Janaparan Gunaratnarajah

Dr. Janaparan (Jay) Gunaratnarajah, ND, MPH is a licensed naturopathic physician focused in interventional pain management and regenerative medicine. He received his medical training from the Canadian College of Naturopathic Medicine (CCNM) in Toronto, including an internship at Brampton Civic Hospital, and holds a Master's in Public Health. Since 2019, he has been helping patients address persistent musculoskeletal pain through interventional treatments, with a primary focus on ultrasound-guided injections.

Treatment Philosophy

Dr. Jay's approach focuses on identifying and addressing the root causes of pain rather than simply managing symptoms. Ultrasound guidance is central to his practice, allowing him to visualize tissues in real-time and deliver injections precisely to the affected area. Whether it's an inflamed tendon, trigger point, or degenerative joint. This precision helps ensure that therapeutics reach the intended target. He combines this imaging technology with multiple treatment modalities, including prolotherapy, PRP therapy, and trigger point injections, to create personalized treatment plans based on each patient's specific condition and tissue findings.

Conditions Addressed

Dr. Jay works with patients experiencing a wide range of musculoskeletal and pain-related conditions, including:

• Chronic joint pain (knee, shoulder, hip, elbow)
• Tennis elbow, golfer's elbow, and other tendonitis
• Persistent low back and neck pain
• Sports injuries and overuse injuries
• Arthritis-related pain and joint degeneration
• Rotator cuff injuries and shoulder impingement
• Plantar fasciitis and heel pain
• Chronic headaches and migraines
• Trigger point and myofascial pain
• Pain that hasn't responded to previous treatments

Interventional Pain Management & Regenerative Medicine

Dr. Jay's practice centres on ultrasound-guided interventional treatments for musculoskeletal pain:

• Prolotherapy: Injections that stimulate healing in weakened ligaments and tendons
• Ultrasound-guided trigger point injections: Releases muscle tension and addresses referred pain patterns
• Ultrasound-guided t Platelet-rich plasma (PRP) therapy: Uses concentrated platelets from the patient's own blood to support tissue repair
• Neuromodulators and Botox: For chronic migraine management and muscle-related pain conditions
• Pharmaceutical prescribing: Access to prescription medications when appropriate for comprehensive pain management

Hormone & Metabolic Health

Dr. Jay also addresses conditions where pain intersects with metabolic and hormonal dysfunction:

• Bio-identical hormone therapy for hormonal imbalances
• Weight loss medication prescribing and structured weight loss programs
• PCOS, thyroid disorders, diabetes, and fatty liver management
• Mitochondrial health optimization to support hormone balance, metabolism, and cellular energy production

Intravenous & Injectable Therapies

• NAD+ therapy for cellular energy and recovery support
• High-dose Vitamin C and Alpha Lipoic Acid infusions
• IV Glutathione and iron infusions
• IM injections (Vitamin D, B12, CoQ10, Vitamin A)

Aesthetic & Wellness Services

• Hair PRP for thinning and hair loss
• Face PRP for acne scars, wrinkles, hyperpigmentation, and skin texture concerns