Physiotherapy North York // Tag

Tag based archive
08 Jul

Vaginal atrophy, also known as atrophic vaginitis, is a condition that many women experience, especially after menopause. It involves changes in the vaginal area that can cause discomfort and other symptoms. Fortunately, our pelvic health physiotherapists in North York can help manage these symptoms and improve your quality of life.

What is Vaginal Atrophy?

Vaginal atrophy often happens during menopause when the levels of estrogen, a hormone in a woman’s body, decrease. When this happens, it can lead to:

  • Dryness: The vagina becomes less moist, leading to dryness and irritation.
  • Thinning of Vaginal Walls: The walls of the vagina become thinner and less flexible.
  • Inflammation and Redness: The vaginal area can become inflamed and red, causing pain.
  • Urinary Symptoms: You might experience more frequent urination, a strong urge to urinate, or urinary tract infections (UTIs).

These changes can make everyday activities uncomfortable and affect your sex life.

Picture Source: Hope&

If vaginal atrophy is not treated and a woman continues to experience painful intercourse, the vaginal muscles may react by tightening to protect the body. Over time, this tightening can become an automatic response (vaginismus) that continues even after the atrophy has been treated.

Fortunately, both conditions can be treated with the help of a pelvic health Physiotherapist in North York. In fact, it is often necessary to treat vaginal atrophy and vaginismus together, as addressing one without the other can be challenging.

Symptoms to Watch For

You might have vaginal atrophy if you notice:

  • Pain During Sex: Painful intercourse (called dyspareunia) is a common symptom.
  • Itching or Burning: These sensations can be uncomfortable and persistent.
  • Frequent UTIs: More urinary tract infections than usual.
  • Vaginal Bleeding or Discharge: Unusual bleeding or discharge can occur.
  • Difficulty Urinating: Problems with urination, such as a strong urge or pain.

Recognizing these symptoms early can help you get the treatment you need sooner.

How a Pelvic Health Physiotherapist Can Help with Menopause and Vaginal Atrophy

A pelvic health physiotherapist is a specialist who focuses on the muscles and tissues in the pelvic area. They can provide various treatments to help manage vaginal atrophy. Here’s how they can assist:

1. Assessment and Diagnosis

The first step is a thorough check-up, which includes:

  • Reviewing Your Medical History: Discussing your symptoms, medical history, and any medications you are taking.
  • Physical Examination: Checking the condition of your vaginal walls, pelvic floor muscles, and surrounding tissues.

2. Customized Exercise Programs

These physiotherapists create specific exercise programs to strengthen and relax your pelvic floor muscles. These exercises can:

  • Improve Muscle Tone: Making the vaginal muscles stronger and more flexible.
  • Boost Blood Flow: Increasing circulation to help with healing and tissue health.

3. Manual Therapy and Techniques

Hands-on techniques are used to improve the flexibility and function of your pelvic area, such as:

  • Myofascial Release: Reducing tension in the pelvic muscles.
  • Scar Tissue Mobilization: Addressing any scarring or adhesions in the vaginal area.

4. Education and Lifestyle Advice for Menopause

Education is a key part of therapy, including advice on:

  • Diet and Hydration: Eating a balanced diet and staying hydrated for overall health.
  • Relaxation Techniques: Learning how to relax your pelvic floor muscles to reduce discomfort.

5. Use of Devices and Modalities

They might suggest using certain devices and techniques, such as:

  • Vaginal Dilators: These help gently stretch the vaginal walls, making them more flexible.
  • Electrostimulation: Using mild electrical impulses to strengthen pelvic muscles.

How do I find a pelvic health physiotherapist in North York?

We have 8 locations with pelvic health physiotherapists to help you. If you are going through menopause and are seeing signs of vaginal atrophy, Book an Appointment today!

Pelvic Health Physiotherapists in North York:

26 Jun

Spinal fusion surgery is a medical procedure used to permanently join two or more vertebrae in the spine, eliminating motion between them. The goal of the surgery is to reduce pain, correct deformities, or improve stability in the spine.

When would I need Spinal Fusion Surgery?

Spinal fusion surgery is typically recommended for various spine conditions, including:

  • Degenerative disc disease: When the discs between vertebrae break down, causing pain.
  • Spondylolisthesis: When one vertebra slips forward over the one below it.
  • Spinal stenosis: Narrowing of the spinal canal, leading to nerve compression.
  • Scoliosis: Abnormal curvature of the spine.
  • Fractures: Vertebrae that are broken or dislocated.
  • Tumors: Removal of tumors that affect spinal stability.
  • Infections: Infections that have caused damage to the vertebrae.

When do I start physiotherapy after surgery?

The timing of when to start physiotherapy after spinal fusion surgery depends on several factors, including the specifics of the surgery, the patient’s overall health, and the surgeon’s recommendations.

