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Physio

Physiotherapy in Surrey

What is Physiotherapy?

Physiotherapy is a healthcare profession dedicated to enhancing people’s strength, function, movement, and overall well-being.

In Canada, it is a regulated profession, and physiotherapists receive extensive education and training on the human body. Their training encompasses an understanding of how the body moves, functions, and adapts to different conditions. As part of their training, physiotherapists learn how to assess, diagnose, treat, and prevent injuries or illnesses using a range of techniques. Treatment options include various hands-on skills, modalities, exercises, and home-based programs.

  • Acute and chronic pains
  • Back pain
  • Cervical spondylitis
  • Cervicogenic headache
  • Chronic headache
  • Complex regional pain syndrome (CRPS)
  • Concussion (mTBI)
  • Degenerative disc disease (DDD)
  • Frozen shoulder
  • Lymphedema
  • Migraines
  • Motor vehicle (ICBC) or work-related (WSBC) injuries
  • Musculoskeletal pain
  • Myofascial pain
  • Neurological disorders
  • Neuropathic pain
  • Osteo arthritis
  • Radiculopathies including sciatica
  • Rheumatoid arthritis
  • Plantar fasciitis
  • Post-surgical rehabilitation
  • Sprots injuries
  • Temporomandibular joint (TMJ) disorders and related head aches
  • Whiplash injuries
  • Vertigo and dizziness

Targeted Radiofrequency Therapy, or TR Therapy, utilizes high-frequency electromagnetic energy to penetrate deep into the body and promote hyperthermia in the targeted tissues. By doing so, it can effectively alleviate muscle pain, release trigger points, and encourage muscle regeneration.

TR Therapy combines massage techniques with a pleasant warming sensation produced by the radiofrequency energy, making it suitable for treating deep muscles, ligaments, joints, and even superficial structures. Scientific studies have demonstrated its ability to provide immediate relief from pain, muscle relaxation, edema reduction, and support tissue healing and regeneration.

When paired with the expertise of our therapists, TR Therapy is a cutting-edge treatment that can deliver quick results. Additionally, it can be used in conjunction with passive stretching techniques and active muscle contraction.

Is TR Therapy safe? 

Absolutely. TR Therapy incorporates dynamic impedance control technology, which continuously measures tissue impedance and adjusts power output accordingly. This feature ensures a smooth therapy workflow and eliminates any potential discomfort when treating tissues with varying impedance.

What’s our experience with TR Therapy? 

We introduced this advanced therapy modality to our practice a few years ago, and since then, we have been treating at least two or three patients each day with promising results. Patients often report feeling comfortable during treatment, and many see immediate relief, especially for acute conditions and trigger points where the tissue is highly sensitive.

We have also observed excellent results in treating nerve pains such as carpal tunnel syndrome and sciatica. Clients who previously experienced severe pain in body parts like the shoulder, hip, thigh, and forearm have reported significant pain relief after their first treatment, with even more substantial relief after five to six sessions.

Conditions treated:

  • Local muscle spasm
  • Trigger points
  • Myalgia
  • Tendinitis
  • Neck and back pain, both acute and chronic
  • Sports injuries
  • Post-traumatic edema
  • Nerve pains like carpal tunnel syndrome and sciatica

How many sessions do I need?

Typically, you would require one to two sessions per week (depending on your condition), and it could take anywhere from five to ten sessions to see results. 

The Super Inductive System is a revolutionary therapy that utilizes a high-intensity electromagnetic field to depolarize the nerves and muscles throughout the body. What sets this treatment apart is that it can be delivered without direct skin contact, making it ideal for addressing a range of conditions, including acute and chronic pain, muscle tightness, weakness and spasticity, joint stiffness, and even fractures.

The healing effects of the high-intensity electromagnetic field make this therapy a game-changer in the treatment of painful neuromuscular and joint-skeletal conditions. By depolarizing the affected areas, the therapy promotes rapid healing and helps restore proper function to the body.

