Physiotherapy is a leading, evidence based rehabilitative health care profession. Physiotherapists treat a variety of injuries and illnesses and improve your overall health and wellbeing.  They use a combination of manual therapy, use of modalities and exercises to help improve your mobility, strength, endurance and coordination.

Physiotherapy can help with:

• Pre and post-operative care
• Post fracture treatment – Surgical and non-surgical
• Rotator cuff injury/tear
• Muscle sprain/strain
• Tendon tears
• Arthritis – Acute and chronic
• Knee pain with sprain/strain of ligament, meniscus
  injury and instability
• Neck and low back pain
• Sciatica
• Radiculopathy (nerve pain)
• Postural correction
• Spondylitis
• Degenerative disc disease for neck and low back
• Vestibular rehabilitation
• Bell’s Palsy
• Tennis and golfer’s elbow
• Plantar fasciitis
• Geriatric general maintenance and strengthening program
• And many more conditions

Chiropractic is one of the largest health care professions in Canada. It is a drug-free approach to health care that includes taking a detailed health history, performing a physical examination and forming a diagnosis and customized treatment plan for the patient. Chiropractors assess patients for neurological and musculoskeletal disorders related to the spine, pelvis and extremities.

Aqua therapy uses the physical properties of water such as buoyancy, viscosity, and hydrostatic pressure to increase the rate of healing. Buoyancy reduces any effects of gravity on the body. Therefore it helps to decrease force or weight bearing stresses on the injured joints that a patient experiences on land. Viscosity provides resistance, which aids in strength training without using weights. Hydrostatic pressure assists to decrease swelling and improve joint position awareness thus increasing proprioception. Hydrostatic pressure also decreases joint and soft tissue swelling.

Chiropractic can help conditions such as:

• Neck & Back Pain
• Sciatica
• Tennis and Golfer’s Elbow
• Shoulder Pain
• Hip Pain
• Knee Pain
• Ankle and Foot Pain
• Sprains and Strains
• Sport, Work and Accident Related Injuries
• Repetitive Strain Injuries
• And many more…..

To treat patients, our chiropractors use:

• Manual Adjustments
• Instrument Assisted Adjustment (Such as use of Activator Methods)
• Manual Release Technique
• Active Release Technique
• Electric Modalities
• Ultrasound
• Laser
• Shockwave
• Cold Compression
• And other Techniques

Massage Therapy is a clinically-oriented healthcare option that helps alleviate the discomfort associated with every day and occupational stresses, muscular over-use and many chronic pain conditions.  It is the manipulation of soft tissues of the body

Types of Massages offered:

• Therapeutic
• Swedish Massage
• Relaxation Massages
• Trigger Point Therapy
• MRT: Manual Release Technique
• Lymphatic Drainage

Types of Massages offered:

• Therapeutic
• Swedish Massage
• Relaxation Massages
• Trigger Point Therapy
• MRT: Manual Release Technique
• Lymphatic Drainage

Shockwaves are acoustic waves, which carry high energy to painful spots and musculoskeletal tissues and can reverse chronic inflammation, stimulate collagen production, dissolve calcified fibroblasts, disperse pain mediator “substance P” and release trigger points. The effect of treatment is cumulative and usually leads to experiencing relief after the first treatment

Shockwave therapy is used for treatment of many musculoskeletal conditions such as:

• Plantar fasciitis
• Achilles tendonitis
• Tennis elbow
• Golfer’s elbow
• Heel spur
• Jumper’s knee
• Painful shoulder
• Calcifications
• Hip pain
• Chronic tendinopathy

And many more

Non-surgical spinal decompression provides pain relief for compressive and degenerative injuries of the spine by applying decompressive forces, thereby maximizing spinal elongation and opening the disc spaces.

Research conducted by doctors from Johns Hopkins University, the Mayo Clinic, Stanford University and other prestigious medical institutions documented the success of spinal decompression. If you are suffering from
back pain, sciatica or any symptoms due to a herniated disc, bulging disc, degenerative disc or posterior facet syndrome, you may be a candidate. The number of sessions and duration of treatment required varies depending on the patient’s response to treatment and type of condition.

