RADIAL SHOCKWAVE THERAPY

Radial shockwave therapy (RSWT) is the use of short, intense energy waves travelling faster than the speed of sound. These energy waves stimulate the breakdown of scar tissue and fibroblasts. This process increases blood circulation and initiates metabolic activity, causing an inflammatory response that promotes and stimulates healing.

What Conditions can be Treated?

Shockwave Therapy can be used to treat a wide variety of musculoskeletal conditions, in particular, those involving areas where major connective tissue attaches to bone. Common sites that can be successfully treated are:

  • Foot – Plantar Fasciitis, heel spurs & Achilles tendonitis
  • Knee – Patellar tendonitis, jumper’s knee & shin pain
  • Elbow – tennis or golfer’s elbow
  • Shoulder – rotator cuff tendonitis & calcification
  • Hip – trochanteric bursitis
  • Muscles – various trigger points throughout the body and muscle tension
  • Bones-Stress fractures, non union’s(delayed bone healing)
  • Nerves-Morton’s Neuroma

How does Shockwave work?

Radial Shock Wave Therapy

Shockwaves accelerate the healing process by activating the body’s self-healing powers, particularly in cases where the body has been unable to do it on its own. It stimulates metabolism and enhances blood circulation which enables damaged tissue to regenerate and eventually heal. The treatment relieves pain by producing an analgesic effect on the treatment area. Healing occurs over several treatments by initiating an inflammatory response and ultimately vascularization to the area. The high energy acoustic waves that are transmitted through the surface of the skin are spread radially (spherically) into the body and the body responds with increased metabolic activity around the area of the pain. This stimulates and accelerates the healing process and is especially useful for those suffering from chronic heel, shoulder, knee, achilles, elbow and back pain.

Your therapist will apply shockwaves through a specially designed hand piece that produces strong pneumatic energy pulses for short periods of time. The shockwave energy pulses are applied directly to the affected tissue areas in a controlled procedure.

Research has also shown that Shockwave also breaks down calcium deposits.

CONCUSSION MANAGEMENT

We are pleased to inform our clients that our therapists are trained for treating concussion injuries (some people also called mild traumatic brain injury or whiplash injury). It is a common injury but easily ignored at the same time due to lack of awareness.

What is concussion?

“Concussion is defined as an immediate and temporary change in mental functioning following a direct blow to the head or body resulting in an “impulsive” force transmitted to the head.”

This can happen in injuries due to fall, sports, motor vehicle accidents, physical assault etc. A diagnosis of concussion is hard to make as there is no definitive modality (like CT Scan, MRI) available at present, so mainly its clinical diagnosis after ruling out serious complications such as skull fracture.

Few common concussion symptoms are: –

  • Headache
  • Neck pain  
  • Loss of balance  
  • Trouble focusing on objects       
  • Feeling “foggy” Amnesia, or poor memory .
  • Blurred or double vision  
  • Ringing in ears  
  • Decreased playing ability  
  • Vacant stare                                         
  • Difficulty falling asleep
  • Dizziness
  • Nausea or Vomiting
  • Poor coordination
  • Poor concentration
  • Confusion
  • Flashing lights
  • Irritability or emotional changes
  • Slow to follow direction
  • Easily distracted
  • Feeling “off” or not like oneself​
  • Drowsiness/fatigue

Physiotherapy assessment for concussion: –

On your initial visit a physiotherapist would do a detailed assessment to diagnose concussion and make a treatment plan. The assessment would include but not limited to: –

  • ​Asking for mechanism of injury, symptoms, medical, neurological, and physical injury history
  • Cervical spine assessment
  • Vestibular system assessment
  • Vision assessment.
  • Submaximal treadmill test for autonomic function
  • Proprioceptive, balance and gait assessment.
  • Ruling out for red flags (E.g.- skull fractures)

 ​Physiotherapy treatment: –

  • ​Education and physical management of concussion.
  • Recommendations for academic & work accommodations required.  
  • Sub-threshold cardiovascular exercise (physical exertion training) as per assessment of physiotherapist.
  • Consultations with coaches & other health professionals, if applicable.
  • Vestibular rehabilitation, if there is any dizziness or vision issues.
  • Balance, Gait & proprioception training.
  • Cervical spine rehabilitation.
  • Psychological support.
  • Further assessment planning.

