WHAT WE DO

 

How we can help.

At Easthill Physiotherapy we feel confident that we have the treatment for you. We pride ourselves on our top notch manual therapy physiotherapy skills, but we offer many other treatment options that are very effective.

From traditional Chinese acupuncture, IMS to dry needling, we are certain that we have the tools to help you heal.

Not sure which option is best for you? Give us a call and we will gladly answer any questions you may have.

A session with one of our physiotherapists includes an assessment, treatment, as well as education and home exercises. You can expect the following to happen during your visit.

An initial, in-depth assessment in one of our private treatment rooms, that will include a subjective history and thorough, detailed musculoskeletal and neurological assessment.
A discussion of the therapist’s findings and most effective treatment approach. We believe in educating our patients about their particular injuries and are very open to any questions or concerns that may arise.
Creation of a personal treatment plan. We fully discuss all aspects of your situation, the nature of the injury, the treatment, the prognosis, and how to avoid recurrence. We will also communicate with you doctors and other health-care providers as needed.
All of our treatments are manual therapy based. This means the therapist will be providing hands-on therapy to treat your condition. All of our physiotherapists have extensive training and skill in manual therapy techniques. These techniques are varied and are the most effective and efficient way at promoting health and recovery from an injury. Following the manual treatment, the therapist will discuss ways to manage your injury, the follow up plan and provide the appropriate home exercises.

If subsequent sessions are needed, the physiotherapist will discuss this with you. During a subsequent treatment, the therapist will always re-assess your condition, and provide the appropriate treatment, education and exercises as needed.

Acupuncture is used to treat a wide variety of conditions, such as neurological and muscular problems, headaches, neck and back pain, tennis elbow, tendonitis, sciatica and arthritis.

We follow both a Chinese medicine and Anatomical approach to acupuncture. Both methods of acupuncture stimulate the body to produce endorphins, which are natural pain relieving chemicals that block pathways that relay pain messages from the body to the brain. This results in relief of pain, general relaxation and biochemical restoration of the body’s own internal regulation systems. The improved energy and biochemical balance that results stimulates the body’s own natural healing abilities, reduces inflammation and promotes physical health.

IMS is an effective treatment with very few side effects. This needling technique was developed by Dr. Chan Gunn of the Institute for the Study and Treatment of Pain. This technique uses acupuncture needles to treat pain of a neuropathic origin or nerve dysfunction.

This leads to abnormal shortening of the muscles and can lead to such conditions as tendonitis. Shortening of muscles or tendons across a joint can lead to excessive wear and tear on the joints thus causing early osteoarthritis. This type of needling technique acts to release the muscles thus resulting in pain relief, stimulate healing and promote normal joint mechanics.

Bruce Waldie is a Registered Clinical Counsellor with 20 years’ experience in the field of vocational rehabilitation for people with disabilities and employment barriers. He has years of experience in conducting assessments, short term counselling, and making the necessary referrals. He is skilled in providing counselling services in a timely, cost-effective, and ethical manner. He holds a Master’s Degree in Counselling Psychology, from City University and is a Registered Clinical Counsellor through the British Columbia Association of Clinical Counsellors (BCACC). He is also an associate member of Vocational Rehabilitation Canada (VRA Canada) and completed Fundamentals & More of EAP/EFAP. Through his years of practice, he has been fortunate to work with a very diverse client group.

Ever wonder if you can get past the things preventing you from feeling good about yourself? At various times we are all faced with challenges in our lives. These situations can sometimes lead to depression, anxiety or relationship stress. Counseling is an effective way to explore options and develop new insights and coping skills. At Easthill Physiotherapy we also offer professional counseling services through our on-site registered clinical counsellor, Bruce Waldie. Bruce is a member of the B.C. Association of Clinical Counsellors and is committed to the highest ethics and standards of practice as set by the association. Bruce can assist clients with a wide variety of personal and/or relational issues, from stress management, anxiety and depression to relationship counseling and adjustment to major life changes.

His Philosophy
His aim is to optimize the counselling rapport to explore the presenting complaint and develop more constructive ways of viewing and doing things. Clients become empowered and responsible to apply their new found coping skills in their lives and vocations.