What does post-surgery rehab involve?

Immediate Postoperative Period (0-6 Weeks)

  • Initial Phase: Physiotherapy may start in the hospital within a day or two after surgery. The focus is on gentle movements and exercises to improve circulation and prevent complications.
  • Activities:
    • Breathing exercises to prevent lung complications.
    • Gentle leg movements like ankle pumps to improve blood flow.
    • Log rolling technique for safe movement in and out of bed.
    • Short, frequent walks to promote circulation and reduce stiffness.

Early Rehabilitation Phase (6-12 Weeks)

  • When: Typically, more structured physical therapy begins around 4 to 6 weeks after surgery, depending on the surgeon’s assessment.
  • Goals: Gradually increase mobility, start gentle strengthening exercises, and improve functional movements.
  • Activities:
    • Range of motion exercises.
    • Gentle strengthening exercises for the core and lower extremities.
    • Walking programs to gradually increase distance and duration.
    • Education on proper body mechanics and posture.

Late Rehabilitation Phase (3-6 Months)

  • When: Around 3 months post-surgery, assuming there are no complications.
  • Goals: Restore full function, enhance strength and endurance, and improve posture and body mechanics.
  • Activities:
    • More advanced strengthening exercises using resistance bands or light weights.
    • Low-impact aerobic exercises like swimming or cycling.
    • Balance and coordination exercises.
    • Functional training for daily activities.

Long-Term Rehabilitation Phase (6-12 Months)

  • When: After 6 months, the patient should continue with physiotherapy based on individual progress and goals.
  • Goals: Achieve optimal strength, flexibility, and functional ability, and prevent recurrence of symptoms.
  • Activities:
    • Progressive resistance training.
    • Gradual reintroduction of higher-impact activities, if appropriate.
    • Sport-specific training for athletes.
    • Ongoing education on maintaining spine health.

Key Points to Consider

  • Surgeon’s Recommendations: Always follow the specific guidelines and timelines provided by the surgeon, as they know the details of the surgery and individual patient needs.
  • Listen to Your Body: Avoid pushing through pain. Pain is a signal that something might be wrong, and it’s important to communicate any discomfort to the physiotherapist or surgeon.
  • Individual Variation: Each patient’s recovery is unique. Factors such as age, overall health, and the complexity of the surgery will influence the timing and intensity of physiotherapy.

Starting physiotherapy at the right time is crucial for a successful recovery, and adhering to a structured rehabilitation program can significantly enhance outcomes after spinal fusion surgery.

Click here to book an appointment for post-surgery rehab with a physiotherapist at one of our eight locations.

General Information: The information provided on this blog is for general informational purposes only. While we strive to ensure the accuracy and relevance of our content, we make no guarantees about the completeness, reliability, or accuracy of the information.

Not Professional Advice: The content on this blog does not constitute professional advice. It is not a substitute for professional medical, legal, financial, or other professional advice. Always seek the guidance of a qualified professional with any questions you may have regarding your specific situation.

24 Jun

Hiking is a fantastic way to enjoy the great outdoors and stay fit, but it can also pose some risks. Whether you’re new to hiking or a seasoned backpacker, there are numerous factors to take into account before heading out on the trails. You need to evaluate your backpack’s weight, choose appropriate footwear, plan your food and hydration, check the weather, and map out your routes. Additionally, since hiking often takes you off the beaten path, it’s essential to take precautions against three common hiking injuries: knee pain, ankle sprains, and sore feet.

Is it necessary to warm up before hiking?


Yes, it is necessary to warm up before hiking. Warming up helps prepare your muscles and joints for physical activity, reducing the risk of injury. Here are some reasons why warming up is important before hiking:

Benefits of Warming Up Before Hiking

  1. Increases Blood Flow: A proper warm-up increases blood flow to your muscles, delivering oxygen and nutrients that help them perform better.
  2. Enhances Flexibility: Warming up loosens your muscles and increases your range of motion, making it easier to navigate uneven terrain.
  3. Reduces Injury Risk: Warm muscles are less prone to strains, sprains, and other injuries.
  4. Prepares Your Heart: Gradually increasing your heart rate helps prepare your cardiovascular system for the more strenuous activity of hiking.
  5. Improves Performance: A good warm-up can improve your overall performance, making your hike more enjoyable and less exhausting.

What are some effective warm up exercises to do before hiking?

Effective Warm-Up Exercises

  • Walking or Light Jogging: Start with 5-10 minutes of brisk walking or light jogging to get your blood flowing.
  • Dynamic Stretches: Perform dynamic stretches like leg swings, arm circles, and torso twists to loosen up your muscles and joints.
  • Ankle Rotations: Rotate your ankles in circles to prepare them for the uneven terrain.
  • Hip Circles: Rotate your hips to loosen the hip joints, which are crucial for hiking.
  • Calf Raises: Perform calf raises to warm up your calves, which are heavily used during hiking.

