Physiotherapy Articles

We Are Welcoming Patients Again

June 10th, 2020 – We are welcoming patients back to our clinic, although remaining at home is the best way to stay safe. However, if you feel a visit to the clinic is necessary at this time and the benefits outweigh the risk, call to make an appointment.  We want you to know we are doing everything we can to keep you safe.

Every Visitor to the Clinic will be Screen for Covid-19 Symptoms

If you are experiencing any symptoms of covid-19, please cancel your appointment.

If you are coming to the clinic, please come within 5 minutes of your arranged time.  Avoid coming too early as we are doing our best to avoid having more than one person in our waiting room.    Please do not bring anyone with you for your appointment unless absolutely necessary.

What to expect when you arrive

We want you to know our inside door is locked.  It allows us to screen visitors before they enter the clinic.  This also helps us ensure we don’t have too many people in the waiting room at once.

When you book your first appointment, we will screen you for covid-19 symptoms.  At each onsite visit, we will require you to complete a questionnaire so we can screen for symptoms.  Please give that to your clinician during your appointment.

Before you enter the clinic, you can call from your vehicle to ensure you clinician is ready and your room has been cleaned in preparation for you to enter.

New patients will receive an intake form which can be completed in your car if you wish.

How We Are Keeping You Safe

We have separate rooms, allowing you to stay a safe distance from other people.

All staff are wearing masks.  We require everyone entering the clinic to have a mask or face covering. 

Our front reception has plexiglass to provide a screen for your safety. 

We are asking people to keep physically distanced.  As you are aware, treatment requires your clinician to stand closer than 6 feet but we are taking every precaution we can to keep you safe.

We are asking people not to touch anything in the clinic unless it is needed for your treatment.  Everything will be cleaned once it is touched. 

The washroom will be cleaned after each use; if you use the washroom please advise us after.

We have significantly spaced our appointments out to ensure we have time to clean the room and supplies between patients.

Virtual Care Reminder

As an alternative to visiting our clinic for treatment, patients are able to book an online treatment session (Virtual Care) with a Physiotherapist where the entire appointment is conducted remotely.  This allows you to remain in the safety and comfort of your home.

Thank you for your patience during this time.  Our goal is to continue to provide the best treatment while keeping both staff and all visitors to the clinic safe.

Clinic Update

May 15th, 2020 – The following communication was circulated via email.

Update: Lymphedema Treatment, Virtual Care and Covid-19

Dear Patients

We hope you are keeping safe, healthy and practicing the guidelines issued by the health authorities.  The war against this pandemic can only be won if we each do our part being rigorous with our hand hygiene, maintain proper distancing and stay home unless it’s absolutely necessary to go out.  We would also like to extend a huge heartfelt thanks to the frontline and essential workers who continue to risk their well-being as well as their family members as they bravely continue to show up for us…THANK YOU!

Our clinic continues to remain closed, only servicing urgent care patients.  However, we have expanded our treatment capability allowing us to offer Virtual Care as an online option – that’s right, you can now receive treatment from the comfort of your home.  It’s completely secure, all done online and is covered by your private health insurance.  If you’re interested, contact us to discuss your situation and we’ll assess your case to determine your options.

Our team now includes a Lymphedema Certified Therapist.  Lymphedema is a disease that results in extreme swelling, usually in an arm or leg (one-sided).  This is caused by dysfunctional lymph nodes which are located in the armpits, neck and groin.  Your lymphatic system is tasked with immune function and circulation. Lymph vessels move fluid out of tissues and break down and eliminate waste products.  If this process isn’t working properly the buildup of lymph fluid occurs resulting in chronic and severe swelling that can increase without proper treatment at the onset.  You can learn more via our website.

Lastly, our professional associations support the recommendations issued by our health authorities where physical distancing must be optimized so we anticipate not re-opening before the beginning of June, pending word from the Premier.  However, for “non-urgent” care you can contact us to discuss the options available to you through our Virtual Care.

