Manual Therapy

Manipulative therapy or manual therapy has its roots in the early years of physiotherapy when it was used as a means of promoting healing and relieving pain. Manual therapy is a “hands on” treatment approach that helps to mobilize the joints of the spine and extremities, facilitates the activation, flexibility and normal tone of muscles. These techniques may include myofascial release, craniosacral techniques, joint mobilization and massage therapy to name a few. Joint mobilization is a common practice among physiotherapists where a joint is moved passively to achieve a therapeutic effect. It is indicated with restriction of motion or pain due to tightness in the muscles and/or tendons. It can also assist in the reabsorbing of scar tissue, speed up muscle healing and promote joint mobility by facilitating accessory motions.

Sports Injuries

We assess and provide treatment, rehabilitation, exercises for sport injuries. If you have a sports injury, we will explain about the injury and provide information on rehabilitation, exercises, treatment and more. With our experience and knowledge of the latest evidence-based practice, skilled assessment and diagnosis of sports injuries and use effective 'hands-on' management techniques and exercise protocols we aim to treat and completely rehabilitate athletes after injury or surgery and to prevent further injury by restoring or improving the athlete’s strength, flexibility or endurance so to return them to sport safely. Our main goal working in sports physiotherapy is for the athlete to return to play as quickly and safely as possibly achieving their pre-injury level and where possible improving on the athletes pre-injury performance. Sport physiotherapy requires skilled methods of evaluating the level of injury, considerable treatment and rehabilitation skills as well as an understanding of the sport and bio mechanics involved so prevention of future injury and performance enhancement is realized.

Intramuscular stimulation

It is an effective treatment for chronic pain of neuropathic origin. IMS is effective & has few side effects. Although IMS uses implements adapted from traditional acupuncture, it is based on scientific, neurophysiological principles. The acupuncture needles used are very thin, you may not even feel it penetrating the skin and if your muscle is normal, the needle is painless. However, if your muscle is supersensitive and shortened, you will feel a sensation like a muscle cramp or Charlie horse. This is a distinctive type of discomfort caused by the muscle grasping the needle. What happened is that the needling has caused your abnormal muscle shortening to intensify and then release.

Acupuncture

Acupuncture involves the insertion of extremely thin needles through your skin at strategic points on your body. A key component of traditional Chinese medicine, acupuncture is most commonly used to treat pain. There is no drug applied, but rather it is the needles themselves that provide the stimulation necessary to achieve the beneficial results of the treatment. Each acupuncture treatment is tailored to your specific condition and in a typical session, you can expect the needles to be left in place for 15 to 30 minutes. Physiotherapy professionals can design integrative, multidisciplinary treatment plans tailored to your individual needs, using a variety of therapies in order to achieve optimal results.

Motor Vehicle Accident

If you have been injured in a motor vehicle accident and need treatment, we can help you recover from injuries and return to an active lifestyle. We strive to help our patients utilizing a wide array of services under physiotherapy to promote healing and provide relief from chronic pain. Initially, physiotherapy treatment may include gentle manual mobilization, soft tissue massage, ultrasound and ice or heat. Our goal will focus on pain management, exercises to improve range of motion, strength, flexibility, postural education and advice on activity pacing.

Vestibular rehabilitation

Vertigo is the symptom of a particular type of balance disorder in which you experience the sensation of dizziness, spinning or being giddy or unsteady. The cause of vertigo varies but it generally involves the inner ear. One of the most common causes of vertigo is Benign Paroxysmal Positional Vertigo (BPPV). BPPV affects the semicircular canals (balance mechanism) of the inner ear. The condition is caused by the dislodgement of minute calcium carbonate crystals through degeneration or trauma. These crystals then gravitate from their usual place in the ear to the region of the inner ear which contains sensory organs. Once they reach this region, they trigger vertigo. The condition occurs in one or sometimes both ears. The treatment of dizziness/BPPV is called “vestibular rehabilitation”. The goal is to move the crystals out of that part of the inner ear where they are causing the problem. The techniques are almost always effective with 80% of cases resolving after one treatment.

Concussion Management

A concussion is a subcategory of traumatic brain injury. The consensus statement on concussion defines it as ‘a complex pathophysiological process affecting the brain induced by biomechanical forces. 80-90% of concussions resolve within 7-10 days. If concussion lasts longer than 10 days other potential diagnoses should be reconsidered. It should be noted that in some cases duration of recovery may be prolonged, particularly in children and adolescents. Concussion management begins with baseline testing. As a brain injury, concussions are often difficult to diagnose. Brain function varies from person to person and what may be a symptom in one might be a normal function in another.

WCB

As a health care provider, Physical therapists play a major role in the health and well-being of workers who are injured on the job. Timely and appropriate care is a key component of a worker's claim. We aim in getting the worker back to full regular work following the injury.

Goals:
To facilitate early and safe return to work
To prevent further injuries or recurring injuries
To encourage active participation of the worker in their rehabilitation program

Exercise therapy

Therapeutic exercise is a form of body movement aimed at correcting a physical impairment, restoring normal function and promoting a state of well-being. It has to be tailored to meet the specific goals, capabilities and precautions relative to the client. Physiotherapists use therapeutic exercise to improve range of motion, flexibility, strength and endurance and cardiovascular health.

