CONDITIONS WE TREAT

Here is a list of the common injuries and conditions we treat. We are adding content for each injury over time and you can see our blog page for information on how we treat other conditions. Feel free to reach out if you have any questions, prior to booking your assessment.

    • Running – Biomechanical faults and Pain
    • Achilles Strains and Ruptures
    • Ankle Sprain rehabilitation
    • Plantar Fasciitis and Foot Strengthening
    • Hip Pain
    • Lower Back Sprains
    • Neck Strain
    • Whiplash
    • Nerves Injuries – Sciatica
    • Nerve Injuries – Pinched Nerves
    • Shoulder – instability- dislocation
    • Shoulder – Rotator Cuff Tears
    • Elbow -Tennis Elbow
    • Thumb – De-Quervains
Icon - PILATES-BASED REHABILITATION

Neck pain

Neck Pain

There are a number of types of neck pain, depending on the source of pain. Here is a list of the common types and I will  talk briefly about all of them. It depends on the pain source.

  • Pain from compressed joint
    Pain from angry muscles
    Nerve compression
    Whiplash
    Degenerative Disc Disease
    Disc related pain
    Muscle Imbalances

Pain from a compressed joint:

Sometimes the sensitive structures in our neck joints get trapped and painful. Typical presentation is being unable to turn your neck in one direction. This may be worse in one direction. It feels like something is getting caught and the pain can be sharp. Sometimes this scenario might improve on its own over a few days. If it doe not get better and you are losing sleep, you should get treatment. Other typical scenarios are waking up with it or at the end of a long stressful day at work on the computer.

Treatment for this neck condition is fairly straight forward. Manual traction is the best initial approach to compress the joint. In the assessment we can determine which joints are involved and then be specific with the treatment. In the first few days, gentle tractions will decrease the pain and help you sleep. As the pain decreases, other manual techniques can help to open up the joint and get the joint moving again. Once the neck starts to move then mobility exercises will help you return to full movement again. It is better to get some treatment early-on as this condition can settle down with the right approach.

Pain from a pinched nerve:

This condition is a more complicated version of the one above. There are nerve that come out of each joint of the neck. They combine into a complex web called the Brachial Plexus and then control sensation and motor control of the arms and hands. Pain from an aggravated nerve can be felt in the neck, upper shoulder, upper back, and anywhere down the arm. It just depends on what joint and which nerve is either compressed or inflamed.

In the assessment we are able to determine which nerves are affected and which joints we need to treat. Each nerve has  a pattern of pain, numbness and tingling. You don’t need to get an X-Ray right away. We can advise you if and when this might be necessary. If you respond to the treatment, getting an X-Ray or MRI is not essential.

Whiplash

Whiplash is a term to describe a range of injuries caused by acceleration-deceleration injuries from car accident. There are a number of injuries that can occur, depending on how severe the damage to the structures in the neck.  Damage can occur to muscles, neck joints, discs, nerves and spinal cord, ligaments and blood vessels. Its important to be assessed thoroughly either by a doctor or your physiotherapist. Depending on your symptoms, you may be sent for X-Ray. Both your doctor and physiotherapist should perform an exam to see if you should be referred to a specialist before doing any rehabilitation. There is a grading used to determine the severity. Your MVA insurance company and physiotherapist will use this to decide which treatment plan you should receive.

We do not bill directly to MVA insurance but we can treat you. We would still complete all the insurance forms and liaise with your adjustor. You would pay the fees directly to us, but you would be reimbursed by our insurance. My law, you have to use your private insurance benefits first and then your MVA insurance. Your adjustor will be able to explain the process.

Depending on the type of whiplash, the most essential treatment is to get your neck moving again. It is not recommended to have neck adjustments at this time. Normal movement and gradual strengthening is the most effective treatment to reduce pain. Having some massage may help, but this should not be the main focus. The research supports active rehabilitation to prevent the neck pain from becoming chronic.

As this is a traumatic injury, it is important that you receive a thorough assessment for any symptoms that may require referral to another specialist. During your treatment we will keep monitoring you to see if this is necessary. We would be checking for any symptoms related to nerve or vascular injury.

NECK PAIN

PHYSIOTHERAPY FOR NECK PAIN

NECK PAIN

PILATES REHABILITATION FOR NECK PAIN

NECK PAIN

The big take home message is that exercise has been shown to reduce pain and manage this condition. The research supports this exercise-based approach. There isn’t reliable research to support more passive treatments, like massage, electro-therapies and acupuncture for Patello-Femoral pain.