Physiotherapy

Physiotherapists help patients, including those with conditions such as low-back pain, fractures, arthritis, sports injuries, and neurological conditions by providing services that relieve pain, strengthen muscles, improve mobility, restore function and prevent or limit further physical disability.


We pride ourselves on providing a detailed extensive assessment and diagnosis with a focus on one-on-one care to all of our patients, from infants to seniors and everyone in between. We take a personal interest in helping patients improve or regain physical function and return to their athletic, occupational and recreational activities. One of our Registered Physiotherapist’s will conduct an in-depth assessment and provide you with a treatment plan customized to your needs.

Registered Massage Therapy

Massage Therapy is an essential component towards healing the body and promoting a healthier life style. Massage helps muscles stay long and lean, improve sports training and performances, reduce inflammation and edema, treat muscle spasms, increases circulation and helps to improve overall wellness and relaxation.


Our Registered Massage Therapists tailor each treatment to specifically meet the needs of their client. The Therapists combine techniques including Swedish massage, deep tissue, trigger point therapy, myofascial release, hydrotherapy and joint mobilizations to help the client regain that healthy lifestyle.

Our Massage Therapists at Work-Fit Total Therapy Centre are highly trained professionals that are registered with the College of Massage Therapists of Ontario.

Chiropractic Care

Chiropractic today is one of the largest primary-contact health care professions in Canada. Approximately four and a half million Canadians use the services of a chiropractor each year.


​Our Chiropractors practice a drug-free, manual approach to health care that includes patient assessment, diagnosis and treatment. In particular, chiropractors assess patients for disorders related to the spine, pelvis, extremity joints, and their surrounding structures including muscles, ligaments, and nerves. As a result of taking a detailed patient history and conducting a physical examination, chiropractors are able to provide a differential diagnosis for the patient’s presenting condition(s) and develop a comprehensive treatment / management plan. Chiropractors are also trained to recommend therapeutic exercise, to utilize other non-invasive therapies, as well as to provide nutritional, dietary and lifestyle counselling. Our Chiropractor is back pain specialist - Advanced Practice Clinician (APC).

Services / Programs

Advanced Practice Clinician - Low Back Pain Clinic 

Advanced Practice Clinician, Spine, Halton Healthcare Services Lower Back Pain Program: Low Back Pain (LBP) is a prevalent condition: in one year, it is anticipated that approximately 18% of the population will have LBP, with 40% seeking care. LBP will affect 84% of the population at some point in their lives. It is second only to the common cold as a cause of lost work time, and is second only to cardiovascular disease in terms of chronic health problems and long-term disability. In 2012, it was ranked 6th among the top 10 leading causes of disability worldwide, and 3rd only to ischemic heart disease and chronic obstructive pulmonary disease as the leading cause of disability in North America. LBP is considered a major cause of health expenditure with direct and indirect costs amounting to $1.2 billion per year in Ontario alone.


Low Back Pain (LBP) is a prevalent condition: in one year, it is anticipated that approximately 18% of the population will have LBP, with 40% seeking care. LBP will affect 84% of the population at some point in their lives. It is second only to the common cold as a cause of lost work time, and is second only to cardiovascular disease in terms of chronic health problems and long-term disability. In 2012, it was ranked 6th among the top 10 leading causes of disability worldwide, and 3rd only to ischemic heart disease and chronic obstructive pulmonary disease as the leading cause of disability in North America. LBP is considered a major cause of health expenditure with direct and indirect costs amounting to $1.2 billion per year in Ontario alone.

Acupuncture

Acupuncture can have profound effects in reducing pain and inflammation, treating muscle imbalances, and affecting the nervous system.

At Work-Fit Total Therapy Centre’s, our Physiotherapists and Chiropractors use acupuncture needles to promote healing naturally, to decrease or alleviate pain and to improve function at the affected areas of the body. It can be a safe and effective therapeutic treatment on its own or as an adjunct to other therapeutic treatments. The goal behind acupuncture is to restore balance in the body to promote good health and function.

How Does Acupuncture Work?

Very fine needles are inserted through the skin at specific acupuncture points causing modulation of abnormal activity of the nervous and endo/exocrine systems. Consequently, releasing the body’s own pain relieving chemicals known as endorphins.

The end result; pain relief, general relaxation, improved function and biochemical restoration of the body's own internal regulation system.