Conditions Treated:

  • Carpal tunnel syndrome
  • Nerve regeneration
  • Breathing enhancement
  • Slipped disc
  • Patellar tendinopathy
  • Impingement syndrome
  • Spasticity reduction
  • Spine mobilization
  • Prevention of muscle atrophy
  • Fracture healing

We have introduced the BTL-6000 High Intensity Laser 10W to our practice, which is the first robotic intelligent Scanning System with the highest power and one wavelength approved by Health Canada.

What is the difference between Class 3 and Class 4 lasers?

At Jeeva Physio, we offer both Class 3 and Class 4 laser therapy. While the Class 3 laser does not produce heat, the Class 4 laser produces heat that can help alleviate the patient’s condition. Additionally, the wavelength of the Class 4 laser penetrates more deeply and efficiently than that of the Class 3 laser, enabling it to quickly deliver energy to nerve, muscle, ligament, and tendon tissue. With session times ranging from 2 to 6 minutes, we can effectively treat multiple injured areas in a single session, thereby improving your results.

Class 4 laser therapy is particularly effective at stimulating the production of ATP (adenosine triphosphate), which drives many cellular processes. The increased production of ATP helps accelerate the healing process within cells, leading to a reduction in symptoms such as pain, swelling, and limited range of motion.

Conditions treated:

  • Muscle and joint pains
  • Osteo arthritis
  • Rheumatoid arthritis
  • Neck and back pain
  • Disc herniation and bulge
  • Degenerative disc disease (DDD)
  • Nerve pains including sciatica, carpal tunnel syndrome
  • Head aches and migraines
  • Tendonitis
  • Tennis and golfers elbow
  • Trigger points
  • Jaw pain (TMJ dysfunction)
  • Plantar fasciitis
  • Meniscal injuries
  • Bursitis
  • Non healing wounds
  • Diabetic and venous ulcers
  • Fibromyalgia
  • Sprain and strains

We are excited to announce that we now offer the ASA M6 robotized LASER system, the first of its kind in BC. Our MLS® (Multiwave Locked System) Laser Therapy goes beyond the limitations of traditional laser therapy by utilizing both low and high power through a patented quality impulse. The treatment delivers precisely synchronized and controlled energy.

The MLS® impulse works by combining two emissions that are synchronized and complementary: one provides the same power as LLLT (Low Level Laser Therapy), while the other possesses the typical characteristics of High Power. This unique approach results in highly effective treatment outcomes.

ASA model M6

The ASA M6 is a robotized LASER therapy system that enables the automatic delivery of MLS® Laser Therapy. With its robotized head, the M6 uniformly covers the entire target area and identifies multi-targets. The energy dose delivered to the treated tissue is optimized by precisely calibrating the treatment times.

Benefits

By combining and synchronizing pulses, MLS® Laser Therapy synergizes and strengthens its effects on the inflammation-oedema-pain triad. Patients can quickly and lastingly overcome pain with treatments that improve their quality of life, allowing them to return to work, sports, and social activities in a shorter time frame. With its analgesic and anti-inflammatory properties, MLS® Laser Therapy has no known side effects.

Conditions treated:

  • Muscle and joint pains
  • Osteo arthritis
  • Rheumatoid arthritis
  • Neck and back pain
  • Disc herniation and bulge
  • Degenerative disc disease (DDD)
  • Nerve pains including sciatica, carpal tunnel syndrome
  • Head aches and migraines
  • Tendonitis
  • Tennis and golfers elbow
  • Trigger points
  • Jaw pain (TMJ dysfunction)
  • Plantar fasciitis
  • Meniscal injuries
  • Bursitis
  • Non healing wounds
  • Diabetic and venous ulcers
  • Fibromyalgia

At Jeeva Physio, we’re excited to offer the BTL 6000 Series, one of Canada’s most advanced and powerful shockwave machines for physical therapy.

Using high-energy shockwaves, this technology delivers compressed air to painful spots in the musculoskeletal system, stimulating biological effects that promote healing and regeneration of damaged tissue. These effects are supported by numerous clinical studies, making Shockwave Therapy a popular treatment option for chronic musculoskeletal conditions. By shaping and diverging the shockwave, the BTL 6000 Series delivers fast and long-lasting relief to patients.

