuries and early joint wear.
Best suited to chronic or partial injuries, not complete tears.
Ultrasound assessment, then a guided PRP injection
When an injury hasn't settled with rest, physiotherapy or other care, including:
✓
Chronic tendonitis and tendinopathy
✓
High-grade partial tendon tears
✓
Tennis elbow and rotator cuff pain
✓
Patellar and Achilles tendonitis
✓
Mild to moderate osteoarthritis (e.g. knee, ankle)
✓
Ligament sprains slow to heal
Potential benefits
Healing
Supports natural repair
• Growth factors from your own platelets • May reduce pain and improve function • Non-surgical, using your own blood • Pairs well with a guided rehab plan
Precision
Ultrasound guidance matters
• Confirms the exact tissue and extent of injury • Guides the needle in real time • Accurate, safer delivery • An ultrasound assessment is required before PRP
What to expect
1
Assessment & ultrasound
A clinical exam and diagnostic ultrasound confirm the injury and whether PRP is right for you.
2
Blood draw & preparation
Your blood is processed on-site in about 10–15 minutes to concentrate the platelets.
3
Ultrasound-guided injection
PRP is delivered precisely into the injured tendon, ligament or joint, the same day.
4
Recovery & rehab
Personalized aftercare and a rehab plan; osteopathy, physio or athletic therapy is often recommended.
See it in our clinic
Watch a PRP treatment at MedCAiRE
From the blood draw to on-site preparation to the ultrasound-guided injection, see what your visit looks like.
SportVis™ is a hyaluronic acid injection treatment for painful, slow-to-heal tendon and ligament injuries, most commonly chronic tennis elbow and mild to moderate ankle sprains. Hyaluronic acid is a substance your body already makes; it helps cushion, lubricate and hydrate soft tissue.
SportVis™ uses STABHA™, the only Health Canada-approved hyaluronic acid formulated specifically for soft-tissue injuries. It is given as small injections around the injured area and works alongside your body's own healing response.
Given at MedCAiRE by Tia Weigert, RN and Dinisha Patel, NP, trained in this injection technique.
When pain is keeping you from sport, work or daily activity, including:
✓
Chronic tennis elbow (lateral epicondylitis) lasting more than 3 months
✓
Grade 1 or 2 (mild to moderate) ankle sprains
✓
Ongoing pain limiting your return to sport or work
✓
Patients looking for a non-surgical, low-downtime option
Potential benefits
Relief
Less pain, better function
• May reduce pain at rest and with activity • May improve grip strength (tennis elbow) • Pain relief typically builds over several weeks • Minimal downtime after each injection
Recovery
Back to what you love
• Supports the body’s natural healing response • Studied in athletes returning to sport • Pairs well with a guided rehab plan • Non-surgical, no medication to take home
What to expect
1
Assessment
Your provider confirms the diagnosis and whether SportVis™ is right for your injury.
2
First injection
A 1.2 mL dose injected around the injured tendon or ligament; the visit is short.
3
Second injection
A second dose completes the treatment; the timing depends on your injury.
4
Recovery & rehab
Most people ease back into activity as pain settles, with a rehab plan to guide you.
✓
Before your visit
Tell your provider about any allergies and medications. Wear clothing that gives easy access to your elbow or ankle.
!
Safety, in plain language
Generally safe and well tolerated. Mild redness at the injection site may occur and settles with time. Safety has not been shown during pregnancy, while breastfeeding, or for patients under 18. Tell us about any allergies.
Diagnostic imaging (X-ray or MRI) is ideal before treatment. SportVis™ is not covered by OHIP. Some private insurance plans may cover it; the SportVis™ coverage helpline (1-855-491-5754) can help you check. Detailed receipts provided.
MonoVisc® is a viscosupplement: a clear gel of hyaluronic acid injected directly into an arthritic joint. Hyaluronic acid is what gives healthy joint fluid its slippery, cushioning quality. In osteoarthritis there is often less of it, and what remains is thinner.
MonoVisc® supplements that fluid with ultra-pure, cross-linked hyaluronic acid made to stay in the joint longer, so a single injection can ease pain for months.
Given at MedCAiRE by Tia Weigert, RN and Dinisha Patel, NP, trained in this injection technique.
