Physiotherapy is all about making you move better for life. Our physiotherapists will help you restore physical function after an injury and prevent future injuries.
We specialize in assessing, diagnosing, and treating injuries related to muscles, bones, ligaments, joints, and nerves. We help restore physical function with a range of treatment techniques such as manual therapy, injury specific exercise prescription, movement retraining, medical acupuncture, and various electrophysical modalities. Our physiotherapists are highly trained, providing clients with complementary treatment options that involve many of the techniques described below.
Our therapists utilize a wide selection of manual techniques, dependent on the needs of our clients. Manual stretching, friction massage, trigger point, and myofascial release are some of the treatments designed to restore normal length and mobility to soft tissues. Joint mobilization techniques are utilized to restore full range of motion in a joint, following loss of mobility. If required, joint manipulations may also be used provided that the therapist has the appropriate training and the patient’s consent.
Prescriptive exercise is highly effective and a key component of injury prevention, recovery, pain management, and general good health. We are very knowledgeable in providing patients with exercises specifically designed for you and your needs. Physiotherapists are experts in training the body to move, and move well. Whether you are pre- or post-surgical, returning to activity or work, improving your ability as an athlete, pre- or postnatal, or managing systemic conditions such as arthritis, our therapists will work with you to design an exercise program to keep you Fit to Play in all situations.
Electrical and physical modalities, such as ultrasound, laser, neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and interferential current (IFC) are all designed to stimulate tissue healing, reduce pain and swelling, and to assist in the restoration of normal tissue function. Depending on your injury, we may use a variety of electrotherapy tools during your treatment sessions.
Encompassing a combination of traditional Chinese acupuncture and Western medical science, acupuncture involves the insertion of very fine needles into the skin at specific points to achieve a variety of effects, including pain relief, reduction of swelling, and improved circulation. Medical acupuncture is not appropriate for all patients and thus a special assessment is required to determine if it is appropriate for you.
Intramuscular Stimulation (IMS)
IMS is a specialized form of needling that differs from acupuncture. It helps to reduce pain and dysfunction by inserting a needle into targeted areas of tightness and trigger points in muscle tissue. The needle produces a reflex response, causing relaxation of the muscle, thus reducing tension on other joint structures. IMS is not appropriate for all patients and thus a special assessment is required to determine if it is appropriate for you.
Vestibular Rehabilitation is a specialized treatment approach, which involves specific movements, techniques, and exercises, to decrease the symptoms of dizziness, gaze disturbances, and balance impairments. A specific vestibular rehab program is to be completed by the patient at home. Peripheral vestibular dysfunction has been shown to respond well to progressive balance retraining, specific stretching, and strengthening techniques.
Clinical Pilates combines the expertise of a Registered Physiotherapist and integrates it with the principles outlined by Joseph Pilates to develop a series of Pilates based exercises to address the individualized needs of each client. Clinical Pilates begins with a detailed physiotherapy assessment and determination of patient goals. From here, we design an integrative movement “repertoire” to optimize control of your core stabilizing muscles, and improve overall body awareness, movement quality and strength. One-on-one Clinical Pilates sessions traditionally incorporate specialized equipment, but may also include mat exercises that can easily be transferred to a home setting. The ultimate goal of your pilates exercise program is to help support you in your goals towards accomplishing more meaningful and efficient movement. For more information about Pilates, follow this link.
Functional and Athletic Taping
Injured joints and body parts may benefit from taping in order to protect the area from further injury and allow an earlier return to activity. Applying tape to the affected area may heighten proprioceptive awareness. Taping can also support the area allowing muscles that have tightened to relax and thus facilitating a return of motion.
TELEHEALTH – TELEREHAB
Information for Patients
What is Tele-Rehabilitation?
Tele-rehabilitation or TeleRehab falls under the umbrella of TeleHealth. It is the use of communication technologies to allow you and your physiotherapist to connect via video or phone to receive physiotherapy services at a distance when an in-person visit is not possible.
