Physiotherapy

Assessment

Treatment

Initial Assessment

The goal of my initial assessment is to develop an accurate clinical diagnosis. Future treatments will serve to treat the root cause of your pain, not just your symptoms. This will allow you to achieve long-lasting results rather than just temporary relief.

Your first visit gives me the chance to get to know you and your symptoms. I will conduct a detailed subjective interview of your medical history and current symptoms and/or injury. We will talk about your treatment goals and explore your interests and daily activities. This will allow me to tailor my treatment plan to your specific medical needs and therapy goals. Then I will perform an objective evaluation to assess the range of motion of specific joints, the strength of certain muscles, and relevant postural alignment. I may perform special orthopaedic tests as needed, and carefully palpate the painful / injured areas.

At your first visit, I may also provide relevant education on things like activity modification or symptom management. We will have the chance to begin some hands-on treatment, and I will prescribe a few initial exercises. My hope is that you leave your first visit feeling informed and confident in my care. My hope is that I can offer you some peace of mind regarding your concerns.

Treatment

My Approach:

I have developed a treatment approach which consists of manual therapy often, but not always, coupled with extracorporeal shockwave therapy (ESWT). Manual therapy techniques that I employ include myofascial release (MFR) to address soft tissue restrictions, and joint mobilizations to increase the range of motion of joints throughout the body. I will regularly reassess your physical condition at follow-up appointments and adjust/modify my treatment approach as appropriate.

Common Physiotherapy Conditions Treated:

- Nerve root impingement in the neck (cervical) & low back (lumbar) regions

- Sciatica

- Brachial plexus injuries and tension

- Carpal Tunnel Syndrome

- Chronic & acute spinal pain (cervical, thoracic, lumbar)

- Chronic & acute tendon, ligament, joint capsule, muscle, & bone injuries (e.g. tendonitis, muscle strains, fractures)

- Sports injuries (e.g. Rotator cuff strain/sprain, knee ligament injuries: MCL, ACL)

- Hip & shoulder bursitis

- Myofascial pain syndrome

- Post-surgical orthopaedics (e.g. total knee / hip replacement, shoulder surgery)

- Hip and shoulder bursitis

- Frozen shoulder

- Osteoarthritis (OA) & rheumatoid arthritis (RA)

- Whiplash

- Vertigo

- Neck pain and headaches

- Jaw (TMJ) pain

- Balance disorders

- Ankylosing spondylitis

- Fibromyalgia

- Rehab for neurological conditions (stroke, Parkinson’s, ataxia, traumatic brain injury (TBI), multiple sclerosis, cerebral palsy)

Pricing

Extracorporeal Shockwave Therapy (ESWT)

DUOLITH® SD1 T-Top Focus Shockwave (FWS) and MASTERPULS® ONE Radial Pressure Wave (RPW) are two non-invasive STORZ MEDICAL technologies used for ESWT. There are very few risks involved in ESWT, and minimal to no side effects. As such, clients can continue with their normal day following ESWT.

Some therapeutic indications of FSW and RPW:

Achillodynia (chronic pain of Achilles tendon)

Plantar fasciitis (heel spur)

Patellar tendinitis (jumper’s knee)

Trochanteric tendinopathy

Epicondylitis (tennis or golfer’s elbow)

Tibial stress syndrome (shin splint)

Calcific tendinitis / rotator cuff tendinitis in the shoulder

Periarticular pain in the shoulder

Frozen shoulder

Metatarsalgia

Lumbago (low back pain)

Dupuytren’s Contracture

Tenosynovitis (Trigger Finger)

…and many more!

DUOLITH® SD1 T-Top Focus Shockwave (FSW)

The therapist moves a handpiece over the injured/painful site. The hand piece transmits focused, shockwaves (sound pulses) into the tissues at a focal zone depth of up to 65 mm, regenerating tissues at the cellular level. These shockwaves stimulate increased metabolism and blood circulation, thereby increasing the efficiency of healing. Tendon, ligament, joint capsule, muscle, and bone pathologies can be effectively treated using FSW.

MASTERPULS® ONE Radial Pressure Wave (RPW)

The RPW handpiece delivers mechanical energy into the target tissues, generating pressure waves which propagate across large tissue areas. Resulting effects include improved metabolism and angiogenesis (growth of new blood vessels), both of which serve to reduce Chronic pain. I often use RPW as a complimentary therapy to the deeply penetrating FSW. RPW is highly effective in releasing trigger points (muscle “knots”) in the neck, low back, forearm, calf, and thigh muscles. If left untreated, trigger points may progress to a chronic pain disorder called myofascial pain syndrome.

Medical Yoga Therapy

Yoga Meets Rehabilitation

Yoga therapy combines yoga practices with rehabilitation. It is an active, self-empowering approach aimed at achieving individual client goals. Through guided yoga therapy, clients can improve their overall function, better manage their pain, and prevent further injury. I offer individualized yoga sessions characterized by an initial warm-up followed by a series of yoga poses. I guide the client through these therapeutic movement sequences, continually adapting to my client’s needs.

Pricing