When osteoarthritis pain is holding you back and exercise, physio or weight management haven't been enough, including:
✓
Osteoarthritis of the knee, hip, shoulder or ankle confirmed on X-ray or MRI
✓
Don't get enough relief from acetaminophen or other anti-inflammatories
✓
Preferring one injection to a three-visit series
✓
Looking for a non-surgical, steroid-free option
How it works
Osteoarthritis
What changes in the joint
• Cartilage wears away and bone surfaces may rub • Joint (synovial) fluid becomes thinner and less elastic • Exposed bone causes pain and reduced mobility • Bone spurs form as cushioning is lost
Viscosupplementation
Restoring the lubricant
• Hyaluronic acid injected into the joint space • Improves lubrication and shock absorption • Thought to work much like oil in an engine • Cross-linked to stay in the joint longer
Potential benefits
Relief
Less pain, for longer
• May reduce joint pain for up to six months • Knee relief can begin as early as two weeks • A single, ultrasound-guided injection • No steroid
Movement
Back to what you love
• May make walking, stairs and exercise easier • Knee, hip, shoulder and ankle • Pairs well with osteopathy or athletic therapy rehab • Non-surgical, short visit
What to expect
1
Assessment & imaging
We examine the joint and review your X-ray or MRI. No imaging yet? Our Nurse Practitioner can provide a requisition.
2
Your plan
We confirm MonoVisc® suits your joint, explain the cost and help you check coverage.
3
One injection
A single 4 mL injection into the joint under real-time ultrasound guidance. You walk out the same day.
4
Recovery & rehab
Ease back into activity over a few days, with a rehab plan from our osteopathy or athletic therapy team.
✓
Before your visit
Bring your X-ray or MRI report. Tell us about allergies, blood thinners and any recent joint injections. Wear clothing that gives easy access to the joint.
!
Safety, in plain language
Generally well tolerated. Mild, short-lived swelling or discomfort in the joint can happen. Not used with an allergy to hyaluronic acid products, a skin or joint infection at the site, or a bleeding disorder. Not studied in pregnancy, breastfeeding or children.
Fee schedule
MonoVisc® injection (one joint, product included)
$660
Real-time ultrasound guidance
Included
MonoVisc® is not covered by OHIP. Many extended health drug plans cover viscosupplements; the manufacturer's coverage guide can help you check. Detailed receipts provided.
$
Check your insurance coverage
The manufacturer's free coverage helpline can contact your insurer with you to confirm whether your plan covers MonoVisc®: 1-855-491-5754. Their coverage guide also explains how to submit a claim.
Cingal® is a hyaluronic acid knee injection for osteoarthritis pain. It combines the quick relief of a corticosteroid (triamcinolone hexacetonide) with the lasting cushioning of MonoVisc®, a high-volume, non-animal hyaluronic acid. You get both benefits from a single shot.
Works Fast
Corticosteroid
Reduces inflammation inside the joint for short-term, rapid relief.
+
Lasts
MonoVisc® Hyaluronic Acid
Restores lubrication and shock absorption for sustained relief.
=
Cingal®
Fast + Long-Lasting
Relief from as early as 24 hours, lasting up to 6 months, in one visit.
Knee Osteoarthritis
Why an arthritic knee hurts
The fluid inside a healthy knee is thick and elastic, rich in hyaluronic acid that lubricates the joint and absorbs shock. With osteoarthritis, that fluid thins, cartilage wears and inflammation builds. Stairs, kneeling and long walks start to hurt, and for some people the pain lingers at rest.
Cingal® tops the joint back up with hyaluronic acid while calming the inflammation that drives the pain.
Who May Benefit
Living with knee arthritis pain?
Cingal® may be a good fit if you:
Have mild to moderate knee osteoarthritis
Still have pain despite acetaminophen & physiotherapy
Want fast relief now and lasting relief for months
Prefer one injection over a series of visits
Want to stay active and delay or avoid knee surgery
Your Relief Timeline
Fast relief, then months of comfort
24h
Day 1
The corticosteroid begins calming inflammation.
1 wk
Week 1
Significant pain reduction in the clinical trial.
3 wk
Week 3
Greater relief than hyaluronic acid alone.
6 mo
Up to 26 Weeks
Hyaluronic acid keeps cushioning the joint.
Results vary from person to person.