Here are some frequently asked questions about tele-rehabilitation in physiotherapy.
When might tele-rehabilitation be appropriate?
- Tele-rehabilitation may be appropriate if you cannot easily attend an in-person visit because there is a shortage of appropriate physiotherapy care available in the region where you live or because you have transportation or mobility problems, or in the case of COVID 19 – social distancing and self-isolation.
- Tele-rehabilitation is a perfect tool when you are in need of education and exercise prescription and progression of current exercise programs.
When would tele-rehabilitation not be appropriate?
- Tele-rehabilitation has limitations compared to an in-person encounter such as the inability to perform hands-on examination, hands-on assessment and hands-on treatment. For this reason, in many circumstances, if suitable in-person care is available it will be preferable.
- It is up to you and the physiotherapist to determine what is best for you, based on your particular condition and preference, available technology, and other risks and benefits.
Will I get good quality care?
- Expect to receive the same safe, quality care that you would get during an in-person visit. The College of Physical Therapists of BC expects physiotherapists to meet the same standards of practice regardless of how the services are delivered.
What are the risks of receiving care via tele-rehabilitation?
- The risks of receiving physiotherapy care specific to tele-rehabilitation relate mostly to concerns about the privacy of your personal health information, and your personal safety. The physiotherapist is required to ensure that the location where you receive care is safe, and that procedures are in place to ensure the availability of help in the event of an emergency.
- The physiotherapist may recommend that the visit proceed in the presence of another person to enhance the safety and value of the visit.
- At CSPC, TeleRehab is currently done via videoconferencing through Zoom technology which is widely used in healthcare settings at this time. We do not store any personal health information, nor do we record the sessions so that privacy is maintained.
Will my personal information still be private and secure?
- Physiotherapists are required to ensure the privacy and security of your personal information at all times. This extends to the technology they use as well as the appropriateness of the setting in which services are delivered.
- At City Sports + Physiotherapy – we do not record the TeleRehab sessions, therefore no personal information is kept through the video, and we use a 256-bit encryption videoconferencing system. Your physiotherapist will still record their findings in our Electronic Medical Records (EMR) system that we already use when in the clinic. The video conference call is not kept or recorded onto our EMR.
Do I have to pay for tele-rehabilitation physiotherapy services?
- As of March 18, 2020, our fee for a TeleRehab video conference is $75 for 30 minutes. Some extended health plans will cover telerehab and we will bill to those that do. You are required to find out if your extended health plan covers Telehealth/telerehab. This link is being updated when insurers are coming on board. Our admin staff will contact you prior to your appointment to obtain your credit card information or extended health information which will be securely stored. Once your appointment is complete, we will process payment and will email the receipt to you.
If my physiotherapist isn’t in the room, who will help me and what types of care can be provided?
- The physiotherapist is required to ensure that an appropriate level of support and assistance is available to address your needs and ensure your safety, and that you agree to the involvement of this assistance.
- Examples of services that can be provided by tele-rehabilitation include, but are not limited to, consultation with your physiotherapist, education and instruction, guidance in pain management strategies, monitor your progress with a treatment program, and supervised exercise.
- Telerehab is an unique opportunity to do your rehab, in your home, with supervision by your physiotherapist to ensure it is being optimally performed.
- Telerehab is also a great way to assist you in getting your home office ergonomics set up correctly!
Do I have to be in BC in order to receive TeleRehab from City Sports + Physiotherapy, or can I be out of province or out of country?
- All physiotherapists at CSPC are licensed to practice only in BC. If you are located in another province, they are required to be licensed in their home province or territory as well as the province or territory in which you receive the care. You can discuss this with your physiotherapist if you happen to be out of BC at this time.
How to book a TeleRehab Physio appointment (DURING COVID 19 CLINIC CLOSURE):
- Email your physiotherapist directly via [first name of therapist]@citysportsphysio.com
- Online booking for this service is only available for a few physiotherapists.
