Phуѕіоthеrару provides holistic рrеvеntіvе, dіаgnоѕtіс аnd rehabilitation hеlр tо maintain аnd rеѕtоrе your highest level of physical hеаlth. Whatever уоur hеаlth issue, getting thе rіght help аt the rіght tіmе is thе key.  At Expert Physio Plus, our fullу trаіnеd and еxреrіеnсеd рhуѕіоthеrаріѕtѕ оffеr a full рhуѕіоtherapy ѕеrvісе. Our team of health care professionals foster an environment where open communication between the therapist and the patient is welcomed and encouraged.


Physiotherapy

Sports Injuries

Massage therapy

Acupuncture & Dry needling

Gunn IMS

Custom orthotics

Custom bracing

Compression socks

Motor vehicle accident injuries

Work injuries

Neuro rehab

Post-operative rehab

Dynamic Taping

Geriatrics

Chronic pain

Brain concussion

Vestibular rehab

TMJ dysfunction

Bell’s palsy

Shockwave Therapy

Myofascial release

Cupping

Active release technique

Gait analysis

Nordic walking poles rehab

Post-partum

Ergonomic assessment

GLA:D Canada program

Osteoarthritis Treatment & Rehabilitation


Physiotherapy

 Physiotherapy is a regulated health profession in Canada.
In the province of Ontario, in order to provide physiotherapy, one must hold a degree in physiotherapy and be registered with the College of Physiotherapists of Ontario. Physiotherapy focuses on the treatment and prevention of physical injury and disease. At Expert Physio Plus our skilled physiotherapists are able to assess and determine the
cause of your problem so that treatment is focused on your individualized needs. Treatment can be for musculoskeletal (joint, bone, muscle, tendon, ligament, cartilage), cardiovascular (heart and circulation), and neurological (brain and nervous system) disorders.

 

Treatment may include variety of approaches such as:

  • Education
  • Exercise prescription
  • Joint mobilization
  • Soft tissue mobilization
  • Heat/Cold application
  • Ultrasound
  • IFC
  • TENS
  • Paraffin wax
  • Acupressure & Dry Needling
  • Therapeutic cupping
  • McKenzie protocol & Mulligan mobilizations
  • Taping
  • TDP mineral heat lamp
  • Mechanical or manual traction

As primary healthcare practitioners, a physician’s referral is not required to be assessed by a physiotherapist.

Most insurances is accepted. We do not take OHIP. If you do not have insurance and cannot afford treatment, please talk to us .. we do not
want to refuse to help people.  There are low cost payment options and we are here to help the community.
Please call us for a physiotherapy assessment today 613-800-9800!


Sports Injuries

Sport physiotherapy is an area of physiotherapy that focuses on the evaluation and rehabilitation of spinal and musculoskeletal injuries sustained from the participation in sport.
The Diploma of Sport Physiotherapy program requires expertise in theoretical knowledge and practical skills that leads the physiotherapist to be capable of providing treatment and rehabilitation for all sport teams during the whole course of the season. They may be involved with developing flexibility and conditioning programs, on- field coverage during practices and games, caring for the critical athlete, taping, bracing and using their strong manual therapy skills. A Sport Physiotherapist also has a role in providing education, health promotion, nutrition counseling and injury prevention.At Expert Physio Plus, we focus on coordinated movement, full body strength, balance, and overall enhanced mechanics to reduce the chances of injury and improve performance of the human body. Sport conditioning draws upon the secondary characteristics of fitness (balance, agility, coordination, power, speed and reaction) and helps you move with greater efficiency and effectiveness. The primary goal is to improve an individual's ability to develop quick and controlled, yet powerful, deceptive and confident movement patterns that will provide the tools for improved sport skills, tactics and overall performance. Our goal is to return you to that active pain free life you so desire.

Physiotherapy at our clinic may include:

  • Manual Therapy: mobilizations, massage, neural mobility, stretching
  • Active Exercise Program
  • Sports Specific Rehabilitation
  • Acupuncture & Dry needling
  • Mechanical Treatment
  • Education
  • Vestibular Rehabilitation
  • Concussion Management


Massage Therapy


This form of therapy involves hands-on techniques tailored to your specific needs to improve blood circulation, release tight muscles, reduce chronic pain, increase joint mobility and sooth away stress.

At Expert Physio Plus all treatments are performed by a registered massage therapist who has over twenty years of experience . Massage therapy is covered by most of insurance plans.

Our massage therapists work closely with our physiotherapists and have a great deal of experience dealing with many types of injuries We have a spacious, private massage therapy room tucked away in the quiet area of our facility, which offer a calm atmosphere through use of dimmed lights, relaxing music and comfortable placement of pillows, towels and sheets.

