Services

Physiotherapy

Woman Doing Physiotherapy

Physiotherapists are primary health care professionals that play a significant role in health promotion and disease prevention.

As primary health care professionals, physiotherapists combine in-depth knowledge of how the body works with specialized hands-on clinical skills to assess, diagnose and treat symptoms of illness, injury and disability.

With your independence in mind, a physiotherapist's goals are to restore, maintain and maximize your strength, function, movement and overall well-being and to prevent further pain, disability, or movement restrictions.

Physiotherapists treat a wide range of conditions. If you are uncertain if your condition is something commonly seen by a physiotherapist, then please contact us. Some of the more common problems we see:

  • Low Back and Neck pain
  • Rotator Cuff injury
  • Sedentary lifestyle
  • Plantar fascitis
  • Arthritis
  • Tennis/Golfers Elbow
  • Pre and post-surgical rehabilitation
  • Fractures and Sports Injuries
  • Whiplash
  • Ankle sprains
  • Carpal Tunnel Syndrome
  • Everyday aches and pains
  • Headaches
  • Sciatica
  • Tendonitis
  • Shin Splints
  • Bursitis
  • Postural Dysfunction
  • TMJ Dysfunction
  • Workplace Injuries (WSIB Claims)
  • Motor Vehicle Injuries (MVA)

Our physiotherapists are trained to use different treatment modalities:

  • Manual Therapy
  • Acupuncture
  • Yoga Therapy
  • Ultrasound
  • Interferential Current (IFC)
  • Transcutaneous Electrical Nerve Stimulation (TENS)
  • Soft Tissue Release
  • Taping & Bracing
  • Exercise prescription

 

Massage Therapy

Woman stretches on a therapy table.

Massage therapy is the assessment and manipulation of soft tissues and joints of the body to affect a therapeutic response in the treatment and prevention of physical dysfunction. It can be preventative or restorative, helping to maintain, rehabilitate, augment physical function or relieve pain.

Massage therapy has firmly established its role as a clinically-oriented health option used to relieve a variety of discomforts. Massage can help alleviate the soft tissue discomfort associated with everyday stress, muscular overuse and many chronic pain syndromes. If employed early enough after accidents involving trauma and injury, massage therapy can greatly reduce the development of painful muscular patterning.

The therapeutic process is a partnership between client and therapist, working together towards common and realistic goals.

Massage Therapy helps too:

    • Reduce or eliminate pain
    • Improve joint mobility
    • Improve circulation
    • Reduce depression & anxiety
    • Reduce tension within muscles
    • Increase body awareness
    • Scar tissue release
    • Increase lymphatic drainage

Massage therapy benefits people of all ages. While it benefits the injured, the ill and the stressed, the real strength of massage therapy lies in prevention.

 

Acupuncture

Medical Acupuncture is an effective and simple treatment approach based on current concepts of neurophysiology, neuroanatomy, and pathophysiology.

Some effects include:

  • Muscle relaxation
  • Pain modulation
  • Diverse neuroendocrine and immune responses
  • General relaxation
  • Feeling of psychophysical well-being

Insertion of solid needles and use of electrical stimulation are the foundation of this approach. We use needles that are disposed after every use and do not contain any medication. Treatment may vary in length from 15 min to 30min. The depth of needle insertion is dependent on the target tissue.

Acupuncture needles are solid, but are much thinner than a syringe-type needle typically used for vaccinations or blood work. They also have rounded tips, so they do not cut through muscle like other needles, decreasing the pain associated with penetration.

Some may experience a deep qi feeling, which may feel like a deep ache. This is associated with increased circulation and the results are typically positive within the next 24 hours. Often, acupuncture is associated with an increase in blood flow to the whole body, which may release systems that have been restricted or stagnant prior to the treatment.

It is recommended that you eat within two hours prior to an acupuncture treatment as failure to eat may result in a vasovagal response. This is due to your blood pressure dropping suddenly associated with an increase in heart rate due to distress. The effects are short term, and there are no long term risks associated with acupuncture. However, if you have cardiovascular problems, please discuss with the clinician to determine if acupuncture is appropriate to your treatment plan.

 

Yoga

Individual and Group Classes by Certified Yoga Instructor.

Yoga is an ancient healing art form. It is derived from Ayurvedic Medicine as a way to rejuvenate the body and prolong life. It helps you become more aware of your breathing, posture, alignment and patterns of movement. It helps you to become more mindful of your environment. This is one of the foremost reasons why people want to start yoga - to feel free, be more energetic, be happier and more peaceful.

We offer one-on-one yoga as part of a comprehensive physiotherapy program. With the assessment by a Registered Physiotherapist, and regular follow-ups with a supervising physiotherapist, your yoga therapy program will be billed as part of your physiotherapy treatment, and most extended health care plans have physiotherapy coverage.