Conditions treated:

  • Upper and lower extremity tendinopathies
  • Greater trochanteric pain syndrome
  • Medial tibial stress syndrome
  • Patellar tendinopathy
  • Plantar fasciopathy (plantar fasciitis)
  • Painful shoulder
  • Heel spur
  • Trigger point treatments
  • Muscle and fascial tightness

At our clinic, we use diagnostic ultrasound to capture images of organs and other soft tissues, which is different from the ultrasound used for pregnancy. Since the 1940s, physical therapists have been using therapeutic ultrasound as an effective method for treating soft tissue and bone injuries. The main difference between ultrasound imaging and therapeutic ultrasound is the frequency, with therapeutic ultrasound typically using frequencies between 0.8MHz and 3.0MHz.

Therapeutic ultrasound works by using ultrasonic waves to gently vibrate and heat the tissues beneath the skin, which can increase blood flow to the targeted area, loosen tissue, and speed up healing. Patients generally do not feel any heat during treatment, as the ultrasound waves gently massage the underlying muscles, tendons, and ligaments, without causing any extra strain. We often combine ultrasound with other physiotherapy treatments to further reduce pain and swelling and promote healing.

At Jeeva, we take pride in providing a unique and effective healing treatment with our powerful Class 3b BIOFLEX® lasers and large surface arrays of bicolour LEDs. Our lasers are capable of producing a strong systemic and direct photo-biomodulation effect, resulting in increased healing and reduced pain, inflammation, edema, and associated symptoms. Our treatment arrays are equipped with unique super luminous diodes that feature both red and infrared light sources in a single diode. This allows for sequential application and maximum effectiveness.

Conditions treated:

  • Muscle and joint pains
  • Osteo arthritis
  • Rheumatoid arthritis
  • Neck and back pain
  • Disc herniation and bulge
  • Degenerative disc disease (DDD)
  • Nerve pains including sciatica, carpal tunnel syndrome
  • Head aches and migraines
  • Tendonitis
  • Tennis and golfers elbow
  • Trigger points
  • Jaw pain (TMJ dysfunction)
  • Plantar fasciitis
  • Meniscal injuries
  • Bursitis
  • Non healing wounds
  • Diabetic and venous ulcers
  • Fibromyalgia

Electrical muscle stimulation (EMS) is a form of electrotherapy that utilizes electrical impulses to trigger muscle contractions. By applying electrodes (adhesive pads) over the targeted muscles, EMS delivers these impulses to the muscle fibers. This therapy has been shown to effectively strengthen weakened muscles, alleviate pain, reduce swelling, and facilitate wound healing.

This therapy involves the application of two medium frequency currents using either electrodes or suction cups. These carrier waves are not intended to stimulate muscles or nerves but are rather used to enhance penetration depth and generate interferential current. Through this type of stimulation, the body releases endorphins that aid in the healing process by promoting recovery and increasing blood circulation to the affected area. The IFC therapy is effective in reducing swelling and inflammation and in alleviating or eliminating pain.

Transcutaneous electrical nerve stimulation (TENS) therapy utilizes low-voltage electric currents to alleviate pain. This non-invasive treatment involves a small device that delivers the electrical current at or in proximity to the nerves. By blocking or altering the perception of pain signals, TENS therapy effectively manages pain.

Mechanical or nonsurgical spinal decompression is a motorized traction therapy that effectively alleviates back pain. By gently stretching the spine and changing its force and position, spinal decompression relieves pressure from the spinal disks, allowing bulging or herniated disks to retract and reduce pressure on the nerves and other spinal structures. Consequently, this therapy promotes the movement of water, oxygen, and nutrient-rich fluids into the disks, facilitating the healing process.

The application of this therapy involves a careful evaluation of the force required to achieve the desired outcome. Typically, patients undergo one to two sessions per week for up to eight weeks to achieve optimal results.

Wax therapy is a highly effective form of deep heat therapy used to enhance mobility by warming connective tissues. This therapy involves the application of molten paraffin wax, heated to a specific temperature calibrated by the wax unit. Once applied, the wax induces muscle relaxation and improves joint mobility. It is primarily used to treat painful hands and feet and can be used in combination with other common mobilizing techniques and customized exercise programs to achieve optimal results.