Our massage therapists respect the wishes of each client relating to all the factors that will make them relax to the fullest. For example, they do not speak during a treatment session with the exception of asking for feedback regarding the amount of pressure, comfort level felt, room temperature and music level.
Our massage sessions can be 30 minutes, 45 minutes, 60 minutes and even up to 90 minutes. After an assessment, our therapists will offer you their opinion regarding how many sessions you would benefit from and the frequency of massage therapy sessions. They will also suggest the length of each session and even the type of massage according to what they find in the assessment.

Massage Therapy Treatment Durations and Prices (pre-HST)

  • Half Hour Massage: $60
  • 45 Minutes Massage: $70
  • One Hour Massage: $85
  • 90 Minutes Massage: $130

We strive to improve your health and happiness and exceed your expectations in massage therapy. If you’re suffering from a sports injury, or a chronic pain condition, or simply want to relax, a massage at Expert Physio Plus will rejuvenate you and help restore your health and well-being.


Acupuncture & Dry needling


Acupuncture is a Classical Chinese method of encouraging the body to promote natural healing and to improve functioning.

This is done by inserting needles at very precise acupuncture points. Needling the acupuncture points stimulates the nervous system to release chemicals in the muscles, spinal cord, and brain. These chemicals will either change the experience of pain, or they will trigger the release of other chemicals and hormones which influence the body’s own internal regulating system.
The improved energy and biochemical balance produced by acupuncture results in stimulating the body’s natural healing abilities, and in promoting physical and emotional well-being. Dry needling is a neurophysiological evidence-based treatment technique that requires effective manual assessment of the neuromuscular system. Physical therapists are well trained to utilize dry needling in conjunction with manual physical therapy interventions. Research supports that dry needling improves pain control, reduces muscle tension, normalizes biochemical and electrical dysfunction of motor end plates, and facilitates an accelerated return to active rehabilitation.


Gunn IMS

Gunn IMS is a very effective type of ‘westernized’ dry needling that we use to improve nutrition to the nerve and help resolve neuropathic dysfunction.

When a muscle is in spasm because your wiring has been impacted and your nerve is neuropathic, Gunn IMS treatment produces immediate relaxation in muscles supplied by that nerve, which reduces compression and helps restore nutritional supply to the nerve. Gunn IMS is like re-setting your fuse box because, after treatment, nerves are less compressed and can finally get the nutrition they need to function normally.  This leads to restoration of normal nerve function and therefore wiring that will no longer burn out the light bulb.

How does IMS help resolve Neuropathic Pain?

Once your Physiotherapist determines which nerve levels are neuropathic, IMS treatment is used to normalize the function of these nerves. IMS uses acupuncture needles (approximately the size of a hair) which are placed into the muscles which have been made tight by the unhealthy/abnormally functioning nerve. The needle is both diagnostic and therapeutic, in that if a nerve and the muscles it supplies are normal, the client will feel nothing when the needle is inserted. If a nerve and the muscle it supplies are neuropathic, the tightened muscle will ‘grab’ the needle and produce a cramping sensation.

 This will result in 3 effects:

1- A stretch receptor in the muscle is stimulated which results in an immediate reflex relaxation of that muscle.

2- The needle causes a micro trauma to the muscle which brings blood to the area and helps heal the muscle.

3- The treatment causes electrical current and nutritional flow that will help heal the nerve. Overall, these 3 effects reduce the sensitivity and improve the health in the nerves and muscles, which should lead to a reduction in your muscle, skin and joint pain and increase your joint range of movement. The results are cumulative and, while improvement should occur following your first or second treatment, your symptoms should continue to improve and last longer with each appointment.


Custom Orthotics

A custom orthotic is a device designed to align the foot and ankle into the most
anatomically efficient position. They look like insoles, but they are biomechanical
medical appliances that are custom made to correct your specific foot imbalance and
alleviate foot, knee, hip, or back pain.
Custom orthotics reduces stress and strain on your body by bringing your feet back into
proper alignment. It also helps to re-align the foot by redirecting and reducing certain
motion that takes place during the gait cycle.

Custom orthotics is used in the treatment of a variety of conditions including:

  • Plantar Fasciitis
  •  Achilles Tendinitis
  • Patellar Tendinitis
  • Patellofemoral Pain Syndrome
  • ITB Friction Syndrome
  • Metatarsalgia
  • Metatarsal Fractures
  • Morton's Neuroma
  • Bunions (Hallux Valgus)
  • Shin Splints
  • Lateral Ankle Sprains
  • Tibia Stress Fractures
  • Chronic Low Back Pain or Neck Pain
  • Adult Acquired Flat Feet
  • A variety of conditions related to Diabetes and Rheumatoid Arthritis.

