Dr. Alecia Beth Clary

Dr. Alecia Beth Clary provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Common Acute Conditions

• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Assessment of acute headaches to differentiate types (e.g., tension headache, migraine, cervicogenic), provide initial pain relief strategies (analgesics, NSAIDs, triptans for migraine), identify potential triggers, and rule out serious underlying causes requiring urgent investigation.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Care for acute lung infections, focusing on appropriate antimicrobial therapy when indicated, supportive measures (rest, hydration, symptom relief), and guidance for a full recovery, with escalation to hospital care if severe.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Care for acute respiratory illnesses, including advice on symptom management, appropriate use of antibiotics (only if bacterial infection is confirmed or highly suspected), and guidance on when to seek further medical attention for complications.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.

Adult Common Health Issues

• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Testing for Helicobacter pylori infection in appropriate clinical contexts (e.g., patients with peptic ulcer disease, certain types of gastritis, dyspepsia in high-prevalence areas, or family history of gastric cancer) using non-invasive methods like urea breath test, stool antigen test, or serology (less reliable for active infection).
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Clary. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Offering initial treatment strategies including activity modification advice, pain relief options (oral/topical medications), exercise recommendations, and referrals to physiotherapy, chiropractic, or sports medicine specialists when indicated.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Providing comprehensive vaccination services according to provincial and national public health guidelines for all age groups.
• Diagnosis & Management of Common Acute Childhood Illnesses: Providing prompt, effective, and child-friendly care for common infections and acute conditions to ensure quick recovery and prevent complications.
• Eating Disorder Screening & Referral Coordination: Screening for signs and symptoms of eating disorders (e.g., anorexia nervosa, bulimia nervosa, binge eating disorder) during routine visits or when concerns arise. Providing initial support and psychoeducation, and facilitating timely referrals to specialized eating disorder programs, dietitians, and mental health professionals.
• Insomnia & Sleep Disorder Management (Primary Care Approach): Thoroughly evaluating persistent sleep problems (difficulty falling asleep, staying asleep, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals, and judiciously considering short-term medication if necessary after addressing underlying causes.

Note: This list highlights some of the key services offered by Dr. Clary. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Dr. Alecia Beth Clary's practice, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Clary frequently works with patients towards goals such as:

• Patients often come to Dr. Clary regarding a cut that looks red, swollen, and might be infected. Working together, they aim for having their diverse family structure, unique cultural needs, and individual communication preferences consistently understood, acknowledged, and respectfully incorporated into all aspects of their care by Dr. Clary and the entire clinic team, making a return to actively and responsibly participating in their own healthcare journey by consistently attending scheduled appointments with Dr. Clary, asking insightful questions, understanding their conditions, and diligently following mutually agreed-upon treatment plans feasible.
• Patients with dealing with chronic constipation despite trying home remedies can find relief and achieve benefiting from Dr. Clary's proactive and systematic approach to mental health screening and discussion during routine visits, leading to earlier identification and support for emerging psychological distress under Dr. Clary's care, often allowing them to resume feeling physically strong, mentally resilient, and emotionally capable of consistently handling the often unpredictable and demanding day-to-day responsibilities of active parenting, grand-parenting, or intensive caregiving roles without former limitations.
• A frequent goal for patients seeing Dr. Clary about feeling very irritable or having mood swings that are out of character is to achieve having all their health-related questions, no matter how complex or basic, answered clearly, patiently, without jargon, and in an easily understandable way by Dr. Clary, fostering a strong sense of health literacy and shared understanding. This success paves the way for them to re-engage with making consistently informed, conscious, and positive decisions about their daily diet, overall nutrition, optimal hydration, and mindful eating habits for sustained energy and peak physical health.
• Dr. Clary assists individuals in navigating feeling more anxious, worried, or on edge than usual lately, affecting their daily life. A successful outcome, like receiving a timely diagnosis of a previously unrecognized condition like obstructive sleep apnea, celiac disease, or hypothyroidism through Dr. Clary's astute clinical screening and appropriate referral for confirmatory testing, leading to effective treatment and significantly improved quality of life, means they can get back to passionately pursuing their cherished creative hobbies (like painting, writing, or playing music), engaging in intellectually stimulating leisure interests, or dedicating time to new learning adventures with renewed enthusiasm and sustained focus.

Your personalized healthcare plan, developed in discussion with Dr. Clary, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Clary practices at a family medical clinic in London, situated in the Downtown London, North London East neighborhood of London. The clinic is conveniently located near Masonville Place Area and is accessible via London Transit Commission (LTC). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (Ontario) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific non-insured services or potential fees.

What should I do if I have an urgent medical issue when the clinic is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until our clinic reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with our clinic or Dr. Clary during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(519) 850-3234] may also provide instructions or resources for after-hours care.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral to see a family doctor if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario may be helpful. A referral is usually required from a family doctor to see most medical specialists.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Check the website of the College of Physicians and Surgeons of Ontario (it often has a 'Find a Doctor' tool). In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. It can be challenging and may take time.

I have multiple health problems. How does Dr. Clary handle complex care?

If you have several health issues, Dr. Clary is well-equipped to be your central point of care. Her role includes understanding how your different conditions and their treatments might impact each other, helping you to navigate the healthcare system, and ensuring that all aspects of your health are considered in your overall treatment plan. Dr. Clary will work with you and other specialists to manage your health comprehensively.

What is 'continuity of care' and why is it important with a family doctor like Dr. Clary?

Continuity of care refers to the process where your family doctor, Dr. Clary, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr. Clary becomes familiar with your medical background, your lifestyle, and what's 'normal' for you. This knowledge aids in quicker diagnosis, more effective treatment plans, better chronic disease management, and ensures that your care is well-coordinated across the healthcare system. It's about having a trusted healthcare partner throughout your life.

140 Oxford Street East
London, ON, N6A 5R9

Phone: (519) 850-3234

Dr. Alecia Beth Clary is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 114591

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Clary-Alecia-Beth/0323641-114591

Family doctors like Dr. Clary are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.