As we navigate through this unprecedented situation, please continue to maintain the guidelines put forth by the health authorities and reach out to someone if this experience is taking a toll.  We wish you strength and wellness and hope that we can all return to some semblance of normalcy soon.

York Rehab Management.

Clinic Update #2

Tuesday March 17th, 2020 – 7am: Services Temporarily Suspended (Precautionary)

Dear Patients,

We continue to closely monitor developments as they relate to the coronavirus (covid-19) situation.  Our clinic is staffed by Physiotherapists and Chiropodists.  The professional associations and/or governing bodies for each of our practices have issued strong recommendations that as a precautionary measure, all non-essential and elective services be suspended immediately.  In response to this directive, our clinic has made the difficult decision to temporarily suspend patient services effective March 17th, 2020.

If you require urgent care, do not hesitate to contact reception from 8am to 4pm at 905-715-7201 to discuss your options (Covid-19 screening still applies).

Our wish is that we are doing our part to support social distancing which can flatten the curve in the spread of this virus. 

This may be a stressful time for you.  Educate yourself by following reputable sources for information on this situation such as the Ontario Ministry of Health or similar government bodies.  Do remember to wash your hands frequently and carefully (even while inside your home), sanitize your phone, clean doorknobs and latches regularly and speak to someone if you’re worried or stressed.  We are all in this together.  Stay healthy and safe.  We will continue to issue updates on our status as the need arises.

York Rehab Management

Clinic Update: Covid-19 (coronavirus)

Monday, March 16, 2020 – 11am

Dear Patients,

We have been closely monitoring the rapidly changing developments as they relate to the coronavirus (covid-19) situation. Our reactions and decisions have been guided by communication issued by the local municipal government along with health authorities both locally and provincially.

As it stands our clinic is currently open in order for us to continue to treat and take care of our patients. Given our clinic is not a high-traffic facility we believe that we can maintain a low-risk environment. However, as the safety of our patients, as well as our staff, is of utmost importance, we are doing the following:

– Using passive screening with signage before you enter the clinic asking ALL visitors to the clinic to self-identify symptoms and if any exist, they must refrain from entering the clinic and should contact their healthcare provider.

– We are also conducting active screening at reception to confirm that you have seen and reviewed the signage at the entrance to the building.

– We are asking staff to remain at home if they show symptoms.

– We are increasing the frequency of cleaning rituals which include entrance door handles, armrests in the waiting area, the point of purchase (Interac) machine, all exercise equipment after every use and other regularly used technology in the office (keyboards and touch screens).

– We are also practicing frequent and thorough hand washing in addition to the normal practice of therapists doing so between each patient visit.

– We invite patients to request the treating therapist wear a mask if that increases their comfort level. However, we won’t be providing masks to patients. If a patient feels the need to wear or request a mask, we would ask that they refrain from coming to the clinic.

We are continuing to monitor the developing situation closely and will issue additional information as the need arises.

This is a stressful time for all of us. Remember to wash your hands frequently and carefully, and sanitize your phone. We wish you continued health and stay safe.

York Rehab Management

How a Little Device Saved My Soccer Career

The article below was conceived and written entirely by a past patient of York Rehab. We did not solicit the article nor has the patient received any compensation or special privilege for the submission of this piece. His motivation to write this article was because his treatment outcome has been life-changing and he wants to share his story so that others suffering a similar fate are aware of the possibilities for healing. We are immensely grateful for this individual’s thoughtfulness and his time spent to produce this article, especially without the need for recognition or reward.