At Expert Physio Plus the physiotherapist will:

1. Perform a biomechanical and dynamic gait analysis to assess your walking patterns.
2. Provide you a detailed explanation of your condition and treatment options.
3. Use three dimensional casting techniques.
4. Send casts to the lab where a certified Pedorthist fabricates the orthotics.

  •  You will receive your orthotics within two-three weeks.
  •  Following your adjustments, if you are still not comfortable with your orthotics

We will re-evaluate and re-fabricate new hand-crafted orthotics at no additional charge.


 

Custom bracing

Expert Physio Plus provides “custom-made” and "Ready to fit" braces.
Braces are very helpful in treating ligament, tendonitis or over-use injuries as they are
maintaining daily function and providing optimal support.
Many brасеѕ should only be used in соnjunсtіоn with a rеhаbіlіtаtіоn program that
incorporates ѕtrеngth and balance trаіnіng, flеxіbіlіtу, асtіvіtу modification and tесhnіԛuе
rеfіnеmеnt.
The tуре of brace, how and when it should be used іѕ dеtеrmіnеd bаѕеd on уоur
diagnosis as well as your physician’s and physiotherapist’s suggestions.
We also carry specialized “unload braces” for osteoarthritis of the knee and the hip.
Studіеѕ show that unloader braces dіmіnіѕh pain, іnсrеаѕе wаlkіng tоlеrаnсе, рrоvіdе
better function and, in case of the knee or the hip, they may delay the nееd for
rерlасеmеnt surgery.
Braces are covered by most of insurance plans when prescribed and evaluated
by a registered physiotherapist.

Studіеѕ show thаt unloader braces dіmіnіѕh pain, іnсrеаѕе wаlkіng tоlеrаnсе, рrоvіdе bеttеr function and, in case of the knee or the hip, they may delay the nееd fоr rерlасеmеnt surgery.

Many brасеѕ should only be used in соnjunсtіоn wіth a rеhаbіlіtаtіоn program thаt incorporates ѕtrеngth аnd balance trаіnіng, flеxіbіlіtу, асtіvіtу modification аnd tесhnіquе rеfіnеmеnt. Mоѕt іnѕurаnсе carriers rеіmburѕе for thіѕ lеvеl of evaluation bу a Phуѕіоthеrаріѕt.


Compression socks

Compression stockings help the blood circulation from legs and feet back to the heart.

Compression stocking for athletes: Effectively improves blood circulation to ensure an optimal blood supply to the muscles and help them perform for longer, particularly in endurance disciplines such as cycling or marathons. It supports calf muscle and lower leg and prevent premature fatigue and muscle cramping and that lower the risk of injury and provides more energy right up to the end of the match.

 

Compression stockings for venous ulcer:
They provide Successful and comfortable compression therapy solution for the treatment of venous ulcers. It will not slip. It exerts required gradient compression on the lower leg to allow the ulcer to heal.

Compression Arm sleeves:
They provide soft arm care makes it possible to live life again with a full range of movement. They are very discrete and have a noticeable effect. The elastic comfort elbow is unique and especially comfortable. Compression stocking especially designed for people who spend prolonged.

Periods of time sitting down:
Stocking stimulates circulation using gentle massage action with every movement. It has wide heel area, adapted to the typical anatomical foot posture while sitting (90 degree angle).

Compression business stocking:
This compression stocking is made with an understated business look! Sitting or standing for long periods at work or when travelling often leads to heavy, swollen legs and varicose veins. The business stocking helps you to guard against these problems effectively. It transports moisture away, circulate air to your skin to prevent any unpleasant build up of heat. This stocking is available in a wide variety of designs and classic colours to match the needs of people with different preferences and life styles.


Neuro rehab


Neurological conditions including disorders such as Parkinson’s, multiple sclerosis, Traumatic Brain Injuries, stroke, and spinal cord injuries, These conditions can cause debilitating weakness, poor balance and reduced mobility that can interfere with daily activities.

In addition, the reduced mobility and decreased physical function caused by some neurological conditions can also lead to impaired heart and lung function, fatigue, falls and – in some cases – social isolation.

Neurological conditions present differently in each person and the physiotherapist will Individualize the program for you according to your сhаllеngеѕ and stage оf rесоvеrу. The physiotherapist may choose to use manual techniques, electrical modalities and will provide education regarding your condition and methods to maintain your function. At Expert Physio Plus we set a treatment plan using specific therapeutic exercises designed to improve the tone of the affected muscles , balance, coordination, strength, flexibility, walking pattern, bed mobility, transferring activity (Bed to chair), Trunk stability and sitting balance, promote independency, cardiovascular function and overall mood. There are specific exercises designed to activate the muscles affected by the nerves. The goal of neuro rehabilitation is to make the nerves relearn and maximize their functionality.

