Toronto - on Ossington between Queen and Dundas
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Orthopaedic and Pelvic Health Physiotherapy

Physiotherapists

Natalie Diez d’Aux, MScPT, BScKinLisa Napoli, MPT 

Orthopaedic Physiotherapy

Physiotherapists are registered primary health care professionals who are trained to combine their in-depth knowledge of the body and how it works with specialized hands on clinical skills to assess, diagnose, and treat symptoms of illness, injury or disability. Orthopedic physiotherapists assess and treat a variety of different acute and chronic injuries and conditions, affecting all regions of the body, which may include pre and post surgery.

Assessment is performed on a local (specific joints, ligaments and muscles) and global level (how different regions and systems of the body are interconnected), aiming to find the root cause of pain and dysfunction, and prevent future injury or dysfunction. Physiotherapists work to understand their client’s goals, educate them, and actively involve them in the healing process.

The health of an individual is uniquely affected by various internal (anatomical, physiological, mental, emotional) and external factors (such as daily activities performed, repetitive postures, stress). As such, the physiotherapist takes these various factors into account to plan a treatment suitable to the unique needs of the individual. An active approach to treatment is beneficial as it assists persons to improve their body awareness and perception, correcting faulty movement/positional patterns, and teaching exercises to improve strength, stability, balance and flexibility. Treatment is often combined with various modalities such as: acupuncture and dry needling, and manual therapy techniques such as joint mobilizations, myofascial massage and soft tissue release.

Pelvic Health Physiotherapy

The pelvic floor muscles are a group of muscles located inside the pelvis of both men and women. The muscles are attached to the front, back and sides of the pelvis, acting as a sling which supports the bladder, uterus, rectum, and prostate (men), and wrap around the urethra, anus and vagina (women). They work silently, below the level of our awareness, to assist with bowel, bladder and sexual function, as well as contribute to our core strength, ensuring low back and pelvic stability and function. The muscles must be able to contract, in order to maintain continence, and relax in order to allow for urination and bowel movements, and sexual intercourse (in women). Pelvic floor muscle dysfunction is assessed by a specialized physiotherapist who performs an internal exam to assess the level of tone (high tone or low tone) of the pelvic floor muscles, and the ability of these muscles to contract and relax. The joints, muscles, bones and connective tissue of the external lumbo- pelvis (hips, low back and sacro-iliac joints) will also be assessed as the dysfunction in any of these areas can result in, or be the result of, pelvic floor muscle dysfunction.

When the muscles of the pelvic floor have too much tension (hypertonic) they can contribute to pelvic pain, urgency or frequency of the bowels and bladder, stress and urge incontinence, dyspareunia, interstitial cystitis, vaginismus and vulvodynia. Muscles that are high in tone can also be weak. Muscle over-activity must be treated prior to weakness; once the muscles can fully relax at rest, the strength of the muscles is reassessed and strength training exercises and treatment will follow accordingly.

Hypertonic PFM’s can cause the following symptoms:
– Urinary urgency, frequency, stress and/or urge incontinence, hesitancy, painful urination, incomplete emptying
– Constipation, straining and pain during and after bowel movements
– Unexplained or unresolved pain in the low back, hips, pelvis and genital area or rectum
– Pain during or after sexual intercourse, orgasm or stimulation
When the muscles are have low-tone (hypotonic) they can cause stress incontinence and pelvic organ prolapse. Low tone muscles pelvic floor muscles need to be strengthened via a structured program aimed at increasing strength, endurance and control of specific muscles. Many people have difficulty isolating these muscles without at least one consultation with a pelvic health physiotherapist.

In addition to incontinence, urgency and frequency of the bowels and/or bladder, pelvic pain, and organ prolapse, additional conditions can be treated with pelvic health physiotherapy:
– Constipation
– Sacro-iliac dysfunction
– Pudendal nerve irritation
– Interstitial cystitis
– Chronic prostatitis
– Dyspareunia
– Vaginismus and vulvodynia
– Dysfunction in sexual function and pleasure

Fees

Initial assessment – 1 hour$152Book An Appointment
Follow up assessment – 1 hour$152Book An Appointment
Follow up assessment – 45 mins$128 
Follow up assessment – 30 mins$88Book An Appointment
 

To book an appointment by phone please call the front desk at 416-516-9940.

Cancellation & Missed Appointment Policy:
All treatment appointments require a credit card. Please note our 48 hour cancellation policy. If you miss an appointment, you will be charged the full treatment cost.
All fees are non-refundable and non-transferable. All fees are subject to HST and are in Canadian Dollars.

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