Every person and every condition responds to a different treatment approach and/or therapy. I use traditional chiropractic procedures/techniques and integrate functional movement analyses (Functional Movement Screens (FMS) and Dynamic Neuromuscular Stabilization (DNS)) to help guide us to the root cause behind your pain or dysfunction.

Treatments integrate a combination of traditional chiropractic adjustments (spine and/or extremities adjustments), along with specific soft tissue therapy (Active Release Techniques, Graston Therapy, Kinesiotaping) to deal with the injury. We will then go over functional rehabilitation exercises based on the principles of DNS to help prevent the injury from recurring. I will also recommend appropriate home care and address any associated lifestyle issues that may be contributing to your condition.

Select the tabs below to learn more about the therapies I offer.

 

Chiropractic

Chiropractic is a primary health profession that focuses on the diagnosis, treatment and management of disorders of the joints, muscles and nerves. It also focuses on enhancing personal well-being by restoring proper movement in the joints of the spine, which in turn reduces irritation of the nerves, allowing the central nervous system to operate to its full potential.

Chiropractic Adjustment

An adjustment is a quick and gentle movement applied to restricted joints of the spine or extremities. The chiropractor places the patient in a position that will best allow for the joints to be moved. They then place their hands on the area and apply a shallow, quick and pain-free movement into the joint to restore its proper motion and allow for optimal function of the nervous system.

Chiropractic Treatment

Patient receiving a chiropractic adjustment to the upper spine.

How do adjustments work?

Adjustments work to restore the normal movement of restricted joints in the spine and extremities while also directly affecting the nervous system by reducing pain and inflammation in the area. The adjustment also works to break up fibrous adhesions that have formed in the tissues around the joint due to the restricted motion. Another benefit of adjustments is the ability to decrease the spasms in the muscles surrounding the effected joints. Muscles will go into a protective spasms to prevent additional injury to the stuck or sprained joint.

Is it safe?

Manipulation is a very safe and effective way to alleviate musculoskeletal pain, restore proper joint motion and address compensatory changes that may have occurred due to injury. Other benefits include improved functioning of the central nervous system and a personal sense of well-being. Adjustments are also effective for preventing or reducing the advancement of osteoarthritis in all joints of the body. For more information regarding neck adjustments, click here.

 

Soft Tissue Therapy

Soft tissue therapy helps stimulate the healing process in overused or injured ligaments, tendons, and muscles. The primary soft tissue therapies I use in my practice are Active Release Techniques® (ART), and Graston Technique. Both of these methods address and break up scar tissues that have formed around a soft tissue injury. The body naturally produces scar tissues (collagen fibres) to “patch” a tear in ligaments, tendons and muscles. However, the body does not make the repairs in an organized way, which frequently results in limited motion and flexibility both within the muscle itself and the surrounding tissues. These limitations can lead to conditions such as carpal tunnel syndrome and sciatica.

Active Release Techniques®

ART® is a specialized soft tissue diagnosis and management system that allows the practitioner to detect and treat scar tissue adhesions that develop as a result of overuse and/or injury. It is a hands-on soft tissue technique that aims to reestablish motion between muscle layers, thus reducing fascial adhesions and reestablishing proper movement of the nerves between muscle layers.

Some of the many conditions that can be treated quickly and effectively with ART include:

  • Sciatica
  • Low back pain
  • Neck pain/whiplash
  • Jaw pain
  • Headaches
  • Shin splints
  • Plantar fasciitis
  • Carpal tunnel syndrome
  • Shoulder pain
  • Knee problems
  • Tennis Elbow

For more information on ART, visit: www.activerelease.com.

Graston Technique

Graston Technique is an innovative form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation. Treatments safely, effectively and efficiently stimulate scar tissue to be resorbed by the body and help regenerate damaged soft tissues. This instrument-based soft tissue technique is a better option than other hands-on techniques for degenerative tendons (tendonosis) and post-surgical scarring. For more information on Graston Technique, visit: www.grastontechnique.com.

Graston Treatment

Graston tool being used to help reduce the patient’s chronic inflammation.

What are soft tissue treatments like?

During each treatment, the tissues are assessed for their texture, tightness and range of motion. With ART, precisely directed pressure/tension is placed on the affected tissues during specific movements of the body.

With Graston, the instruments are used to scan the tissue to locate the adhesions in the tissues. Once found, different treatment strokes are used on the tissues to re-establish motion between fascial planes thus reducing fibrous adhesion and increasing the movement between different layers of tissue. This technique is useful for acute, chronic, overuse/repetitive strain injuries and post-op cases.

Do soft tissue treatments hurt?

Given that both soft tissue techniques work directly on the injured tissue, it is only right that the recipient would “feel” it. Sometimes a little; sometimes a lot. But it shouldn’t be immensely painful (this is where it gets a bit subjective with differentiating good pain vs. bad pain). If the patient is tensing up tremendously and biting down, the treatment may not be appropriate. Patients may notice some pain and stiffness in the treated area for the next day or two following treatment, and always ask if they can take something to make themselves more comfortable. This is something that should always be discussed with your medical doctor or pharmacist, but in regards to the effect different medications have on therapy, this is it. Anti-inflammatory medications (Advil, Motrin, Aleve, etc) should be avoided for at least 48 hours after either treatment since the techniques are meant to initiate the healing process and that includes increasing the local inflammatory process. Pain medications (e.g., Tylenol) are a better option, as these do not interrupt the healing process.