Through our neuro rehab program you will get:

  • Highly Experienced Physiotherapists
  • Personalized Treatment
  • Maximizing Mobility and Function
  • Accessible clinic
  • In-Home Visits, when needed


Post-operative Rehab

The success of your surgery doesn't finish the moment you leave the operating theatre. Your surgeon will have skillfully performed a surgical procedure that is the initial step towards your successful outcome.

Then you'll normally undertake a post-operative rehabilitation program prescribed and supervised by your physiotherapist. In the hospital, you'll be provided with simple exercises to minimise complications such as chest infection or blood clots (DVT's). You may even be prescribed some early strengthening or range of motion exercises. Once you are discharged, you'll commonly require re-assessment and checking of your progress.

Post-orthopaedic surgery, you'll almost certainly require exercise progression to fully regain your strength, flexibility and function. Consulting a physiotherapist experienced in post-operative rehabilitation is common practice.

At Expert Physio Plus, we are happy to assist you in your post-operative care. Our physiotherapists are highly experienced in this field and aware of the most recent post-operative protocols prescribed by most of Orthopedic Surgeons in North America. We'll be in contact with your surgeon, if needed, to determine any specific requirements based on your individual surgery.

Common Surgeries Requiring Post-Operative Care:
Shoulder
Shoulder Reconstruction, Shoulder Stabilisation, Rotator Cuff Repair, Acromioplasty, Manipulation, Capsulotomy, Fracture

Elbow
Tennis Elbow Release, Golfers Elbow Release, Fracture

Wrist & Hand
Carpal Tunnel Release, Fracture, Tendon Repairs

Hip
Hip Replacements/Resurfacing, Hip labral repairs, Hip Arthroscope, Fracture

Knee
Knee Replacements, ACL and Ligament Reconstruction, Arthroscope, Meniscal Repairs, Chondroplasty, Lateral Release, Patella Tendon Transfer, Fracture

Calf
Achilles Tendon Repairs, Fasciotomy

Ankle & Foot
Ankle Reconstruction, Ligament Repairs, Arthroscope, Fracture, Spur Removal, Bunionectomy

Spine (Neck & Back)
Discectomy, Micro-discectomy, Laminectomy, Spinal Fusion/Stabilisation

At Expert Physio Plus we'll work with you to develop a tailor-made rehabilitation program to ensure you make the best possible recovery in the quickest time.
Whatever your needs, we'll get you back to your work, sport or day to day activities ASAP.

It’s recommended to contact Expert Physio Plus at any stage. This is especially important if you see that you are making slow progress in your recovery, or if your mobility is compromised.


Dynamic Tape

Dynamic Tape is a unique, strongly elastic tape developed by an Australian Musculoskeletal Physiotherapist which is used in the treatment of many sporting, musculoskeletal and neurological conditions.

Return to Function is very proud to have each therapist trained in the Dynamic taping. Dynamic Tape allows the wearer to move through full range of motion without limitation but with strong biomechanical assistance (as opposed to a primary neurophysiological approach). Dynamic Tape can strongly assist or resist movement, facilitate or inhibit and offload tissue through full range of motion. This is only possible due to the highly elastic nature (no endpoint like kinesiotapes) and four way stretch necessary when taping multi joint muscles or movements and performing complex, three-dimensional skills. Dynamic Tape is extremely soft to touch and is highly conformable. It has a strong adhesive which has been independently tested and rated as non-sensitizing, non-irritating and non-toxic. The fabric is highly breathable, allowing water in to wash the skin but dries quickly. The result is a well tolerated, long lasting tape that is quite possibly the most comfortable athletic tape on the market.

How does the tape work?
In many cases the tape is applied in such a way that it mimics the action of the injured muscle or tendon. The tape is placed on the body with the muscle or joint in the shortened position and with stretch on the tape. As the muscle or joint lengthens, the tape is stretched further and thereby absorbs load just as a bungee cord decelerates the jumper, absorbing load. This reduces the eccentric work of the muscles. Once full range is reached, the absorbed energy is stored in the form of elastic potential energy. As the muscle or joint begins to shorten, the energy is released back into the biomechanical chain as kinetic energy, thereby assisting the concentric action of the muscle. This results in decreased workload and improved biomechanical efficiency of the musculo-tendinous unit, decreased metabolic demand and improved tolerance to fatigue. Reducing load may result in less pain, better healing (can load sooner resulting in functional stress and better scar formation), improved endurance and performance. Dramatic improvements in circulation and lymphatics have also been observed. There are a number of mechanical and physiological mechanisms that are likely to contribute.


Geriatric

The field of geriatrics addresses the complex interaction of multiple issues associated with the aging process.