Taking a few minutes to warm up before you start your hike can make a significant difference in your overall hiking experience and help prevent injuries.

What are the most common hiking injuries?

Some of the most common hiking injuries are:

  • Knee Pain
  • Ankle Sprain
  • Foot Pain

Knee Pain when Hiking

Knee pain is a common issue among hikers, especially on longer or more challenging trails. Here’s a comprehensive approach to understanding, preventing, and managing knee pain when hiking:

Causes of Knee Pain While Hiking

  1. Overuse and Strain: Continuous stress on the knee joint from uphill climbs, downhill descents, or long sessions of hiking.
  2. Improper Biomechanics: Poor hiking technique, such as improper foot placement or stride, can strain the knee joint.
  3. Previous Injuries: Past knee injuries or conditions like arthritis can flare up during hiking.
  4. Improper Gear: Worn-out or inappropriate footwear lacking proper cushioning and support.

Ankle Sprain when Hiking

An ankle sprain can be a painful and frustrating injury, especially when hiking in rugged terrain. Here’s how to understand, prevent, and manage ankle sprains while hiking:

Causes of Ankle Sprains While Hiking

  1. Uneven Terrain: Stepping on uneven surfaces, rocks, or roots can twist or roll the ankle.
  2. Fatigue: Muscles that support the ankle can become tired, leading to less stability and increased risk of injury.
  3. Inadequate Footwear: Wearing shoes or boots without proper ankle support or that are worn out.

Foot Pain when Hiking

Foot pain while hiking can be uncomfortable and distracting. Here’s how to understand, prevent, and manage foot pain effectively:

Causes of Foot Pain While Hiking

  1. Improper Footwear: Shoes or boots that are too tight, loose, worn out, or lacking proper cushioning and support.
  2. Overuse or Strain: Prolonged walking or hiking, especially on challenging terrain, can strain the muscles and joints of the feet.
  3. Blisters: Friction from improperly fitting shoes or moisture buildup can lead to painful blisters.

If you get injured while hiking, consult one of our physiotherapists who can help you with treating the injuries as well as advise and educate you on prevention so you can enjoy your outdoor activities without pain and discomfort.

Click here to book an appointment with a physiotherapist at one of our eight locations.

21 Jun

A rotator cuff tears are common injuries to the shoulder, involving a tear in one or more of the tendons of the rotator cuff muscles. It is one of the leading causes of shoulder pain and disability. The rotator cuff is a group of four muscles and their tendons that stabilize the shoulder and allow for its wide range of motion.

Understanding Rotator Cuff Tears: Causes and Symptoms

The rotator cuff is a group of four muscles and their tendons that stabilize the shoulder and allow for its wide range of motion. These muscles are:

  1. Supraspinatus
  2. Infraspinatus
  3. Teres minor
  4. Subscapularis

Types of Rotator Cuff Tears

  1. Partial Tear: This type of tear damages the tendon but does not completely sever it.
  2. Complete Tear: Also known as a full-thickness tear, this type involves the tendon being split into two pieces or pulled completely off the bone.


  • Acute Injury: Sudden injuries, such as a fall on an outstretched arm or lifting something heavy with a jerking motion.
  • Degenerative Wear and Tear: Gradual wear over time due to aging, repetitive stress from activities (like sports or certain jobs), or poor shoulder mechanics.


  • Pain at rest and at night, particularly if lying on the affected shoulder
  • Pain when lifting and lowering your arm or with specific movements
  • Weakness in the shoulder
  • Crackling sensation when moving the shoulder in certain positions

Importance of Physiotherapy in Rotator Cuff Tear Treatment

Physiotherapy plays a crucial role in the treatment and rehabilitation of rotator cuff tears. It can help in several ways, whether as a primary treatment for less severe tears or as a post-surgical rehabilitation strategy for more significant injuries. Here are some key points highlighting the importance of physiotherapy in rotator cuff tear treatment:

Pain Reduction

  • Manual Therapy: Techniques such as massage and joint mobilization can help reduce pain and improve shoulder function.
  • Modalities: Use of heat, ice, ultrasound, and electrical stimulation can help manage pain and inflammation.

Restoring Range of Motion

  • Stretching Exercises: Specific stretches help maintain and gradually improve shoulder flexibility.
  • Mobilization Techniques: Gentle mobilization can help increase the range of motion without causing further injury.

Strengthening Shoulder Muscles

  • Strengthening Exercises: Focused on the rotator cuff and surrounding muscles, these exercises help restore strength and function to the shoulder.
  • Progressive Resistance: Gradual increase in resistance helps to build muscle strength over time.

Improving Shoulder Stability

  • Proprioceptive Training: Exercises that improve the body’s ability to sense the position and movement of the shoulder, enhancing stability.
  • Functional Training: Exercises tailored to improve stability during daily activities and specific movements required in sports or work.

