At Bradford Sports Medicine Professionals we have an array of services to meet any rehab needs you may have. Each service provider is highly trained and experienced in the management of a number of injuries and conditions. We utilize the most up to date treatment strategies to ensure your injury recovery is fast, efficient, and effective.
Physiotherapy is a healthcare profession dedicated to working with people to identify and maximize their ability to move and function throughout their lifespan.
Specifically, physiotherapy improve’s a client’s quality of life by:
Promoting optimal mobility, physical activity and overall health and wellness;
Preventing disease, injury, and disability
Managing acute and chronic conditions, activity limitations, and participation restrictions
Improving and maintaining optimal functional independence and physical performance;
Rehabilitating injury and the effects of disease or disability with therapeutic exercise programs and other interventions; and
Educating and planning maintenance and support programs to prevent re-occurrence, re-injury or functional decline.
Physiotherapy is anchored in movement sciences and aims to enhance or restore function of multiple body systems. This holistic approach incorporates a broad range of physical and physiological therapeutic interventions and aids.
Physiotherapy services are those that are performed by a Registered Physiotherapist who is registered by the College of Physiotherapists of Ontario.
Our team of Registered Physiotherapists at Aurora Sports Medicine Professionals Inc. have many years of experience treating a wide range of injuries from sports, workplace incidents, motor vehicle accidents, post-operative rehabilitation, neurological diseases, and everyday sprains and strains. Our Physiotherapists are highly trained in advanced orthopaedic manual therapy. We use the knowledge and skills achieved in this advanced training to ensure your injury is fully assessed and treated to its maximal potential. Our approach is unique and thus we utilize up to 60 minutes for an initial assessment on new injuries and 30-45 minutes for follow-up treatment sessions. This amount of time provides ample one on one care to answer questions, provide education about your injury, treatment and exercise prescription to promote a quicker recovery.
Sports Medicine Physician
A sport medicine physician has special expertise and knowledge in musculoskeletal medicine and sports-related illness. Their primary training may be in family medicine, orthopaedic surgery, emergency medicine, or physical medicine and rehabilitation.
All sport medicine physicians in Canada have written an exam and hold a Diploma in Sport Medicine, administered by the Canadian Academy of Sport and Exercise Medicine. The letters “Dip Sport Med” after a physician’s name indicates their special qualifications in sport medicine. Sport medicine physicians diagnose and manage musculoskeletal injuries and illness in active people, usually resulting from participation in sports and recreational activities. They are knowledgeable about appropriate bracing, splinting, taping and orthotics for injuries, as well as about nutritional issues affecting sport performance, including fluid and electrolyte replacement. They work closely with other health professionals, such as physiotherapists, athletic therapists, and radiologists in the rehabilitation of injuries.
Aurora Sports Medicine Professionals Inc. is fortunate to have one of the leading sports medicine physicians in York Region, Dr. Stephen Wong-Shue. His weekly ‘Sports Injury Clinic’ will focus on consultation, assessment, and treatment via prescribed medication or injections provided on-site. Dr. Stephen Wong-Shue will also have the ability to recommend suitable treatment options to patients including physiotherapy, massage therapy, and/or orthopaedic surgery consultation.
Chiropody is a branch of medical science that involves the assessment and management of foot and lower limb disorders. This includes the management of a wide variety of disorders, acute injuries and local manifestations of systemic conditions such as diabetes.
A Chiropodist is a primary care professional practicing in podiatric medicine that specializes in assessment, management and prevention of diseases and disorders of the foot. An essential member of the inter professional healthcare team, the Chiropodist is skilled in assessing the needs of their patients and of managing both chronic and acute conditions affecting foot and lower limb function. The role of the Chiropodist is to maintain and improve patient mobility, to alleviate foot pain, provide health education and thereby improving one’s quality of life. A Chiropodist uses a multitude of different treatment approaches such as dispensing orthotics and Ankle/Foot orthoses to minor soft tissue surgery and footwear modifications.