Individual Counselling
Counselling is short-term, client-centered, and solution-focused. Essentially these three areas will be explored: what’s problematic or not working for you currently, what are your strengths and what is working for you, and what are you resources, resiliencies and supports. We talk about where and who you’ve been, but primarily focus on where you want to go and what you need to get there. Sessions can be either 60 or 90 minutes in duration, and appointments are available weekdays by appointment.

People with vestibular or inner ear disorders often experience problems with balance and position or movement-related dizziness. These primary symptoms are often accompanied by secondary symptoms associated with reduced activity levels. Secondary symptoms include decreased strength, loss of range of motion, and increased tension (particularly in the cervical and shoulder region), leading to muscle fatigue and headaches. These symptoms affect a person’s ability to change positions (such as lying down) or move about without imbalance and vertigo. Even moderate dizziness may be debilitating enough to diminish quality of life, reduce employability, and complicate all aspects of life. The result can be economic and social devastation. Vestibular rehabilitation is a specialized form of therapy designed to alleviate both primary and secondary symptoms of vestibular disorders.
Easthill Physiotherapy and Acupuncture is a certified Concussion Management Clinic through an organization called Complete Concussion Management Inc.(CCMI). This is a national network which has specific evidence based testing protocol and saves patient baseline data indefinitely which be accessed at any CCMI certified clinic. For example, if you happen to get a concussion while out of town on the road, you can walk into any other CCMI accredited clinic in the country (there’s lots of us!) and have your personal information brought up from within the network so that you are always compared to your own baseline values regardless of where you are.

What is a concussion baseline test at Easthill Physiotherapy?
It is a comprehensive test performed BEFORE a concussion happens, to determine what an athlete’s brain function is without an injury present. So, if an athlete does get a concussion, their post injury state can be compared to their baseline values to help make an accurate diagnosis and to determine when they are fully recovered and safe to return to school and their sport. Without this baseline information, we have no real way of knowing when the brain has fully recovered.

There is no x-ray, MRI, or brain scan that can detect a concussion let alone tell you when you have fully recovered. This is where the importance of the baseline test comes in. It is essentially the first and most important step, in managing a concussion properly.

Treatment and Management
If you have sustained a concussion, an In-depth standardized examination is completed to assess physical capacity, visual and vestibular dysfunction, and cervical spine function. Individualized post-concussion syndrome rehabilitation and treatment strategies are implemented depending on the examination findings and, if a baseline test has previously been done, aimed at returning the client to this pre-injury measurement.

But I feel fine! Why can’t I play yet?
It is widely shown in concussion research that just because an athlete feels fine, it doesn’t mean that all their systems have returned to normal following a concussion. They can still have significant deficits in brain energy levels, reaction time, cognitive function, neuropsychological testing, physical capacity, and yet be free of symptoms.

The initial concussion is generally not a large concern, especially since our practitioners are highly trained to treat and manage these injuries. However, it is a second concussion, sustained prior to full recovery of the initial concussion, that is a cause for concern as this may result in long term brain damage or other larger consequences.

One of the largest problems in concussion management, is that athletes often present to the ER or their healthcare provider following a concussion and are simply told to “take it easy for a little while” and are given no further concrete advice, explanation, or follow up options. This, sadly, places the athlete at extreme risk of suffering serious brain injury should they get another concussion during this critical period.

We will work together with your health care team – your safety is our number one priority!

What is involved with getting concussion baseline tested at Easthill Physiotherapy?
The athlete will perform a battery of tests to measure all areas of brain functioning that could potentially become affected in a concussion. This testing will be done when the athlete is healthy PRIOR to starting their season. Areas of testing include immediate and delayed memory recall, concentration, visual processing/tracking, reaction time, balance, proprioception, motor strength, and neuro-cognition. Once all this information is collected, it is saved on a secure national network and can be retrieved in the event of a concussion to ensure a return to sport is recommended only once full brain recovery has occurred.

What about the online testing some organizations use as baseline testing? How is this different?
In short, proper baseline testing involves more than just online or computerized testing. These computerized tests have repeatedly been shown as being unreliable as a stand-alone measure of function in many medical studies. In addition, these tests do not measure many areas of the brain that are frequently affected by concussion injuries. It is important; therefore, to be cautious of clinics and organizations that advertise concussion management services that rely heavily on computerized tests as these will not provide you with an accurate baseline on their own – often over-estimating recovery and ultimately sending players back into harms way. We use the online neurocognitive testing as ONE SMALL PART of a full, comprehensive exam.