Compare Your Options
Knee injections at MedCAiRE
Not sure which knee injection fits? Your assessment sorts it out. Here is how Cingal® sits beside our other knee osteoarthritis treatments.
A focused knee exam and review of your X-ray or MRI. No imaging yet? Our Nurse Practitioner can provide a requisition.
2
Your Treatment Plan
We confirm Cingal® suits your knee and health history, and prescribe it in-house. No separate trip to your doctor.
3
Ultrasound-Guided Injection
A single 4 mL injection into the knee joint, guided in real time. The visit is short.
4
Recovery & Rehab
Most people get back to their daily routine quickly. A rehab plan with strength, mobility and low-impact activity helps the relief last.
✓
Before your visit
Bring your imaging report and a list of medications and allergies. Wear shorts or loose pants for easy knee access.
!
Safety, in plain language
Cingal® is generally well tolerated. Short-lived pain, swelling, warmth, redness or bruising at the knee can occur, and some people notice facial flushing. It isn't suitable if you're allergic to hyaluronate or triamcinolone, have a skin or joint infection at the knee, or are pregnant or breastfeeding. Tell us about heart, kidney or hormone conditions so we can review whether a corticosteroid is right for you.
Not covered by OHIP. Many private insurance plans cover Cingal®, and we provide detailed receipts. The free coverage helpline at 1-855-491-5754 will call your insurer with you.
Refer your patient for iV iron infusion therapy — we accept both direct referrals for assessment or medication prescription orders.
Option 1: ✅ Direct Medication Order
You've already assessed your patient and know which formulation is appropriate. Complete the referral form and fax or email it to us — we'll coordinate pharmacy dispensing and schedule the infusion.
Option 2: ✅ Referral for Assessment
Forward your patient's recent bloodwork and health history. Our team will assess iron status, recommend the appropriate formulation, and manage the full treatment plan — keeping you informed throughout.
Send Us (Fax or eMail)
Complete the referral form below (or your own equivalent), along with your patient's most recent bloodwork.
Refer your patient for iV iron infusion therapy. We accept direct medication orders or referrals for assessment.
Option 1
Direct medication order
You've assessed your patient and know the appropriate formulation. Complete the form and fax or email it; we coordinate pharmacy dispensing and schedule the infusion.
Option 2
Referral for assessment
Forward recent bloodwork and health history. We assess iron status, recommend the formulation and manage treatment, keeping you informed.
Send us (fax or email)
The completed referral form (or your own equivalent), with your patient's most recent bloodwork.
Refer your pregnant or postpartum patient for iV iron therapy. We welcome referrals from physicians, OBs and midwives, as direct medication orders or referrals for assessment.
Option 1
Direct medication order
You've assessed your patient and prescribed Venofer®. Send the completed pregnancy order form; we coordinate pharmacy dispensing and schedule the infusion.
Option 2
Referral for assessment
Forward recent bloodwork (CBC, ferritin), gestational age and relevant history. We assess, confirm Venofer® suits the stage of pregnancy, and keep you informed.
Send us (fax or email)
The completed pregnancy referral form (or your own equivalent), with your patient's most recent bloodwork.
Refer patients with persistent tendon, ligament or early joint conditions for an ultrasound-guided PRP assessment. We keep you updated on the plan and outcome.
Appropriate referrals
✓
Chronic tendinopathy unresponsive to conservative care
✓
Partial-thickness tendon or ligament tears
✓
Mild to moderate osteoarthritis (knee, ankle, other joints)
✓
Patients seeking a non-surgical, autologous option
What to send us
• Completed PRP referral form • Relevant imaging reports (ultrasound, X-ray or MRI) • Clinical notes and treatments tried • Patient contact information
Refer patients with osteoarthritis of the knee, hip, shoulder or ankle for an ultrasound-guided, single-injection viscosupplement. We assess, treat and keep you updated on the plan and outcome.
i
Indication (Canada)
Treatment of pain in osteoarthritis of the knee, hip, shoulder and ankle in patients who have failed to respond adequately to conservative non-pharmacologic therapy and to simple analgesics (e.g., acetaminophen). MonoVisc® Package Insert, PENDOPHARM, March 2025.
