Dr. Andrei Krassioukov

As a Physiatrist, Dr. Andrei Krassioukov addresses a variety of conditions related to physical function, pain, and rehabilitation, including but not limited to:

Post Surgical Rehab

• Post-Operative Rehabilitation (e.g., after joint replacement, spine surgery): Helping patients regain mobility, strength, and independence after major surgical interventions.

Neurological Conditions

• Spinal Cord Injury (SCI) Management & Rehabilitation: Long-term care and rehabilitation for individuals with traumatic or non-traumatic spinal cord injuries, addressing paralysis, spasticity, bladder/bowel dysfunction, and other complications.
• Multiple Sclerosis (MS) - Symptom Management & Functional Rehab: Rehabilitative support for patients with MS to optimize mobility, energy conservation, and overall well-being.
• Traumatic Brain Injury (TBI) & Concussion Rehabilitation: Helping patients recover and adapt after a TBI to return to daily life, work, or school.

Debilitating Conditions Functional Improvement

• Debility & Deconditioning (e.g., post-illness, hospitalization): Rehabilitation programs to address generalized weakness, fatigue, and loss of function following prolonged illness, hospitalization, or inactivity.
• Amputation Rehabilitation & Prosthetic Management: Comprehensive care for individuals with limb loss, including pre-prosthetic management, prosthetic prescription, gait training, and adjustment to life with a prosthesis.

Musculoskeletal Conditions

• Osteoarthritis & Other Arthritic Conditions: Management strategies for arthritis, including medication, injections, bracing, and exercise programs to improve joint function and reduce pain.
• Low Back Pain & Neck Pain (Non-Surgical): Managing acute or chronic pain in the lumbar, thoracic, or cervical spine due to disc issues, arthritis, muscle strain, or stenosis without surgery.
• Tendonitis & Bursitis: Care for conditions such as rotator cuff tendinopathy, tennis elbow, golfer's elbow, trochanteric bursitis, and Achilles tendonitis.
• Fibromyalgia & Myofascial Pain Syndrome: A multimodal approach to complex pain conditions involving muscles and connective tissues.

This list provides examples of conditions commonly managed. A comprehensive diagnosis and treatment plan are always based on an individual assessment by Dr. Krassioukov, typically following referral. If your specific concern isn't listed, please discuss with your referring physician or contact the clinic for more information.

• Stroke Rehabilitation: Maximizing functional recovery and independence after a cerebrovascular accident through a multidisciplinary team approach.
• Chronic Pain Management (Multimodal Approach): Comprehensive assessment and treatment of persistent pain conditions using a combination of therapies, including medication management, interventional procedures, physical therapy, and psychological support.
• Therapeutic Injections (Joints, Soft Tissues, Nerves): Minimally invasive procedures to deliver medication directly to the source of pain or inflammation for therapeutic benefit.
• Musculoskeletal Ultrasound: Non-invasive imaging to visualize musculoskeletal structures and guide therapeutic interventions.
• Individualized Rehabilitation Program Design: Developing comprehensive, patient-centered rehabilitation plans tailored to individual needs, goals, and specific conditions.

Note: This list highlights some of the key services offered by Dr. Krassioukov. Not all services may be listed, and the suitability of any treatment depends on individual assessment and referral where appropriate. For a comprehensive understanding or to discuss your specific medical needs, please schedule a consultation or speak with your referring physician.

All services by Dr. Andrei Krassioukov adhere to the scope of practice for Physiatrists in BC and the standards of The College of Physicians and Surgeons of British Columbia (CPSBC).

At Dr. Andrei Krassioukov's practice, the focus is on partnering with you to maximize your functional abilities, manage your condition effectively, and improve your overall quality of life. Dr. Krassioukov frequently works with patients towards outcomes such as:

• Through Dr. Krassioukov's skilled guidance and modern dental techniques, patients suffering from trouble controlling their muscles due to spasticity often find they can readily achieve improved bladder and bowel control and once again enthusiastically pursue enjoyable pastimes like getting in and out of a chair or bed with greater ease.
• When needing help to manage muscle spasms or cramps effectively begins to noticeably impact daily life and well-being, Dr. Krassioukov helps patients strive for being able to perform daily self-care tasks independently again. This makes participating in activities such as feeling confident enough to try new physical activities within their capacity a pleasant and possible experience again.
• Many people seek Dr. Krassioukov's professional help and expertise when dealing with pain that keeps them awake at night. The mutually agreed upon, collaborative goal is consistently enhanced ability to manage spasticity or muscle stiffness, allowing a confident and satisfying return to valued life activities like being able to walking around their neighborhood or a park comfortably.
• Many patients schedule a consultation with Dr. Krassioukov when they first notice their knee pain stopping them from climbing stairs or kneeling. Through personalized dental care, the goal is to achieve restoration of more normal sensation in areas affected by neuropathy, enabling them to once again enjoy participating in physical therapy sessions with greater ease and less pain without hesitation.

Your personalized rehabilitation plan, developed in consultation with Dr. Krassioukov, will be carefully designed to help you reach your specific functional goals. Dr. Krassioukov is committed to empowering patients with the expertise and support needed to achieve their highest possible level of independence and well-being.