You do not need to be flexible to do yoga! The amazing thing about an individualized yoga program is that it provides balance to your body. If you are hypermobile, it can provide balance, stability and strength. If you are stiff and restricted in mobility, it will help to improve circulation and flexibility. If you physically feel good, it can provide mental stability, peace and balance as well. It has the power to benefit us all!



Benefits of Yoga

Some of the benefits of Yoga include:

  • Flexibility
  • Strength
  • Muscle tone
  • Balance
  • Joint Health
  • Pain Prevention
  • Better Breathing
  • Mental Calmness
  • Stress Reduction
  • Body Awareness

 

Pre-Post Natal Care

Our physiotherapists are trained in helping women to optimize their physical health during pregnancy, labour, delivery, and the postnatal period.

How long is the postnatal period following the delivery of a baby?

For the rest of that mother's life!

This is why it is important to understand the healthy progression of becoming pregnant and delivering a baby as it has a lifetime's worth of effects (mostly good). Following an ACL tear, most people will have a surgery or undergo extensive physical rehab for a significant time period. After a woman goes through a very laborious process of delivering a baby, her health is often neglected as the baby's care is now in the forefront.

We are here to help support the mother in this very joyous and life-altering experience.

Prenatal Period

We do functional assessments and provide treatment plan to ensure that the mom-to-be is aligned and is feeling physically well for the duration of her pregnancy. Some of that treatment may involvemanual therapy, prenatal yoga therapy with a Certified Yoga Instructor, and prescription exercises to make sure all the right muscles are strong, flexible and coordinated. We help to prevent problems that may arise during the normal process of pregnancy and labour & delivery.

The most common problems are: (these conditions should be described in pelvic floor section)

  • Diastesus rectus
  • Urinary incontinence
  • Coccydinia
  • Pubic symphysis pain
  • SIJ instability
  • Lumbar pain
  • Plantar fasciitis
  • Edema in the lower extremities
  • Cramping

 

Labour & Delivery

Our physiotherapists have been trained with practical, evidence-based knowledge and advanced skills in providing labour and delivery support. This includes the stages of normal labor and delivery, anatomic characteristics and considerations for childbirth, effects of intrinsic and extrinsic factors on labor, causes and management of dysfunctional labor and, psychosocial considerations in childbirth. We will educate the mom and partner on labour coping techniques, pain management, and special/difficult circumstances that may arise. We can help the mom and partner build the confidence and skills required to have a successful labour & delivery. We can communicate with the obstetrician, midwife, and doula to make sure that we are all on the same team and providing the best care for the whole family.

 

Postnatal Period

Following the birth of the baby, it is recommended that the mom see a Pelvic Floor Physiotherapist within 4 - 8 weeks postnatally to determine the appropriate course of action. Postnatal mothers should not be returning to sport and extensive exercises before consulting with a Registered Physiotherapist trained in women's health. This assessment and treatment plan will help to prevent problems that can occur with returning to sport/work tpo early and can have repercussions for years to come. The treatment plan may include internal pelvic floor manual therapy prenatal yoga therapy with a Certified Yoga Instructor, and prescription exercises to make sure all the right muscles are strong, flexible and coordinated.

 

Pelvic Floor Rehabilitation

Pelvic Floor Physiotherapy is becoming more established in the literature as a first-line of management against incontinence and Pelvic Pain. The 2010 Cochrane Collaboration concluded that physiotherapists with specialized training in pelvic floor rehabilitation (using internal examination to teach the exercises) should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence in women.

Pelvic Floor Dysfunction can be caused by:

  • HYPOTONICITY (decreased muscle tone, weak and lengthened muscles) : contributing to stress incontinence and pelvic organ prolapsed.
  • HYPERTONICITY (increased muscle tone, tender, weak and shortened muscles): contributing to Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Chronic Prostatits..

As a result, 'Kegels' are NOT always indicated for pelvic floor problems. Sometimes they do more harm than good, and often they are NOT performed correctly.

Pelvic Health Physiotherapy can treat conditions such as:

  • Urinary Incontinence
  • Stress Incontienece
  • Urge Incontinence (Overactive Bladder)
  • Fecal Incontinence
  • Constipation
  • Pelvic Organ Prolapse
  • Chronic Pelvic Pain
  • Vulvodynia, Vaginismus, Vestibulodynia
  • Interstitial Cystitis/Painful Bladder Syndrome
  • Dyspareunia (Painful Intercourse)
  • Pre and Post-Partum
  • Diastasis recti
  • Pre and post-natal rehabilitation

Physiotherapy treatment options vary, depending on the diagnosis, but may include:

  • Education regarding normal bowel/bladder function, dietary and lifestyle factors
  • Pelvic Floor Muscle awareness and progressive strengthening/stretching exercises
  • Connective tissue massage
  • Myofascial trigger point release
  • Bladder retraining
  • Behavioural techniques
  • Manual therapy techniques