Dr. Raphael Thulani Mtshali – Family Doctor | Lethbridge, AB

Dr. Raphael Thulani Mtshali is a Family Doctor. Practicing at a family doctor practice in Lethbridge, AB, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians & Surgeons of Alberta (CPSA) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. His focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Raphael Thulani Mtshali completed his MB ChB (South Africa, 2003). He brings valuable clinical experience to the practice. He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care. He provides consultations in English.

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

Mental Health Concerns

• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.
• Insomnia & Chronic Sleep Disturbances: Helping you identify and address factors contributing to poor sleep, and develop effective, sustainable strategies to improve sleep quality, duration, and daytime alertness and functioning.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Ongoing management and support for anxiety disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.

Common Acute Conditions

• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Providing advice on allergen avoidance, prescribing antihistamines, intranasal corticosteroids or other medications for symptom relief, and discussing options like allergy testing or specialist referrals if indicated for more severe or complex allergies.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Addressing sudden onset skin problems, providing effective treatment, advising on skin care and hygiene to promote healing, and identifying potential triggers for allergic or irritant conditions.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Managing lower respiratory tract infections that cause persistent cough (productive or non-productive), chest discomfort, shortness of breath, and fever.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Management of acute migraine episodes or severe tension headaches, including advice on abortive medications, lifestyle adjustments during an attack, and strategies for future prevention.

Dermatological Skin Conditions

• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.

Joint Muscle Pain

• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.
• 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: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.

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

• Evaluation of Acute Headaches & Dizziness / Vertigo: Assessing new or sudden onset headaches or dizziness to differentiate between common causes (e.g., tension headache, migraine, benign positional vertigo) and more serious underlying conditions, providing initial management and referral if indicated.
• Primary Care for Overuse & Repetitive Strain Injuries: Helping patients recover from repetitive strain conditions and prevent recurrence through education and targeted interventions.
• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Addressing health concerns that may be related to a patient's occupation, providing initial assessment for work-related injuries or illnesses, and completing necessary forms (e.g., fitness to work, return to work).
• Coordination with Allied Health Professionals & Community Health Services: Referring to and collaborating effectively with other healthcare providers integral to comprehensive care, such as physiotherapists, occupational therapists, dietitians, psychologists, social workers, speech-language pathologists, chiropractors, pharmacists, optometrists, audiologists, and various community support services (e.g., home care, mental health teams, diabetes education programs, addiction services, public health units).
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Interpreting test results in the context of your overall clinical picture, discussing their implications with you clearly, and arranging appropriate follow-up or further investigation.

Note: This list highlights some of the key services offered by Dr. Mtshali. 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 AB and the ethical and professional standards set by The College of Physicians & Surgeons of Alberta (CPSA).

At Dr. Raphael Thulani Mtshali'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. Mtshali frequently works with patients towards goals such as:

• Through Dr. Mtshali's guidance, patients with wanting to establish care with a new family doctor after moving to the area often find they can achieve benefiting from Dr. Mtshali's proactive and systematic approach to mental health screening and discussion during routine visits, leading to earlier identification and support for emerging psychological distress and once again pursue confidently, independently, and effectively managing their diagnosed chronic health conditions (like diabetes, asthma, or hypertension) on a daily basis with minimal disruption to their desired lifestyle and activities, feeling in control.
• Dr. Mtshali supports patients through feeling a bit down, persistently sad, or having lost interest in activities they usually enjoy for a few weeks now, aiming for outcomes like achieving a significantly healthier and more balanced lifestyle that demonstrably reduces their risk of developing future preventable health problems and notably enhances their overall physical and mental resilience, so they can return to activities such as wholeheartedly enjoying a diverse range of seasonal outdoor activities such as cross-country skiing or snowshoeing in winter, beachcombing or lake swimming in summer, vibrant apple picking or leaf-peeping hikes in autumn, and early spring gardening.

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

Dr. Mtshali practices at a family medical clinic in Lethbridge, situated in the Downtown Lethbridge, South Lethbridge East neighborhood of Lethbridge. The clinic is conveniently located near Nikka Yuko Japanese Garden and is accessible via Lethbridge Transit. Free patient parking is often available on-site or on nearby streets.

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

Generally, you do not need a referral to see a family doctor in Alberta if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources such as the College of Physicians and Surgeons of Alberta website or local health authority websites may be helpful in your search. A referral from a family doctor is usually required to see specialists.

Does Dr. Mtshali at <clinic name> offer virtual (video) or phone appointments?

Yes, Dr. Mtshali offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Mtshali if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with our clinic regarding any potential fees for uninsured virtual services.

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

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

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

Finding a family doctor in Alberta who is accepting new patients may take time and effort. You can check the website of the College of Physicians and Surgeons of Alberta, which may have a "Find a Doctor" tool. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly.

How long do appointments with Dr. Mtshali typically last?

Appointment times with Dr. Mtshali vary depending on the reason for the visit. A quick follow-up or straightforward issue might take 10-15 minutes. For annual physicals, initial consultations, or multiple health concerns, a longer appointment (30 minutes or more) is usually booked. Be specific about your needs when booking to ensure sufficient time.

Can Dr. Mtshali help with mental health concerns like anxiety or depression?

Yes, Dr. Mtshali can help with mental health concerns. He can provide an initial assessment, offer support, prescribe medication if appropriate, and refer to specialists if needed. He can provide ongoing support and management for many common mental health conditions.

Is seeing a family doctor (Family Doctor) covered by Alberta Health Care Insurance Plan (AHCIP) in AB?

Medically necessary visits to a family doctor are typically covered by the Alberta Health Care Insurance Plan (AHCIP) for eligible residents with a valid health card. However, some services (e.g., cosmetic procedures, travel medicine, sick notes for work/school, insurance forms, driver's medicals) may not be covered and may have associated fees. Please confirm with our clinic if you have questions about specific services.

960 19 St S, 729 Blackfoot Terrace W
Lethbridge, AB, T1J 1W5

Phone: (403) 388-6111

Dr. Raphael Thulani Mtshali is regulated by the Health Professions Act (Alberta) in AB and is a registered member in good standing with The College of Physicians & Surgeons of Alberta (CPSA).

Registration Number: 026225

Verify registration with The College of Physicians & Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=f391defa-59b6-474f-8141-1b1d0080ffec&i=1020

Family doctors like Dr. Mtshali 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.