HomeAbout Us

About AFIYA Spine & Pain Clinic

Here we believe that your chronic pain should not be limiting your quality of life. At AFIYA, we understand these management difficulties and have a vision for practicing medicine the way it should be practiced, quickly. We believe in providing our patients with the care they deserve, with rapid access to our team of experts.

With our continuously growing team of professionals, you will have immediate access to highly trained pain specialists who provide multidisciplinary pain medicine combining medication management, mental well-being, and procedural-based pain management systems.


What We Offer

Multiple same-day offerings available for select procedures featuring x-ray or ultrasound image guidance to ensure appropriate pain-generator targeting. We offer novel cutting-edge radiofrequency ablation and stimulation treatments for long-lasting, steroid sparing pain relief. Let us be a part of your journey to a better quality of life, and invite you to schedule an appointment with one of our pain specialists to determine a treatment plan that works right for you.

Image Guided Interventions
Radiofrequency ablation
Nerve Blocks
Pulsed Radio Frequency
Epidural Steroid Injections
Platelet Rich Plasma (PrP)

Doctors & Staff

Meet Our Founders

Dr. Mahesh Palanisamy

Medical Director & Founder
MD, FRCPC, FCAI, FIPP, Dip Pain Medicine, CIPS Anesthesia and Interventional Pain Medicine

Dr. Mahesh Palanisamy is an Internationally-trained Anesthesiologist and Pain Management Specialist. He is the Chronic Pain Section Lead at Niagara Health. He also works at Michael DeGroote Pain Clinic and Hamilton Health Science.

View Profile

Dr. Zameer Pirani

MD, FRCPC (Anesthesia) & FRCPC (Pain Medicine)

Dr. Pirani attended medical school at the Royal College of Surgeons in Ireland.  After medical school he went on to complete Anesthesia Residency at Western University.  

View Profile

Dr. Ahilraj Siva

Interventional Spine and Joint Specialist

Dr. Siva completed his primary specialty training in Physical Medicine and Rehabilitation (PM&R) at McMaster University.

View Profile


Pain Management Resources

Tools For Anxiety, Depression & Insomnia

Blog Tab Header: 1 MoodGYMAn online module-based cognitive behavioural therapy interventionStart Today: https://moodgym.com.au/ 2 BounceBackA Free Skill-Building Program to Help Adults and Manage their Depression, Anxiety, Stress Or WorryStart Today: https://moodgym.com.au/Requires Referral from a Physician BounceBack For Adultshttps://bouncebackbc.ca/what-is-bounceback/ BounceBack For Youthhttps://bouncebackbc.ca/what-is-bounceback-youth/

Better Diet Less Pain

We invite all of our patients to take advantage of Canada’s current Food Guide.  This platform provides insight on limiting highly processed foods, benefits of drinking water and how to navigate food labels in our ever-evolving meat, produce and healthy drink industry. Food Guide Canada https://food-guide.canada.ca/en/

TED-ED Videos

More Pain-specific educational videos from TED that help our patients understand the mysteries ofchronic pain and how we can think progressively to combat pain as an illness. The Mysterious Science of Pain – Joshua W. Pate How Does Your Brain Respond to Pain – Karen D. Davis