Lower Mainland

We provide services for people with:

  • OsteoarthritisOsteoarthritis (OA) is a joint disease that affects the cartilage. It is the most common type of arthritis, especially among older people. It can also be called degenerative joint disease. Complex osteoarthritis is when osteoarthritis affects two or more joints. in two or more joints and
  • All types of inflammatory arthritisInflammatory arthritis is a term used to describe a group of conditions which affect your immune system. This means that your body’s defense system starts attacking your own tissues instead of germs, viruses and other foreign substances, which can cause pain, stiffness and joint damage. They’re also known as autoimmune diseases. The three most common forms of inflammatory arthritis are rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis..

Programs and services – is there a cost?

All programs and services listed below are covered by the BC Medical Services Plan (MSP). A summary of our programs and services can be found on our Vancouver Arthritis Clinic brochure.

Outpatient services

We have a variety of health care providers who can help you manage and treat the physical and psychological impacts of arthritis including:

  • Physical Therapist (PT)
  • Occupational Therapist (OT)
  • Registered Nurse
  • Social Work Counsellor

We require a physician’s referral in order to see any of the health care providers listed above. To learn more about the role of these professionals in your treatment plan, please visit the Who Do I Need to See page.

Patient education

Our team of instructors offers Free classes on a range of topics for patients on the wait list, in treatment or who have completed treatment.

Arthritis education classes can help individuals learn about the different kinds of arthritis and ways of managing arthritis. Family and friends are welcome to attend these sessions.

Other programs & services

The following require a referral from a rheumatologist:

  • Biologics Infusion Clinic – safely administers IV biologic medications ordered by a rheumatologist for the treatment of inflammatory arthritis and other related inflammatory conditions.
  • Drug Monitoring Program:
    • Advanced Therapeutics Clinic – provides physician and nursing clinics twice weekly to assist rheumatologists in the selection, initiation and monitoring of medications such as Cyclosporine, Biologics and newer Health Canada approved medications for the treatment of inflammatory arthritis and other inflammatory rheumatic conditions.
  • Oral Medicine Clinic – a monthly dental clinic that assesses oral health issues related to rheumatic diseases.
  • Orthopedic Clinic – a monthly clinic that assesses people with damaged joints for possible surgical options to improve one’s ability to move and do daily activities.
  • Outpatient Day Program – provides a 3 – 6 week multi-disciplinary intensive treatment, counselling, education and community follow-up services for adults with complex forms of arthritis and other rheumatic conditions.
  • Psychiatry Clinic – a weekly clinic that provides consultative services to assess and manage people with psychological concerns related to their rheumatic condition, and to assist with better coping associated with physical limitations.
  • Young Adult Rheumatic Disease Program – provides comprehensive multidisciplinary treatment for young adults, who were treated in the pediatric program for various rheumatic diseases, to help with the transition to adult care.

The following require a referral from any physician:

  • Laboratory – open 5 days/week for new and ongoing blood, urine and other testing.
  • LupusLupus is an autoimmune disease, caused by the body’s immune system mistakenly attacking its own tissues and organs. Lupus is a chronic inflammatory condition that can affect one or more organs, including the skin, blood, joints, heart, lungs and kidneys. There are four different types of lupus. Clinic – a weekly physician and nursing clinic that provides consultative services and patient education for assessing and managing lupus.
  • Pregnancy and Rheumatic Diseases Clinic – this clinic provides preconception counselling with women/men with rheumatic diseases and a medication review prior and during pregnancy
  •  SclerodermaScleroderma is an autoimmune rheumatic disease in which skin of the extremities, chest, abdomen, and/or face becomes thick and hard. Joint pain and stiffness, particularly involving the hand joints, is almost always present at disease onset. Clinic – a weekly physician and nursing clinic that provides consultative services and patient education for assessing and managing scleroderma.
  •  VasculitisVasculitis is a general term for a group of uncommon diseases that feature inflammation of the blood vessels. The blood vessels of the body are referred to as the vascular system. The blood vessels are comprised of arteries that pass oxygen-rich blood to the tissues of the body and veins that return oxygen-depleted blood from the tissues to the lungs for oxygen. Vasculitis is characterized by inflammation in and damage to the walls of various blood vessels. Clinic – a weekly physician and nursing clinic that provides consultative services and patient education for assessing and managing vasculitis.

Services we don’t provide

Services are not provided for soft tissue conditionsSoft tissue conditions include a range of conditions such as tennis elbow, carpal tunnel syndrome, bursitis, tendonitis, frozen shoulder, trigger finger, plantar fasciitis, etc.  such as tendonitisInflammation or irritation of a tendon, a thick cord that attaches bone to muscle., frozen shoulderFrozen shoulder, also called adhesive capsulitis, causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move., fibromyalgiaFibromyalgia is a chronic disorder characterized by widespread pain, tenderness, and stiffness of muscles and associated connective tissue structures that is typically accompanied by fatigue, headache, and sleep disturbances., mechanical back painMechanical low back pain is the general term that refers to any type of back pain caused by strain on muscles of the vertebral column and abnormal stress.  not related to osteoarthritis or inflammatory arthritis, and osteoporosisA condition where bones become less dense and more fragile, which means they break or fracture more easily. not related to inflammatory arthritis.  We do not provide treatment for patients with open ICBC or WorkSafe BC claims.

Cancellation policy

Please provide 24 hours notice if you can no longer make your appointment. Appointments are in high demand, and your early cancellation will provide another patient access to timely medical care.

Cancelling your appointment

Call 604-875-4040 from Monday to Friday, 8:00 a.m. to 4:00 p.m. or 604-875-4111, ext. 68810 to leave a message outside business hours. Two non-attendances (i.e., cancelling with less than 24 hours notice) may result in discharge from treatment.

Travelling Clinics

The Mary Pack Arthritis Program also offers travelling consultation services with a rheumatologist two to four times a year in Pender Harbour, Powell River, Sechelt, Squamish, and Whistler. The rheumatologist can help diagnose (detect), treat and medically manage patients with arthritis and other rheumatic diseases. Visit the Travelling Clinics page for more information.


Mary Pack Arthritis Centre

895 West 10th Avenue, Vancouver, BC V5Z 1L7
Phone Numbers:

  • Appointments and Cancellations – 604-875-4040
  • Nursing – 604-875-4111 ext. 69218
  • Occupational therapy – 604-875-4111 ext. 68814
  • Physical therapy – 604-875-4111 ext. 68835
  • Social work – 604-875-4111 ext. 68812
  • Fax: 604-875-4321

 Building Accessibility

Our building is fully wheelchair accessible.

Hours of Operation

M,W,F: 8:00 a.m. – 5:00 p.m.
T,Th: 8:00 a.m. – 7:30 p.m.
Lab Hours: M-F: 8:00 a.m. – 4:00 p.m.

Gold Clinic Injection Hours: W, Th, F: 8:30 a.m. – 4:30 p.m.
All services closed on weekends and statutory holidays.


There is underground pay parking available for Patients. Please enter from the back lane, between Broadway and West 10th Avenue. Other parking options are also available, including in the Park Inn parking lot behind our centre.

Public transit

We are on the No. 9, 17, and 99 bus routes.

Other arthritis services in the Lower Mainland

Arthritis services can also be found in the private and public health care system in other Lower Mainland locations. To learn more about alternative options, please visit the Other Arthritis Services page.