Dr. Shivaranjjani Thillairajan

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

Pediatric Common Issues

• Childhood Immunization Schedule Management & Counseling: Providing timely and safe immunizations, addressing parental questions or concerns about vaccines with evidence-based information and empathy, managing catch-up schedules if needed, and documenting all immunizations accurately.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Ensuring a healthy start for newborns with regular check-ups, timely interventions if issues arise, and resources for parental education and support.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Providing initial guidance and evidence-based parenting strategies, and coordinating timely referrals to appropriate pediatric specialists (e.g., developmental pediatricians, child psychologists/psychiatrists, speech-language pathologists, occupational therapists, audiologists) if further evaluation, diagnosis, or specialized intervention is indicated.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Comprehensive preventative care designed to support the healthy physical, cognitive, and emotional development of children from birth, building a strong foundation for lifelong health.

Adult Common Health Issues

• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Primary care approach to accurately diagnosing and effectively treating common forms of anemia to improve energy levels, cognitive function, exercise tolerance, and overall health. Referral to hematology for complex or unexplained anemia.
• 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.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.

Preventative Health Topics

• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Recognizing and sensitively discussing how social determinants of health (e.g., income, housing, education, food security, access to services, discrimination, social isolation) impact a patient's health and well-being. Providing information and referrals to relevant community resources, social services, and support programs to help address these underlying factors.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Providing personalized, evidence-based advice on adopting and maintaining a balanced diet (e.g., Canada's Food Guide, Mediterranean diet, plant-based options), engaging in regular physical activity (aerobic, strength, flexibility - meeting Canadian Physical Activity Guidelines), achieving optimal sleep hygiene, and implementing effective stress management techniques (mindfulness, relaxation) to promote overall health, prevent chronic diseases, and enhance well-being.
• Travel Medicine Advice & Routine/Travel Vaccinations: Providing pre-travel consultations for individuals travelling to common and some less common international destinations. This includes a detailed risk assessment based on itinerary (country, region, urban/rural, length of stay, type of travel); advice on food and water safety, insect bite prevention (e.g., for malaria, dengue, Zika, chikungunya), altitude sickness prevention, and management of common travel-related ailments (e.g., traveler's diarrhea). Also includes administration of necessary routine immunizations (MMR, Tdap, Polio, Flu) and specific travel vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if a designated center, Rabies pre-exposure, Japanese Encephalitis considerations). Malaria chemoprophylaxis prescription if indicated. Complex itineraries or immunocompromised travelers may require referral to a specialized travel clinic.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.

Joint Muscle Pain

• 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.
• 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.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).

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

• Cardiovascular & Metabolic Risk Assessment & Management: Identifying individuals at higher risk for heart attacks, strokes, or diabetes to implement early interventions and promote long-term health.
• 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).
• Eating Disorder Screening & Referral Coordination: Primary care role in early recognition of eating disorders and ensuring patients access comprehensive treatment pathways.
• Referrals to Medical Specialists, Subspecialists & Specialized Programs: Connecting you with the most suitable medical experts and services for further investigation, management, or treatment of complex or specific conditions, ensuring clear communication of referral reasons and relevant history.
• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Providing ongoing care and management for a variety of other long-term health issues such as chronic gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), chronic anemia, and more, focusing on symptom control and quality of life.

Note: This list highlights some of the key services offered by Dr. Thillairajan. 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 BC and the ethical and professional standards set by The College of Physicians and Surgeons of British Columbia (CPSBC).

At Dr. Shivaranjjani Thillairajan'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. Thillairajan frequently works with patients towards goals such as:

• It's rewarding for Dr. Thillairajan to see patients with wanting to discuss various birth control options to find what's best for them, or needing a Pap test achieve feeling genuinely and consistently supported by Dr. Thillairajan during emotionally difficult health transitions, when facing a serious or life-altering new diagnosis, or when undertaking the demanding role of caring for an ill or aging family member and return to important activities like significantly reducing the frequency, duration, and severity of sick days from common illnesses for themselves and their children, leading to better attendance at work/school, improved overall productivity, and less household disruption.
• Dr. Thillairajan frequently helps patients who are dealing with needing a refill for their regular medications for an ongoing condition like high blood pressure or thyroid issues. The primary aim is achieving their entire family unit benefiting immensely from consistent, holistic, person-centered, and comprehensive care from a family doctor, Dr. Thillairajan, who truly knows their interconnected health histories, family dynamics, social context, and individual preferences, which often allows them to confidently resume comfortably and easily using stairs at home, in their workplace, or in various public places as needed throughout the day, without experiencing significant breathlessness, joint pain, or instability.
• A frequent goal for patients seeing Dr. Thillairajan about needing medical clearance or a pre-participation physical for a new job, school program, or volunteer position is to achieve experiencing fewer and less severe complications from a chronic underlying illness (like heart failure or chronic kidney disease) due to Dr. Thillairajan's diligent, guideline-based monitoring and timely therapeutic adjustments. This success paves the way for them to re-engage with effectively and independently managing their personal budget, complex financial responsibilities, investment decisions, or household bill payments with sustained mental acuity and organizational skill.

Your personalized healthcare plan, developed in discussion with Dr. Thillairajan, 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. Thillairajan practices at a family medical clinic in Langley, situated in the central Langley neighborhood of Langley. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

Is seeing a family doctor (Family Doctor) covered by Medical Services Plan (MSP) of BC in BC?

Medically necessary visits to a family doctor are typically covered by the Medical Services Plan (MSP) of BC for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

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

You can check the website of The College of Physicians and Surgeons of BC, which often has a "Find a Doctor" tool or list. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor accepting new patients can be challenging and may take time.

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

Generally, you do not need a referral to see a family doctor if they are accepting new patients. However, finding a doctor accepting new patients can be difficult. Provincial resources or the College of Physicians and Surgeons may be helpful. A referral is usually required to see specialists.

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

For life-threatening emergencies, call 911 or go to the nearest hospital emergency department. For urgent, non-life-threatening issues, consider visiting an urgent care centre or walk-in clinic. Check with our clinic during regular hours to see if after-hours services are available. Our clinic voicemail [(604) 530-0056] may also provide instructions or resources for after-hours care.

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

Your family doctor (in British Columbia) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

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

Continuity of care refers to the process where your family doctor, Dr. Thillairajan, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr. Thillairajan 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.

303-22112 52 Ave, Langley Primary Health Care Associates
Langley, BC, V2Y 2M6

Phone: (604) 530-0056

Dr. Shivaranjjani Thillairajan is regulated by the Health Professions Act (British Columbia) in BC and is a registered member in good standing with The College of Physicians and Surgeons of British Columbia (CPSBC).

Registration Number: 39243

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/374794/Thillairajan%2CShivaranjjani

Family doctors like Dr. Thillairajan 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.