Fast Acting Knee Osteoarthritis Pain Relief
Ultrasound-guided knee injection that pairs a fast-acting anti-inflammatory with MonoVisc® hyaluronic acid. Relief can begin within 24 hours and last up to 6 months.
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.
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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.
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.
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.
Treatment may be a good fit if you:
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.
We review your symptoms or goals, health history and medications, then plan your treatment.
We confirm the areas, units and cost. For migraine, our medical team helps you check coverage.
Fine-needle injections take 15–30 minutes. Most people return to normal activities right away.
Effects begin in 3–10 days and peak at about 2–4 weeks. Most results last 3–4 months.
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.
Many workplace and private plans cover Botox® for chronic migraine, often after a prior-approval form. We provide the documentation your insurer asks for.
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.
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.
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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.
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.
Results are not guaranteed and vary by person. Your MedCAiRE provider will confirm whether treatment suits you.
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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.
Health history, symptoms, goals and family history reviewed together, not one symptom at a time.
Assessment, diagnosis within scope, prescribing and monitoring by a licensed Nurse Practitioner.
Bloodwork chosen for your history and presentation, not a fixed panel for everyone.
We work alongside your family physician, specialists and pharmacy where needed.
Your assessment is individualized. Depending on your goals and history, it may include:
Past conditions, diagnoses and care to date
What brings you in, and what you want to change
Current prescriptions and supplements
Inherited risk factors worth knowing about
Daily patterns that influence health
How you eat, move and recover
Blood pressure, weight trends and markers
Ordered when your history calls for it
Age-appropriate screening discussions
Lab results are most valuable alongside your symptoms, health history and goals. Testing may include:
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.
Family Nurse Practitioner, FNP-C · CNO
Medical Director, Oakville
Dinisha has experience caring for patients of all ages, from weekend warriors to senior adults, with a focus on holistic, whole-person health.
Meet Our Team →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.
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 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.
These systems often overlap. We review them together when clinically relevant, then point you to the right care.
Perimenopause, menopause, PCOS and cycle health have a dedicated pathway. Hormone-related concerns in men are assessed here as part of a full review.
Explore Women's Health →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.
Low iron, B12 or vitamin D are common and easy to miss. Your results guide whether oral, injection or iV options make sense.
Iron Deficiency & Anemia →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.
Blood pressure, cholesterol and glucose in context.
Knowing what runs in your family shapes screening.
Muscle and bone health for mobility and independence.
Sleep, stress and nutrients reviewed when energy is low.
In person at either clinic or virtually. No referral needed.
Symptoms, goals, medications and family history.
Bloodwork where appropriate for you.
What they mean and the options available.
Agreed together, based on your goals.
Progress reviewed and the plan adjusted.
Functional medicine works best alongside conventional care. With your permission, we share findings and coordinate with the people already looking after you.
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.
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. Then, relax in a comfortable, private setting while our nurse administers your IV therapy, typically over 45–60 minutes.
Different targets for different goals. Shortlist here, then confirm with your nurse.
| Drip | Best for | Key ingredients | Time | Price |
|---|---|---|---|---|
| Myers' Cocktail | Energy, hydration, recovery | B-complex, vitamin C, magnesium, calcium, zinc | 45–60 min | $260 |
| Immune Support | Seasonal immune support | Vitamin C, zinc, B-complex, electrolytes | 45–60 min | $260 |
| High Dose Vitamin C (HDVC) | Maximum antioxidant support (G6PD screen first) | High-dose vitamin C (ascorbate) | 60–120 min | from $180 |
| Alpha Lipoic Acid | Antioxidant defence, nerve health, detox support | Alpha lipoic acid | 45–60 min | $260 |
| Weight Loss | Metabolic | Fat metabolism, energy, lean muscle | L-arginine, L-carnitine, B12, MIC | 45–60 min | $260 |
| Phosphatidylcholine | Lipid and liver support | Phosphatidylcholine | 45–60 min | $260 |
| Glutathione | Antioxidant defence, detox support, skin and recovery | Glutathione (also as an $85 injection) | Set at consult | $290 |
| NAD+ | Cellular energy, focus, healthy aging | NAD+ (also as a $105 injection) | Set at consult | $390 |
Not covered by OHIP. Some extended health plans may reimburse part of the cost; detailed receipts are provided. Iron infusions are a separate medical service: see Iron Deficiency & Anemia.