Enhancing Surgical Outcomes

  • Pre-Surgical Physiotherapy (“Prehabilitation”): Strengthening and conditioning the shoulder before surgery can lead to better post-surgical outcomes.
  • Post-Surgical Rehabilitation: Structured physiotherapy is essential to restore function, strength, and range of motion after surgery. It also helps minimize scar tissue formation and adhesions.

Preventing Further Injury

  • Education: Teaching proper shoulder mechanics and ergonomic principles to avoid movements that can exacerbate the injury.
  • Exercise Regimen: Developing a long-term exercise plan to maintain shoulder health and prevent future injuries.

Tailored Rehabilitation Programs

  • Individualized Plans: Physiotherapists create personalized treatment plans based on the specific nature of the tear, the patient’s overall health, and their functional goals.
  • Goal Setting: Setting realistic and progressive goals to keep the patient motivated and track progress.

Long-Term Shoulder Health

  • Maintenance Exercises: Developing a routine of exercises to be continued even after formal physiotherapy ends to maintain shoulder health.
  • Lifestyle Modifications: Advice on modifications to daily activities and sports techniques to protect the shoulder.

In summary, physiotherapy is an integral part of the comprehensive management of rotator cuff tears, offering a non-invasive approach to pain relief, functional restoration, and long-term shoulder health. It provides a structured and supportive environment for recovery, whether used alone or in conjunction with surgical treatments.

Click here to book an appointment with a physiotherapist at one of our eight locations.

19 Jun

The choice between physiotherapy and massage therapy depends on your specific needs, goals, and health conditions. Here’s a detailed comparison to help you decide which might be better for you:


Physiotherapy Mississauga

What it is:

  • A healthcare profession focused on diagnosing, managing, and preventing movement disorders.
  • Uses exercises, manual therapy, education, and modalities like ultrasound and electrical stimulation.


  1. Rehabilitation: Effective for recovering from injuries, surgeries, and chronic conditions like arthritis.
  2. Pain Management: Addresses the root cause of pain through various techniques and exercises.
  3. Improved Mobility: Helps restore function and movement, particularly after injury or surgery.
  4. Preventive Care: Offers strategies to prevent future injuries or manage chronic conditions.
  5. Customized Treatment: Tailors plans based on individual assessments and needs.

Common Conditions Treated:

  • Musculoskeletal injuries (e.g., sprains, fractures)
  • Neurological conditions (e.g., stroke, multiple sclerosis)
  • Cardiopulmonary issues (e.g., chronic obstructive pulmonary disease)
  • Post-surgical rehabilitation

Massage Therapy

Massage Therapy Mississauga

What it is:

  • A practice involving the manipulation of soft tissues (muscles, tendons, ligaments) to enhance well-being.
  • Uses techniques like stroking, kneading, and applying pressure.


  1. Relaxation: Promotes overall relaxation and stress relief.
  2. Pain Relief: Alleviates muscle tension and pain.
  3. Improved Circulation: Enhances blood flow, which can aid in healing.
  4. Flexibility: Increases range of motion and reduces stiffness.
  5. Mental Health: Can improve mood and reduce symptoms of anxiety and depression.

Common Conditions Treated:

  • Muscle tension and soreness
  • Stress-related conditions
  • Chronic pain (e.g., back pain, fibromyalgia)
  • Sports injuries
  • Headaches and migraines

Which is Better for You?

  1. For Injury Rehabilitation or Chronic Conditions:
    • Physiotherapy is typically more suitable as it provides a structured approach to recovery, addressing the underlying causes of your condition.
  2. For Stress Relief and Muscle Tension:
    • Massage Therapy can be highly effective if your primary goal is relaxation and relief from muscle tightness.
  3. For Pain Management:
    • Both can be effective, but the choice depends on the cause of the pain. Physiotherapy is often better for pain related to injury or chronic conditions, while massage therapy can be great for muscle-related pain.
  4. For Improved Mobility and Function:
    • Physiotherapy focuses on restoring function and movement, making it the better choice for mobility issues.
  5. For Preventive Care:
    • Physiotherapy provides long-term strategies to prevent injuries and manage chronic conditions.
  6. For Overall Well-being and Relaxation:
    • Massage Therapy is beneficial for enhancing general well-being, reducing stress, and promoting relaxation.

Combination of Both:

  • In some cases, a combination of physiotherapy and massage therapy can be beneficial. For example, physiotherapy can address the underlying issues, while massage therapy can help manage symptoms and improve overall well-being.


Consult with a healthcare professional to get a personalized recommendation based on your specific health needs and goals. They can help you decide the best course of action and whether one or a combination of both therapies is ideal for you.

