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Manual and Manipulative Physiotherapy

All of our registered physiotherapists have been trained through the Canadian and internationally recognized post-graduate education program in manual and manipulative therapy (CAMPT¹). Only a few physiotherapists hold this achievement. This education enables us to use our hands in a skilled way during our assessment and treatment of your body. It also ensures that your symptoms or complaints will be looked at with strong clinical reasoning to search for the cause of the problem and not just the resulting pain. Your treatment will be specific to your needs and stage of healing and may include some mobilization or manipulation of joints or soft tissue. This particular treatment tool is just one of many that may be chosen for your plan of care.

We can help you, if you have been experiencing:

  • Pain from a sport injury
  • Injuries from a motor vehicle accident
  • Acute or chronic musculoskeletal pain – neck, back, leg or arm pain
  • Joint stiffness
  • Headaches
  • Numbness and tingling
  • Pregnancy-related lumbo-pelvic pain
  • Joint instability or clicking

Your initial assessment is one hour and follow-up appointments are 30 minutes. Your appointment is a private session with a registered physiotherapist. We do not use assistants or aides in our treatments. Your physiotherapist will:

  • Perform a thorough assessment to identify the cause of your complaint and address them with the most recent advancements in physiotherapy.
  • Provide a treatment program for your care.
  • Coach you through an exercise program to optimize your recovery.
  • Provide advice on rehabilitation equipment, assistive devices or supportive bracing.
  • Educate you on how to maintain your recovery between sessions and prevent future re-occurrance.

¹Canadian Academy of Manual and Manipulative Physiotherapists. For more information, see the link www.manipulativetherapy.org.


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Contemporary Medical Acupuncture

Contemporary medical acupuncture combines information from traditional acupuncture and modern biomedical knowledge. Sterile needles are inserted into specific points on the body; often, electrical stimulation is added to the needles to increase therapeutic effect. The points are chosen based on the neuroanatomy of the areas of pain or musculoskeletal dysfunction. Traditional points are used as well as functional points such as tight bands of tissue and trigger points.

  • Stimulates nerve function to muscles, joints, blood vessels and organs.
  • Stimulates circulation to promote healing.
  • Decreases pain by stimulating production of opioid peptides such as endorphin and enkephalin.
  • Improves muscle function in ‘weak’ or ‘tight’ muscles.

Is acupuncture safe?

Acupuncture is generally very safe. Serious side effects are very rare – less than one per 10,000 treatments. Acupuncture is used to alleviate pain and improve function.

Does acupuncture have side effects?

  • Drowsiness occurs after treatment in a small number of patients.
  • Minor bleeding or bruising occurs after acupuncture in about 3% of treatments.
  • Pain during treatment occurs in about 1% of treatments.
  • Existing symptoms may temporary worsen after treatment.
  • Fainting can occur in certain patients, particularly at the first treatment.

Acupuncture in conjunction with manual therapy and exercise progression is effective in facilitating your return to daily function and physical performance.


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Low Energy Photonic Therapy (LEPT)

LEPT is the application of photon energy (light energy) to targeted soft tissues. It is used to treat all musculoskeletal conditions from acute sports injuries to repetitive strain conditions and chronic pain.

What are the benefits of LEPT?

  • Decrease pain
  • Decrease swelling
  • Decrease scar tissue
  • Improve circulation
  • Improve rate, quality and tensile strength of soft tissue repair
  • Enhance nerve function
  • Improve mobility
  • How is LEPT applied?

The probes are placed in contact with the skin and held in place or attached with a strap. Usually, you will not feel any sensation. However, when the probes are placed over very sensitive areas, you may feel a tingling sensation.

Are there risks with LEPT?

Occasionally, dizziness or a change in blood pressure have been observed. Your Physiotherapist will discuss these with you.

How does LEPT work?

LEPT probes generate a 3-D distribution of photon energy that penetrates into targeted soft tissues using light emitting diodes (LED). Parameters are selected to target fascia, nerves, muscles, tendons, ligaments and joints. Low energy photons stimulate circulation, enzyme activity, protein synthesis and ATP.

What is the evidence supporting LEPT?

  • 15+ years of clinical studies with International Medical Instruments LEPT technology.
  • Carpal Tunnel Syndrome: 83% subjective improvement and objective normalization of nerve conduction.
  • Venous Ulcers: within 3 weeks treated group’s ulcers decreased by 55% and the placebo group increased by 24%; after 10 weeks, 76% of the ulcers were healed in the treated group and only 15% in the placebo group.


It takes skill to lift a kettlebell!

Kettlebell Workout

Functional Movement Screening (FMS)

“Why do I keep getting injured even though I’ve been going to the gym for years?”

“I’d like to take up yoga but I’m afraid of hurting myself.”

“I want to increase my running intensity and distance but I want to make sure I do it safely.”

Cornell Physiotherapy is now utilizing the Functional Movement Systems approach to help answer questions like these. One of the tools of this approach is called the Functional Movement Screen (FMS). The FMS is made up of a series of functional tests that are performed by the client. The tests are observed and scored by a physiotherapist. The results enable us to identify problem areas in your body’s movement and recommend corrective exercises to “normalize” your movement. The FMS is made up of 7 tests that can be performed within 10 – 15 minutes. Your score is determined immediately and can give information regarding activities that might be risky for you to participate in until you improve the way your body is moving. Conversely, the results may tell you that you are moving very well and should have no concern about taking on a new activity or increasing your current training.

The results can also be used as a marker for future score comparisons. This will help inform you of whether your lifestyle is affecting your body movements, whether for better or worse.

Can I improve my score?

Most scores can be improved with simple corrective exercises based on your personal test results. A qualified professional can assist you in identifying the corrective exercises that will help you begin moving more efficiently and comfortably.

Who is the FMS meant for?

The FMS can be used on any population: young, old, active, sedentary. Anyone who is interested in knowing their movement quality is welcome to participate in the screening.

Has any research been done on the FMS?

Research has shown that the FMS has some ability to predict risk injury in individuals. It also shows that the scores are modifiable with as little as a 6 week training program.

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