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, at no extra fee, that confirms high-dose vitamin C is safe for you, and we also check kidney function. Our other drips, including the Myers' Cocktail and Immune Support, don't need the test.
Drips deliver the most when paired with sleep, nutrition and movement, and they work alongside, not instead of, your regular medical care. Feeling acutely unwell or running a fever? See your doctor first.
By phone or virtual: your goals, health history, medications and any recent bloodwork. No fee.
Booking High Dose Vitamin C (HDVC)? A no-fee G6PD blood screen clears you first. Then we design your formula and confirm the price up front.
A registered nurse places your iV in a private room and monitors you throughout.
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.
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.
Drives the reactions that make ATP, the energy every cell spends.
The enzymes that maintain your DNA burn NAD+ as they work.
The “longevity proteins” that tune metabolism and stress response.
NAD+ is the flagship of our drip menu: the full molecule, infused straight into the bloodstream and paced by a registered nurse.
Raising NAD+ lowered inflammatory markers in a double-blind trial.
Early trial data on healthier blood pressure and arteries.
Raising NAD+ improved muscle insulin sensitivity in a placebo-controlled trial.
Fuel for the cellular engine when you're running on empty.
Popular before big launches, deadlines and presentations.
A recovery tool for athletes and hard trainers.
Restores a molecule that naturally declines with age.
Back-up for busy seasons and high-stress stretches.
Benefits 1–3 link to the research below. Results vary by person.
NAD+ works best as a series, built around your goals.
Phone or virtual. Goals and history reviewed.
Often 1–2 infusions a week.
How you feel guides pace and frequency.
Monthly, or around demanding seasons.
Care packages coming soon. Not covered by OHIP.
Controlled human trials that raised NAD+ levels.
Raising NAD+ for three weeks lowered circulating inflammatory markers in older men.
Elhassan et al., Cell Reports, 2019
Read the study →In adults 55–79, raising NAD+ was linked to lower systolic pressure and arterial stiffness in those with elevated readings.
Martens et al., Nature Communications, 2018
Read the study →Ten weeks of raising NAD+ improved muscle insulin sensitivity versus placebo.
Yoshino et al., Science, 2021
Read the study →Results vary by person. Your MedCAiRE clinical team will confirm whether NAD+ suits you.
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.
NAD+ delivers the most alongside sleep, nutrition and training, and works with your regular care. Pair it with a Comprehensive Health Assessment.
The Master Antioxidant Protocol
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 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.
Bundled care packages coming soon. Not covered by OHIP.
By phone or virtual. Goals, health history and medications reviewed.
iV or injection, on its own or stacked. Price confirmed up front.
A registered nurse places your iV in a private chair and monitors you throughout. No downtime.
Some come monthly, others around demanding seasons. Your nurse sets the timing.
The Quick-Boost Menu
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.
See what a visit looks like, from the vial to the nurse who gives your injection. In, out and back to your day in about ten minutes.
An injection delivers one targeted nutrient in minutes. An iV drip delivers a full blend with fluids over about an hour. Many people use both.
B12 is our most-booked shot for tired weeks.
Vitamin D3, dosed from your bloodwork.
Biotin, on its own or with Glutathione.
MIC + B12 alongside nutrition and activity. See our Health Assessment.
By phone or virtual. Goals, health history, medications and any recent bloodwork.
Which shot, how often and the price, confirmed up front. Vitamin D3 needs a recent blood test.
A registered nurse gives your shot in a private room. It takes minutes, with no downtime.
Weekly, monthly or seasonal. Your nurse sets the timing and adjusts as you go.
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.