Dr. Krassioukov's practice, a rehabilitation clinic in Vancouver, is situated in the Fairview neighborhood, conveniently located near Cambie Village. The clinic is easily accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). Please inquire about specific parking arrangements if you have mobility concerns.

What are EMG and NCS tests, and why might Dr. Krassioukov recommend them?

Electromyography (EMG) evaluates the electrical activity produced by skeletal muscles, and Nerve Conduction Studies (NCS) measure how quickly and well electrical signals travel along nerves. Dr. Krassioukov might recommend these electrodiagnostic tests to help diagnose conditions such as pinched nerves (radiculopathy), carpal tunnel syndrome, peripheral neuropathy (nerve damage), muscular dystrophy, or other neuromuscular disorders. These tests help pinpoint the location and severity of nerve or muscle problems, guiding further treatment.

What does a Physiatrist / Physical Medicine & Rehabilitation Specialist like Dr. Krassioukov do?

A Physiatrist like Dr. Krassioukov is a medical doctor (physician) who specializes in diagnosing, treating, and managing a wide range of conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. Their primary goal is to enhance and restore functional ability, reduce pain, and improve the quality of life for people with physical impairments or disabilities resulting from injury (e.g., sports injuries, traumatic brain injury, spinal cord injury), illness (e.g., stroke, multiple sclerosis, arthritis), or chronic pain. They use non-surgical treatments including medication, therapeutic exercise programs, targeted injections (if applicable), and coordinate comprehensive rehabilitation plans often involving a team of therapists.

What can I expect at my first appointment with Dr. Krassioukov at the clinic?

The first visit with Dr. Krassioukov will typically involve a comprehensive assessment. This includes a detailed discussion of the patient's medical history, the nature and timeline of their current symptoms, how these symptoms impact their daily activities and quality of life, and any previous treatments. Dr. Krassioukov will then perform a thorough physical examination, which may focus on the musculoskeletal system (joints, muscles, spine) and/or neurological system depending on the presenting problem. Any prior imaging (X-rays, MRI, CT) or test results will be reviewed. Based on this comprehensive evaluation, Dr. Krassioukov will discuss their diagnostic impressions, may recommend further investigations if needed, and will outline potential treatment and rehabilitation options, working with the patient to establish functional goals.

What are some common conditions a Physiatrist like Dr. Krassioukov treats?

Physiatrists like Dr. Krassioukov treat a variety of conditions, including the consequences of stroke, spinal cord injury, traumatic brain injury (including concussion), sports injuries, arthritis (osteoarthritis, rheumatoid), chronic low back and neck pain, peripheral neuropathy, fibromyalgia, and conditions requiring amputation rehabilitation. The focus is on improving function, reducing pain, and enhancing quality of life related to these and other physical impairments.

What should I bring to my appointment with Dr. Krassioukov?

Bring your provincial health card (e.g., Medical Services Plan (MSP) of BC card), the referral letter (if applicable), a list of all current medications (including dosage and frequency for prescriptions, over-the-counter drugs, and supplements), copies of relevant medical records, imaging reports (X-ray, MRI, CT scans – reports are often more useful than just the images themselves initially), and any pertinent test results. If applicable, also bring comfortable clothing that allows for easy examination of the affected body part(s), and any braces, splints, or assistive devices you currently use.

Do I typically need a referral to see a Physiatrist (Physical Medicine & Rehabilitation Specialist) like Dr. Krassioukov?

In BC, a referral from a family doctor (GP) or another specialist is generally required to see a Physiatrist like Dr. Krassioukov for consultations and treatments covered by provincial health plans like Medical Services Plan (MSP) of BC. This referral helps ensure the consultation is appropriate and that Dr. Krassioukov has the necessary background medical information. Speak with your primary care physician or referring doctor if you believe you need a physiatric assessment.

Are services provided by a Physiatrist like Dr. Krassioukov covered by provincial health insurance (e.g., Medical Services Plan (MSP) of BC)?

Most physician consultations and medically necessary assessments by a registered specialist Physiatrist like Dr. Krassioukov are typically covered by provincial health plans such as Medical Services Plan (MSP) of BC in BC, provided the patient has a valid health card and appropriate referral if required by the plan or clinic. However, some specific treatments or procedures (e.g., certain types of injections, assistive devices, comprehensive multidisciplinary programs) may not be fully covered or may have associated fees for materials or facility use. Inquire with the clinic about any potential out-of-pocket costs for recommended treatments and check with your private insurance, if any, regarding coverage for adjunctive therapies or devices.

818 10 Av W, Blusson-Spinal Cord Centre
Vancouver, BC, V5Z 1M9

Phone: (604) 875-4111

Dr. Andrei Krassioukov is a licensed Physiatrist in BC, regulated by The College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act (British Columbia).

License Number: 29349

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/327435/Krassioukov%2CAndrei

A referral from a family physician or another specialist may be required to see Dr. Krassioukov. Dr. Krassioukov and the team are committed to providing comprehensive care. If you have a medical emergency, please proceed to the nearest hospital emergency department or call 911.