- Our admin team or your therapist will contact you to complete any outstanding paperwork, and obtain your credit card information. You will be charged and a receipt will be emailed following the appointment.
- At this time we can only bill directly to a few extended health providers. Please contact your extended health provider to see if they will accept TeleHealth Physiotherapy.
- We will require an emergency contact and phone number in case something happens to you during the session should you need assistance.
- A consent form will also need to be signed, outlining that you consent to receive physiotherapy via TeleHealth video conferencing. Your therapist will send this to you when the invite you to the session.
Once the appointment is booked, your therapist will send you an invitation to the meeting through ZOOM.
During the appointment:
- It would help if you still dressed as you would for your physio appointment, and have a yoga mat or an open space available for you to move around in. Any of your physio equipment (balls, bands, weights etc) that you usually use, should be nearby.
- If you have someone who can be there to hold the camera and to position the camera in such a way that I can see you while you are moving, that would be helpful but not essential.
- Bluetooth earbuds are helpful, but not essential.
We have reduced fees for this Telehealth E-Physio service during this time of interruption in our lives.
- All appointments will be charged $75 and will be 30 minutes in length. If you have a new injury, we will book your appointment for 45 minutes.
- These fees are subject to change as times change.
Massage therapy focuses on soft tissue manipulation to enhance muscle performance and promote relaxation of the body’s nervous system. The goal of massage therapy is to restore and maintain optimal health and pain free function of the body. It is a natural form of therapy that promotes healing, circulation, and waste reduction in tissues.
Registered Massage Therapists (RMT) in BC have the highest level of Massage Therapy education in North America. They are educated and trained to accurately assess and treat with techniques that include massage and manual therapy, joint mobilization, rehabilitative exercises and patient education. They focus their treatment on the soft tissues of the body, including muscles, connective tissue, tendons, ligaments and joints.
All of our RMT’s have completed a diploma program and are in good standing with the College of Massage Therapy of BC.
Do you experience hip or knee pain, possibly associated with osteoarthritis? In Canada, 1 in 4 women and 1 in 6 men have arthritis. Thankfully, this condition can be effectively managed with exercise. But, most of us could use some guidance on what exercises are ideal and how they should be safely performed. The GLA:D Canada Program provides cost-effective group education and exercise to individuals of all ages.
Hosted at our clinic in downtown Vancouver, our first program in the Fall of 2018 was a huge success! All participants improved in their strength and function and reported significant pain relief. Programs are running regularly throughout the year. The 8 week long programs are all run by Physiotherapist, Sarah Paterson. Contact her for more details
- 2 formal education sessions with focus on symptom management strategies
- 12 group neuromuscular exercise sessions with focus on functional strength
- Data collection for quality monitoring
- Cost: $540 (paid up front, $45 per exercise session, Physiotherapy receipt issued at each session, education sessions free)
- Knee and/or hip OA (radiographic diagnosis not required)
- Knee and/or hip pain (not related to soft tissue issues or inflammatory joint disease)
- Doctor or healthcare professional referral NOT required.
- Imaging (xray or MRI) or formal arthritis diagnosis NOT required
- New clients: book initial assessment with Sarah to determine if you are appropriate for the program and for baseline testing
- CSPC clients referred by other physios or RMTs in the clinic can be directed to Sarah for additional information and program scheduling – in this case, the initial Physio assessment with Sarah is NOT required
For more information about GLA:D, click here.