How many treatments will I need?

The number of treatments you will need depends on many factors, such as extent of the injury, how much healing has taken place, how symptomatic you are during the treatment, and what you continue to do outside of the treatment room. For some injuries, the turn-around time could be as quick as 2-3 treatments over 1 to 2 weeks, while others may take longer. The average number of treatments in my office is between 5-6 to get people out of pain, and 10-12 to get them back functioning in their day to day tasks.

Kinesiotaping

Kinesiology tape provides stability and support to soft tissues and joints without restricting motion. It is a method to be used in conjunction with other therapies, not separately. It will prolong the effect of treatment, aid an athlete in training and rehabilitation, speed up the process of healing, and provide pain relief while it is applied. It relies on the activation of neurological and circulatory pathways present in the body to produce desired results. Kinesiotape facilitates the body’s own healing process. It provides external support and helps bring stress away from damaged tissue, allow it to rest and heal properly, even while continuing with activity. Depending on the method of application, the tape can function differently for different injuries or conditions:

  • Dynamic support for postural positions
  • Reduce strain on affected muscles
  • Enhance muscle activation and restore proper function
  • Stabilize and support joints without restricting range of motion
  • Sensory stimulation to reduce pain
  • Reduces inflammation by stimulating lymphatic drainage
  • Increases circulation
  • Facilitates ability to perform rehabilitation exercises to allow for early active engagement in the recovery process

What can it treat?

Kinesiotaping

Kinesiotape being applied to a patient.

  • sprains of the wrist, ankle, shoulder, and knee
  • plantar fasciitis
  • shin splints
  • Achilles tendonitis
  • patella femoral pain syndrome
  • illiotibial band syndrome
  • tennis/golf elbow
  • tendonitis
  • carpal tunnel syndrome
  • swelling due to an injury or bruise
  • bursitis of the shoulder, hip, ankle
  • osgood schlatter
  • myofascial pain syndrome
  • hyperextension injuries
  • postural support issues

 

Functional Rehabilitation

Muscle imbalances, weaknesses and overuse are all culprits in causing musculoskeletal pain. When an imbalance is present, some muscles start to compensate and become overactive, while others can become weak. The body does a great job of compensating for these imbalances for a short period of time. However, if such an imbalance does not get corrected, there comes a tipping point where you may start to feel pain, weakness or fatigue.

Functional Rehabilitation teaches your body how to re-stabilize the joints of your body. Exercises will be given for different stages of healing, and include stretching, core stabilization, strengthening, and new movement patterns (how your body natural moves without you having to think about it). Functional rehabilitation requires you to be actively involved in your recovery. Getting you involved in your own health care plan helps enhance and speed up healing time.

My goal is to give you exercises that establish proper postural and movement patterns specific to your activity or sport while correcting improper movement patterns that may have been ingrained in your body’s neural pathways for a long period of time. You will be prescribed a set of specific exercises that will get you moving properly and firing the proper muscles in the correct sequence. Each rehabilitation program is designed specifically for each one of my patients, and is based on your condition, your current limitations and your goals. Prescribed exercises initially focus on your current condition and will transition as soon as possible into exercises that will help prevent injury from occurring in the future.

Functional Rehabilitation Treatment

Patients are taught functional rehabilitation exercises to help stabilize their area of injury, then to prevent future injury.

Dynamic Neuromuscular Stabilization (DNS)

DNS is a landmark approach to functional rehabilitation which suggests that the secret to understanding movement is actually found in a baby. As their central nervous systems develop, babies are able to increasingly control their posture and movement without being explicitly taught how to do so. DNS aims to tap into this “hard-wiring” of the central nervous system (rather than muscles) to restore optimal performance and dynamic stabilization to areas of injury, de-conditioning, and degeneration. It is a gentle treatment that echoes the physiotherapy treatment and paediatric background of its founder, Professor Pavel Kolar. For more information, please see http://www.rehabps.com.

Reflex Locomotion

Reflex locomotion is a highly specialized therapy that uses specific reflex points to stimulate ideal motor activity of the body. It was originally used to enhance the motor development of children with severe muscular or neurological disorders, such as cerebral palsy, but has been gaining attention as a way to rehabilitate neuromuscular disorders or motor control issues (poor core activation, improper breathing patterns, poor hip or shoulder stability) in people of all ages. Like DNS, reflex locomotion’s roots come from studying and understanding the way babies move and develop. It is performed by positioning a patient on their back, side or stomach – positions that are the basis of human movement. The therapist then places gentle pressure on the same points a baby uses to stabilize itself when learning to grasp, roll, crawl, stand or walk. The pressure activates a global muscular pattern (synchronizing all the muscular activity) in the body and increases the awareness of these correct muscle patterns to the brain, which assists with posture correction and movement coordination. With repetition, the effects of reflex locomotion can last long after treatment has ended.

DNS Treatment

Reflex locomotion being applied to a patient.

ART Logo Graston Technique logo DNS Logo