Click here to book an appointment with a physiotherapist and massage therapist at one of our eight locations.

18 Jun

Physiotherapy can be highly beneficial for individuals suffering from knee osteoarthritis (OA) by addressing pain, improving function, and enhancing the overall quality of life.

What is Knee Osteoarthritis (OA)?

Knee OA is a degenerative joint disease that is typically a result of wear and tear and causes progressive loss of the articular cartilage of the joint.

What are the causes of Knee OA?

Knee osteoarthritis (OA) is a complex condition influenced by a variety of factors. Here are the primary causes and contributing factors:

1. Aging

  • Natural Wear and Tear: As people age, the cartilage that cushions the knee joint gradually wears away, leading to OA.
  • Decreased Ability to Heal: Older cartilage has a reduced ability to repair itself, making it more susceptible to damage.

2. Genetics

  • Family History: Genetic predisposition can play a significant role. If OA runs in your family, you might be more likely to develop it.
  • Genetic Mutations: Certain genetic mutations can affect cartilage production and maintenance.

3. Joint Injuries

  • Previous Injuries: Injuries such as fractures, ligament tears, or meniscus damage can increase the risk of OA.
  • Repetitive Stress Injuries: Repeated stress or overuse of the knee joint, often due to occupational or recreational activities, can lead to OA.

4. Obesity

  • Increased Joint Load: Excess body weight puts additional stress on the knee joints, accelerating cartilage breakdown.
  • Inflammation: Fat tissue produces inflammatory chemicals that can contribute to joint damage.

5. Mechanical Factors

  • Joint Alignment: Abnormal joint alignment, such as bowlegs or knock-knees, can increase stress on certain parts of the knee.
  • Muscle Weakness: Weak muscles around the knee, particularly the quadriceps, can lead to increased joint stress.

6. Gender

  • Higher Risk in Women: Women, especially those over 50, are more likely to develop knee OA compared to men. Hormonal differences might contribute to this increased risk.

7. Metabolic and Systemic Factors

  • Metabolic Syndrome: Conditions like diabetes and metabolic syndrome are associated with an increased risk of OA due to systemic inflammation and metabolic disturbances.
  • Inflammatory Diseases: Conditions such as rheumatoid arthritis can predispose individuals to secondary OA.

8. Lifestyle Factors

  • Physical Activity: Both excessive and insufficient physical activity can affect joint health. High-impact sports can lead to joint injuries, while sedentary lifestyles can weaken muscles and joints.
  • Diet: Poor nutrition can affect joint health. For example, deficiencies in vitamins D and C can impair cartilage maintenance and repair.

9. Joint Biomechanics

  • Meniscus Tears: Damage to the meniscus can disrupt joint mechanics and contribute to OA.
  • Ligament Damage: Injuries to ligaments, such as the ACL, can destabilize the knee and lead to abnormal wear patterns.

10. Inflammation

  • Low-Grade Inflammation: Chronic low-grade inflammation can contribute to the breakdown of cartilage and other joint tissues.

Understanding these causes and contributing factors can help in the prevention and management of knee osteoarthritis, emphasizing the importance of maintaining a healthy lifestyle, avoiding joint injuries, and seeking early intervention for symptoms.

What are the most common symptoms of Knee OA?

Knee osteoarthritis (OA) typically presents with a range of symptoms that can vary in intensity from mild to severe. The most common symptoms include:

1. Pain

  • Activity-Related Pain: Pain that worsens with activity or weight-bearing and improves with rest.
  • Persistent Pain: Chronic pain that may be present even at rest or during the night in more advanced stages.

2. Stiffness

  • Morning Stiffness: Stiffness in the knee that is usually worse in the morning or after periods of inactivity and typically lasts less than 30 minutes.
  • Post-Activity Stiffness: Stiffness that occurs after prolonged sitting or resting.

3. Swelling

  • Joint Swelling: Swelling around the knee joint due to inflammation or increased production of joint fluid.
  • Effusion: Accumulation of excess fluid within the knee joint, leading to noticeable swelling.

4. Reduced Range of Motion

  • Limited Flexibility: Difficulty bending or straightening the knee fully.
  • Loss of Motion: Progressive decrease in the knee’s range of motion over time.

5. Grinding Sensation (Crepitus)

  • Audible Cracking or Popping: A sensation of grinding, cracking, or popping sounds when moving the knee, often due to roughened cartilage surfaces.

6. Weakness or Instability

  • Feeling of Giving Way: A sensation that the knee might buckle or give out, often due to muscle weakness or joint instability.
  • Muscle Weakness: Weakness in the muscles surrounding the knee, particularly the quadriceps.

7. Deformity

  • Joint Deformities: Changes in the shape of the knee joint, such as bowlegged (varus) or knock-kneed (valgus) appearance, due to uneven wear and joint damage.

