We spend 1 hour thoroughly assessing your pain or injury; getting to the cause of the pain is our priority. We believe that looking at the whole body with regards to the dysfunction, pain, and injury is important to determine the exact location of the issue.
After your initial assessment, together we produce a plan of action to assist you getting back to your activity. We look after you whether you are a national athlete, weekend warrior , or someone who wants to chase after the kids. We determine based on your injury if you need some manual therapy techniques such as muscle energy, mobilization with movement, cupping, gua sha, visceral manipulation, and soft tissue release to get your stiff immobile joints moving and/or the tight muscles released. We get to the "root "of the problem, which sometimes entails us referring you for diagnostic tests (US, MRI, X-ray). Your health is extremely important to us.
One of the " key" ingredients for recovery after treatment is determining the appropriate exercises for your specific injury. Rehab exercises are the most important component to recovery from ALL injuries, and we customize the exercise program to each individual. We have high expectations from our patients, and being diligent about the exercises will ensure your successful recovery.
The idea of shockwave is it works with sound energy and vibration- this vibration has therapeutic effects. It is the transmitter head at the end of the machine that vibrates, and this vibration enters the skin through a gel causing therapeutic changes at the muscle, tendon, or ligament.
The following are things that the machine does:
It enhances the healing process by increasing nutrients and 02 into the cell, which in turn speeds up the healing process.
It helps breakdown old cells and scar tissue and increases the development of new cells.
Neurophysiologically it decreases the pain stimulus ( the gate theory), and closes the gate to pain.
It changes the vascularization of the cell, which increases blood flow to the area which in turn increases oxygen to the area.
There are many benefits: treats the folowing:
achilles and patella tendonopathy,
trigger points of muscles,
tennis and golfers elbow,
IT band friction syndrome,
increase range of motion and decrease swelling after healed fractures with pins and screws in.
So many benefits.
$50 dollars per treatment. The treatment can be a add on to the manual therapy skills I already do, or it can be a stand alone treatment
After interviewing the patient on how the injury occurred and asking specific questions on the patients signs and symptoms associated with the injury we will come up with a diagnosis. If we need to get further diagnostic tests with regards to the injury, we will refer out. Our main goal is to ensure the patient gets the best individualized care.
During this assessment we are looking to see how the injured joint moves relative to the uninjured side. You will passively move the joint, then if there is no pain we will add a overpressure to see how much further we can take the joint. Each joint has a healthy range of motion and we can tell a lot about a joint capsule, ligament, tendon from actually moving the joint. We will also test the muscles to see if the injured side is similar to the non-injured side.
During our Range of motion tests we will put you through motion that pertains to your activity or sport. Is the humeral head out of the socket predisposing you to potential rotator cuff tears? When you bend your knee can we bring the heel right to the bum or does it spring back indicating a potential meniscal tear?
Special Tests are important In order to determine the extent of your injury, such as: if your knee ligaments are torn, if a muscle in your butt or knee is not firing causing you knee or hip pain, or if you have a compressed nerve in your back causing numbness and tingling down the leg. Special Tests solidify our decision on what the specific injury could be, and assists us in determining if we may have to refer out to get some diagnostic tests, or get you in to see a specialist. It is our goal to put the patients needs first.
Palpation of structures (muscles/ligament/bones) allows us to determine what is going on with the tissue. Healthy tissue should be soft and supple with no pain upon touch. We are looking to see if the tissue is hard or soft and supple, when touching the area does this elicit pain, do we feel a divot which determines if a muscle fibre is torn?
We have relationships with osteopaths, chiropractors, massage therapists, doctors, functional medicine specialists, sports medicine clinics, orthopedic surgeons, acute knee injury clinic, concussion clinic. After our assessment and treatments, if we feel you are not progressing with the rehab of your injury we may refer out. We want what is in our clients best interest, and we determine who will have the tools to get you better the quickest.
We care about our clients, and we are here to help you get to where you need to go. Do you need a steroid injection to calm the inflammation down in your knee, do you need Platlet replacement therapy to increase healing factors to the injured tissue. Where do I go for this, what are the costs if any, what are the side effects to the treatment? We are well informed and know how the healthcare system works.
This technique uses our muscles to put the joints back in place. An example would be if your hip bone is rotated forward and the pelvis bone is more prominent, you can put the hip in a certain position and activate speficic muscles to bring the bones into place. The key afterwards is to give proper exercises to ensure this doesn't happen again.
There are many ways to release a muscle, and the most effective is applying a force to the muscle while moving the joint. An example of this is the bicep, it flexes (bends) the elbow. If we start at the inside of the arm by the elbow and place our palm on the insertion of the bicep, as we move our palm on the bicep up toward the shoulder we straighten the arm out which in turn elongates the muscle.
Cupping is used to decrease pain and increase blood flow to the injured area. There are two types of cupping, one where you apply the cup and leave it on, this technique is releasing a tight muscle, and increasing blood flow to the injured area. The second type is myofascial cupping where you apply the cup and then move it on the skin. Myofascial cupping breaks down scar tissue, increases blood flow to the area and decreases pain. It is very common if the tissue has been injured or is lacking blood flow to see petichae after the treatment, which is a discolouration of the skin that looks like a bruise.
Gua Sha is an ancient Chinese technique that is used on muscle and tendons. Gua She is used to move energy, "chi" around the body. In Gua sha a tool is used to apply and scrape the skin to decrease tension and relieve pain. Gua She helps break down scar tissue and connective tissue which increases the movement at the joint.
Our joints should be able to bend, straighten, and rotate. This is done by two types of movement 1) arthrokinetmatic- spin, roll, glide inside a joint and 2) physiological which is the bending and straightening, rotating etc of the joint. If the motion of a joint is restricted due to surgery, injury, tight muscles, or lack or blood flow the joint could potentially be rendered immobile ( lacks movement) and can affect the movement. of that joint
Basic mobilization involves feeling where the joint is not moving, applying a pressure ( up/down or side to side} to get the immobile joint moving again.
In mobilization with movement, we use a seatbelt type strap applied to a joint, the patient moves the joint passively with the strap, and the therapist adds traction or compression of the joint to increase the restricted movement.
Viscera is the medical term for organs. In our body we have many organs and they are suspended by pressures. If the pressure gets disrupted due to a car accident, contact sport ( hockey, football), on antibiotics, or emotions then we can experience pain. An example of this would be right shoulder pain and the association with the liver. If your back pain or shoulder pain is not responding to treatment and you have had a traumatic accident or are on medication then you may need this technique done.
Visceral Manipulation is done by using the fascia surrounding the organ and manipulating the fascia to access the organ and move it away from the nerve, blood vessel, whatever structure it is restricting to decrease the pain.