What to Expect from your Pelvic Floor Physiotherapy Assessment
Pelvic floor issues are incredibly common. In fact, recent statistics suggest that 1 in 4 women suffer from pelvic floor dysfunction. Some conditions treated by a pelvic rehabilitation therapist include:
- Musculoskeletal aches and pains (involving the back, hips, sacroiliac joint, groin, abdomen and sometimes limbs)
- Bladder and bowel issues
- Painful sex or an inability to have penetrative sex
- Pregnancy & postpartum recovery
- And much, much more
So, you’ve been referred for a Pelvic Health Assessment. Here’s an overview of how your first session will go:
History: Just like any other Physiotherapy assessment, we’ll go through a history of your symptoms, so we know exactly what your goals are, and to guide the rest of our exam. These conversations may include topics that aren’t easy to talk about – your bowel and bladder habits and sexual health and history are of particular importance in order to get a complete picture of your pelvic health. Rest assured, we do all of our assessments in a private room, and have ample time to chat about those less comfortable topics.
External Exam: We take a look at your posture, the health of your low back and hips, as well as the muscles around the abdomen/pelvic region.
Internal Exam: The muscles in your pelvic floor are just like any other in your body – they can be tight or weak, causing pain and dysfunction. Unfortunately, this can be difficult to assess as we can’t see/feel them outside of the body – therefore, we need to assess internally. This is not a gynecological exam – a speculum is not used for assessment. All steps will be explained throughout the exam – typically we are assessing the strength of the pelvic floor muscles, tone/tightness, coordination of the muscles, and tenderness or soft tissue restriction. Be sure to ask any questions you may have, and be certain to tell your Physiotherapist if you have any pain or discomfort during the session.
Education: We will review the key findings of your assessment so that you have a thorough understanding of your condition. Knowing what is going on is key to feeling in control of your body. We use pictures, models and whatever else is needed to ensure your understanding.
Homework: You didn’t expect to leave a Physiotherapy session without homework did you?? Based on our findings you will be prescribed some home exercises to help improve your condition. During your session we will have determined the strategies that allow you to best connect with your pelvic floor, and you will go home with these exercises to practice.
Follow Up: The frequency of your treatments will depend on the assessment findings and severity of your symptoms.
If you have any more questions about this service before booking your first appointment, please contact us at your convenience.
Contact: If you have any further questions before booking an appointment, please contact Joanne Tishenko at joanne[at]citysportsphysio.com.
Pilates, originally, was developed by Joseph H. Pilates during World War I, as a way of exercising against resistance in an attempt to help bedridden soldiers of the war. It evolved over the years into a practice very commonly used by the dance community. Today, Pilates is more of a concept and the exercises have modernized, as has the equipment, to be more individually directed to suit the needs of the person practicing it. Pilates continues to have a strong connection in the world of physiotherapy and rehabilitation.
Pilates is not just about “the core” but yet, it is all about the core and the mind-body connection. Using a variety of equipment that is often spring-loaded, the exercises are low impact in nature making them safe for most joints throughout the healing process from injury. Pilates is designed to build strength, endurance, body awareness, balance and good posture. It improves flexibility, joint mobility, and breathing control. Exercise quality is the focus rather than quantity. And, as you’ll discover, sometimes the lighter the resistance, the more challenging the exercise!
As Pilates can be incorporated both in the injured and non-injured population, here, at City Sports + Physiotherapy Clinic, we offer a variety of options of Pilates. If in doubt – talk to your physiotherapist about the difference!
- Clinical Pilates – Typically done when injured, and/or throughout the healing stages of your injury. This can be covered by most extended medical health plans under Physiotherapy. It is the client’s responsibility to confirm the details of their insurance parameters.
This is delivered by Physiotherapists who have trained in Clinical Pilates. There are a variety of Pilates training programs available to physiotherapists – Calibrate, Stott, Balanced Body and more. Clinical Pilates begins with a physiotherapy assessment in order to then design a customized program addressing your specific movement goals and your body’s needs. (Fee: $145/hour)
2. Private Pilates
Alternatively in the absence of an injury or medical condition requiring physiotherapy guidance, you can attend Private Pilates delivered by a Certified Pilates Instructor. Your goals may be more to improve your core strength, general mobility, and flexibility. (Fee: $100+GST/hour)
We provide Medical Acupuncture, performed by trained Physiotherapists.