8. Tenderness

  • Joint Tenderness: Tenderness or pain when pressing on or around the knee joint.

9. Functional Impairment

  • Difficulty with Activities: Challenges with everyday activities such as walking, climbing stairs, sitting, or standing due to pain and stiffness.
  • Reduced Mobility: Decreased ability to perform normal daily activities and exercise.

10. Fatigue

  • General Fatigue: Feeling of tiredness and reduced energy levels, often due to chronic pain and sleep disturbances.

These symptoms can significantly impact an individual’s quality of life and ability to perform daily activities. Early recognition and management of knee OA symptoms can help slow disease progression and improve function and comfort.

What are the treatment options for Knee OA?

The number 1 treatment option is conservative management (ie. Patient education, therapeutic exercise, activity modification, weight loss, bracing), surgery should be considered after a conservative approach (talk to your orthopaedic specialist for more information).

Physiotherapy can help by providing you with education about osteoarthritis, tailor an exercise program that is suitable for you, help you consider the best options for activity modifications, provide you with education on bracing, address psychosocial factors such as fear-avoidance, promote patient autonomy and get you back to doing the things you love to do!

Manual therapy- joint mobilization to help with stiffness. Muscle energy technique to help stretch surrounding muscles. 

Modalities – heat/ice for pain relief, TENs/IFC for pain relief and inflammation control. Ultrasound for pain relief. 

Exercises – help with improving mobility, ROM, strength, balance, aerobic capacity, promoting physical function, reducing knee pain and inflammation.

Click here to book an appointment with a physiotherapist at one of our eight locations.

07 Jun

Physiotherapy and chiropractic care are both forms of manual therapy that focus on the treatment of musculoskeletal issues, but they have different approaches, philosophies, and techniques. Here’s a comparison of the two:


Best Physiotherapist Etobicoke, Physiotherapy


  • Holistic and comprehensive treatment aimed at restoring movement and function.
  • Utilizes evidence-based practices.


  • Focuses on the body as a whole and treats a wide range of conditions, including musculoskeletal, neurological, and cardiovascular issues.
  • Emphasizes rehabilitation, prevention, and overall well-being.


  • Exercises and stretches to improve mobility and strength.
  • Manual therapy, including massage and mobilization of joints.
  • Electrotherapy, ultrasound, and other modalities for pain relief and inflammation reduction.
  • Education and advice on posture, ergonomics, and lifestyle changes.

Conditions Treated:

  • Musculoskeletal pain (e.g., back, neck, shoulder).
  • Post-operative rehabilitation.
  • Sports injuries.
  • Pelvic Health
  • Cancer Rehab
  • Vestibular Conditions
  • Neurological disorders (e.g., stroke, Parkinson’s disease).
  • Chronic conditions (e.g., arthritis).


  • Requires a degree in physiotherapy and registration with provincial regulatory body.
  • Involves extensive training in anatomy, physiology, and pathology.


Chiropractic Downtown Toronto


  • Primarily focuses on the diagnosis and treatment of mechanical disorders of the spine.
  • Utilizes spinal adjustments and manipulations.


  • Based on the principle that spinal health affects overall health and well-being.
  • Emphasizes the relationship between the spine and nervous system.


  • Spinal manipulations and adjustments to restore joint function and support the nervous system.
  • Manual adjustments often performed with a high-velocity thrust.
  • May include advice on exercise, diet, and lifestyle.

Conditions Treated:

  • Back and neck pain.
  • Headaches and migraines.
  • Joint pain (e.g., hips, knees).
  • Sciatica and other nerve-related issues.


  • Requires a Doctor of Chiropractic (DC) degree and registration with provincial regulatory body.
  • Involves training in anatomy, physiology, and specialized chiropractic techniques.

Key Differences between Physiotherapy and Chiropractic

  1. Scope of Practice:
    • Physiotherapists: Treat a broader range of conditions affecting various body systems.
    • Chiropractors: Primarily focus on spinal health and its impact on overall health but can also treat other musculoskeletal conditions.
  2. Techniques Used:
    • Physiotherapists: Employ a wide variety of techniques including exercise, manual therapy, and electrotherapy.
    • Chiropractors: Primarily use spinal adjustments and manipulations but are also trained in treating other joints.
  3. Philosophical Focus:
    • Physiotherapists: Emphasize holistic rehabilitation and prevention.
    • Chiropractors: Emphasize the importance of spinal alignment for overall health.
  4. Educational Path:
    • Physiotherapists: Typically require a Bachelor’s or Master’s degree in physiotherapy.
    • Chiropractors: Require a Doctor of Chiropractic degree.

When to Choose Each

  • Physiotherapy: Suitable for a wide range of conditions, particularly when rehabilitation, exercise, and a holistic approach are needed.
  • Chiropractic Care: Beneficial for conditions specifically related to spinal health and when spinal adjustments are indicated.

