We offer a variety of treatments at Back to Basics Physiotherapy for sports and musculoskeletal injuries including:
Acupuncture/ Dry needling
Both dry needling and acupuncture use the insertion of tiny disposable needles into the muscle or tissue to treat pain. The purpose of dry needling is to insert small needles into trigger points to treat chronic and acute pain as a means to improve flexibility and increase range of motion by positively influencing the nervous system. Pain caused by trigger points is caused by hypoxia (lack of oxygen) and decreased blood flow so needles are inserted into the trigger points at a superficial or deep tissue level to increase blood flow and release the knot and spasms.
Acupuncture is one of the oldest forms of medicine. It is used to treat pain, nausea, headaches, etc. as a way to remove blockages and returns energy flow back to the body by inserting tiny disposable needles into acupuncture points throughout the body.
Our athletic therapist assesses, cares for, and prevents musculoskeltetal disorders as they relate to athletics and physical activity.
Both Philip and Nicole are well trained in the assessment and fitting for custom knee braces as well as generic knee, shoulder, elbow, wrist, and ankle braces. Custom knee braces are often used for joint instabilities, such as in the presence of a torn ACL knee ligament or for pain relief for a degenerated knee, or a joint unloading brace. Most often your affected area will be taped to simulate a brace prior to purchasing it. This will help to ensure that the brace being selected is the most appropriate brace for you.
This is not your typical ice pack. Cryotherapy, commonly known as cold therapy, is the application of cold water that is above freezing running through pads to reduce inflammation, swelling, and managing post-surgical pain. By keeping the water above freezing, the cold pad can be applied for longer periods of time without excessively cooling your tissues and effectively decreasing the risk for frostbite. Kodiak cold therapy ice machines can be rented out for at-home treatment or purchased.
Physiotherapists are movement specialists and we are an exercise based clinic. Philip and Nicole have taken numerous courses on movement system imbalances and the prescribed exercises most often are outlined to address a client’s specific muscle imbalances. For example, some muscles are too weak or too long, while others are too stiff or short. Both clinics have free weights, resistance bands, and our New Glasgow office have several pieces of full gym equipment to allow both specific and general exercise programs to be performed. Our clients are constantly monitored to ensure that proper techniques are being performed safely and properly. Each and every client are also provided with a home exercise program with pictures, descriptions and at times videos.
Functional Capacity Evaluations (FCE)
Functional capacity evaluations simulate average workday activities to test client’s abilities in order to assess their ability to participate in work. The assessment may include clients lifting, pushing, pulling, and carrying items at various weights, object handling/ manipulation, and other various work-related tasks specific to the client’s job demands. Typically the people that benefit from this assessment are those injured on the job, those who have been off of work for an extended period of time due to illness, or those who have been in a motor vehicle accident. Employers commonly ask for an FCE or similar assessments when an employee has been off work for a long period of time.
GAIT/ Running Assessments
Gait is the manner of walking and a Gait analysis is the study of an individuals walking patterns. This can be done through various techniques including taking slow motion video to break down patterns and identify possible mechanical faults. Another technique used is a GaitScan. A GaitScan is a digital diagnostic tool used to identify foot problems. Individuals are assessed by walking and standing on a mat with thousands of sensors that accurately capture the distribution of pressures in the feet. A visual representation of your foot and the pressure areas are shown on a screen during standing and dynamic moving gaits to allow us an effective and accurate method of determining the proper treatment plan for you. Often, Gait analysis is used to help identify if orthotics are a good fit for you.
Gait Analysis can help to treat:
- Heel pain
- Shin splints
- Plantar Fasciitis
- Flat Feet
- Fallen Arches
- Repetitive Strain Injury
- Knee Pain
- Back Pain
Job Site Analysis
Job site analysis is performed at the client’s place of work to assess their job demands and analyze the physical requirements needed to perform the job. The assessment is performed by our physiotherapist Philip, who can identify potential risks and thus suggest changes to the work environment and techniques to help reduce the risk of injury. Identifying common moving patterns at the work place can help with the rehabilitation process as these repetitive movement patterns may be the underlying cause of a clients injury.
Joint and spinal manipulation
This hands-on approach of therapy offers spinal and joint manipulation to assist in the recovery of patients and improve their pain. Many patients benefit from spinal and joint manipulation as it aids in the rehabilitation from the discomfort from arthritis, fractures, sprains, nerve pain, chronic neck and spinal pain, headaches, herniated disks, and much more.
Motor Vehicle Accidents
Been in a Motor Vehicle Accident (MVA)? Then you are not alone. A report issued by the Canadian Transportation Safety Board has concluded that at this time (2019), over 300,000 accidents happen every year in Canada.
The initial goal of therapy following an MVA is pain management. To assist in pain management/reduction, pain modalities such as heat, TENS, acupuncture, ultra-sound and massage are often utilized. However, an early return to movement is combined with pain reduction interventions. As a client’s pain lessens, strengthening exercises and more importantly, functional exercises/tasks, are incorporated into your rehabilitation
Foot Orthotics can be generic (store bought), customized (customized additions to a generic Orthotic), or custom made shoe inserts used to re-align the foot to correct faulty standing and walking patterns by altering the foot angles, impact locations, and pressure areas. They allow the foot to have a more even distribution of weight to help with foot pain, balance, and in some cases, neck, back, or knee pain.
It is important to understand that “when the foot hits the ground everything changes”. Here at Back to Basics Physiotherapy we look at the whole kinetic chain which is the idea that joints and segments have an effect on one another during movement. This is why we do proper Gait analysis which involves the foot, ankle, knee, hip, and back to better understand the cause of your pain.
Pain Truth Program
The Pain Truth program is a 6 week program for people coping with persistent pain. The aim of the program is to improve your function and quality of life by returning you to activities that bring joy to your life and to help manage your pain.
The program involves weekly visits with a Pain Truth certified practitioner. At Back to Basics Physiotherapy, Philip is currently the only certified therapist with others in the works. The program involves education on pain, educational videos, active exercises and the most important feature, tracking your activity. During each session, one or more areas will be addressed based on the initial assessment. For more information please go to the following link https://www.aptei.ca/wp-content/uploads/the-pain-truth-video-transcripts.pdf
Postural and Muscle Imbalance Assessments
Posture in itself is not bad, prolonged poor posture is. Muscles and soft tissues adapt and if a muscle is continually stretched, it will lengthen and often become weak. If a muscle is continually held in a shortened position it will remain contracted and become strong and dominant. Your assessment starts with a static postural evaluation followed by a movement assessment to determine your specific movement impairments and associated muscle imbalances. Postural and movement education combined with a personalized home exercise program will then be provided.
Back to Basics Physiotherapy has a long history of working with employers and the Workers Compensation Board to get clients back to work in a safe and timely manner. We take an active approach to therapy aimed at promoting early recovery and an early, but more importantly, safe return to work. Working as a team with our clients, employers, WCB case managers and other health care providers such as family physicians, we strive to promote early functional rehabilitation to minimize time and wage loss with the ultimate goal of recurrence prevention. Our return to work plan has two key components, cause no harm and do not slow healing. These are two important factors to ensure that workers can continue their job efficiently without causing further injury.
Here at Back to Basics Physiotherapy, we can direct bill most private insurances that cover physiotherapy and massage treatments. Most health insurance providers cover all or a portion of your rehabilitation fees. For more information please contact us by phone or email, or feel free to stop in at either of our locations during our regular business hours.