Who should get baseline tested? And how often?
This type of comprehensive baseline testing has been utilized in professional sports programs for years, but we believe that amateur athletes of all ages (8 years and up) should have this type of testing since research shows that the majority of concussions, unfortunately, happen in this age group. Because children develop rapidly, it is important to repeat the baseline testing once every year to have the most up to date information on file.

Will my benefit plan cover the cost of a baseline test at Easthill Physiotherapy?
If you have personal insurance benefits that cover physical therapy services, then yes, your plan will most likely cover the cost of the baseline test. We encourage everyone to check with their providers to make sure this is the case for you. Everyone is issued a receipt at the time of the test that can be submitted for reimbursement.

How long does the test take?
The test is completed in approximately 30-45min

How do I go about getting a baseline test done at Easthill Physiotherapy?
It’s simple! You can go about booking a baseline test in one of 3 easy ways:

  • Call 250.542-2655 and we will book your appointment
  • Stop by Easthill Physiotherapy & Acupuncture Clinic at 401-3210 25th Avenue in the Sterling Center and book your appointment in person
  • Send us an email at ehphysio@telus.net
We are the only physiotherapy clinic in Vernon offering neurological physiotherapy for all ages. We have physiotherapists on our team who have special interest and training in traumatic brain injury, MS, Parkinson’s, cerebral palsy, stroke, spinal cord injury and many other neurological conditions. We also offer management/education/treatment with pediatric populations such as torticollis and plagiocephaly. Any neurological consult with us includes a detailed assessment, patient-specific treatment plan, hands-on treatment and individual goal setting. Call us for more information.
Dry needling is primarily directed at trigger points, and myofascial pain, which are identified as tender palpable points within the muscle. Dry needling involves insertion of an acupuncture needle into these trigger points to release the tightness in the muscle. The technique uses a “dry” needle, one without medication or injection, inserted through the skin into areas of the muscle, known as trigger points. A trigger point is a taut band of skeletal muscle located within a larger muscle group.

The goal is to release or inactivate trigger points to relieve pain or improve range of motion, reduces muscle tension, and normalizes dysfunctions of the motor end plates, the sites at which nerve impulses are transmitted to muscles. This can help speed up the patient's return to active rehabilitation. Dry needling is similar but not the same as IMS.

Our physiotherapist, Rob McMillan, has completed training through the Titleist Performance Institute and is certified to perform detailed golf mechanical assessments and treatments using the principles of physiotherapy.
This excellent package includes a detailed assessment of your swing mechanics, biomechanics, physical fitness, movement quality AND an individual exercise program aimed at correcting specific movements. Learn how to prepare your body for an effortless swing this season and how efficient movement is the key to consistency and longevity. We’ll help identify physical limitations and dysfunctional movement patterns which may limit your performance! The assessment is suitable for all levels of golfers.

The role of a TPI Medical Professional is to:

  • Identify physical limitations and dysfunctional movement patterns which may limit your performance
  • Help return from injury or manage injuries that are limiting your play
  • Prehab/Injury prevention such as individualized off-season programs, warm ups
  • Improve the consistency/efficiency of your swing
  • Increase the longevity of your game

TPI does not believe in one way to swing a club, rather in an infinite number of swing styles. We believe the most efficient way for each player to swing is based on what the player can physically do.

The most efficient swing is not the same for every golfer, because efficiency is unique to their body. To achieve an efficient swing, a golfer must first be screened. This screen involves an assessment of swing mechanics and biomechanics, physical fitness, movement quality, current health and a client history. All clients will be provided an individual exercise program aimed at correcting specific movements. Physiotherapy treatments may be recommended if there is an underlying injury or pain that needs to be addressed. We will also provide recommendations and communicate with any fitness or golf professional you are working with.

Who should get a TPI Golf Assessment?
The assessment is suitable for golfers of any age and skill level. Anyone who plays golf or would like to golf on a regular basis should have a comprehensive physical assessment.

