What to expect on your first visit You and the chiropractor will go through a thorough health history and physical examination in order to establish a diagnosis and the cause of your pain. A customized treatment plan will be presented to you and the doctor will address any questions you may have. Once the treatment options have been discussed and your diagnosis explained to you, treatment will begin on the initial visit. Treatment The treatment plan will be tailored to your specific condition and needs. Our chiropractors take a functional approach to treatment, ensuring the biomechanical cause of the injury is addressed, not just the site of injury. Your treatment may consist of soft tissue therapy, exercise prescription, acupuncture, joint mobilization/manipulation and therapeutic modalities.
Peter Lejkowski
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Medical Acupuncture involves the use of both Traditional Chinese Medicine (TCM), and evidence based concepts (Medical Acupuncture) of Acupuncture in treating many types of ailments/conditions. All of our practitioners that practice Acupuncture must complete a rigorous and comprehensive program involving over 200 hours of training and education, and are certified to practice Acupuncture in Ontario. Acupuncture involves the insertion fine sterile needles into specific points on the body and may include sites far removed from the injured area. Acupuncture points are numbered and follow meridians which follow the body’s energy flow, but needles may also be inserted anatomically. Acupuncture points can represent certain organs or body parts and may be named for these. Needles can be rotated or stimulated with a current to enhance the beneficial effects. Once used, needles are disposed of in special containers. The benefits of Acupuncture are many and quite varied. Acupuncture can be used to treat such ailments related to stress, allergies, and many acute or chronic injuries. Acupuncture has been used to decrease or relieve pain, decrease inflammation, alter movement patterns, improve performance, and encourage natural healing through attaining the body’s natural state (Qi, pronounced “Chi”). It is a very safe, relaxing, and effective alternative to traditional medication.
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Nutritional Counseling It used to be that eating was simply a matter of common sense. But these days many people feel that they need a more in depth knowledge of nutrition, not only to help them shed pounds, but also to keep up with the mounting scientific evidence that certain foods may cause or prevent disease. Nutritional counseling can help you make sense of your foods. It provides help for individuals seeking advice about healthy eating. Whether it’s for weight gain or loss, regulating blood pressure, boosting energy levels or simply eating healthy overall, a nutritionist can help. What to expect from nutritional counseling You will get tailored nutritional advice, a food record analysis and basic nutrition education related to your goals. Everyday we are faced with news stories about nutrition: stories that are often conflicting and confusing. A nutritionist can help you make sense of the food you eat and give you practical advice that is based on the latest scientific evidence. You will get advice that is easy to follow and fits into your lifestyle. The extra motivation and support provided by an expert will help you follow through and achieve your goals.
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Massage Therapy

Massage therapy is the manipulation of the soft tissues of the body to gain a therapeutic response. It provides a holistic approach to treating dysfunction in the body by affecting the circulatory, muscular, connective tissue, lymphatic, immune and nervous systems. Massage therapy is also beneficial in a variety of musculoskeletal disorders. Massage therapy is an effective treatment for: •Low back pain •Neck and shoulder tension/pain •Sprains, strains and muscle spasms •Migraines and headaches •Discomfort due to pregnancy •Stress and anxiety •Sport injuries (e.g., iliotibial band friction syndrome, tennis elbow, golfer’s elbow, frozen shoulder, plantar fasciitis, etc.) What to expect on your first visit You will be asked to fill out a confidential health history form specific to massage therapy. This will enable the therapist to complete an assessment and develop a treatment plan based on your individual needs. Try to arrive at least 10 minutes prior to your treatment time. If you are late you may not receive your full treatment time. Treatment Your massage will take place in a private room where you and the therapist will work together for the session. Prior to the treatment an interview and assessment will be done as part of the treatment. It is essential to communicate during the treatment about any soreness, numbness or tingling you may be experiencing. Your comfort level and safety are a primary concern.
Jennifer Costa
Marc Casimiri
Allison Hobson-Wardell
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Exercise programming is an integral part of fitness, recovery and return to activity. Pivot's kinesiologists will create personalised programs for you in coordination with your treatment plan and give one on one guidance to ensure your technique is perfect and you remain injury free.