WOMEN'S HEALTH

Welcome to Sunshine physiotherapy and sports clinic for pelvic health rehabilitation. We have an expert in the treatment of the pelvic floor dysfunction, pelvic pain, incontinence, prolapse, and other women’s health impairments. 

Pelvic Floor Problems Are Common

An enormous number of people suffer from pelvic health dysfunction and yet many patients feel quite alone with their problem. 30% of women suffer from urinary incontinence and more than half have minor organ prolapse following vaginal childbirth. Most people have heard of and tried Kegels. Unfortunately, if they have not been taught with internal feedback many people are doing them incorrectly! It’s important to seek care from an experienced professional.

In France, all women are encouraged to see a pelvic floor physiotherapist for postpartum recovery.

In Great Britain, any patient with prolapse or incontinence must undergo several weeks of pelvic floor physiotherapy prior to becoming a surgical candidate.

Common Pelvic Health Conditions

  • Incontinence – can be fecal or urinary and comes in many forms
  • Urinary urgency, retention, hesitation, frequency
  • Pain with bowel movements or urination
  • Overactive bladder
  • Pelvic organ prolapse
  • Constipation
  • Painful Intercourse (Dyspareunia)
  • Pain in areas of the vagina (Vestibulodynia, Vulvodynia or Clitorodynia)
  • Painful Bladder Syndrome
  • Endometriosis
  • Pelvic pain
  • Tailbone pain/Coccydynia
  • Pudendal Neuralgia
  • Low back pain
  • Hip pain
  • Sacroiliac (SI) joint pain
  • Prenatal care
  • Postpartum care – including treatment of Diastasis Recti, bladder leakage, overactive bladder, urinary urgency/frequency, prolapse, painful scar tissue, learning Kegels correctly, and guidance on re-training the “core” or returning to safe exercise

What are Causes of Pelvic Floor Dysfunction?

our pelvic floor muscles can be like any other problematic muscle in our body and can create impairments by being either too weak or too tight, too long, or too short. Other factors that can also contribute to pelvic floor dysfunction include hormonal changes (menopause), chronic urinary tract infections (UTIs), pregnancy and birth, gynecological surgeries, poor posture, chronic coughing or straining (such as in asthma, jobs with heavy lifting, constipation), obesity, and aging.

 What To Expect At Your First Appointment

We take your privacy seriously. All treatment takes place in our nicely appointed private treatment rooms.
Your physiotherapist will begin by taking a detailed history of your problem. We know that not everyone is comfortable talking about their pelvic health. Rest assured that our therapist treats pelvic dysfunction every day and will help you feel that you are not alone. Pelvic health problems are incredibly common and highly treatable.

After a detailed history, there will be a physical examination. This will include an examination of the joints, muscles, and ligaments of your pelvis, abdomen, ribs, low back, and hips. In total, at this assessment visit, you will spend about an hour with your Physiotherapist. Together you will develop a treatment plan that will address your specific problem and map out your road to recovery

POSTPARTUM PHYSIOTHERAPY

Consulting a pelvic health physiotherapist in the postpartum period is essential for rehabilitation and preventative pelvic health care. Giving birth to a baby either by cesarean or vaginally are risk factors for developing pelvic floor dysfunction, so we encourage every person during this life phase to see a pelvic health physiotherapist.

The most common dysfunctions that may occur postpartum include: pelvic pain, sexual pain and incontinence (bladder or bowel). This may occur due to weakened muscles, scar tissue development from episiotomies or tears, prolapse, and hormonal changes. 

Other issues that may arise during the postpartum phase include:

 – Diastasis recti abdominus (DRA or ‘Mummy Tummy’):-  A separation of the rectus abdominus muscle. As your baby grows during pregnancy, these muscles begin to stretch (which is normal). But, in some cases, a DRA persists and can compromise core muscle strength and contribute to low back pain, a protruding belly, and prolapse.

