Following a thorough evaluation, an individualized plan will be developed for each client and may include:
+ Manual Therapy
+ Joint Mobilization
+ Therapeutic exercise
+ Graded motor imagery
+ Desensitization and sensory re-education
+ Moist heat and cold therapy
+ Interferential current therapy (IFC)
+ Transcutaneous electric nerve stimulation (TENS)
+ Neuromuscular electrical stimulation (NMES)
+ Wound care
+ Return to work coordination
+ Sports rehabilitation
+ Therapeutic taping
+ Scar management
+ Swelling management
+ Serial Casting
+ Custom splinting
+ Functional Dry Needling
Our physiotherapists have completed post university training in manual therapy through the Orthopedic Division of the Canadian Physiotherapy Association. Manual therapy includes hands on techniques such as joint mobilization and soft tissue release. To learn more about manual therapy, click here: www.orthodiv.org
The goals of a therapeutic exercise program are to increase the strength and endurance of muscles, increase joint mobility and promote the relief of tension or pain. Physiotherapists are well trained to provide individualized and progressive exercise programs.
Nerve injuries can lead to unpleasant symptoms such as numbness, tingling and hypersensitivity. Therapists use sensory re-education to retrain the way the brain responds to the impulses provided by injured nerves. Re-education techniques can include pressure, determining joint position, identifying different temperatures or textures and massage. Adaptive techniques can also be used to compensate for any loss of sensation persisting after the injured nerve has healed.
Moist heat and cold therapy:
Heat and cold are commonly used to treat muscle and joint pain and the choice of either depends on whether the pain is new or recurring. Generally, a new injury will cause inflammation and swelling. Cold therapy will reduce blood flow to the injured area, resulting in decreased inflammation and swelling. Recurring pain can be treated with heat as it will encourage blood flow to the area to promote healing.
The insertion of fine needles into specific points of the body is known as acupuncture. The needles used in acupuncture are much thinner than the needles used for a blood test and are generally not painful. Recent scientific evidence suggests that acupuncture works by stimulating blood flow to the area and by releasing endorphins (natural pain relieving chemicals) in the body. To learn more about acupuncture, click here: www.acupuncturecanada.org
This therapeutic modality delivers gentle sound waves into the body to enhance blood flow and stimulate healing. Ultrasound may also be used after surgery to encourage healthy scar formation.
Transcutaneous electric nerve stimulation (TENS) and Interferential current
Both of these therapeutic modalities deliver gentle electrical current into the body via small electrodes. The electrical stimulation provided can provide short-term pain relief by distracting the brain from feeling pain.
Neuromuscular electrical stimulation (NMES):
This therapeutic modality delivers gentle electrical impulses into the body to cause muscle contractions. NMES can be used to strengthen weak muscles or relax tight muscles.
Open wounds can develop for a number of reasons including pressure, vascular insufficiency, trauma or surgery. Our physiotherapists have in-depth knowledge of anatomy and tissue healing as well as optimal joint positioning and dressing selection during wound healing.
Return to work coordination:
Individuals may be off work due to an injury sustained while working, during a motor vehicle accident or during activity. Physiotherapists can assess your injury and design a customized program to help you return to work and get back to your pre-injury status.
Athletes require a unique rehabilitation approach including a specific and advanced exercise program as well as return-to-play guidance. We have experience working with athletes of all levels from ‘weekend warriors’ to the professionals.
Physiotherapists can use therapeutic tape to support an injured joint in a particular position for healing or to provide reminders about posture.
For some individuals, scars on the hand and upper extremity can become raised, thick, red and painful (known as hypertrophic or keloid scars). Our physiotherapists can help you ensure that you receive the appropriate care to decrease pain and minimize the appearance of your scar.
Swelling (the accumulation of extra body fluid) can occur after an injury or surgery, leading to pain and stiffness. Our physiotherapists can help you manage swelling using techniques such as elevation, range of motion, massage, splints and compressive dressings or garments.
Our clinic is one of the few private physiotherapy practices in Manitoba offering serial casting of the fingers. Fabricating a series of custom casts can be an effective treatment for finger contractures (a deformity caused by the shortening of the soft tissues surrounding a joint).
Our clinic is one the few private physiotherapy practices in Manitoba offering custom splint fabrication. We can make a variety of hand and arm splints in a number of materials and colours to suit your needs.
Functional Dry Needling:
Functional dry needling is a skilled technique for the treatment of pain and movement impairments. Other names for dry needling are Trigger Point Dry Needling or Intramuscular Manual Therapy. The technique uses a very thin “dry” needle (one without medication or injection), inserted through the skin into areas of neuromuscular tissue or muscle trigger points. Trigger points can be tender to touch and may refer pain to distant parts of the body. Dry needling can decrease banding within these trigger points which helps to relieve pain, improve range of motion and restore function.