Maryam Azerang-Esfandiari – Physiotherapist | North York, ON

Maryam Azerang-Esfandiari is a dedicated Physiotherapist. Practicing at Medex Health Services in North York, ON, Maryam is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Maryam addresses a wide range of muscle, joint, bone, tendon, and ligament conditions. This includes everything from acute injuries like sprains and strains, to chronic pain management, arthritis care, and comprehensive post-operative rehabilitation. Maryam serves patients of all ages, from infants to seniors.

Maryam Azerang-Esfandiari completed their degree in Physiotherapy from Iran University of Medical Sciences (Graduating Class of 1990). With extensive clinical experience, Maryam is committed to ongoing professional development and evidence-based physiotherapy practices. Maryam has a particular interest and further training in areas such as Orthopedic and Musculoskeletal Physiotherapy.

Maryam employs a patient-centered approach, actively involving individuals in their treatment planning and goal setting; promoting preventative care and long-term wellness for the North York community through proactive physiotherapy; and a collaborative approach, working with patients to achieve their movement and functional goals. Maryam Azerang-Esfandiari offers consultations in English, Farsi, Persian.

Maryam Azerang-Esfandiari provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Arthritis

• Rheumatoid Arthritis (RA) & Other Inflammatory Arthropathies: An autoimmune condition causing chronic inflammation, pain, stiffness, swelling, and potential deformity in multiple joints, often symmetrically. Physiotherapy aims to manage pain, maintain joint function and mobility, improve strength and endurance, provide joint protection strategies, and support self-management.
• Psoriatic Arthritis (PsA): An inflammatory arthritis that can affect some people with psoriasis (a skin condition), causing joint pain, stiffness, swelling, and sometimes affecting tendons (enthesitis) and ligaments. Can affect small or large joints, often asymmetrically, and sometimes the spine.

Common Musculoskeletal

• Muscle Strains and Tears: Damage or tearing of muscle fibers, ranging from a mild overstretch (Grade 1 strain) to a partial or complete rupture (Grade 2 or 3 tear), typically caused by sudden forceful contraction, excessive stretch, or direct trauma.
• Shoulder Pain (e.g., Rotator Cuff Tendinopathy, Impingement, Frozen Shoulder/Adhesive Capsulitis): Pain, weakness, or restricted movement in the shoulder joint, often experienced with overhead activities, lifting, reaching behind your back, or sleeping on the affected side.
• Wrist and Hand Pain (e.g., Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, Strains): Pain, numbness, tingling, weakness, or stiffness in the wrist, hand, or fingers, often resulting from overuse, repetitive tasks, arthritis, or specific conditions like carpal tunnel syndrome or De Quervain's tenosynovitis.

Hand Wrist

• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Specialized physiotherapy for conditions affecting the intricate structures of the hand and wrist, such as fractures (e.g., Colles', scaphoid), tendon lacerations or ruptures (e.g., flexor/extensor tendon repairs), ligament sprains/tears (e.g., skier's thumb, TFCC injuries), repetitive strain injuries, or arthritis (osteoarthritis, rheumatoid arthritis). Includes both conservative management and post-operative rehabilitation.
• Trigger Finger/Thumb (Stenosing Tenosynovitis): A condition where a finger or thumb gets stuck or 'catches' in a bent position, then may snap straight (like pulling a trigger). Caused by inflammation and narrowing of the tendon sheath around the flexor tendon.

This list offers examples of conditions commonly addressed. Diagnosis for physiotherapist is based on individual assessment, so if your specific concern isn't listed, please contact the clinic. Maryam can assess your needs.

• Other Electrotherapy Applications (e.g., NMES, FES): Employing different types of electrotherapy to support your rehabilitation goals, including promoting tissue healing or improving motor control.
• Extracorporeal Shockwave Therapy (ESWT): Targeted shockwave application to promote tissue regeneration, modulate pain, and improve function in chronic injuries, often with lasting results.
• Therapeutic Ultrasound Application: The application of high-frequency sound waves by your Physiotherapist to targeted tissues to promote deep tissue heating, increase local blood flow, reduce pain, and facilitate the healing process in soft tissues like muscles, tendons, or ligaments.
• Low-Level Laser Therapy (LLLT) / Photobiomodulation: A non-invasive light therapy used in physiotherapy to treat various musculoskeletal conditions, promote faster healing, reduce pain, and modulate inflammation without generating heat.
• Spinal Decompression / Mechanical Traction: Therapeutic traction for the cervical (neck) or lumbar (low back) spine, used by physiotherapists to help reduce pain, decompress nerve roots, and improve symptoms associated with conditions like disc herniations, sciatica, or spinal stenosis.
• Interferential Current (IFC) / TENS Therapy: Utilizing targeted electrical currents to help alleviate pain, manage discomfort, and support healing in conjunction with other physiotherapy interventions.

Note: This list highlights some key services. For a full list of therapies offered by Maryam, or to discuss your specific needs, please contact the clinic.

All services are provided in accordance with the scope of practice for Physiotherapists in ON and the standards set by The College of Physiotherapists of Ontario.