Non-surgical spinal decompression can be used to treat:

• Sciatica
• Bulging or herniated discs
• Degenerative disc disease
• Posterior facet syndrome
• Spinal nerve root compression
• Low back pain with pain referral to legs, tingling, numbness and weakness

It is not recommended during pregnancy or for patients with:

• Advanced osteoporosis (decreased bone density)
• Fractures
• Metastatic cancer
• Abdominal aortic aneurysm
• Prior lumbar fusion
• Spondylolistheses (unstable)
• Recent compression fractures of the spine below L1
• Pars defect
• Pelvic or abdominal cancer
• Disc space infections
• Severe peripheral neuropathy

Hemiplegia, paraplegia or cognitive dysfunction

Aqua therapy consists of a customized exercise program performed in water. It is performed in a warm water spa, which helps to relax muscles, increase range of motion, and increase blood flow to the injured area. The patient will be taken through a series of movements and exercises by an expert practitioner to aid in the healing process.

Aqua therapy uses the physical properties of water such as buoyancy, viscosity, and hydrostatic pressure to increase the rate of healing. Buoyancy reduces any effects of gravity on the body. Therefore it helps to decrease force or weight bearing stresses on the injured joints that a patient experiences on land. Viscosity provides resistance, which aids in strength training without using weights. Hydrostatic pressure assists to decrease swelling and improve joint position awareness thus increasing proprioception. Hydrostatic pressure also decreases joint and soft tissue swelling.

Aqua Therapy is most beneficial for:

• Pre and post surgery
• Post trauma
• Arthritis
• Disc Herniation/Bulge
• Sciatica
• Low back pain
• Weight Loss
• Strength training in able-bodied people.

Aqua Therapy is most beneficial to patients who are pre- and post-surgery, post-trauma, and those who suffer from arthritis.

The Biodex Isokinetic system is used to target specific areas of injury and aids in muscle strengthening, increasing ranges of motion and joint healing. It is designed to be a safe and effective method of assessing and treating ankles, knees, hips, wrists, elbows, shoulders and the spine.
It can be beneficial for treatment of post-surgical weakness, quadricep insufficiencies and many other areas of injury.

Balance

Vestibular, visual and proprioceptive senses contribute to our ability to maintain balance.  Biodex Balance System is used for assessing and treating patients with abnormal results in these three senses.

Gait

Injuries, vestibular disorders, neurological disorders, strokes and many other factors can impact a person’s gait. The Biodex Gait Trainer is used to assess and treat patients with gait disorders by analyzing the patient’s step length, right and left leg weight distribution, step speed and time spent on each leg. Once the assessment is completed, a Gait training program is created to re-train the patient to evenly distribute step-length, weight, speed and duration of time on each leg. The program provides the patient and practitioner with visual feedback to correct their gait pattern.

Acupuncture

Acupuncture treatment compliments the other medical practices and entails stimulating certain points on the body, most often with a needle penetrating the skin, to alleviate pain or to help treat various health conditions. It is one of the oldest healing practices.

Acupuncture can be used to treat:

• Headache
• TMJ problems
• Chronic pain
• Musculoskeletal conditions
• Neurological conditions
• Weight loss
• Smoking cessation
• Cosmetic acupuncture
• Mental and emotional conditions
• Respiratory tract system issues
• Disorders of the face – eyes and mouth
• Gastrointestinal conditions
• Infertility
• Blood pressure
• Allergies
• Sexual dysfunction
• Rheumatoid arthritis
• And may more conditions

An acupuncturist may use:

• Needle insertion
• Moxibustion
• Cupping
• Electrical stimulation

Laser

Theralase cold laser treatment is a non-invasive and pain free form of treatment that uses infrared laser radiation, referred to as photons. It decreases formation of pain producing factors, increases cellular metabolism, improves cell generation, produces an anti-inflammatory response, stimulates nerve function, decreases swelling, and much more.