Shock wave therapy is a noninvasive treatment used by physiotherapists that involves delivery of shock waves to injured soft tissue to reduce pain and promote healing. Most patients require a series of 4-6 treatments, each of which lasts less than 20 minutes. Shockwave therapy is a viable option to consider for many patients who present with chronic tendinopathy such as golfers/tennis elbow, plantar fasciitis or rotator cuff tendonitis, that hasn’t responded to more-conservative treatments. Shockwave therapy is a safe and effective, noninvasive option, for treating tendinopathy throughout the musculoskeletal system.
Custom orthopaedic devices are available for a variety of functions. We utilize a number of industry leading manufacturers to ensure each patient’s individual bracing requirements are met.
Custom knee bracing requires detailed measurements to be taken thus ensuring a custom fit for the client. Some conditions requiring a client to wear a custom knee brace include: Anterior Cruciate Ligament (ACL) tear or post-operative function, Medial Collateral Ligament (MCL), Posterior Cruciate Ligament (PCL) injuries or instabilities; Osteoarthritis; pre and post-surgery requirements; genetic conditions; and, conservative management for non-surgical patients.
Custom orthopaedic devices are covered under most extended health plans. Check your plan details to verify the coverage you may be eligible for.
Ultrasound Guided Injections
Musculoskeletal ultrasound has established itself as a very powerful clinical tool. Using ultrasound in a Sports Medicine/Orthopedic setting enables the practitioner to obtain safe, high resolution, real time, and even dynamic soft tissue imaging at the bedside. Ultrasound is very effective both in helping make a diagnosis, and in guiding procedures that may be required to help manage or treat various musculoskeletal conditions. Evidence has demonstrated that doing injections under ultrasound guidance offers more accuracy and in turn, more efficacy, when done by a skilled practitioner.
What is OA? Osteoarthritis is degradation and changes of the joint that occur in the articular cartilage of the end of the bones. Typical features of OA include loss of articular cartilage, narrowing of the joint space, increased cysts/lesions in the subchondral bone, fibrosis of the articular capsule, degeneration of meniscus, production of osteophytes. OA is a progressive disease, which can occur over many years. Typically men and women 50+ are at risk to have OA. The GLA:D (Good Living Arthritis Denmark) Program is an 8-week exercise and education-based program for hip and knee osteoarthritis.
This program works through various exercises tailored to the individual and can be easily modified to make it more or less challenging. The GLA:D program is a clinically proven program through UHN and Bone and Joint Canada, to help reduce symptoms and improve quality of life.
Your Orthopaedic Surgeon manages special problems of the musculoskeletal system. This involves:
Diagnosis of your injury or disorder through examination and diagnostic testing.
Treatment with education, medication, exercise, surgery or other treatment (i.e. injections).
Rehabilitation by referring to a Registered Physiotherapist to restore movement, strength and function
Prevention meaures through treatment planning to prevent injury or slow the progression of diseases
While Orthopaedic Surgeons are familiar with all aspects of the musculoskeletal system, many specialize in certain areas, such as the foot and ankle, spine, hip or knee. They may also choose to focus on specific fields like paediatrics, trauma or sports medicine.
Dr. Patrick Gamble is the consulting orthopaedic surgeon at Aurora Sports Medicine Professionals Inc. Dr. Gamble is the head of Orthopaedic Surgery at Southlake Regional Hospital and focuses on lower extremity cases including hip and knee injuries.
Medical Acupuncture is a neuromuscular stimulation technique, in which fine, solid metal needles (acupuncture needles) are inserted into anatomically defined sites, for the therapeutic purpose of modulating abnormal activity of the nervous system and/or muscular system. Therapeutic goals and treatment targets are selected based on the identified neuromuscular dysfunctions contributing to the clinical presentation of the symptoms. Only regulated health professionals with specific acupuncture training may administer acupuncture as a form of pain management.
Massage therapy is a comprehensive intervention involving a range of techniques to manipulate the soft tissues and joints of the body. The purpose of massage therapy is to prevent, develop, maintain, rehabilitate or augment physical function. It is a clinically-oriented health option that achieves undeniable results in the relief of an array of discomforts stemming from stress, muscular overuse and many chronic pain syndromes.
While many individuals might provide “massage”, massage therapy should be provided by a Registered Massage Therapist (RMT). An RMT is an individual who has completed a diploma program at a recognized school of massage therapy and who has passed a registration examination offered by the College of Massage Therapists of Ontario.