Encompassing a combination of traditional Chinese acupuncture and Western medical science, it involves the insertion of very fine needles into the skin at specific points to achieve a variety of effects including pain relief, reduction of swelling, and improved circulation. Not all patients are appropriate for medical acupuncture and thus a special assessment is required to determine if it is appropriate for you.
As concussions have become a growing, nationwide concern, we at City Sports and Physiotherapy Clinic feel strongly about doing our part to help manage these injuries by taking a collective and comprehensive approach for the complete management of a concussion injury: Education, Awareness, Baseline Testing, Physical Testing, Therapeutic Strategies and Return to Play Preparation.
We will work with YOU and your doctor, coach, teachers, employers and other health care practitioners to assist you in your recovery. We will assess and manage each individual as a whole and are committed to developing rehabilitative interventions that are specific to YOU and YOUR injury.
How is our approach different from other treatment programs? We recognize that concussion symptoms can stem from a breakdown in a variety of bodily systems that need to work together in a coordinated manner in order to process and to react to the surrounding environment. Our therapists can assess your cervical spine (neck) to determine if there are issues specific to spinal mobility and stability that may be contributing to your concussion symptoms. In addition, we can assess how well your visual system works with your balance and vestibular systems and its effect on your symptom presentation.
And if necessary, we have access to computerized technology to formally assess your neuro-cognitive abilities (specifically testing visual/verbal memory, visual motor speed and reaction time, etc) and then in turn we can use this technology to monitor progress throughout the course of treatment. Through a variety of screening measures we can determine if referrals to external providers may need to be considered for services such as Optometry, Psychology, and further medical investigation. All of our therapists who treat concussion have been trained in post-graduate concussion education and treatment.
Here at City Sports & Physiotherapy Clinic we are dedicated to assisting our clients from the elite-level competitor to the recreational athlete to the non-athlete who has sustained a head injury from a motor-vehicle collision or an “ordinary” accident to be able to return to their pre-injury level of activity. Our goal is to provide a high standard of care for ALL of our clients and we are passionate and committed to concussion care and recognize that only through a collective, comprehensive and client-centered approach can we achieve the goal of a safe and expeditious return to being Fit to Play©.
Foot biomechanics play a vital role in how the body moves and functions. A custom foot orthotic is a biomechanical insole achieving alignment of the foot and ankle into an anatomically efficient position.
Your orthotic evaluation will involve a thorough history and complete biomechanical assessment including a clinical gait analysis. A 3-dimensional mold of your foot will be made and your custom-made prescription orthotic will be unique to your condition, activity level, and to the footwear in which you will use them.
Our physiotherapists have been certified by The Orthotic Group to examine you for the suitability of orthotics and orthotic footwear.
Our sport based therapists are trained to provide thorough, head-to-toe full body assessments with your specific sport in mind. A Fit to Play Assessment is an essential component to every athletes’ training plan. Whether you are starting a new season, a new sport, or just want to ensure you are fit to play, this assessment is for you.
This full body assessment is designed to identify your weaknesses that may be predisposing you to injury in your particular sport. We assess flexibility, strength, alignment and muscle balance of the entire body. We will provide you with a summary of our findings and develop an exercise program for you specific to your needs and the demands of your sport. This Fit to Play athlete and sport specific assessment will help you to improve your performance, prevent injuries, and get the most out of your upcoming season.
Whether you are looking for a comprehensive program or a single evaluation of an individuals workstation we can assist. Our ergonomic evaluations begin with an onsite evaluation of the employees workstation and work habits.
Job tasks are reviewed, occupational risk factors identified, modification to existing workstations are performed onsite. Injury prevention solutions and preventative exercises are provided. A written report follows, containing detailed description of the observed body postures, a job task analysis, recommended workstation changes and equipment if needed. Follow up is always available at no additional charge.
For further information unique to your worksite please contact us.