It can be used to treat:

• Pain
• Inflammation
• Tendonitis
• Plantar fasciitis
• Achilles tendonitis
• Bell’s Palsy
• Tennis and golfer’s elbow
• Ankle and foot conditions
• Hip and knee pain
• Shoulder pain/rotator cuff injuries
• TMJ conditions
• Thigh and leg muscle injuries
• And many more conditions

Physiotherapy can help with:

• Pre and post-operative care
• Post fracture treatment – Surgical and non-surgical
• Rotator cuff injury/tear
• Muscle sprain/strain
• Tendon tears
• Arthritis – Acute and chronic
• Knee pain with sprain/strain of ligament, meniscus
  injury and instability
• Neck and low back pain
• Sciatica
• Radiculopathy (nerve pain)
• Postural correction
• Spondylitis
• Degenerative disc disease for neck and low back
• Vestibular rehabilitation
• Bell’s Palsy
• Tennis and golfer’s elbow
• Plantar fasciitis
• Geriatric general maintenance and strengthening program
• And many more conditions

Pre-Operative Care

Pre-operative care is receiving treatment prior to a scheduled operation. Research has indicated that a few sessions of pre-operative care and treatment can greatly decrease the post-operative treatment needs of a patient and speed up their recovery. A patient’s pre-operative care needs are determined based on a detailed assessment of the patient’s injury and current functional status. A customized treatment plan is then created, both for in clinic treatment and at home exercises to prepare the patient for surgery.

Post-operative care

Post-operative care varies depending on the needs of the patient. It can begin while the patient is still in the hospital and include discharge planning from the hospital, assessment of the home environment to ensure patient’s safety and independence and provision of specific assistive devices to aid in the recovery process while ensuring patient independence.

Post-Operative treatment follows a specific customized protocol, depending on the type of surgery and physical and functional status of the patient. This protocol is used to improve a patient’s ranges of motion and strength, while gradually returning the patient to full function.

Our team of experienced health care providers have been delivering pre and post operative care to our patients with great results, leading to shorter recovery times, less pain and faster return to pre-injury status.

Occupational therapists can provide case management services. They can:

• Facilitate smooth discharge/transition back into the home and community after release from hospital
• Ensure timely implementation of discharge plans to ensure patient safety and avoid risk of further injury
• Work in conjunction with discharge planners and can often help to identify creative solutions to practical problems.
• Arrange for home accessibility/safety assessment, if required
• Help secure temporary accessible housing, if required
• Arrange for the placement/installation of assistive/safety devices
• Arrange for community-based therapy (physio; occupational therapy; etc.)
• Arrange for direct billing for medications required as a result of the injuries sustained in the accident
• Arrange for direct billing for transportation, if required, to attend therapies, medical appointments, etc.
• Provide education about the relevant injury, the rehabilitation process and the roles of the respective treatment providers
• Help coordinate the provision of treatments and help ensure treatment consistency and continuity
• Advocate on behalf of the patient with regards to the insurer, treatment providers, employers, etc.
• Provide support and counseling to not only the client but also his/her family
• Help the patient transition back to work or school, if applicable, and/or help to explore suitable retraining options
• Help identify publicly funded community based treatments (i.e. OHIP funded physiotherapy clinics; CCAC; COTA)
• Help identify alternative funding resources (i.e. ODSP; ADP; CPP disability benefits: residential rehabilitation assistance program through CHMC)
• Connect clients with relevant community organizations (i.e. Local ABI associations; local mental health agencies; etc.)
• Provide education about the rehabilitation process

• Psychological Counseling
• Chronic Pain Management
• In home & Job Site Ergonomic Education
• Stress Management
• Yoga Instruction
• Magnetic Therapy
• Hydro Massage
• In Home Assessment
• Work site Assessment (PDA)
• Ergonomic Assessment
• Functional Abilities Evaluation
• Isokinetic / Isometric Testing
• Surface Thermograph
• Surface EMG (Nerve Conduction)
• Balance Testing / Nystagmography
• Gait Assessment
• Driving Assessment
• SCAT Assessment (head injury)
• Neurological
• Orthopaedic
• Rheumatology
• Psychiatry
• Psychological
• Chronic Pain