An overall improvement in energy, physical and emotional well-being, biochemical and neurological balance and reduction in inflammation occur after acupuncture as the body's natural healing abilities are stimulated.

Pelvic Health

Pelvic floor disorders are an extremely common condition, which are under diagnosed. Pelvic floor and abdominal muscles may become stretched and weak over time, a condition exacerbated by pregnancy, childbirth, chronic constipation, repetitive heavy lifting, hormonal changes, aging, overall de-conditioning and certain medical conditions, such as obesity, chronic obstructive pulmonary disease (COPD), and eating disorders. 

A qualified Physiotherapist will develop a customized treatment plan specific to you.


Offered at the Milton District Hospital

Hip & Knee Pain

The hip joint and its integration with your pelvis, and lumbar spine (lower back) make it a complex region to correctlyanalyze and assess any dysfunction. Your hip function can also be affected by lower limb biomechanics involving your knee, foot and ankle plus your thigh and calf muscles.


The knee is a sensitive area of your body and one that is prone to injury doing almost any activity. Knee pain is a common complaint thataffects people of all ages. A few reasons one may be experiencing knee pain include: a sudden increase in one’s training or activity schedule, a new sport or activity, a change in footwear, improper training technique, or muscle imbalances and/or alignment issues.

At Work-Fit Total Therapy Centre, we will assess your knee, diagnose the problem and determine your personalized treatment protocol. We understand Knee Pain and its causes. We will develop a personalized and comprehensive treatment regimen to get results and prevent future occurrences.

Services / Programs

Lumbar Spinal Stenosis Boot Camp 

Boot Camp - 6 Week Treatment Program

Lumbar spinal stenosis is a leading cause of pain, disability and loss of independence in older adults. It is usually caused by age-related arthritic narrowing of the spinal canals where nerves exit the spine traveling to the lower back and legs. This narrowing can cause compression of the spinal nerves leading to the low back and leg pain, numbness, weakness, and reduced ability to stand and walk.

Migraine Headaches

Tension Headaches:
About 85% of all headaches arise from the neck, or cervical spine, which refers pain into the head through the nerves which go to both areas. Neck problems cause head pain because some of the nerves which come from the spinal cord have branches that go to the upper neck joints while other branches spread over the back of the head, and others go to the front of the head.
The most common type of headache seen by Work-Fit Total Therapy Centre is Tension-Type Headaches. They contribute to a large burden of disability, loss of work days, diminished quality of life and considerable health care costs.

Migraines:
People who suffer from migraine headaches often describe the sensation as feeling as though their head is about to explode.  Migraine headaches account for millions of dollars in over the counter pain medications, many of which do very little to alleviate the symptoms of migraine headaches.  Because people cannot find relief for this condition through traditional medicine, many turn to physiotherapy to relieve migraines and headaches.  
Migraines/Tension Headaches are very common, and medical science is not certain of its cause, however, it has been proven that the physical aspect, (joint dysfunction, tight cervical muscles, postural imbalances and weakness), which causes headaches can been successfully treated with physiotherapy. 

Neck & Back Pain

Good Habits For Prevention 

Maintain proper posture when doing all daily activities- avoid flexing forward, twisting or reaching out.

Stabilize the back and neck deep core muscles and bend through the hips and knees to lift objects- keeping your back straight and your chin tucked in.

Strengthen your abdominal deep core and deep neck flexors to increase your strength and tolerance to prevent re-occurrence.


AVOID

  • Sitting in a soft chair with your low back unsupported
  • Rounding shoulders and sticking chin out when talking or
  • on the computer
  • Positions or movements which initially caused your injury
  • TREATMENT
  • Seek advice and expertise from your Registered Physiotherapist who will show you what to do to.

Remember: Posture is key. 

It takes 21 days to change your posture.

Ministry Funded Physiotherapy

Must hold a valid Ontario Health Card (OHIP) & have a doctor’s referral or a nurse practitioner referral & 1 of the following:

  • Aged 65 years and older ​
  • Aged 19 years and younger
  • Receiving benefits from Ontario Works
  • Receiving benefits from ODSP Disability
  • Recently discharged from hospital for a physiotherapy
  • related condition. A referral is required from the discharging physician.

