Rheumatology · St. Michael's Hospital · University of Toronto
She trains the next generation of rheumatologists, and holds patient care to the same bar.
Clinical Director
The questions rheumatology finds hardest rarely fit one clinic: a medication weighed against a pregnancy, a joint caught between an injection and surgery, an autoimmune disease that touches every system. Dr. Mahendira runs three clinics built for exactly those questions, each with a specialised team and a plan from the first visit.
The clinics
Each clinic has its own home, its own patient guides, and, for the topics that need it, a clinician layer with evidence grades and guideline comparisons.
Inflammatory and autoimmune disease: rheumatoid and psoriatic arthritis, lupus, spondyloarthritis, vasculitis, and more.
Enter clinic ClinicNon-surgical osteoarthritis care and an injection service: viscosupplementation, corticosteroid, and PRP.
Enter clinic ClinicRheumatic disease before, during, and after pregnancy. Medication safety, pre-conception planning, and a full clinician reference.
Enter clinicWhy these clinics exist
Inflammatory and autoimmune disease rarely stays in one place. It can arrive with a pregnancy, settle into a single joint, or move through the whole body, and the questions it raises often fall between clinics: is this medication safe to continue while trying to conceive? Is an injection worth trying before surgery?
Too often those questions meet a "wait and see," not because anyone is failing the patient, but because the ordinary clinic is not built around them. A patient weighing pregnancy against active disease, or surgery against a joint that might still respond, needs a team that has seen the pattern before and knows what comes next.
Dr. Mahendira's clinics are built for exactly that. Reproductive rheumatology, complex osteoarthritis, and general inflammatory disease each have a rheumatologist-led team and a defined approach, working from one record, so the plan is deliberate from the first visit rather than pieced together over years.
The complex, made clear.
One record, two readers
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