Injections deliver the most alongside sleep, nutrition and movement, and they work with your regular medical care, not instead of it.
Want to know what your levels actually are? Pair your shots with a Comprehensive Health Assessment and bloodwork.
“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!”
Manual Therapy, Sports Medicine & Functional Rehab
Hands-on care that finds how your body is moving, eases what is holding it back, then builds the strength to keep it there.
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.
Precise, hands-on techniques chosen for your body and your goals that day.
Muscles, connective tissue and fascia, to ease tension and support circulation.
Gentle articular techniques to restore range of motion and ease irritated tissue.
A subtle approach to the head, spine and sacrum, often used for tension and headaches.
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.
Relief lasts longer when your body can hold it. We coach the movements that matter to you, from carrying groceries to a 10K.
How you squat, hinge, reach and balance, to see where load is going.
Range you can actually use, built with control rather than stretching alone.
Graded loading for tendons, joints and the muscles that protect them.
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.
Concerned about pain or stiffness in one of these areas? Here is what we commonly assess and treat, and what we may pair it with.
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 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).
Your history, your pain, and what you want to get back to.
Posture, joints, tissue and movement tests, head to toe.
Hands-on treatment starts in your first session.
Visit rhythm, home exercises and any next steps, agreed together.
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.
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.
Neck and back pain, tension-type headaches, stress and sleep.
A light prick at insertion, then 15–20 minutes of rest on the table.
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Concerned about pain, stiffness or getting back after an injury? These are the areas we assess and treat most often.
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.
Every plan blends what you need. Exercise leads, hands-on care supports it, and the wider MedCAiRE team is there when recovery needs more.
All three focus on muscles, joints and movement. Here is how they differ at MedCAiRE.
Coverage differs by plan and discipline. Check your extended health plan before booking.
Two clinicians with sport in their background and rehab at the centre of their work.
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 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.
One assessment to start, then follow-up visits that move your plan forward.
Your fee depends on the follow-up visit you book.
Not covered by OHIP. Some extended health plans cover athletic therapy, so check your plan. Detailed receipts are provided.
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.
Swedish, deep tissue, myofascial release, trigger point work and lymphatic drainage.
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.]
Physio & athletic therapy and massage therapy are offered here. Looking for Oakville? Osteopathy is available at both clinics.
Send us a message with questions about your injury or booking, and our team will get back to you.
Text UsManual & Exercise Therapy
Osteopathy in Mississauga & Oakville: hands-on manual therapy and exercise rehab for sports injuries and pain. No referral needed.
Available at these clinics:
Mississauga
Oakville
“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.”
“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!”
“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.”
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.
“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.
“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.”
A short look at how we use PRP for tendon, ligament and joint injuries at our Oakville clinic.
Watch on YouTube →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.
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.
Osteopathy FAQs
All three treat muscles and joints. Osteopathy looks at the whole body with mainly hands-on techniques, and at MedCAiRE we add functional exercise so you keep the gains. Your assessment tells us what will help most.
No. You can book directly at Mississauga or Oakville. Some extended health plans ask for a doctor's note before they reimburse, so check your plan.
Osteopathy isn't covered by OHIP. Many extended health plans include it, and we provide detailed receipts.
Your initial assessment and treatment is $180. Follow-up treatments range from $100 to $180, depending on session length.
It depends on your injury, how long you've had it and your goals. Many people notice a change within the first few visits. We review your progress each session and adjust your plan.
Treatment is usually comfortable. Some techniques create pressure or a stretch, and you may feel mildly sore for a day or two, like after a workout. Tell your osteopath any time something feels like too much.
It is often part of sports injury care, from sprains and strains to overuse problems, paired with exercise rehab to get you back to training. If an injury needs imaging, injections or a medical review, we can coordinate that within the clinic.
If a tendon, ligament or joint isn't responding to hands-on care and exercise, your osteopath may suggest an assessment for PRP, shockwave or hyaluronic acid. Injections require imaging (X-ray or MRI) first.
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