Appropriate referrals
✓
Radiographically confirmed OA of the knee, hip, shoulder or ankle
✓
Inadequate response to exercise, weight management, physiotherapy and simple analgesics
✓
Patients who prefer a single, steroid-free injection
✓
Patients in whom repeated corticosteroid injection is undesirable
Product profile
Cross-linked HA, single injection
• Cross-linked sodium hyaluronate, 22 mg/mL • 88 mg HA in 4 mL, single intra-articular injection • Ultra-pure HA produced by bacterial fermentation • Relief up to 6 months (26 weeks) • Delivered under real-time ultrasound guidance at MedCAiRE
Contraindications
Do not inject with
• Known sensitivity to hyaluronic acid-based products • Skin infection at the intended injection site • Known infection of the index joint • Known systemic bleeding disorders
WOMAC pain reduction vs. saline, knee OA
Week 1
MonoVisc® 48% · saline 45%
Week 12
MonoVisc® 64% · saline 52%
Week 18
MonoVisc® 63% · saline 53%
Week 26
MonoVisc® 65% · saline 56%
Percent reduction from baseline in WOMAC pain (100 mm VAS), ITT, calculated from published mean changes (MonoVisc® n=150, saline n=69); significant vs. saline from week 12 to week 26. Hangody et al., Cartilage 2018. Pivotal single-injection RCT (n=369): Petterson & Plancher, KSSTA 2019.
What to send us
• Completed MedCAiRE regenerative injection referral form • Most recent X-ray or MRI report of the joint • Clinical notes, prior injections and dates • Allergies, anticoagulants and patient contact information
Cingal® (hyaluronic acid and triamcinolone hexacetonide) is indicated for pain in knee osteoarthritis in patients who have not responded adequately to conservative non-pharmacologic therapy and simple analgesics. We prescribe in-house and perform the injection under real-time ultrasound at our Oakville and Mississauga clinics, keeping you updated on the plan and outcome.
Appropriate referrals
Symptomatic mild to moderate knee osteoarthritis
Inadequate response to acetaminophen, exercise or physiotherapy
CompositionMonovisc® HA + triamcinolone hexacetonide
DoseSingle 4 mL intra-articular
SourceNon-avian
JointKnee only
Clinical Data
Cingal® 13-01 pivotal trial
Randomized, double-blind, multicentre trial; 368 patients with symptomatic knee OA randomized 2:2:1 to Cingal®, Monovisc® or saline; mean age 58.3.
Primary Endpoint
12 wk
Superior reduction in WOMAC pain (100 mm VAS) vs. saline through 12 weeks.
vs. Hyaluronic Acid
−40.1 mm
WOMAC pain improvement of 59% (−34.6 mm) at week 1 and 68% (−40.1 mm) at week 3, superior to Monovisc® (secondary endpoint). Similar to HA from week 6 to 26.
Safety
71.7%
Of adverse events rated mild. No serious device-related AEs and no injection-site infections; AEs distributed proportionally across arms.
Contraindications
Known hypersensitivity to hyaluronate or triamcinolone hexacetonide preparations; infection or skin disease at the injection site or joint; pregnancy. Safety not established in lactation or patients ≤ 21 years.
Warnings & precautions
Avoid quaternary ammonium disinfectants for skin prep. Use with great caution in impaired cardio-renal function, endocrine or other conditions where corticosteroids are cautioned. Effectiveness not established beyond one course or in joints other than the knee.
nSTRIDE® APS has been studied in people with mild to moderate knee osteoarthritis. Results vary from person to person, which is why we assess every knee before recommending it.
Randomized trial
3 years
Pain relief held at 3 years
46 patients. Pain scores improved significantly after one injection and stayed improved at 3 years; about 1 in 4 needed further treatment by year 3.
Results are not guaranteed and vary by person. nSTRIDE® is not suitable for everyone; your MedCAiRE provider will confirm whether it fits your knee.
★★★★★
4.9 Oakville (31 reviews) · 4.8 Mississauga (54 reviews) on Google
★★★★★
“Went for an nstride injection for my knee. Was overall a great experience with this team. They really care and listen to your concerns. Will be going back!”
PRP has been studied for tendon injuries and knee osteoarthritis. Results vary from person to person, which is why we confirm every injury with ultrasound before recommending treatment.