Geriatric physiotherapy uses a wide range of skills to accommodate the unique issues of aging. These issues include multiple medical diagnoses, social and emotional needs, mobility and balance impairments and challenges in independent living. One of the most common issues associates with aging is falling. Falls are not only a leading cause of serious long term injury and altered lifestyle for Canadian seniors but also an enormous cost to our healthcare system.
At Expert Physio Plus we follow a certain protocol called fall prevention program. This program focuses on Mobility and balance that can be restored through exercises strengthen muscles, balance training to ease transfers and walking, and recommendations of assistive devices such as walkers and canes.

In some cases it might be difficult to come into our clinics for treatment. We offer home physiotherapy as a better option for you. A physiotherapist will come to your home to do an assessment and individualized treatment. They are fully equipped with mobile modalities such as Ultrasound, TENS, Electrical Muscle Stimulation and acupuncture. A home exercise program as well be visually prescribed and explained.
Please contact Expert Physio Plus at 613-800-9800 for further details.


Chronic pain management

One of five Canadians experience chronic pain.

This means over seven million Canadians of all ages experience chronic pain as a result of injury, illness or dysfunction. Three quarter of these individuals say their pain interferes with their work life. Many are clinically depressed.

At Expert Physio Plus the physiotherapist will:

  •  Help you unlearn some of the abnormal postures and movements your body may have adapted to guard the pain.
  •  Develop a safe activity program that will gradually help your nervous system rewire itself.
  •  Provide relaxation, imagery and/or breathing techniques that can help reduce muscle tension and calm the nervous system.
  • Assess if specific treatments will help (e.g., IMS, manual therapy, modalities, acupuncture).With a strong medical background, our physiotherapists work closely with physicians and other health-care providers involved in your care. Chronic pain management requires a team of health providers working together.


Brain concussion

A concussion іѕ a brаіn іnjurу thаt rеѕultѕ іn temporary lоѕѕ оf nоrmаl brаіn funсtіоn.

It occurs to the brain when a force is transmitted to the head that causes the brain to shake inside of the skull.

Concussion symptoms can be:

  •  Lоѕіng consciousness
  •  Concentration or memory difficulty
  •  Headache
  •  Dizziness
  •  Fatigue
  •  Irritability
  •  Insomnia
  •  Confusion
  •  Pain
  •  Neck problems, including tightness and soreness

Sometimes the brain heals slowly and a concussion can have a long-lasting impact on your ability to handle everyday task.
At Expert Physio Plus you will get the right care to get уоu back on уоur fееt as the Physiotherapist will be able to evaluate your condition and provide personalized treatment plan focusing on treating many of the symptoms and issues caused by concussion.

Treatment is centered on the vestibular system which is responsible for sensing your head movement and keeping your balance.
Treatment might also include specific reintegration exercises to control primitive reflexes and automatic movement patterns that show up with a concussion (Primitive reflexes are complex automatic movement patterns that are present at birth which begin to disappear or transform around the age of six months. They may resurface with a concussion and must be properly treated). Treatment also include Soft tissue release and muscle strengthening will
significantly reduce headache and neck pain symptoms such as soreness & muscle tightness


Work injuries

We focus on an active injury approach to restoring function, improving overall fitness and return to work. Whether your workplace injury has occurred from an accident or from overuse, you will find our physiotherapy programs helpful to:

- Relieve your pain
- Strengthen your body
- Improve your function abilities
- Coordinate your return to work
- Provide ergonomic advice
- Provide workplace injury prevention

We are an approved physiotherapy provider in the workplace safety and insurance board of Ontario and we can bill WSIB directly for your accepted claim.



Motor vehicle accident injuries

Motor vehicle accident injuries

We understand the pain and stress that come with being in a motor vehicle accident and we will help you get easy stress-free accident recovery.

We bill directly for authorized treatments. We can team up with your doctors and adjuster to make sure you get all of the treatment you need.



Vestibular rehab

Evidence has shown that vestibular rehabilitation can be effective in improving symptoms related to many vestibular (inner ear/balance) disorders.

People with vestibular disorders often experience problems with vertigo, dizziness, visual disturbance, and/or imbalance. These are the problems that rehabilitation aims to address. Other problems can also arise that are secondary to vestibular disorders, such as nausea and/or vomiting, reduced ability to focus or concentrate, and fatigue.

WHAT IS VESTIBULAR REHABILITATION?
Vestibular rehabilitation (VR), or vestibular rehabilitation therapy (VRT) is a specialized form of therapy intended to alleviate the problems caused by vestibular disorders. It is an exercise-based program primarily designed to reduce vertigo and dizziness, gaze instability, and/or imbalance and falls.

The goal of VRT is to use a problem-oriented approach to promote compensation. This is achieved by customizing exercises to address each person’s specific problem(s). Therefore, before an exercise program can be designed, a comprehensive clinical examination is needed to identify problems related to the vestibular disorder.