 – Pelvic girdle pain (PGP):- Pain that presents around the pelvis, lower back, hips, or groin area as a result of alignment imbalances within the pubic symphysis and sacroiliac joints. A persistent DRA after childbirth may contribute to pelvic girdle pain. 

Treatment:- Some modalities, physiotherapy techniques, and exercise therapy can help to mange these issues. Talk to our expert physiotherapist for a free consultation. 

ACTIVE REHAB / EXERCISE THERAPY

What is Active Rehab?

Whether you are looking to build muscle strength, improve Range of motion or preparing for a specific task, our experienced and skilled physiotherapist can help you to achieve your goals. Active rehab includes in but not limited to:-

  • Rehabilitation Equipment Assessment & Prescription
  • Injury Rehabilitation/Exercise Therapy
  • Personal Training/ Exercise Prescription
  • Special Population Exercise Design & Conduction
  • Health Promotion/ Education
  • Gait Analysis and correction

Why to choose Active Rehab?

You will be provided with a thorough, full body assessment, to locate and identify any functional limitations/abilities. Our expert physiotherapist will incorporate your exercise history, injury history, and current limitations to develop a comprehensive treatment plan. By teaching you the foundations of safe exercise, stretching and proper injury care, we provide you with self care tools for a lifetime. Active rehab provides you with required tools you need to maintain that healthy lifestyle of your choice.

Who will pay for Active Rehab as an ICBC Claimant?

If you have an ongoing open ICBC cliam you will be covered 100% for the active rehab program. We will take care of all approval process with the ICBC. Assessment would be done without approval to give you feedback on your injury status.

If you do not have an ICBC claim, come and ask for special discounted rates.

DRY NEEDLING/ACUPUNCTURE

Dry needling/acupuncture is an invasive procedure where a needle is inserted into the skin and muscle. It is aimed at most painful point called as trigger point that are associated with a hypersensitive palpable nodule in a taut band. Trigger point dry needling can be carried out a superficial or deep tissue level depending upon the required results.

LASER THERAPY

LASER Therapy utilizes specific wavelengths of light to interact with tissue and helps to accelerate the healing process by stimulating the damaged tissues hence provide relief from pain and inflammation.The blood circulation improves and thus the wounds heals faster.

It is a painless, sterile, non-invasive, drug-free treatment which is used to treat a variety of pain syndromes, injuries, wounds, fractures, neurological and many other conditions.

CUSTOM FOOT ORTHOTICS

Based on cutting-edge technology, our highly precise and accurate 3D imaging unit is designed with the ultimate goal of creating the perfect orthotic—which in turn helps bring about peak performance and health.

  • Identifies asymmetries in the feet with Arch Height Mapping.
  • Illustrates how the feet impact the entire Kinetic Chain.
  • Generates foot assessments in under 60 seconds.

Build the perfect orthotic with the 3D BodyView, the most precise and accurate imaging system on the market.

PRE AND POST OPERATIVE THERAPY

In Pre-operative physiotherapy treatment, a physiotherapist can assess and plan a treatment before the surgery to reduce your post-operative recovery time. for example in cases of knee replacement surgery, patient can work on their knee muscles with the help of physiotherapist to make them strong even before the surgery.

In any orthopedic post operative surgery, A major part of the successful outcome is good physiotherapy treatment concentrating on:

  • Restoring optimal mobility
  • Strengthening weakened muscles
  • Restoring normal movement pattern
  • Compensation for any functional loss

MANUAL THERAPY

Manual therapy is any “hands-on” treatment provided by the physical therapist. Treatment may include moving joints in specific directions and at different speeds to regain movement, muscle stretching, passive movements of the affected body part, or having the patient move the body part against the therapist’s resistance to improve muscle activation and timing. Selected specific soft tissue techniques may also be used to improve the mobility and function of tissue and muscles.”

ULTRASOUND THERAPY

Ultrasound therapy is the use of sound waves to treat medical problems. It is a non invasive treatment. Studies have shown that ultrasound therapy can improve symptoms and healing in various soft tissue conditions such as:-

  • BURUSITIS
  • MUSCLE STRAIN AND TEARS
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