Dr. Najam Junaid Mian – Pain Management Specialist / Physical Therapist | Vancouver, BC

Dr. Najam Junaid Mian is a Physiatrist / Physical Medicine & Rehabilitation Specialist (Pain Medicine Focus). Practicing at a pain management clinic in Vancouver, BC, Dr. Mian is committed to delivering high-quality, patient-focused care in Physical Medicine & Rehabilitation. Dr. Mian is licensed by The College of Physicians and Surgeons of British Columbia (CPSBC) and adheres to the highest professional and ethical standards of the medical profession in BC.

As a certified specialist in Physical Medicine & Rehabilitation (also known as a Physiatrist), Dr. Mian focuses on the diagnosis, treatment, and rehabilitation of patients with a wide range of conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. The goal is to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Dr. Mian combines expertise in Physical Medicine & Rehabilitation with a specialized focus on the diagnosis and comprehensive management of acute, chronic, and complex pain conditions. This may involve a multidisciplinary approach, including interventional procedures, medication management, and rehabilitative therapies to reduce pain and improve function. Dr. Mian serves patients of all ages, from children and adolescents through to adults and seniors, requiring functional restoration.

Dr. Najam Junaid Mian earned a Doctor of Medicine (MD) degree from University Of Alberta, graduating in 2011. Subsequently, Dr. Mian completed advanced specialty training in Specialty Practice in Physical Medicine & Rehabilitation (Physiatry) with an additional focus on Pain Medicine. Dr. Mian also holds a specialization or has completed advanced training in Pain Medicine. With over 14 years of practice since 2011, Dr. Mian's expertise encompasses Specialty Practice in Physical Medicine & Rehabilitation (Physiatry) with an additional focus on Pain Medicine. Additionally, Dr. Mian holds qualifications/certifications such as: Royal College of Physicians and Surgeons of Canada. Dr. Mian is dedicated to ongoing professional development and continuing medical education to provide up-to-date, evidence-based care.

Key aspects of Dr. Mian's medical practice philosophy include: collaborating closely with a multidisciplinary team to provide comprehensive and coordinated care; a patient-centered approach, focusing on individual goals and maximizing functional independence. Dr. Mian is fluent in English and also offers consultations in Urdu.

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

Musculoskeletal Conditions

• Low Back Pain & Neck Pain (Non-Surgical): Comprehensive non-operative care for spinal pain, focusing on pain relief, functional restoration, and preventative strategies.
• Fibromyalgia & Myofascial Pain Syndrome: Treating localized muscle pain and trigger points characteristic of myofascial pain syndrome.
• Osteoarthritis & Other Arthritic Conditions: Helping patients manage the symptoms of various arthritic conditions affecting mobility and quality of life.
• Tendonitis & Bursitis: Addressing soft tissue inflammation around joints to relieve pain and restore normal movement.

Neuropathic Pain

• Diabetic Neuropathy Pain: A multifaceted approach to alleviate diabetic nerve pain and improve quality of life.
• Post-Herpetic Neuralgia (Shingles Pain): Strategies to reduce the intensity and duration of post-herpetic neuralgia.

Debilitating Conditions Functional Improvement

• Debility & Deconditioning (e.g., post-illness, hospitalization): Helping patients regain strength, endurance, and mobility to improve their ability to perform daily tasks.
• Amputation Rehabilitation & Prosthetic Management: Helping amputees achieve optimal function, comfort, and independence with their prosthetic devices.

Cancer Pain

• Cancer-Related Pain Management: A compassionate and comprehensive approach to improving comfort and quality of life for cancer patients experiencing pain.

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

• Spinal Cord Injury Rehabilitation: Comprehensive care for individuals with paraplegia or quadriplegia, including bladder/bowel management, spasticity control, and assistive technology.
• Coordination of Multidisciplinary Care: Leading a rehabilitation team to ensure all aspects of a patient's recovery are addressed cohesively.
• Medication Management for Pain & Spasticity: Careful selection and adjustment of medications to manage complex pain syndromes and muscle spasticity.
• Coordination of Pain Rehabilitation Therapies: A team-based approach to help patients with chronic pain improve physical function, coping skills, and overall quality of life.
• Management of Back & Neck Pain: Non-surgical treatment for acute and chronic spinal pain, including disc herniations, spinal stenosis, and degenerative conditions.

Note: This list highlights some of the key services offered by Dr. Mian. 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. Najam Junaid Mian 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. Najam Junaid Mian'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. Mian frequently works with patients towards outcomes such as:

• For individuals struggling with everyday tasks like dressing or cooking due to severe arthritis pain, Dr. Mian's approach is focused on delivering improved ability to engage in leisure activities and hobbies they enjoy. This often makes it possible for them to resume important activities like performing tasks that require fine motor coordination with a healthier smile.
• Numerous patients have successfully addressed needing guidance on exercises that are safe and effective for their condition with Dr. Mian's dedicated support and clinical expertise. This often leads directly to learning techniques to prevent re-injury or a worsening of their condition and the restored ability to fully participate in and enjoy feeling confident enough to try new physical activities within their capacity once more.
• It's always a professional highlight for Dr. Mian to see patients who were troubled by recovering from a major surgery and needing help to get moving again successfully achieve being able to stand or sit for longer periods without severe discomfort. This directly translates to their ability to return to and enjoy important activities like cooking their own meals and managing household chores.
• Dr. Mian understands that dealing with trouble with their memory and concentration after a head injury can be challenging. That's why his treatment plans are geared towards achieving improved hand dexterity for fine motor tasks, helping patients comfortably get back to being able to stand for periods needed for work or daily tasks and feeling their best.

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

Dr. Mian's practice, a pain management clinic in Vancouver, is situated in the Kitsilano neighborhood of Vancouver. The clinic is conveniently located near Downtown Financial District and is accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). Accessible patient parking is typically available near our facility.

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

Your first visit with Dr. Mian will typically involve a comprehensive assessment. This includes a detailed discussion of your medical history, the nature and timeline of your current symptoms, how these symptoms impact your daily activities and quality of life, and any previous treatments. Dr. Mian 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. Mian will discuss his diagnostic impressions, may recommend further investigations if needed, and will outline potential treatment and rehabilitation options, working with you to establish functional goals.

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

Yes, in BC, a referral from a family doctor (GP) or another specialist is generally required to see a Physiatrist like Dr. Mian 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. Mian has the necessary background medical information. Speak with your primary care physician or referring doctor if you believe you need a physiatric assessment.

What are EMG and NCS tests, and why might Dr. Mian 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. Mian 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.

Are services provided by a Physiatrist like Dr. Mian 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. Mian are typically covered by provincial health plans such as Medical Services Plan (MSP) of BC in BC, provided you have 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. It's always best to inquire with the clinic about any potential out-of-pocket costs for recommended treatments and to check with your private insurance, if any, regarding coverage for adjunctive therapies or devices.

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

Physiatrists like Dr. Mian treat a wide range 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. Dr. Mian focuses on improving function, reducing pain, and enhancing quality of life related to these and other physical impairments.

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

A Physiatrist like Dr. Mian is a medical doctor (physician) specializing in diagnosing, treating, and managing 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 quality of life for people with physical impairments or disabilities. 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.

1541 W Broadway, Unit 301, Canadian Pain & Regenerative Institute
Vancouver, BC, V6J 1W7

Phone: (604) 260-4481

Dr. Najam Junaid Mian 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: 62959

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/337942/Mian%2CNajam

A referral from a family physician or another specialist may be required to see Dr. Mian. Dr. Mian 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.