TMJ dysfunction

TMJ ( Temporo-Mandibular Joints) dysfunction happens whеn there іѕ a рrоblеm wіth these joints аѕ they соnnесt the jаwbоnе tо the ѕkull, оr there аrе рrоblеmѕ wіth thе muscles rеѕроnѕіblе fоr сhеwіng.

Symptoms:

  •  severe hеаdасhеѕ
  •  ear, nесk, and face раіn
  •  dіffісultу сhеwіng оr bіtіng dоwn,
  •  рорріng оr clicking ѕоund when opening аnd closing thе jаw
  •  jаw pain.

Treatment focus:
Treatment will focus on rеlаxаtіоn, ѕtrеtсhіng, and rеlеаѕіng tight muѕсlеѕ and ѕсаr tissue.

Phуѕісаl thеrару tесhnіԛuеѕ mау include:

  • Jaw exercises tо strengthen muscles аnd іmрrоvе flеxіbіlіtу аnd rаngе оf mоtіоn.
  •  Ice thеrару to rеduсе ѕwеllіng and relieve pain.
  •  Mаѕѕаgе tо relieve overall muѕсlе tension.
  •  Trаіnіng tо improve роѕturе and correct jаw аlіgnmеnt.
  •  Acupuncture
  •  Mоvеmеnt оf thе tеmроrоmаndіbulаr (TM) jоіnt to rеlеаѕе ѕсаr tіѕѕuе thаt rеѕtrісtѕ muѕсlе mоvеmеnt and tо іmрrоvе rаngе оf motion.
  •  Ultrаѕоund thеrару dіrесtеd to the TM joint, to rеduсе раіn, ѕwеllіng аnd improve сіrсulаtіоn



Bells Palsy

 Bells Palsy happens suddenly.

It may start with pain behind one ear for a day or two and results in decreased nerve activity and muscle weakness that causes drooping of one side of the face.
Paralyzed muscles can shrink and shorten, causing permanent contractures. A physical therapist can restore your facial muscles by using massage techniques and exercises customized to your specific needs to help prevent this from occurring.



Myofascial release

Fascia is a thin, tough, elastic type of connective tissue that wraps most structures within the human body, including muscle. Fascia supports and protects these structures.

Osteopathic theory proposes that this soft tissue can become restricted due to psychogenic disease, overuse, trauma, infectious agents, or inactivity, often resulting in pain, muscle tension, and corresponding diminished blood flow.
Myofascial release is a manual therapy technique that treats skeletal muscle immobility and pain by relaxing contracted muscles, improving blood and lymphatic circulation, and stimulating the stretch reflex in muscles. Combined with strengthening exercises of the opposing muscle groups, myofascial release is an excellent technique to gain mobility, flexibility and pain relief.


Cupping

Cupping is a technique that involves applying a glass, plastic, or silicone cup to the skin and creating a vacuum inside using a squeezable bulb, or a suction gun.

The form of cupping most commonly used by healthcare practitioners in Canada is called dry cupping. A glass, plastic, or silicone cup is placed on the skin where the air within the cup is removed causing a vacuum effect. Dry cupping is a safe and beneficial technique. In clinical studies, patients with experienced a 61% decrease in pain after receiving dry cupping therapy!

How Does Cupping Work?
Cupping increases the blood flow to sore areas in muscles, providing important nutrients to the area that promote healing. It can also provide pain relief by exciting small nerves inside muscles so that they release pain-killing chemicals.

What Are the Benefits of Cupping?
Cupping can provide pain relief and help ease the symptoms of many common disorders of the bones and muscles. You may benefit from cupping if you suffer from neck, shoulder, low back or foot pain, and it’s even been shown to be effective in treating so many musculoskeletal conditions.



Active Release Technique

Active Release Technique (ART) is a hands-on massage treatment in which muscle

ligament, fascia, tendon, nerve, or capsule is held with tension on the tissue involved (not the skin) in a shortened position, while the structure is lengthened through a full, comfortable range of active motion and tension maintained throughout That Technique helps treat the Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART.

An ART treatment session is actually a combination of examination and treatment. The ART provider uses his or her hands to evaluate and effectively treat abnormal soft tissues, combining precisely directed tension with very specific movements. These treatment protocols are unique to ART. The physiotherapist will identify and correct the specific problems that are affecting each individual client. ART has become one of the most sought after soft tissue treatments in the world today. Many professional sports teams, and all Ironman triathlon events utilize certified ART providers as an integral part of their medical staff.

ART works by breaking up adhesions, which are dense collections of scar tissue that form when muscles and connective tissues are injured. When the scar tissue binds between your muscles, it limits flexibility, causing pain and stiffness in muscles and joints.

Sometimes adhesions can also entrap nerves. The manipulation of the soft tissues through ART breaks up the adhesions so your muscles, joints, and nerves can move freely again.