I’ve wanted to share my experience for a while but had not discovered an outlet until now – thank you York Rehab for allowing me a platform! Here goes: A friend (and soccer teammate) of mine recently turned the corner on a year of suffering from an injury. Feeling unqualified to share my opinion while I observed his situation, I bit my tongue only gently offering suggestions on what he might consider re-evaluating with his treatment approach. My advice was usually politely dismissed, and understandably so given my untrained perspective was different from his surgeon’s. When his lack of recovery reached a point where he was getting ready to give up playing soccer (a game he loves so much), he was then willing to listen and try anything. I won’t provide any specifics of his injury and experience, that’s his story to share. But I told him about McKenzie Therapy, which he had never heard of (as is the case with most people). The short story was that after a year of debilitating pain, one visit to a trained McKenzie physiotherapist reduced his pain by almost 70%, allowed him to return to play within a week and restored hope that recovery was possible. Helping my friend led me to want to help others by sharing my own story. Although not related to McKenzie Therapy (a treatment approach I’ve significantly benefited from many times), it’s another type of treatment that changed my life in an unimaginable way. I want my story out there to let people know about the possibilities of healing from long-term and chronic ailments.

Now my story. I’ll start with some background information. First off, I should quantify my reference to “soccer career”. I’m not a professional, I don’t make a living playing soccer, I play the game for its pure enjoyment (for over 4 decades). It has been and will continue to be an important part of my life until my very end. Let me add that although I may watch the occasional game on TV, my interest and love for the sport lies in my ability to get on a field and play. If I never see another professional league game for the rest of my life, no sweat…if something happens that prevents me from playing soccer, my life would feel like it’s over. And that’s the direction things were heading about 4 years ago, leading up to my visit to Glenn Woodland (a chiropodist at York Rehab).

My problems started about 2 years prior to my first meeting with Glenn (Chiropodist at York Rehab). I had been really struggling with recovery after my weekly soccer game. The typical minor muscle and joint pain from my once-a-week calling on underused body parts like knees, ankles, and quads had been manageable in the past, but a new problem was surfacing…Achilles pain and it was escalating. Initially, I assumed the cause was from the ankle braces that I had been wearing for the past 15 years to protect me from chronically rolling my ankle during play. A result of loose ligaments from repeatedly spraining my ankles when I was younger. I figured the brace was the culprit because it was rubbing on my Achilles in the area the pain was originating. I began to become more concerned when the pain began to limit my ability to play and the post-game recovery process which consisted of 2 days of waddling around like a penguin to minimize the pain coming from my throbbing Achilles. My self-imposed number of days between games which I set to 3 days to allow for the usual recovery was becoming insufficient.

As my pain continued, my thinking changed from the ankle bracing being the culprit. Maybe the progressing pain and discomfort was something that simply came with age. The pain was starting to become more intense and drag on for days and the thought of taking some time away from the game started to surface. That became a very depressing thought! My wife sensing my panic with the thought of having to stop playing the game I love suggested I go see a chiropodist. Maybe orthotics could help she said. I then remembered a teammate of mine from 15 years ago had Achilles issues, got orthotics and his problems went away. I knew of orthotics but always figured it was for someone who had inherently bad foot design issues. I always considered myself more of an athlete (all in my head) with a perfectly aligned body and would never need to rely on devices like orthotics to correct my movement.

So, my wife’s suggestion brought me to Glenn’s clinic for an appointment. His assessment began with observation and minor contact of the affected area…he noticed how swollen my Achilles was, how sensitive they were to mild contact (as they had been for 15 plus years), and how bumpy (scaring) they felt below the skin from the recurring trauma due to the demands of playing soccer. He then started to focus intensely on the design and movement of my legs and feet and measuring parts of them with instruments I’d never seen before. He took stock of:

  • How I stood up still.
  • How I walked on the treadmill.
  • How my feet moved as I tiptoed.
  • He looked at the soles of my shoes.
  • And finally, he moved my feet and toes a few different ways

This data gathering process led him to a few conclusions all of which he shared with me in detail to ensure I understood his reasoning.