The government is investing in physiotherapy, giving 90,000 more seniors and eligible patients access to clinic-based services in more communities across the province. This new initiative will result in double the number of people who can access this type of care and increase the number of settings where physiotherapy services will be available. The number of people over the age of 65 in Ontario is expected to double from about 2 million to 4.2 million by 2036, (Ontario Ministry of Finance, 2011). This will result in more people living with chronic conditions, requiring healthcare and community supports. Research shows that families with children 19 and under cannot afford physiotherapy and go untreated resulting in more trips to the ER.

The program is offered tri-site at our Oakville, Milton and Georgetown Hospitals Work-Fit Total Therapy Centre

Services / Programs

Pfilates - Deep Pelvic Floor Strengthening 

Pfilates has been developed to both prevent and treat pelvic floor disorders.  Over time, pelvic floor and abdominal muscles may become stretched and weak, a condition exacerbated by pregnancy, childbirth, chronic constipation, repetitive heavy lifting, hormonal changes, aging, overall de-conditioning and certain medical conditions, such as obesity, chronic obstructive pulmonary disease (COPD), and eating disorders. If these muscles are weak, you may experience pelvic/back pain or involuntary leakage of urine or fecal matter, or pelvic organ prolapse (POP). 


An overactive bladder, is a condition characterized by urgency and frequency with or without incontinence, may also be exacerbated by a weak pelvic floor.  Pelvic floor disorders are an extremely common condition, which are under diagnosed and treated due to the stigma and societal barriers surrounding them.


Pfilates is an evidence based exercise program which assists in the re-training and strengthening of the muscles around the pelvic floor and abdominal area. It was developed by Dr. Bruce Crawford, an American Urogynecologist.  

Shockwave Therapy

Eliminate Pain with Shock Wave Therapy:. Non-surgical treatment of soft tissue, bone, shoulders, hips, knees & joint pain. Therapy sessions 10 - 15 minutes

Pain relief typical after 72 hours

Studies show 80% of patients report a significant reduction in pain after 2-3 sessions.

  • Eliminate pain & accelerates healing​
  • Increases mobility
  • No side effects & non-surgical
  • Affordable
  • Coverage available from most extended insurance plans
  • Success Rates:
  • 91% improvement for Calcific Tendinitis (Journal of American Medication Assoc.2003)
  • 77% improvement for Tennis Elbow (The Journal of Orthopedics’ 2005)
  • 90% improvement for Planter Fasciitis (Journal of Orthopedics Research 2005)

90 Degree Therapeutic Pool

Our therapeutic 90 degree salt-water pool offers a variety of classes that are designed to increase range of motion, flexibility, strength and endurance. Research shows that aqua therapy relieves stress on joints. Our rehab hydrotherapy fitness instructors will help you reach your goals and recommend a program that’s right for you.

Oh My Aching Body - Gently AquaFit

Gentle movements geared towards those who suffer from arthritis, fibromyalgia, osteoporosis, parkinson’s and chronic pain, that are looking to increase their range of motion, muscular strength and joint lubrication in a safe environment.

Aqua Yoga - Tai Chi

A gentle and very low impact aerobic activity. A combination of yoga, tai-chi and pilates movements that are adapted to water while focusing on increasing flexibility and core strength.

Boot Camp - AquaFit

A challenging higher impact class involving full body motions and resistance equipment. This class focuses on interval circuit training which challenges your balance, cardio, core, endurance, agility, power and flexibility.

Total Joint - PhysioFit

Gentle exercises designed specifically for those who are having or have had hip, knee or shoulder surgery and want to increase their mobility, strength and function.

Vestibular Rehabilitation - Vertigo

  • Head Trauma (MVA, falls, impact sports)
  • Ear infections, including otitis media and labyrinthitis
  • Ototoxicity
  • Aging
  • Insidious onset such as; Benign Paroxysmal Positional Vertigo (BPPV)
  • Poor gaze stability
  • Motion sensitivity (quick head movement provoke dizziness
  • Cardiovascular system
  • Neurological dysfunction
  • Visual defects
  • Psychogenic dizziness
  • Vestibular systems disorders
  • The term dizziness is used to describe a variety of sensations - disoriented, giddy, clumsy, fuzzy headed, whirling, floating, spinning, falling, staggering and swaying. Vertigo is not the same as dizziness - it is a subcategory of dizziness.

Treatment May include...

