Conditions Treated

At Back in Motion Physiotherapy and Rehabilitation, our professionals treat a wide variety of conditions related to physical well being, health, chronic disease management, injury prevention, dizziness, swelling issues, sport performance and injury rehabilitation.

The following are a sampling of these conditions but of course we can’t list everything.  Please call us to find out if we can help with the problems you are facing in attaining your health and wellness goals.

There are many types of arthritis which may affect your joint health and function.  When you have arthritis, you may think that rest and medication are the only options for your pain.  In fact, nothing could be farther from the truth.  Your joints depend on movement for lubrication, nutrition, and healing.   A specific program of appropriate exercise can be prescribed by your physiotherapist and can help you not only reduce your pain but improve your joint health, your fitness and your ability to get on with the activities you really enjoy.

Please refer to the website of the Arthritis Society for more information regarding the importance of activity in managing your condition:

http://arthritis.ca/manage-arthritis/living-well-with-arthritis/your-arthritis-treatment-team 

Back pain is one of the leading causes of lost time at work in Canada.  For those who suffer from back pain, the loss of function can affect their recreational activities, their ability to rest and sleep and their emotional well-being can be strained.  Though most cases of acute back pain resolve quickly (within one month), there is also a high incidence of recurrence.

When it comes to Back Pain, you will see that our philosophy at Back in Motion is that, even though the pain has resolved, if you haven`t figured out and addressed the true source of your pain, you are more likely to have a recurrent problem.  The source of the problem could be a muscle imbalance pulling you out of a good alignment, poor work or leisure postures, problems with flexibility, or weakness… just to name a few.

You can trust Back in Motion to not only treat the symptoms of your back pain but to dig deeper and look for the source of your pain in order to give you a better chance of avoiding the next flare up of pain.

Many women quietly suffer from bladder control problems. Often, they think it is inevitable – “don’t all women go through this?”; they think that there’s no option but to wear a pad; or they don’t want to talk to anyone about it or have anyone examine them “down there”.  Men and women both can be affected by pelvic floor problems (bladder control, bowel control, pelvic pain) and there are options for treatment.

At Back in Motion, Céline Razeau, Physiotherapist, has training in the assessment and treatment of the pelvic floor.  She will treat your problem with care and respect and take your concerns seriously.

Bladder control problems can occur at any age but there are times when we are more prone to developing a bladder control problem or that an existing problem may worsen:

  • During pregnancy or childbirth
  • At or soon after menopause
  • In older age when mobility is lost
  • After a trauma to the area
  • During or after prostate treatments/ surgery
  • After surgery or treatments for pelvic cancers

For more information please check out the Canadian Continence foundation’s website: http://www.canadiancontinence.ca/index.html

Pelvic pain or pain in the area of the vulva, vagina or anus can occur for many reasons.  This pain may only occur with movement, voiding, or intercourse; or it may be present at rest as well.

What is pelvic rehabilitation?

Pelvic floor rehabilitation involves first an assessment of the pelvic floor so your therapist knows what is working well and what is not – then the therapist can assist you in regaining the lost function, help reduce your pain, and regain your strength.

Céline will do a thorough assessment of your condition including a complete history of your problem.  She will ask you questions regarding how and when the problem started and get the details about what exactly you are experiencing.  She will do a visual and manual vaginal and/or anal examination in order to determine the source of the problem.  She may also assess your abdominal muscles, your low back and your hips to see if there are any other factors affecting your pelvic function.

Treatment may take the form of exercise training; keeping a voiding diary; learning to use the proper muscles in the proper way; behavioural (habits) changes; manual therapy to recover tissue mobility; and even changes in your diet.  The exercises will be specific to the problems that were found in your assessment – they could be focused on strength, endurance, control and timing of contraction, or even relaxation of an over-active muscle.

So why not come in for your assessment – you may find the benefits last a lifetime!

article by Céline Clément, PT

 

No one really wants pain. Once you have it you want to get rid of it. This is understandable because pain is unpleasant. But the unpleasantness of pain is the very thing that makes it so effective and an essential part of life. Pain protects you, it warns you about dangers, often before you actually become injured. It is your body’s alarm system. It makes you move differently, think differently and behave differently which also makes it vital for healing.

It is believed that all pain experiences are an excellent, though unpleasant response to what your brain judges to be a threatening situation. Even if problems do exist in your joints, muscles, ligaments, nerves or anywhere else, it simply won’t hurt if your brain thinks you are not in danger. The opposite is also true and concerns many chronic pain sufferers. Even if no problems whatsoever exists in your body tissues, nerves or immune system, it will still hurt if your brain thinks you are in danger. The best way to prove that statement is to look at phantom limb pain where sufferers feel pain in a part of the body which is not even there.