At Medex Health Services, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Maryam frequently helps patients work towards goals such as:

• The journey to reduced swelling and inflammation in injured areas when faced with persistent aches and pains that I'm pretty sure are from my bad posture at my desk is made smoother and more effective with Maryam's expert physiotherapy care, often leading to a fulfilling and active return to pastimes like participating in community events and social gatherings more actively.
• Through personalized physiotherapy at Maryam's clinic, common concerns like wrist pain and tingling, possibly from carpal tunnel syndrome, especially at night are thoroughly assessed and addressed with the objective of successfully avoiding or delaying the need for more invasive treatments or surgery. This often involves a combination of in-clinic treatment, education, and self-management strategies, helping people to once again enjoy activities like performing tasks requiring fine motor skills and dexterity with ease.
• Tired of numbness, tingling, or weakness in my hands, arms, feet, or legs interfering with keeping up with their team during our weekly soccer match? Maryam uses a blend of physiotherapy techniques to help you achieve seeing their child achieve developmental milestones with greater ease (for pediatric physio) and regain your freedom of movement.
• Don't let recovering from surgery to my hand or wrist dictate what you can and cannot do. Maryam offers physiotherapy solutions aimed at noticeable strength gains in their limbs, supporting more demanding tasks, helping you reclaim maintaining their balance and stability while walking on uneven ground or trails and enjoy a more functional life.

Your personalized physiotherapy plan, developed with Maryam, will be designed to help you reach your specific functional and wellness objectives.

Maryam practices at Medex Health Services, a physiotherapy clinic in the central North York neighborhood of North York. The clinic is conveniently located near nearby parks and community recreation facilities and is accessible via local public transit routes. Ample parking is generally accessible close to the clinic entrance.

Is physiotherapy treatment supposed to be painful?

While some physiotherapy techniques might feel uncomfortable or cause a temporary increase in soreness (similar to muscle soreness after a new workout), especially when working on stiff joints or tight muscles, it should not be excessively or intolerably painful. Your Physiotherapist will discuss what sensations you might expect with different treatments and will always aim to adjust the intensity and techniques to ensure you are as comfortable as possible while still achieving therapeutic benefits. Constant communication about your comfort level is very important.

Is physiotherapy covered by the Ontario Health Insurance Plan (OHIP) in ON?

OHIP generally does NOT cover physiotherapy services in private outpatient clinics for most of the population. Publicly funded physiotherapy is available in specific situations (e.g., post-hospitalization for certain conditions, for children/youth, seniors, or through Community Physiotherapy Clinics/Family Health Teams), but eligibility criteria are strict and there may be waitlists. It is strongly advised to check your private insurance for coverage of services at private clinics.

What is Medex Health Services's appointment cancellation policy?

We understand that schedules can change unexpectedly. To ensure we can accommodate all our patients efficiently, we kindly request at least 24 hours' notice for any appointment cancellations or rescheduling. This allows us to offer the time slot to other patients who may be waiting for care. A fee may be charged for late cancellations (less than 24 hours' notice) or missed appointments without sufficient notice. Please contact our clinic as soon as possible if you need to make any changes to your appointment.

What should I do if my condition seems to worsen after a physiotherapy session?

It's not uncommon to experience some temporary soreness or a mild increase in symptoms after certain physiotherapy treatments, especially in the initial stages or if you're starting new exercises. This usually subsides within 24-48 hours. However, if you experience a significant or sharp increase in pain, new or worsening neurological symptoms (like numbness, tingling, or weakness), or if your soreness lasts longer than expected, it's important to contact Medex Health Services or your physician directly. They can provide advice, adjust your treatment plan if necessary, or determine if you need to be reassessed.

Do I need a doctor's referral to see a Physiotherapist in ON?

Patients in ON can typically see a Physiotherapist directly without a physician's referral (direct access). However, some private/extended health insurance plans require a referral for reimbursement. Check your insurance policy before your first appointment.

What is manual therapy in physiotherapy?

In physiotherapy, manual therapy encompasses a range of 'hands-on' interventions. Your Physiotherapist may use these techniques to help reduce your pain, increase joint movement, relax tight muscles, or improve the mobility of your nerves. Common approaches include joint glides, sustained pressures, specific soft tissue massage, and, when indicated, joint manipulations. It's a key part of helping your body move better.

What kind of clothing should I wear to my physiotherapy appointment?

Please wear comfortable, loose-fitting clothing that allows the Physiotherapist to easily access and assess the area being treated, and permits you to move freely for any exercises or movements. For example, shorts are ideal for knee, hip, or ankle issues, while a tank top or loose t-shirt works well for shoulder, neck, or upper back problems. Athletic wear or gym attire is generally a good choice. You may also be provided with a gown if needed.

Medex Health Services
503 - 18 Wynford Drive
North York, ON, M3C 3S2

Phone: (416) 493-9797

Maryam Azerang-Esfandiari is regulated by the Regulated Health Professions Act, 1991 and Physiotherapy Act, 1991 in ON and is a registered member of The College of Physiotherapists of Ontario.

Registration Number: XXX83

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=03030882-8e02-e811-8134-480fcff4f671

Always consult with your primary healthcare provider before starting any new treatment program.