Exercise has been proven to be beneficial in a multitude of areas.
- Increase blood flow to the affected area
- Decreased stiffness
- Prevent muscle atrophy
- Lengthens shortened muscles.

Electrotherapeutic Modalities

Physical agent modalities such as shockwave therapy, ultrasound, TENS are used by physiotherapists as an adjunct to or preparation for rehabilitation. When used before, during or after a therapy session these modalities can enhance the effects of the treatment. They help to reduce pain, muscle spasm, stiffness and decreased movement. Ultrasound is excellent in treating joint contractures, scar tissue and muscle spasms. Electrotherapy is the use of electrical currents to treat different musculoskeletal conditions. These currents are delivered by electrodes placed on the surface of the body and are connected to external circuits. Transcutaneous electrical nerve stimulation or TENS as it is popularly called is another electrical modality that controls pain. TENS provides a constant electrical stimulation and is guided to the peripheral nerves via electrodes. Used at a low-frequency setting, TENS causes the release of opiates which reduce the sensation of pain. TENS can be applied for acute or chronic pain.

Shockwave therapy is a treatment option which can be used for acute or chronic pain. Shock waves are high-energy audible sound waves which are introduced to painful areas of the body to reduce pain. Shockwaves accelerate the healing period and will reduce pain. By introducing these sound waves to the body, your blood is stimulated therefore increasing circulation and the metabolism is accelerated. After a few sessions, tissue is regenerated and you will heal at a quicker pace than someone who has not undergone shockwave treatment. According to modern research, shockwave therapy is very successful.

Functional Capacity evaluation

A functional capacity evaluation is an objective evaluation consisting of a musculoskeletal examination and a series of specific functional tasks that gauge what a person is safely able to do pre & post – injury. We use subjective questionnaires and continually assess consistency throughout the assessment process. We are able to detect consistency of effort and identify barriers to recovery. Our assessment includes tasks such as lifting, carrying, pushing, pulling.

Who Can Benefit From an FCE?
If you have been injured on the job, to determine his or her ability to return to the job or alternate work, applying for Social Security Disability benefits, seeking vocational rehabilitation services, seeking to return to work or volunteer activities after an injury or illness, injured in a catastrophic accident (i.e., automobile accident). An FCE can determine performance skills and abilities related to resuming former employment or a new job, student receiving transitional services from school to the work setting to determine their skills and the extent of support required to perform a job.

Temporomandibular Dysfunction

Temporomandibular Joint (TMJ) is the most used joint in the body which is involved with eating, talking, and probably most importantly, expressing our feelings and emotions. When things go wrong with your TMJ it is known as Temporomandibular Disorder (TMD). You may or may not experience jaw pain or tenderness with TMJ dysfunction. The most common symptoms include clicking, popping, grinding, limited opening or an inability to fully clench your jaw. They can also suffer headaches, ear pain dizziness and upper neck pain. Tinnitus or ear ringing can be associated with TMJ dysfunction. Most Common Causes include Masticatory muscle dysfunction, Derangement/displacement of TMJ articular disc, Bruxism (nocturnal grinding of teeth leads to increased pressure in TMJ and asymmetrical movement). Contributory factors include mandibular malalignment, removal of wisdom teeth, prolonged mouth opening eg dental procedure, poor cervical posture, myofascial pain, stress and whiplash and other less common causes include: trauma (e.g., blow to the chin), infection, polyarthritic conditions, tumors, and anatomical abnormalities. TMJ dysfunction can be diagnosed by physiotherapist with training in jaw dysfunction. After the TMJ assessment physiotherapist will commence corrective treatment or refer you on to the most relevant health professional suitable for your TMJ condition. TMJ exercises and treatment may include:
- Posture improvement and neck treatment
- Relaxation exercises
- Muscle lengthening or massage
- Joint mobilization
- TMJ movement pattern and timing correction
- Passive, active-assisted, active exercises
- TMJ stabilization exercises.

Orthotics

Foot orthoses (also known as "orthotics") are custom foot supports. They are designed to fit your feet more efficiently than over-the-counter (OTC) arch supports and balance the biomechanical inadequacies of your feet and legs. Custom orthotic devices will help to alleviate foot and lower extremity problems by correcting the biomechanical dysfunction in your foot such as
- Plantar Fasciitis
- Metatarsalgia
- Morton’s Neuroma
- Achilles Tendinitis/osis
- Peroneal Tendinosis
- Pes Planus (Flat Feet)
- Hallux Valgus/Bunions
- Hallux Limitus (Stiff big toe)
- Shin Splints
- Patellofemoral syndrome (knee cap tracking issues)
- Tired Feet
- Corns and Calluses

Referral to Diagnostic Imaging

As an authorized physiotherapist by Physiotherapy Alberta College & Association, Alberta, referral for appropriate patients can be made for different types of diagnostic imaging such as X-rays, MRI scans, Ultrasound which can give additional information to plan appropriate treatments for patients.

Massage Therapy

Massage therapy is the manipulation of soft tissues of the body including, muscles, connective tissues, tendons, ligaments and joints. 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.