Ultimately, the choice between physiotherapy and chiropractic care may depend on the specific condition being treated, the patient’s preferences, and the recommendations of healthcare professionals. In some cases, a combination of both therapies might be the most effective approach.

Click here to book an appointment with a physiotherapist or chiropractor at one of our eight locations.

31 May

Working and studying from home can take a toll on your body and mind, making it crucial to incorporate some daily movement. Simple actions like walking around your workspace while on a call or standing up while having a snack can help reduce sedentary behavior. Additionally, daily stretching can prevent issues such as “tech neck” and back pain.

How often should you stretch working from home?

When working from home, it’s beneficial to stretch regularly to prevent stiffness and discomfort. Here are some general recommendations:

  1. Every 30-60 Minutes: Aim to take a short break to stand up, move around, and do some stretches. This helps prevent prolonged periods of inactivity and reduces the risk of musculoskeletal issues.
  2. Mini Breaks: Take a few minutes every hour to do some simple stretches or walk around. This can help improve circulation and reduce muscle tension.
  3. Daily Stretching Routine: Incorporate a more comprehensive stretching routine at least once a day, focusing on areas prone to tension such as the neck, shoulders, back, and hips.

By following these guidelines, you can maintain flexibility, reduce the risk of pain, and improve overall well-being while working from home.

What stretches can I do at my desk?

Tricep Stretch

Neck Stretch

Upper Body and Arm Stretch

Trunk Rotation Stretch

Shoulder Shrug Stretch

Stretch Courtesy:

If you are experiencing persistent neck pain, back pain or discomfort, it is advisable to consult a physiotherapist, for proper evaluation and guidance.

Click here to book an appointment with a physiotherapist at one of our eight locations.

24 May

Physiotherapy is often recommended before considering surgery for a variety of musculoskeletal conditions and injuries. The decision to try physiotherapy before surgery depends on several factors, including the nature and severity of the condition, the patient’s overall health, and the specific goals of treatment.

What are some of the scenarios where physiotherapy is considered before surgery?

Here are some common scenarios where physiotherapy is advised before opting for surgery:

  1. Chronic Pain Management:
    • Conditions like chronic back pain, neck pain, or osteoarthritis can often be managed with physiotherapy. Techniques such as exercise, manual therapy, and education can help reduce pain and improve function.
  2. Rehabilitation after Injury:
    • For injuries such as sprains, strains, and minor fractures, physiotherapy can aid in healing and restore mobility and strength without the need for surgical intervention.
  3. Degenerative Joint Diseases:
    • For conditions like osteoarthritis, physiotherapy can help maintain joint function, improve strength, and reduce pain, potentially delaying or avoiding the need for joint replacement surgery.
  4. Sports Injuries:
    • Many sports-related injuries, including tendonitis, ligament sprains, and muscle tears, can be effectively treated with physiotherapy. Rehabilitation programs can restore function and allow a safe return to activity.
  5. Postural and Muscular Imbalances:
    • Conditions resulting from poor posture or muscular imbalances, such as certain types of shoulder impingement or knee pain, can often be corrected through targeted physiotherapy exercises and manual therapy.
  6. Non-Surgical Management of Disc Herniations:
    • In cases of herniated discs causing back or neck pain, physiotherapy can help reduce symptoms through specific exercises and modalities, sometimes avoiding the need for surgical intervention.
  7. Rehabilitation of Neurological Conditions:
    • For certain neurological conditions like stroke, multiple sclerosis, or Parkinson’s disease, physiotherapy plays a crucial role in managing symptoms and improving quality of life.
  8. Post-Surgical Rehabilitation:
    • In cases where surgery is eventually necessary, pre-surgical physiotherapy (prehabilitation) can help strengthen the body, improve overall fitness, and enhance recovery post-surgery.
  9. Conservative Management First:
    • For many conditions, especially those where surgery carries significant risks or has variable outcomes, conservative management with physiotherapy is often the first line of treatment to try less invasive options.

These exercises are for educational purposes only, please consult your healthcare provider before attempting these.

What are the benefits of trying physiotherapy before opting for surgery?

Trying Physiotherapy Oakville before opting for surgery offers numerous benefits, both physical and psychological. Here are some key advantages:

Physical Benefits of Physiotherapy

  1. Pain Reduction:
    • Physiotherapy can effectively reduce pain through various techniques such as manual therapy, exercises, and modalities like heat or cold therapy, electrical stimulation, and ultrasound.
  2. Improved Mobility and Function:
    • Targeted exercises and stretches can help improve range of motion, strength, and overall functional ability, allowing patients to perform daily activities with greater ease.
  3. Enhanced Healing and Recovery:
    • Physiotherapy promotes natural healing by improving blood flow, reducing inflammation, and preventing further injury through proper movement patterns.
  4. Strengthening and Stabilization:
    • Physiotherapists design personalized exercise programs to strengthen muscles and stabilize joints, which can prevent the need for surgery by addressing the underlying causes of pain and dysfunction.
  5. Injury Prevention:
    • By improving posture, body mechanics, and muscle balance, physiotherapy can reduce the risk of future injuries.
  6. Management of Chronic Conditions:
    • For chronic conditions like osteoarthritis, physiotherapy can help manage symptoms and slow the progression of the disease, potentially delaying or avoiding the need for surgery.