Erika Labinowicz
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Osteopathy is a natural, comprehensive therapy that is useful for the many bodily complaints and injuries. It can be helpful for old and new problems alike, seeking to identify areas of the body that are restricted or constricted then ease those restrictions to permit normal function. Osteopathy approaches anatomy, physiology, pathology, and biomechanics as interrelated throughout the many systems of the body. Osteopathy uses gentle manual therapy to address gravity lines, reflexes and the reciprocal relationships between the somatic (musculoskeletal system) and the visceral (organ) systems. A treatment will include a thorough history, an overall physical exam, manual therapy to correct the areas of the body that are predisposing the person to the injury and finally an exercise home program to facilitate your recovery. In Ontario, osteopaths study for over 5 years and must successfully complete and defend a research study before earning the designation of Diploma of Osteopathic Manual Practice. Therapists are able to incorporate their osteopathic skills into treatments while completing the research portion of their training.
Michele Vinassac
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Pedorthics is the manfacture, fitting and modification of foot orthotics and footwear for the purposes of alleviating painful or debilitating conditions and providing assistance fo abnormalities or limited actions of the lower limb. Custom Orthotics Orthotics are custom made shoe inserts individually designed to control the alignment and motion of the feet and legs during gait. Drawing from expertise in a variety of orthotic techniques, our pedorthist provides custom made devices which meet the specific requirements of each patient. With access to a wide range of thermoplastic and multi-density foam materials, we are able to make the most appropriate orthotics for the individual. The Process:Assessment The first step in the orthotic therapy process is a detailed biomechanical examination. Through physical examination, gait analysis, footwear evaluation, and review of your injury history, a more thorough understanding of the nature and cause of your problem is gained. Casting Over 30 measurements of joint alignment and motion are taken from the hip to the foot. Then plaster molds of the feet are made to capture the contours and angular relationships of the bones and joints in their “neutral” positions. Manufacturing Our orthotics are made by vacuum forming and shaping heat moldable materials onto 3-dimensional positive casts of your feet. We use a variety of materials with a wide range of support and cushioning properties. These include rigid and semi-rigid thermoplastics as well as low, medium, and high density foams. Fitting and follow-up When the devices are dispensed, the length, fit, and function of your orthotics are carefully evaluated. Instructions for wear and information about the adjustment process are given. Then, a follow-up program is initiated to monitor your progress and, if necessary, fine-tune the devices to your feet. Video Gait Analysis The naked eye is the simplest and most common tool used to assess human movement. However, the human eye has its limitations. Many foot and leg motions in running are too rapid for the naked eye to detect. When a more precise gait analysis is required, video is the method of choice. Each participant is videotaped as they stand, walk, and run on a motorized treadmill. A variety of camera angles are used to isolate and capture motion of the foot and leg. With the aid of slow motion and frame-by-frame video playback, the alignment and function of the lower extremity is evaluated. Improper motions and postures which may predispose the foot and leg to injury are identified (e.g., excessive pronation, knocked-knee postures, increased leg rotation, improper toe-off angles, etc.). The influences of your current footwear and/or orthotic devices are also evaluated. We sit down with you to review and discuss the findings and implications of your gait analysis. Relevant biomechanical factors are highlighted and their role in contributing to overuse injury explained. Injury prevention and reduction strategies are also discussed (e.g., orthotics, footwear, stretching, etc.).
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What to expect on your first visit Please wear appropriate clothing to expose the injured area of your body and please bring any documentation regarding your injury (e.g., test results, referrals) Your physiotherapist will discuss your symptoms and record your full health history. Your assessment will take approximately 40 minutes during which time measurements of your movement and strength will be taken and a thorough assessment of your joints and soft tissue will occur. Treatment Part of your assessment time will be used for treatment. this may involve manual techniques, education, therapeutic modalities, exercise instructions and other joint and soft tissue work.
Dinah Hampson
Stephanie Howard
Brittany Wade
Yehia Abdelkader
Leah Forrestall
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Sport Med Physician

Sport Medicine Physicians have specialized training and skills in the care of active individuals of all ages and skill levels. They have an interest in health promotion through physical activity, disease prevention or modification, lifelong exercise and injury assessment, diagnosis and treatment. They have expertise in specialized areas of athlete care such as exercise in pregnancy, female athlete triad, the aging athlete and sport team concerns. Sport Medicine Physicians are able to assist in the care of all non- surgical muscle and joint problems including osteoarthritis, sprains and strains and overuse conditions. They are knowledgeable about rehabilitation and bracing or splinting of injuries. Physical activity prescription for patients with chronic diseases such as osteoporosis, diabetes, heart disease and asthma is also provided by Sport Medicine Physicians.
Amandev. Aulakh
Lee Mark. Schofield
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