Gait Analysis

Gait analysis is essentially the assessment of your walking pattern.

Amazingly, it only takes a small injury resulting in mild pain, stiffness or weakness to affect the way you walk or run. The physiotherapist will observe your feet and legs, first, in standing and then, second, in walking. They will move around while you walk to have a complete view from the front, back, and both sides. Once the physiotherapist identify the problem areas, custom orthotics may be prescribed or if you need a walking aide they can advise you on the safest walking aide for you in your home and out and about.

Poor walking or running gait is not only inefficient, it can also cause compensatory injuries at above or below the injury level. For example, an injured knee that affects your gait can cause foot, hip or back pain.  A normal walking pattern is even more important when you start to run, which increases any abnormal stress forces into your joints and muscles. Poor habits may become long-term, which can predispose you to other injuries or arthritis.

Physiotherapists at Expert Physio Plus are experts in gait analysis. They can quickly assess your gait and provide treatment, exercises or tips to quickly normalise how you walk to improve your pain, movement and lifestyle.



Nordic Walking Poles Rehab

Around the world, millions of Nordic Walking participants are enjoying the immense health and wellness benefits that this new form of low impact fitness walking provides

Even though Nordic Walking originated as a cross-training exercise for elite cross-county skiers, it is an activity suitable for all ages and fitness levels.

Health and Fitness Benefits of Nordic Walking:

- Activates 90% of the body's muscles.
- Burns up to 46% more calories than regular walking.
- Increases aerobic effect by up to 25% compared to regular walking.
- Decreases load and strain on the lower body.
- Tones upper arms, shoulders and back muscles.
- Improves lateral mobility of the spine.
- Develops core stability and strength.

Some of the plenty of benefits of Nordic Walking are:

- Chronic Disease Management (for conditions such as diabetes, arthritis, neuromuscular and cardio-related diseases)
- Cross-training purposes (for sports competitors)
- Rehabilitation of injuries and post operation recovery
- Total body fitness
- Sustainable weight loss

At Expert Physio Plus you can receive some instruction in proper Nordic Pole Walking technique, practice with the poles and benefit your body.



Post-partum

We provide physiotherapy and massage therapy services for new mothers to help them avoid or manage prenatal and post-partum hip, back, pelvis, and other joint/muscle pain.

Women commonly experience back, hip or pelvic pain during pregnancy and following delivery. This can be the result of hormonal changes taking place in the body, the increased laxity of the ligaments, or the changes in posture due to weight gain during pregnancy. During second or subsequent pregnancies, most mother encounter the added strain on the joints that results from caring for and lifting young toddlers.

Other common pregnancy and post-delivery issues women may experience, include:

  • Swollen ankles & varicose veins
  • Numb, tingling, painful hands & fingers
  • Blocked breast ducts
  •  Weak abdominal muscles
  •  Altered pelvic floor function

Some mothers will also experience a "diastasis recti", a separation between the right and left abdominal muscles. This condition is more common in women who have had multiple pregnancies, and is a direct result of the increased pressure placed on the abdominal wall by the growing uterus. Specific core exercises or bracing are very important to accelerate recovery and increase function. If this condition is left untreated, some women would experience hernias and pain that require surgery to treat.

Treatment:
At Expert Physio Plus, your Physiotherapist and/or massage therapist can help treat and prevent any of the above problems. Treatment will begin with a detailed evaluation to determine the problems contributing to your pain/dysfunction. Then, your therapist will instruct you on how to alleviate your pain through a combination of positioning, posture, or the use of taping and pelvic supports as well as heat, myofascial release, acupuncture, massage, stretches and joint mobilizations that will aid in the recovery of the strength necessary to meet the multiple demands of motherhood.



Ergonomic Assessment

An ergonomic assessment is performed at your job site by a Regisitered Physiotherapist or Certified Kinesiologist who has additional courses and training in ergonomics.

The goal of this assessment is to identify which factors in your workstation or work activities may be causing overuse and repetitive strains and affecting your performance. An in-office ergonomic assessment can provide details on a healthy workstation set-up that will alleviate repetitive strain injuries and postural pain.


GLA:D Canada

What is GLA:D?

GLA:D is an 8-week education and exercise program developed in Denmark for those with stiff and /or painful knees and /or hip, or those with knee and/or hip osteoarthritis. GLA:D is being launched across Canada as GLA:D™ Canada.

What should I expect when participating in GLA:D Canada program?

Research from GLA:D in Denmark shows participants report less pain, reduced use of pain killer, fewer individuals on sick leave, and being more physically active.

 

What does GLA:D Canada program consist of?

GLA:D Canada program consists of two parts:

  • 2 education sessions.
  • 12 Neuromuscular exercise sessions.