Psychological and Emotional Benefits

  1. Reduced Anxiety and Stress:
    • The prospect of surgery can be daunting. Physiotherapy offers a non-invasive approach that can alleviate anxiety and stress related to surgical procedures and recovery.
  2. Increased Confidence and Empowerment:
    • Patients often feel more in control of their health when actively participating in their treatment through physiotherapy, leading to improved mental well-being.
  3. Better Understanding of Condition:
    • Physiotherapists educate patients about their condition and the mechanics of their body, providing them with knowledge and strategies to manage their symptoms effectively.

Economic and Practical Benefits

  1. Cost-Effective:
    • Physiotherapy is generally less expensive than surgery and associated hospital stays, making it a cost-effective alternative for many patients.
  2. Reduced Recovery Time:
    • While surgery often requires significant recovery time, physiotherapy allows patients to continue their daily activities with minimal interruption, enhancing their quality of life.
  3. Avoiding Surgical Risks:
    • Surgery carries inherent risks such as infection, complications from anesthesia, and prolonged recovery periods. Physiotherapy avoids these risks by offering a non-invasive treatment option.
  4. Trial of Conservative Management:
    • Trying physiotherapy first allows for the possibility that conservative management might be sufficient. If it proves ineffective, surgery can still be considered as a subsequent option.

Long-term Health Benefits

  1. Development of Healthy Habits:
    • Physiotherapy encourages the adoption of healthy habits and exercises that can contribute to long-term well-being and prevent future issues.
  2. Maintenance of Physical Fitness:
    • Ongoing physiotherapy helps maintain physical fitness, flexibility, and strength, contributing to overall health and resilience against other potential health issues.

Click here to book an appointment with a physiotherapist at one of our eight locations.

22 May

Breast cancer and pelvic health are two significant aspects of women’s health that can intersect in various ways. Breast cancer treatment can affect your bladder, sexual and/or pelvic function. Anywhere between 50 to 70 per cent of women will experience these kinds of issues after treatment.1

What are the known risk factors for Breast Cancer?

Risk Factors:

  • Genetics: Family history, BRCA1 and BRCA2 gene mutations.
  • Hormonal factors: Early menstruation, late menopause, hormone replacement therapy.
  • Lifestyle factors: Alcohol consumption, obesity, lack of physical activity.
  • Age: Risk increases with age.

What are the most common symptoms of Breast Cancer?


  • Lumps in the breast or underarm
  • Changes in breast shape or size
  • Skin dimpling or irritation
  • Nipple discharge

How is Pelvic Health connected to Breast Cancer?

Mississauga Pelvic Health

Many types of breast cancer are estrogen-positive, which means higher estrogen levels in the blood can increase cancer risk. Treatment for these cancers often involves medication that blocks estrogen reception to slow or delay cancer growth. Although this approach is effective against estrogen-positive breast cancer, it can impact pelvic floor health. One common side effect is vaginal dryness, which can adversely
affect the health of the vulvar and vaginal tissues. Incontinence, pelvic pain, sexual dysfunction can occur as a side effect of cancer treatments and these are conditions a pelvic health physiotherapist can help with.

How does estrogen affect the pelvic floor?

Breast cancer treatments that lead to lower levels of estrogen in the body which can induce symptoms similar to menopause. Estrogen is important for vaginal health because it keeps the tissues plump, pliable and lubricated. Hormone treatment, chemotherapy and/or ovary suppression or removal can all decrease estrogen levels in the body. Lower estrogen levels can lead to the thinning of vaginal tissues, vaginal dryness, burning, itching, an increased urge to urinate, the leakage of urine, recurring urinary tract infections, pelvic pressure, discomfort and pain with sexual activity.

How can I relieve pelvic pain during breast cancer treatment?

If you experience pelvic pain or pressure during treatment, consider these strategies to alleviate the discomfort:

  • Engage in an exercise routine, provided your healthcare provider approves. Physical activity, such as walking, jogging, or yoga, can be beneficial.
  • Use cold or hot compresses to help ease the pain.
  • Take over-the-counter medications, but only if they are approved by your doctor.
  • Perform pelvic floor exercises as recommended by your pelvic floor physiotherapist.

Where can I find a pelvic health physiotherapist in Mississauga?

We have 8 locations with pelvic health physiotherapists to help you.