Frequently Asked Questions

Physiotherapy is the treatment and prevention of physical injuries and movement problems. Education and prevention measures help patients gain the highest possible level of independent function.

Some of the common problems a physiotherapist helps with are the treatments of:

  • Injuries such as strains and sprains which require immediate care for swelling, tenderness and pain.
  • Rehabilitation of muscles after injuries, fractures or surgery
  • Neurological problems such as stroke, Parkinson's disease, or head injuries.
  • Jaw problems.
  • Headaches or any chronic pain symptoms
  • Post motor vehicle injuries
  • Post work (WCB) injuries

The length of your appointment will vary depending on your situation.  Initial appointments can take about 45 minutes.  It will consist of an assessment, treatment, education and exercise program.

The initial assessment includes questions regarding the medical history of the condition/injury you are seeking treatment for.  You will receive a thorough physical examination and our therapist will explain to you his/her assessment findings and treatment plan.  He/she will answer any questions you may have.  You will receive a preliminary treatment.

Subsequent follow-up sessions will focus on providing treatment, which can include the use of modalities such as ultrasound, laser and electric current as well as manual therapy.  You will be provided with appropriate exercises specific to your injury/condition.  Your therapist will also provide education regarding injury /condition and answer any questions you may have. This provides continuity in your care.

Dry needling is an effective and efficient technique for the treatment of muscular pain and myofascial dysfunction. Dry needling or intramuscular stimulation (IMS) is extremely effective for relaxing overactive muscles, which contain trigger points.

In simple terms, the treatment involves needling of a muscle's trigger points without injecting any substance. However, since the same filiment needles are used in both dry needling and acupuncture.

At Physio Wellness, Dry Needling strongly advocate the importance of clearing trigger points in both peripheral and spinal areas.

Our physiotherapist is using dry needling effectively and extensively within their practices for the treatment of Myofascial Pain & Dysfunction.

TENS is an abbreviation of Transcutaneous Electrical Nerve Stimulation.

A TENS machine is an electronic medical device. A TENS machine may assist you in modest short-term pain relief.

The use of a TENS machine should be as one part of a pain management program under the guidance of our physiotherapist.

Pain is thought to be controlled by TENS in one of two ways:

Sensory Level Stimulation - The Gate Control theory of pain means that the electrical input of the TENS machine interferes with the transmission of pain signals, by blocking the neural “gate” through which the pain travels.

Motor Level Stimulation - The goal of motor level stimulation is to cause the release of the body’s own opiate-like substances to achieve pain relief.

Acupuncture is officially recognized as an effective treatment for pain. The main reason behind its success appears to be related to chronic pain patterns.  The establishment of chronic pain patterns occurs within a few months of an injury. 

Once established, these pain patterns are difficult to reverse by other conservative treatment techniques.  Acupuncture is often very useful in breaking this pain cycle. In particular, acupuncture is useful when other forms of traditional Western treatments have failed to fully eliminate your pain.  In our experience, acupuncture is very useful in the relief of:

  • Back Pain
  • Neck Pain
  • Shoulder Pain
  • Knee Pain
  • Sciatica
  • Headaches
  • Muscle Pain
  • Arthritis

Ultrasound is applied using the head of an ultrasound probe that is placed in direct contact with your skin via gel. 

Therapeutic ultrasound has been shown to cause increases in:

  • healing rates
  • tissue relaxation
  • tissue heating
  • local blood flow
  • scar tissue breakdown

The effect of ultrasound via an increase in local blood flow can be used to help reduce local swelling and chronic inflammation, and, according to some studies, promote bone fracture healing. The intensity or power density of the ultrasound can be adjusted depending on the desired effect. A greater power density (measured in watt/cm2) is often used in cases where scar tissue breakdown is the goal.

This is a non-invasive way of administering medications to tissues below the skin; perfect for patients who are uncomfortable with injections. With this technique, the ultrasonic energy forces the medication through the skin. Cortisone, used to reduce inflammation, is one of the more commonly used substances delivered in this way.

The most common conditions treated with ultrasound include soft tissue injuries such as tendonitis (or tendinitis if you prefer), non-acute joint swelling and muscle spasm. Most muscle and ligament injuries can benefit from therapeutic ultrasound.

A typical ultrasound treatment will take from 3-5 minutes. In cases where scar tissue breakdown is the goal, this treatment time can be much longer. During the treatment the head of the ultrasound probe is kept in constant motion. If kept in constant motion, the patient should feel no discomfort at all. 

Some conditions treated with ultrasound include tendonitis (or tendinitis if you prefer), non-acute joint swelling and muscle spasm. 

The ultrasound waves are generated by a piezoelectric effect caused by the vibration of crystals within the head of the probe. The ultrasound waves that pass through the skin cause a vibration of the local soft tissues. This vibration or cavitation can cause a deep heating locally though usually no sensation of heat will be felt by the patient. In situations where a heating effect is not desirable, such as a fresh injury with acute inflammation, the ultrasound can be pulsed rather than continuously transmitted.