When?
Any time of year is a good time to be assessed!
Pre-season: to identify any limitations or compensations (bad habits), so you can start the season right!
Mid-season: When things are in full swing.
Fall/Winter: An excellent time to focus on rehabilitating a nagging problem, or working on a customized home or gym program that we know will get you results

How much does it cost?
TPI Golf Assessment, Program Design, and Implementation Session: $225 **
Includes 2 appointments
->Assessment: Approx. 60minutes including client history and goals, movement screening, and swing biomechanics analysis.
->Implementation Session: Approx. 30minutes for exercise prescription

TPI Re-assessment: $80 (45mins) - Re-assessment (optional but highly recommended) is important to evaluate the effectiveness of the program and review/modify the exercise plan to ensure continual progression toward your goals.
** The program cost may be partially or fully covered by extended health benefits if you have physiotherapy coverage.

Does your bike fit your body? A properly fitted bike is so important! Riding a bike that is not correctly fit for you specifically can decrease your comfort, efficiency, performance and... lead to injury.

What does a bike fit include?

  • A detailed assessment of you and your bike
  • An extensive physical assessment of flexibility, range of motion and posture to determine if there are biomechanical issues that are affecting your bike set-up
  • A posture and pedal stroke analysis
  • Adjustments to your bike to optimize position
  • Recommendations for new parts if necessary

Ross Horsley, our registered physiotherapist and kinesiologist, does all of our bike fitting assessments. An avid cyclist himself, Ross is the go to guy for the best set up for cyclists of all levels!

PELVIC PAIN, WEAK OR TIGHT PELVIC FLOOR MUSCLES, URINARY INCONTINENCE?

We can help.

Physiotherapy can be very effective at helping with these common conditions. In fact, until recently, urinary incontinence and other pelvic floor dysfunction have been serious health issues that have gone untreated and unrecognized in the medical world. The good thing is that there is help by physiotherapists specifically trained in pelvic floor rehabilitation to help these kinds of conditions.

It’s pretty common to have pelvic floor dysfunction, so you’re not alone! Often this is a result of weak or too tight pelvic floor muscles. These pretty important muscles attach to the front, back and sides of the pelvic bone and sacrum. They are like a hammock or a sling, and they support the bladder, uterus, prostate and rectum. They also wrap around your urethra, rectum, and vagina (in women).

They have very important jobs, these muscles; the first being that they have to be able to contract to avoid incontinence and relax to allow for urination, bowel movements, and in women, sexual intercourse. So if you have some weak members of this team, this can lead to stress/urge incontinence, and pelvic organ prolapse. Other problems result when your pelvic floor muscles are too tight, and they create pressure on the bladder and bowels and create urgency, incontinence and frequency of their function. Who knew?
 
Do you have any of these symptoms?

  • Urinary or fecal incontinence when you laugh, sneeze, cough?
  • Urinary frequency, urgency, hesitancy, painful urination?
  • Constipation, straining, pain with bowel movements?
  • Unexplained pain in your low back, pelvic region, hips, genital area, or rectum?
  • Pain during or after intercourse, orgasm, or sexual stimulation?
  • Pelvic floor muscle spasm?

What does a Pelvic Floor Treatment/Assessment involve?
Pelvic floor dysfunction is diagnosed by specially trained physiotherapists by using internal and external “hands-on” or manual techniques to evaluate the function of the pelvic floor muscles to contract and relax. They will also assess your joints, bones and muscles of your lower back, hips and sacro-iliac joints to determine if any structure supporting your pelvic floor is causing stress to your pelvic floor function.

Treatment includes techniques to relax hypertonic muscles and strengthening exercises if they are too weak. You will also learn self-management and get a lot of education on how to manage, improve and eliminate your issues.

The good thing to realize is that incontinence, pelvic floor pain and dysfunction are not normal signs of aging but can be addressed!

Sharina Zantingh and Stephanie McDowell are our in-house pelvic floor therapists.
Call us to book your appointment now.

We believe education is the key to injury prevention. We are happy to offer on-site presentations to office staff, athletic groups, schools, and businesses. We can create a unique educational seminar for your staff, clients or athletes on specific issue or topic needing to be addressed in your workplace or athletic environment.

Topics range from effective workplace ergonomics and injury prevention, to sports injuries education and training errors, to the benefits of physiotherapy and acupuncture for optimal health and well-being. Please contact our office staff to discuss and arrange a presentation.

Who doesn’t want a gift certificate to make their body work and feel better?
Ask our amazing team at the front desk for more information.

Easthill Physiotherapy & Acupuncture

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