  • Balance retraining exercises
  • Specific vestibular exercises
  • Supervised therapy sessions to monitor progress & continually challenge the vestibular, visual & balance systems
  • Repositioning maneuver for BPPV (Benign Paroxysmal Positional Vertigo)

VESTIBULAR / VERTIGO REHABILITATION

One of our Registered Physiotherapist will complete a thorough assessment of eye and hand coordination, balance and gait and motion sensitivity to determine the cause of the dizziness.

Company Injury Solutions

Ergonomic Assessments

According to Statistics Canada in 2007, Workplace injuries reported in well over half a million Canadian Workers. In Canada 10-20 billion dollars are spent yearly in costs associated with disability. In 2003, employers spent nearly 1 billion every week on wages and medical care for workers hurt on the job. According to Liberty Mutual’s Workplace Safety Index, the leading cause of workplace injuries in 2003 was overexertion or injuries caused from excessive lifting, pushing, pulling, holding, carrying or throwing of an object.


Our Certified Assessment Specialists conduct on-site evaluations of the jobs’ ergonomic requirements, examining the fit between the workers and the work. The evaluation identifies the workers’ sizes, strength, and abilities to handle tasks, tools, problem areas, and the overall work environment. A comprehensive report is prepared that outlines potential risk factors and identifies cost-effective solutions to improve worker safety and performance and reduce and/or prevent the risk of injuries.


Our highly qualified therapists and ergonomic specialists provide expert treatment for work-related injuries. We work closely with each individual, using an interdisciplinary approach that is tailored to the specific needs of the injured worker. 

FAE - Functional Abilities Evaluation

Evaluation is performed. The (FAE’) entails a comprehensive series of performance-based tests that help objectively measure injured employees’ physical abilities. This evaluation ranges from 4-6 hours in length and can be offered in one or two day sessions. Standardized tests and objective measures are used to determine the client’s current level of physical functioning, endurance, reliability of effort, and impairments related to activities of daily living and/or work activities. When a physical demands analysis (PDA) is supplied, a simulation of their everyday job demands is performed and included in the evaluation report.

Based on the interpretation of the standardized test results a job match is performed based on the pre-injury Physical Demands Analysis (PDA) and an in depth return to work plan is established.

In addition the FAE will give specific recommendations on treatment interventions and support that will be required to transition the client back to work in their pre-injury occupation successfully. For example, ergonomic assessment, job shadowing, a simulated work hardening program and/or body mechanics education.

All of our Functional Abilities Evaluations and Functional Assessments are conducted by Registered Physiotherapists who are certified Functional Testing and Ergonomics.

MVA - Motor Vehicle Accidents

If you have been in an motor vehicle accident, you have access to physiotherapy through your car insurance policy. You do not need to see a physician first, unless you so choose. You may see one of our physiotherapists or chiropractors directly, and as soon as possible. We will assess you and if further investigation is required by a doctor, we will make the appropriate referral or send a letter to your own physician.

Research shows that even low impact accidents at speeds as low as 15 mph can cause bodily injury. If left untreated, these injuries could lead to future problems like headaches, tingling and numbness, muscle weakness, and even disc problems.

Visiting a Healthcare Professional is Essential Following a Motor Vehicle Accident.


Motor vehicle accident injuries are treated after a complete and thorough assessment is performed. This allows us to identify the exact extent of your injuries and design a treatment plan that is unique to your condition. This is usually followed by a series of physiotherapy, chiropractic or Massage therapy treatments and exercises. Treatment times vary greatly and are adjusted according to your individual progress.

PDA - Physical Demands Analysis

Our team evaluates all of the physical and environmental demand components of all essential and non-essential tasks of a job; we establish what the job is, in it’s entirety. A complete analysis is conducted to determine the compatibility between the worker and a specific job. The job is examined by breaking down the job in individual tasks.

The environmental conditions will be examined as well as the use of machines, equipment, tools, work aids, and physical demands of each task.

The treatment programs are designed to provide physiotherapy to employees who have been injured but are still able to perform their regular work duties. 

Our health care professionals diagnose and provide hands-on physiotherapy treatment and an active exercise program (at home or in-clinic) to address movement dysfunction. Attention is given to symptom relief, while ensuring employees maintain their work status. Physiotherapists also plan and implement individual treatment programs to prevent physical disabilities.