Through scientific research we are now aware of some of the thought processes which are powerful enough to maintain a pain state long after tissue damage is over. (1) Some of these thought processes can have you saying things like “I’m so afraid of my pain and of injuring my back again that I’m not doing anything”. These fears will naturally cause increased stress, which releases a hormone called cortisol in your body. Persistent increased levels of cortisol has been linked to slow healing, loss of memory, depression, despair and a decline in physical performance. (2) These fears will also cause you to drastically decrease your physical activities. But inactivity has tragic consequences on our overall health and healing abilities. Joints adore movement and regular compression which keeps them lubricated and well nourished. Moving keeps our muscles strong, increases blood flow, improves our lung capacity. Our bodies were simply made to move.

Physiotherapists can greatly assist chronic pain sufferers. By educating people about pain physiology, it is scientifically proven to reduce the threat value of pain. (3) Educated movement is brain nourishing. It helps restructure pathways in the brain laid low by fear and ignorance. This can help the brain understand that our body is no longer in danger, and tune down the level of pain signals you perceive. Physiotherapists can act as “coaches” and encourage patients to gradually increase their level of activity as well as understanding their fluctuating levels of pain. There are many methods used to achieve this and every treatment method will be customized to suit every patient individually. By being compassionate, enthusiastic and informed, your physiotherapist can assist you in mastering your situation.

References:

(1) Price, D.D. Psychological Mechanisms of pain and analgesia. Vol. 15. 2000,

(2) Lovallo, W.R. Stress and health. 1997

Martin, P. The sickening mind. 1997

(3) Moseley, Hodges, Nicholas; A randomized controlled trial of intensive neurophysiology education in chronic low back pain. Clin J Pain (In Press) 2003

Additional reading: Explain Pain by Butler and Moseley 2003

Dizziness can be caused by a concussion or by an imbalance in the vestibular system (a complex system that includes the eyes, inner ear, various parts of the brain and position sensors in the joints of the body).  Sometimes the different parts of this system can give us mixed messages (like your eyes say your not moving but your inner ear says your head is turning) and this can cause dizziness.

A physiotherapist who has been trained in vestibular rehabilitation, like Eric Mageau at Back in Motion, can help to establish what exactly is causing the imbalance and remove it if possible.  See more in our services section under vestibular rehabilitation.

If you love to golf, you want to get the best from the season.  You don’t want to be sitting at home nursing a sprain or strain.  Nor do you want your game to suffer because you’re playing with pain.

Don’t wait, book your assessment today.   Eric Mageau PT has followed the Fit for Golf program and Eric Nielsen DC is Titelist Certified.  They can help you avoid the pitfalls that lead to pain and treat your golf related injuries today.

 

Check out the links to find out how chiropratic and physiotherapy care can help you in your recovery.
 
https://www.chiropractic.ca/about-chiropractic/how-our-experts-can-help/treating-injuries-conditions/

Physiocanhelp

The lymphatic system is made up of the body’s fluids, the vessels below the skin and the nodes in the neck, armpits and groin.  It is where most of the body’s defense against disease and infection is located.  It is very important to the circulation of fluids in the body.    Lymphedema occurs when there is malformation or damage to this system.  It can be present at birth or develop later but may also occur secondary to surgical procedures, infection, or other traumatic injury.  The swelling occurs most often in arms or legs but it can also affect the face, neck, abdomen or genitals.

The Lymphedema Association of Ontario‘s website can give you more information regarding the condition.

Céline Razeau, PT is a Certified Lymphedema Therapist and Compression Garment Fitter.
Complete Decongestive Therapy and Manual Lymph Drainage are evidence-based, effective treatments for a variety of medical conditions.  Céline Razeau, PT, CLT can help you reduce swelling due to:
  •  lymphedema
  • cancer treatments
  • breast re-construction
  • mastitis
  • mastectomy
  • venous insufficiency
  • scar tissue
  • wound management
  • various injuries

You may not know, but motor vehicle insurance includes coverage for the treatment of injuries received in a collision. If you have been injured in an accident involving a motor vehicle, you are eligible for coverage of your medical and rehabilitation costs.

At Back in Motion, we focus on one on one care to give you all the tools you need to get back to yourself as soon as possible – to work, to sports, to school, and to your normal routine at home.  We will not only provide you with excellent individualized treatment at the clinic but help you learn what the triggers are for your pain and how to avoid aggravating your symptoms while allowing you to do many of your normal activities during the healing process.

For more information on insurance coverage in Ontario, please refer to the Financial Services Commission of Ontario (FSCO) website – http://www.fsco.gov.on.ca/english/pubs/consumerbrochures/afteranaccident.asp

There’s nothing like neck pain to turn your day upside down.  It’s a real pain in the neck…  All joking aside, neck pain along with accompanying headaches, shoulder pain and sometimes even arm and hand pain affects a large number of Canadians every year.

Neck pain may be caused by any number of problems from a direct trauma like a fall or a whiplash in a car accident, to a job requiring long hours in less than ideal positions.  You may have been told your neck pain is because of arthritis and you think there’s nothing to be done about it but put up with it and take medication when you need it.

