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Orthopaedic Assessment

& Treatment

An orthopaedic assessment is a physical assessment that involves a number of special tests to rule in or out specific problems with the musculoskeletal system. More specifically, tests can be used to evaluate the integrity of tissues as well as the mobility of joints and nerves throughout the body.  Once a diagnosis is made, orthopaedic treatment is used to promote healing and restore function in the areas of concern. 

Manual Therapy

Manual therapy involves hands on techniques to restore the mobility of joints and soft tissues.

 

Treatments can include the following:

  • Joint mobilization or manipulation

  • Massage

  • Soft tissue mobilization

  • Myofascial or trigger point release

  • Assisted stretching 

  • Functional range release 

IMS / Dry Needling

IMS (Intramuscular Stimulation), also know as functional or trigger point dry needling, involves the insertion of a small filament needle into the skin and muscle. The aim is to release myofascial trigger points which are associated with pain, muscle weakness, and restricted range of motion. Additionally, when a twitch response is elicited, muscles that are hypertonic (high neural tone) or hypotonic (low neural tone) experience a “neural reset” thus helping to restore function. 

Acupuncture

Acupuncture is used to stimulate the balance and flow of energy (Qi) in the body which, according to Traditional Chinese Medicine, is considered essential to health. 

Acupuncture involves the insertion of small filament needles into specific anatomical acupuncture points to relieve pain, increase energy, improve mood and body function, and promote tissue healing.

Exercise & Movement Therapy

As the name suggests, exercise and movement therapy involves the prescription of exercises and movements to improve strength, mobility and function throughout the body.  Compensation patterns caused by injury, pain, repetitive movements and prolonged poor postures (including pregnancy), can also be amended with the restoration of proper alignment and the prescription of corrected movement patterns.

Core Conditioning

Our "cores" consist of an inner and an outer core.

The outer core is made up of the rectus abdominis, internal and external obliques, and the long muscles of the back. These are postural muscles that work to move the body in specific directions. 

The inner core consists of the diaphragm, pelvic floor, transverse abdominis (deepest abdominal muscle), and multifidus (deepest back muscles). Unlike the outer core muscles, these muscles are not movement or direction dependent and are responsible for preparing the body for movement and creating dynamic stability around the pelvis, spine and thorax. In other words, they provide the foundation for all other movements of our bodies.

Dysfunction of the inner core system as well as its timing and sequencing with the outer core muscles can affect the health and function of local structures and contribute to conditions such as incontinence, prolapse and diastasis recti.  It can also lead to pain and injuries elsewhere in the body.

​Core Conditioning involves:

  • Restoring neutral alignment of the pelvis and thorax so that the inner core muscles are in the best position to function properly

  • Establishing proper breathing mechanics throughout movement and exertion to prevent bracing of the outer core and to promote dynamic stability by the inner core

  • Ensuring contraction and full relaxation of the pelvic floor and diaphragm, so that they have the range of motion needed to function properly

  • Correcting any timing or sequencing issues with respect to the inner and outer core muscles  

  • Ensuring that all of the above can be maintained with increasing loads and exercise progressions 

Women's Health Physiotherapy

Women’s bodies are incredible entities capable of great strength and adaptability. The way a woman’s body changes to accommodate for her growing fetus and the delivery of her child is truly miraculous. The power and courage a woman exhibits throughout this journey is also nothing short of spectacular.

Having the privilege to carry and birth a child can also come with some costs with respect to body function. Common postpartum conditions include diastasic recti, pelvic organ prolapse and incontinence. Some conditions will appear immediately after delivery or in the months following and some can show up years down the road. Regardless of the situation, there are many things that can be done to treat and prevent these conditions. Even simple strategies such as correcting alignment and breathing patterns can lead to big improvements.

My goal as a women’s health physiotherapist is to educate and empower women through pregnancy, the postpartum period, and in the years following.  Leaking after having a baby, for example, does not have to be the new norm. Women sacrifice enough in life. Our bodies do not have to share the same fate.

Let’s work together to REALIGN, RECONNECT, and REBUILD your body

Taping

There are a number of different types of tape and taping techniques that can be used to:

  • Relieve pain by unloading injured structures

  • Improve joint stability

  • Facilitate muscle action and movement patterns

  • Provide postural support

  • Enhance position sense (proprioceptive) awareness

  • Improve blood flow and drainage