Sessions must be provided by a GLA:D Canada certified Therapist.

At Expert Physio Plus, we have GLA:D Canada certified physiotherapists who will
teach you about:

  • What osteoarthritis is, risk factors and symptoms.
  • Current available treatment for osteoarthritis
  • How to self-manage your symptoms
  • Why and how exercise can help with your osteoarthritis.
  • How to cope with the difficulties of daily activities associated with osteoarthritis.

The 12 Neuromuscular exercise sessions will be two times a week for six weeks. You will:

  •  Learn how to control your movements and proper posture.
  •  Build muscular strength through functional exercise.
  •  Learn how to apply these exercises to everyday activities.
    • Sessions must be provided by a GLA:D Canada certified Therapist.

(GLA:D Canada certified physiotherapist is available at Expert Physio Plus).

  • Cost of the program is covered by most extended health insurance programs.

Visit gladcanada.ca for more information.


Osteoarthritis Treatment & Rehabilitation

Osteoarthritis is a form of arthritis affects all structure of synovial joint- the articular cartilage.

The subchondral bone, the joint capsule and the meniscus (in the knee). Osteoarthritis (OA) is the most common joint disorder in North America.

 

Physiotherapy is a natural, drug-free, and clinically proven treatment for osteoarthritis of any joint and it can :

- Ease sore, painful, aching joints
- Increase range of motion in stiff joints
- Reduce swelling and inflammation
- Relieve pain without medication
- Strengthen muscles around the affected joint
- Prevent osteoarthritis progression
- How to self-manage your symptoms
- How to cope with the difficulties of daily activities associated with osteoarthritis.

Depending on the joint affected, your physiotherapy treatment may include:

- Endurance and neuromuscular strengthening exercises
- Stretching, range of motion, and stability exercises
- Functional retraining to avoid injury
- Activity modification correct any imbalances
- Pain relieving modalities such as
- Interferential current therapy (IFC)
- Therapeutic ultrasound
- Heat and ice therapy
- Acupuncture

We are certified provider of GLA:D Canada program for hip and knee osteoarthritis.
Learn more about this program.


Shockwave Therapy

What is Shockwave therapy?
Shockwave therapy is a non-invasive treatment that involves creating a series of low energy acoustic wave pulsations that are directly applied to an injury through a person’s skin via a gel medium.. Generated shockwaves have proven successful in a number of scientific studies for the treatment of chronic conditions. Shockwave therapy is its own treatment for a lingering injury, or pain resulting from illness. You don’t need painkillers with it. The purpose of the therapy is to trigger the body’s own natural healing response. Many people report that their pain is reduced and mobility improved after the first treatment!

How does shockwave therapy work?
Shockwave therapy, or extracorporeal shock wave therapy (ESWT), is used in the treatment of many musculoskeletal conditions, primarily those involving connective tissues such as ligaments and tendons.

Shockwave therapy offers physiotherapists another tool for stubborn, chronic tendinopathy. . Shockwave therapy is most suited for people who have chronic tendinopathies (commonly referred to as tendinitis) which haven't responded to other treatment; these include: tennis elbow, achilles, rotator cuff, plantar fasciitis, jumpers knee, calcific tendinitis of the shoulder. These could be as a result of sport, overuse, or repetitive strain.

You will be assessed by the physiotherapist at your first visit to confirm that you are an appropriate candidate for shockwave therapy.

The physio will ensure you are educated about your condition and what you can do in conjunction with treatment - activity modification, specific exercises, assessing any other contributing issues such as posture, tightness/weakness of other muscle groups etc.

Shockwave therapy has shown to effectively treat the following conditions:
-Feet - heel spurs, plantar fasciitis, Achilles tendonitis.
-Elbow – tennis and golfers elbow.
-Shoulder - calcific tendinosis of rotator cuff muscles.
-Knee - patellar tendonitis.
-Hip – bursitis.
-Lower leg - shin splints.
-Upper leg - Iliotibial band friction syndrome.
-Back pain - lumbar and cervical spine regions and chronic muscular pain.

Some of the benefits of shockwave therapy treatment:
-Shockwave therapy has excellent cost/effectiveness ratio
-Non-invasive solution for chronic pain in your shoulder, back, heel, knee or elbow
-No anesthesia required, no drugs
-Limited side effects
-Main fields of application: orthopedics, rehabilitation, and sport medicine
-New research shows that it can have a positive effect on acute pain 
-Upon completion of your treatment you can return to most regular activities almost immediately.

Are there any side effects?
Shockwave therapy should not be used if there is a circulation or nerve disorder,infection, bone tumor, or a metabolic bone condition.

Shockwave therapy should also not be used if there are any open wounds or tumors or during pregnancy . People using blood-thinning medications or who have severe circulatory disorders may also not be eligible for treatment.