Services

At Grand River Physiotherapy we treat a wide variety of conditions, from head to toe. If you have trouble moving your body, or you are suffering from pain or weakness, we can help you out! We will thoroughly assess your condition to figure out what is causing your problems, and we apply therapies and exercises that will directly address this root cause to quickly ease your pain.

 

 

Physiotherapy

Physiotherapists help people who cannot move properly, or are suffering from pain or weakness when they try to move. Our goal as physiotherapists is to help you regain optimal, pain-free movement, using many different treatments.


Manual Therapy

Manual therapy techniques are specialized, hands-on skills that physiotherapists use to assess and treat movement dysfunction in the body. We use this manual therapy approach to thoroughly assess the movement and tension in your joints, muscles, fascia and nerves. We figure out where your stiffness and tension originate, then restore healthy, efficient movement patterns by using a variety of hands-on techniques, including mobilization and/or manipulation of your joints, various soft tissue (muscle) massage techniques, myofascial release, and nerve mobilizations. For more information on manual therapy, please visit CAMPT: www.manippt.org.


Vertigo/Dizziness - Vestibular Rehabilitation

Dizziness is a very common complaint faced by family doctors. One of the most common causes of dizziness is benign paroxysmal position vertigo (BPPV), which can be very effectively and safely treated through a series of specific treatment maneuvers.

Vestibular Rehabilitation is an exercise-based approach used to treat dizziness and balance problems. Treatment involves designing an individual home exercise program that will gradually decrease the sensitivity of the vestibular system.

Current research reveals that more than 1/3 of people over 65 will fall at least once per year. Falls are not a normal part of aging, and can be prevented with specific, progressive balance retraining exercises! Individualized strengthening exercises are also very effective at preventing falls in the elderly, and recent research has shown that visual rehabilitation exercises can also be very helpful in preventing falls.


 

Massage Therapy

Our Registered Massage Therapists (RMT) are skilled at treating pain, tightness and spasm caused by muscle tension.  Massage treatment by our experienced therapists accelerates the healing process by releasing tense and sore muscles, promoting relaxation and improving circulation of the blood and lymphatic systems.  The goal of massage treatment is to relieve stress in your muscles, to enable you to move more freely, with less pain.  If you are also receiving physiotherapy treatment, your massage therapist will work closely with your physiotherapist to ensure that both professionals are maximizing your progress. 


Pelvic Health

Pelvic Health Physiotherapy is a special branch of physiotherapy that diagnoses and treats pelvic health conditions in both men and women.  Pelvic health issues are common, but are often left untreated because people are embarrassed and don’t seek help.  However, pelvic health is achievable for everyone!  With a thorough assessment, the underlying cause of the problem can be identified, and a variety of effective treatment approaches can be used to resolve the symptoms. 

Do you experience urinary or fecal incontinence?  Do you experience sudden, uncontrollable urges to go to the bathroom?  Do you have to go often (more than 8 times per day?)?  Do you have bowel concerns?  Do you experience pain in the genital, groin, pelvic or buttock area?  Do you experience pain during sex?  Do you feel pressure or heaviness in your vagina?  Do you have prenatal or post-partum pelvic health concerns?  Do you have post-surgical pelvic health concerns? 

A Pelvic Health Physiotherapist has completed specialized post-graduate training to treat these issues and is registered with the College of Physiotherapists of Ontario to perform internal (vaginal and/or rectal) examination during therapy to accurately diagnose and treat your condition.  Research has shown that many relevant pelvic structures cannot be reached externally.

Internal exams are done with the utmost respect and professionalism.  However, if this feels like an obstacle to you, please feel free to discuss your concerns with your therapist.  Your therapist is there to listen, support, educate and clarify all of your questions so that you can get the care that best meets your needs.

If you answer “yes” to any of the following questions, Pelvic Health Physiotherapy may be very helpful for you! 

Conditions Treated by Pelvic Health Physiotherapy:
  • Stress urinary incontinence
  • Urge urinary incontinence
  • Urge without leakage
  • Urinary frequency
  • Nocturia (waking at night to urinate)
  • Urinary hesitation, stopping and starting of the urine stream, incomplete emptying and post-void dribble
  • Fecal incontinence
  • Constipation
  • Pelvic organ prolapse (Grades 1, 2 and 3)
  • vulvodynia and vestibulodynia
  • Vaginismus
  • Dyspareunia (uncomfortable or painful intercourse]e)
  • Painful bladder syndrome (interstitial cystitis)
  • Chronic pelvic pain
  • Testicular and Penile pain
  • Rectal pain
  • Prenatal and post-partum care
  • Pelvic surgery rehabilitation
  • Post-prostatectomy rehabilitation
  • Chronic prostatitis (class 3B)
  • Testicular and Penile pain
  • Unresolved low back, sacroiliac and/or hip pain
What can I expect during my appointments with my Pelvic Health Physiotherapist:
  • Detailed history
  • External & internal physical assessment
  • Specific, individualized treatment, which may include:
    • Education about your condition
    • Behaviour modification so you avoid aggravating your condition
    • Postural alignment and breath training
    • Home exercise program
    • Stretching and strengthening exercises
    • External and internal connective tissue and muscle release
    • Pelvic ligament and nerve mobilizations
    • Vaginal or rectal e-stimulation unit may be used if the patient has significant difficulty engaging pelvic floor muscles

Concussion Management

We have partnered with Complete Concussion Management in order to bring our patients the most comprehensive baseline concussion testing and concussion management program in Canada. Please visit www.completeconcussions.com for more information.


Gunn Intramuscular Stimulation (IMS)

Intramuscular Stimulation (IMS) is a diagnostic and treatment system used to manage chronic musculoskeletal pain conditions that present without obvious signs of injury or inflammation. The treatment utilizes acupuncture needles to specifically target shortened muscle tissue, releasing taut, tender muscle bands which are pressing on and irritating nerves. IMS, in effect, treats the underlying neuropathic condition that causes the pain.

 

For more information, please visit www.ubcgunnims.com.


Acupuncture

The ancient art of acupuncture involves inserting fine needles into specific points on the body. Using the knowledge of the fourteen energy meridians in Traditional Chinese Medicine, specific acupuncture points are chosen to decrease pain, relax spasm, reduce inflammation and restore function and movement in your body. For more information please visit www.acupuncturecanada.org.


Scalp Acupuncture

Scalp acupuncture is an effective technique for chronic pain, and for treating central disorders of the brain. It can be used with Parkinson’s, stroke, tinnitus, Multiple Sclerosis, concussion and a wide variety of other neurological conditions.


TMJ Rehabilitation

Temporomandibular joint (TMJ) dysfunction may include jaw pain while eating, talking, yawning or singing. Other symptoms of TMJ problems may include clicking, locking, reduced range of motion (can’t open fully), difficulties chewing (such as biting the inside of your cheek), or headaches.


Exercise Prescription

Physiotherapists are exercise experts. Our physiotherapists have expertise in the design of specific exercise programmes aimed at meeting your athletic, health or occupational needs.


Electrotherapy

The following electrotherapy modalities may be used at during your treatments to accelerate your progress:

  • Ultrasound
  • Interferential (IFC)
  • Transcutaneous Nerve Stimulation (TENS)
  • Electroacupuncture

On Site Orthotics Consultations

Michelle McCrory, BSC, CPed has over 20 years of experience in designing custom orthotics. Michelle combines her delightful personality with her technical expertise and an extensive background working with people of all ages and abilities. Please contact the clinic to book a consultation with Michelle.


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