Pelvic Health Physiotherapy is the assessment and treatment of various conditions of the pelvic floor by a specially trained Registered Physiotherapist. These conditions may include bladder and bowel incontinence, pelvic pain, postpartum issues and sexual pain. Pelvic health physiotherapists are trained to complete both external and internal exams. In doing so, we are able to obtain more information on how your pelvic floor is functioning and ensure an effective and individualized treatment plan.
Vestibular Rehabilitation Therapy (VRT) can involve both a therapist-assisted maneuver and an exercise-based program designed to provide therapy for inner ear deficits. Vestibular Rehabilitation Therapy can help with a variety of vestibular problems, including Benign Paroxysmal Positional Vertigo (BPPV), Labyrinthitis, and Vestibular Neuritis. Even individuals with long- term unresolved inner ear disorders who have undergone a period of medical management with little or no success may benefit.
A trained Physiotherapist will first perform a thorough evaluation that begins with a medical history and includes observing and measuring posture, balance and gait. The assessment may also include eye-head coordination tests that measure how well a person’s eyes track a moving object with or without head movement.
Other assessments may be used, such as a questionnaire measuring the frequency and severity of symptoms and associated lifestyle changes.
Using the evaluation results, the therapist will develop an individualized treatment plan that includes specific head, body, and eye exercises to be performed both in the therapy setting and at home. These exercises are designed to retrain the brain to recognize and process signals from the vestibular system and coordinate them with information from vision and proprioception.
Depending on the diagnosis, the in-office treatment with the therapist may also involve a specialized form of VRT called a canalith repositioning procedure, which is often referred to as the Epley Maneuver.
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Dry Needling (DN) is an intervention provided by a trained Registered Physiotherapist that uses a thin filiform needle (similar to an acupuncture needle) to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues. The purpose of this treatment technique is to manage neuromusculoskeletal pain and movement impairments.
A myofascial trigger point is a taut band of skeletal muscle located in a larger muscle group. Trigger points can alter the function of a muscle limiting its ability to contract and stretch properly. These points may also be tender to touch and can refer pain to other parts of the body. The primary goal of Dry Needling is to “release” the trigger points to restore muscle function and relieve pain.
Within our scope of practice as a Registered Physiotherapist, the application of Dry Needling follows a thorough assessment and management plan, including other therapies such as manual therapy, exercise, and education. Dry Needling is used as an adjunct tool treating the patient’s dysfunction or injury as a whole and not simply treating the pain in isolation.
The application of Dry Needling involves:
• A thorough intake of your medical history including pre-existing conditions and medications
• A description of Dry Needling – the risks and benefits of its use in order to provide informed consent
• Careful infection control measures including single use needles, sterilization of the needling site, and clinician sanitization protocols
• A ‘prick’ to the skin when the needle is inserted – careful movement of the needle to identify the trigger point – and release of the trigger point characterized by a small ‘local twitch response’ felt in the muscle.
• Post treatment the patient may feel some slight discomfort in the area that is short lasting but is often overlooked by the improved mobility and function in that region
Treatments from the comfort of home.
We are open to see patients and are following protocols to ensure safety for all. However, we are providing virtual services for those who cannot come into our clinic.
The Mckenzie Method
The McKenzie Method® of Mechanical Diagnosis and Treatment (MDT ®) was first developed by New Zealand physiotherapist Robin McKenzie in the 1950s. It is one of many approaches that healthcare professionals may use for the assessment and treatment of patients. MDT® is safe, structured, supported by research evidence and internationally recognized. Whether your issue involves the back, the neck or the limbs, a MDT evaluation may be appropriate.
The greatest skill of an MDT® clinician lies within their assessment, where the information collected is used to identify potential relationships between how you feel and how you move. This helps your therapist to understand your condition. This is often done without the need of expensive tests (i.e. CT or MRI). With this understanding, your therapist can then match their treatment strategies to your particular need. You will receive a program designed specifically for you, while enabling you to actively participate in your recovery. You will also be educated about the problem itself, how to manage it on your own and how to limit recurrences in the future.
With continued follow-up under the care of a Certified MDT® clinician, results are typically achieved in 3-5 visits. MDT® can also be used to effectively identify those patients who require onward referral for
specialist care. Interested in more patient information?
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