Randomized trial
230 patients
Tennis elbow
In a multicentre, double-blind trial, patients with chronic tennis elbow treated with PRP reported significantly greater pain improvement at 24 weeks than the control group.
Results are not guaranteed and vary by person. Your MedCAiRE provider will confirm whether PRP suits your injury.
★★★★★
4.9 Oakville (31 reviews) · 4.8 Mississauga (54 reviews) on Google
★★★★★
“Absolutely recommend Tia and PRP injections. I had persistent tennis elbow and arm pain for years. I tried so many therapies, including physio, acupuncture, massage, etc. Pain never totally improved. Finally Filipe suggested I try PRP and I was skeptical but was ready to try anything.Immediately felt better and after a few weeks I have minimal pain in that area. Already planning another PRP procedure.”
Hyaluronic acid injections around injured soft tissue have been studied in athletes with tennis elbow and ankle sprains. Results vary from person to person, which is why every treatment starts with an assessment.
Randomized trial
331 athletes
Tennis elbow
In a placebo-controlled trial of racquet-sport athletes with chronic tennis elbow, those treated with hyaluronic acid reported greater pain relief and better grip strength, and returned to pain-free sport in about 18 days on average.
Petrella et al., Sports Med Arthrosc Rehabil Ther Technol, 2010
In a placebo-controlled trial of athletes with acute ankle sprains, those treated with hyaluronic acid had less pain and returned to pain-free sport sooner than the placebo group.
MonoVisc® has been studied in placebo-controlled trials in knee osteoarthritis, and in open-label studies in the hip, shoulder and ankle. Results vary from person to person, which is why every treatment starts with an assessment.
Randomized trial
369 patients
Knee pain, single injection
In a multicentre, double-blind trial, one injection reduced knee pain more than a saline placebo in people with symptomatic knee osteoarthritis.
Cingal® was tested in a randomized, double-blind trial of 368 adults with knee osteoarthritis, compared against hyaluronic acid alone (MonoVisc®) and a saline placebo.
Fast Relief
68%
Improvement in knee pain from baseline by week 3, with greater relief than hyaluronic acid alone at weeks 1 and 3.
WOMAC pain score, secondary endpoint
Lasting Relief
26 wk
Pain reduction better than placebo through 12 weeks, with strong relief continuing to week 26.
Primary endpoint: change vs. saline through 12 weeks
Well Tolerated
0
Serious side effects linked to Cingal® and no injection-site infections reported. Most side effects were mild and brief.
Cingal® 13-01 clinical study, Anika Therapeutics
Results are not guaranteed and vary by person. Your MedCAiRE provider will confirm whether Cingal® suits your knee. Cingal® Product Licence (PDF) →
★★★★★
“Went for an nstride injection for my knee. Was overall a great experience with this team. They really care and listen to your concerns. Will be going back!”
Do I need a referral or family doctor to get iV iron therapy?
No referral is needed — self-referrals are welcome. If you don't have a family doctor, no problem: we can help guide you on arranging recent bloodwork so we can review your results and confirm treatment is right for you.
What's the difference between Venofer® and Monoferric®?
Venofer® is given in smaller, gentler doses over 2–3 visits — ideal for those who prefer a lower-dose approach. Monoferric® is a higher-dose option that can often restore iron levels in a single visit, meaning fewer appointments.
Are iV iron infusions safe? What are the side effects?
Yes, iV iron is generally well-tolerated. Some people experience mild, temporary side effects like flushing or a headache. Serious reactions are uncommon, and your registered nurse monitors you closely throughout your infusion for safety.
Can you communicate with my Doctor, OB or midwife?
Absolutely. We welcome collaborative care and can share your iron status and treatment notes with your health provider upon request.
What if I’m already taking iron pills?
If they’re working, great. If not—or if they cause side effects—we’ll help you transition safely to iV therapy if appropriate.
How will I know if the treatment is working?
Most people notice improved energy, focus, and overall wellbeing within a few weeks. We recommend repeat bloodwork 6–8 weeks after your infusion to confirm your iron stores have been restored.
How is the cost broken down, and is it covered by insurance?
Your total cost includes a consultation deposit, the medication itself (billed separately by our pharmacy partner), and the infusion fee. Many extended health plans cover some or all of these costs — we provide detailed receipts you can submit for reimbursement.