  • First, he noted that I have a slight bow to my legs, i.e. when I stand up straight with my feet together, my knees don’t touch – this by itself wasn’t news to me I’d always known this but never thought anything of it. He explained that the bow was likely causing me to wear the soles of my shoes on the outside edge – something I’d also observed all my life but never knew why it happened – I was now really listening. Glenn suggested that shoe inserts (Orthotics) would help – they’d correct how my feet make contact with the ground.
  • Because of my slight bow, my feet hit the ground on the outside edge which is part of the reason why I would roll my ankle so easily when playing soccer. According to Glenn orthotics would help to correct my chronic ankle rolling too. I was hopeful but skeptical, after all, I’d needed ankle supports for the last 15 years of playing soccer. And I didn’t wear them for a game, without fail – I would roll my ankle. I was super dependent on them.
  • Lastly, because I was so dependent on ankle supports, my ankles were very weak and unstable – which was partly leading to more strain on my Achilles. Orthotics would help to reduce the strain on my Achilles which would reduce the inflammation.

Although Glenn felt that orthotics would help, he wanted to test how I would respond to some adjustments to my current footwear. So, he hand-crafted some temporary inserts on the spot for me to use in my shoes for the next two weeks (he had me bring in the 2 pairs of shoes that I’d wear the most during that time: running and soccer). I left Glenn’s Chiropody clinic with my inserts, slightly hopeful of pain relief but still full of skepticism that a solution to my pain and injury rested in a couple small pieces of cork (the material the inserts were made of). What happened over the next several days was pretty miraculous.

  • I played my first soccer game two days later with the inserts and without my ankle supports. I started the game very timidly because I anticipated I’d roll an ankle (or two). Halfway through the game, I was going full tilt and had forgotten I didn’t have on my ankle supports…I finished the game without any ankle injury (I was amazed but thought it must be luck) and minimal Achilles pain.
  • I had another soccer game 3 days later and again I played without ankle braces but this time with less in trepidation and more intensity…and again no injury. I didn’t even notice my Achilles weren’t hurting. It’s strange how quickly you forget you had pain once the healing process begins. It wasn’t until the next morning when I instinctively stepped down from my bed slowly anticipating pain…but there was none…that’s right, none!

Fast forward to 3 months later and regularly using my actual pair of orthotics. I was able to jog and play soccer twice a week with no issue and no pain whatsoever. Playing without my ankle supports has allowed me to play like I’m 15 years younger – my mobility, agility and speed have both improved immensely. And no longer does it take me 15 minutes to suit up to play – lacing up my ankle braces was always a hassle. I’m ready for play in 2 minutes…it’s a new lease on life. And the Achilles pain is gone…so is the swelling and tenderness. I haven’t been able to touch my Achilles for decades because they were so tender.

It’s been two years and my ankle and Achilles situation has permanently changed for the better. After a lifetime of wearing out my soles on the outside edge (since I was a kid!) it no longer happens! I thought I’d be playing soccer with ankle braces for the rest of my life, but I don’t need them anymore. I don’t even carry any in my gear bag just in case. Ankle exercises and the mere fact that I’m not restricting my ankle’s mobility has allowed my ankles to strengthen nicely. There are other small changes that are actually big things to me. Like the fact that I can put up my legs on a table or ottoman and cross them so that my Achilles rests on the front part of my ankle without me wincing in pain. I’m also playing soccer as I did 20 years ago because my ankles are no longer restricted, the mobility and agility that I once knew are back – things I thought were lost as I age. I also wake up the next morning after a game and can simply walk (no more wobbling to avoid pain). I never imagined that a small shoe device could do so much for me – they have made the inconceivable possible. By sharing my little story, I hope others who are suffering from chronic pain take a small step forward and visit a chiropodist (or physiotherapist if the pain is elsewhere). I must include “physiotherapist” because I’ve had a couple of life-changing recovery experiences with one as well. I am motivated to share my story because like many people I assumed your body slows down and falls apart with age – but I’ve learned that it’s the other way around. Your body falls apart because you slow down as you age – simply put, don’t slow down. Walk, run, and play forever because if you stop using it you will lose it.

Thank you, Glenn!