In fact there are many treatments that can help your neck pain in the short term that are offered by the professionals at Back in Motion. The most important thing we will do for you is to figure out what you need to do to avoid the pain or reduce the pain yourself.  This means we will try to find the source of your pain not only treat the symptoms – or what’s sore that day. This may involve asking you to change how you place yourself while at work, at home or even in the car. It may require exercises and posture correction along with the hands on therapy that the professionals at Back in Motion are trained to offer.

Book your assessment today – why wait another day?

If you have osteoporosis, you have an increased risk of having a fracture (break) in certain bones in the body.  At particular risk are the spine, hip and wrist.  The risk can be decreased with exercise, posture changes and modifying your lifestyle. Céline Razeau, Physiotherapist at Back in Motion Physiotherapy has completed training through Melioguide and can help you learn what your next step is to reduce your risk.

Please refer to Melioguide’s excellent website for further information regarding osteoporosis, its prevention and treatment. http://www.melioguide.com

What is osteoporosis?

Osteoporosis is a condition where the bone loses its strength.  It is the result of a loss of calcium in the core of the bones.  It tends to strike women in the post-menopause years because of hormonal changes that affect the bones.  However, it can strike men as well and even younger adults who have other health conditions or risk factors.   Check out melioguide.com to find out about risk factors.

 

Many types of orthopaedic surgeries have specific protocols which must be followed to obtain the best results from your surgery. Your surgeon may or may not have provided you with an information booklet outlining the steps to follow in this protocol.  Your physiotherapist can help you be sure you are doing everything you can to regain full function by interpreting this protocol or by make appropriate suggestions if there are things you can’t seem to do that are included in your protocol.

If you have undergone any type of surgery, the time you spend in recovery can lead to stiffness, deconditioning, weakness… or other problems with your ability to do your normal activities.  We can help.  Whether with advice, a home exercise program or manual therapy  is needed don’t wait until a problem arises, consult us today.

As a runner, you may often feel pain or discomfort with training. When this pain limits your ability to run or to do your other normal activities, rehabilitation is a must.

At Back in Motion, our physiotherapists and chiropractor can assess and treat your injuries and help you get back to running safely.After a race, or when increasing your training, you may have muscle pain and stiffness that would benefit from manual therapy.

At Back in Motion, we have an ART certified provider, Eric Nielsen DC, who can treat your soft tissue pain.Back in Motion is providing a preventative and performance enhancing running fitness clinic for runners of all ages and skill levels.

A specific running assessment with a video analysis will be conducted by a chiropractor in order to determine your physical limitations and understand how they affect your running mechanics. A customized fitness program will be provided in order to address the limitations identified during the assessment.

This knowledge will allow you to maximize your running speed and endurance while minimizing the chance of and severity of future injuries.

As part of the program, you will receive:

  • A running specific fitness assessment
  • A detailed individualized exercise program
  • A video gait analysis
  • Advice to improve running efficiency

Because this is a chiropractor assessment, it will be reimbursed by most insurance companies. It will take 2 visits in total to complete the Running Fitness Clinic. If you have an existing injury, subsequent treatments can be booked.

The temporomandibular joint (TMJ) is one of the most used, yet ignored joint in the body.
 
The TMJ should be evaluated for all patients presenting…
  • With headaches (especially in the temples)
  • With reports of local pain and clicking in the TMJ
  • With reports of ear pain, sensation of “fullness” in the ear and/or tinnitus
  • With reports of upper neck pain and stiffness
  • Post motor vehicle injuries
TMJ dysfunction can be caused by…
  • Trauma to the joint
  • Anxiety, stress or depression
  • Posture of the head and neck
  • Grinding teeth or forced clenching during sleep or during the day
  • Habitual chewing of gum, nails, necklaces, pencils etc.
Physical therapy assessment should include…
  • Posture and neck mobility
  • Palpation of the joint during opening to assess proper mechanics
  • Palpation of muscle activation including proper timing of muscle activation
  • Range of motion of the jaw and deviations and improper patterns
  • A detailed history to determine habits that could lead to TMJ dysfunction
After a thorough evaluation a treatment plan will be established with the patient which may include…
  • Education for posture and ergonomics at workplace
  • Upper neck mobilizations
  • Mobilizations of the TMJ
  • Home exercise program to correct muscle imbalance
  • Referral to a dentist for a night splint or a mouth guard
  • Education regarding habits that are causing the pain

Céline Razeau completed training through Melioguide (www.melioguide.com) “Working with osteoporosis and osteopenia” in 2009.  She has enjoyed using the new techniques and information gained in this course in treating those who have been diagnosed with low bone density improve their pain, their posture and return to the activities they love safely and successfully.  She has been treating lymphedema  after breast and pelvic cancer since 2013.  Céline Razeau is now also offering treatment to women with bladder control problems and pelvic pain issues.

 Céline Clément,  has a particular interest in assisting women regain their strength and fitness after childbirth.  She is especially conscious of the effect that pregnancy can have on a woman’s body – potentially years down the road.