Soft tissue mobilization is a type of manual physical therapy in which a licensed physiotherapist uses hands-on techniques on a patient’s muscles, ligaments, and fascia. This therapy is beneficial for a wide range of physical ailments resulting from tissue damage, from head to toe, depending on the type of injury. When applied in a timely manner, soft tissue mobilization can yield remarkable results.

The primary objective of manual soft tissue mobilization is to break up inelastic or fibrous tissue called “myofascial adhesions,” such as scar tissue resulting from an injury, to aid in healing after surgery, promote tissue fluid movement, and alleviate muscle tension. It is applied to various tissues of the body, including muscles, tendons, ligaments, and other connective tissue, to optimize function.

Soft tissue mobilization is typically performed using manual hands-on procedures or utilizing tools such as Graston, cupping, or stretching.

Joints serve a vital role in providing motion, stability, and function to the human body. Impairment in a joint can also have an impact on the surrounding structures, including joint capsules, ligaments, tendons, and even other structures that are further away from the affected joint. As all the joints and structures in the human body work together, a dysfunction in one area or joint can lead to impairment in a different area.

Manual joint mobilization is a hands-on technique that involves the application of graded forces to move the joint in specific directions. This technique is beneficial in restoring the joint structure and function and is often used alone or in combination with other therapeutic techniques.

Dry needling is a technique that uses solid filament needles to relieve painful myofascial trigger points by inserting them into the muscle through the skin. This method induces deep tissue release, improving movement and pain. Since there is no solution injected along with the needle, it is called “dry” needling.

Dry needling is commonly used to treat injuries caused by repetitive use or acute trauma, alleviating inflammation and protective tension or contracture in the damaged tissue. By inserting a solid needle into a contracted, painful, knotted muscle, the treatment creates a twitch reflex that is both diagnostic and therapeutic. This decreases muscle contraction, reduces chemical irritation, improves flexibility, and reduces pain.

When the needle is inserted into the muscle, it creates a controlled lesion, cutting between three to fifteen thousand individual muscle fibers. This activates the immune system and triggers an inflammatory response that helps reduce inflammation not only locally but also throughout the body. In some cases, an electrical stimulator may be recommended and attached to the needles to enhance the stimulus.

DOES TRIGGER POINT DRY NEEDLING HURT?

The sensation experienced during dry needling varies from person to person. While some may feel a deep ache or cramping, others may hardly feel the needle at all. The goal of dry needling is to elicit a local twitch response, which can be uncomfortable, but the level of discomfort will depend on the individual’s pain threshold. Pain tolerance differs among patients, with some rating the discomfort at a low one on a 10-point scale, while others rate it as high as nine or 10.

WHAT CAN I DO TO PREPARE FOR MY THERAPY?

Eat a light meal one to two hours prior to your visit and wear loose, comfortable clothing that can be rolled up or down to access the areas of concern with the greatest ease.

WHAT CAN I EXPECT AFTER TREATMENT?

During the initial visit, it is expected to observe enhancements such as increased range of motion, ease of movement, and decreased signs or symptoms. It is, however, important to note that individual results may vary. Following the treatment, some patients may experience soreness in the treated area as well as the area where they experienced symptoms. This soreness can last for a few hours up to several days, and there may be some bruising. Applying ice or heat to the area and performing specific stretches for the treated muscle can help alleviate the soreness.

CONDITIONS TREATED

  • Neck/back pain
  • Shoulder pain
  • Tennis/golfers Elbow
  • Headaches
  • Hip and gluteal Pain
  • Knee pain
  • Achilles tendonitis/tendonosis
  • Plantar fasciitis
  • Sciatica
  • Muscular strains/ligament sprains
  • Chronic pain involving more than one area of the body
  • Athletic performance

NUMBER OF TREATMENTS

The frequency and duration of your treatments will depend on your specific condition, the size of the affected area, and your individual pain tolerance. Generally, treatments are scheduled once or twice a week, with a typical duration of 6 weeks. Depending on your diagnosis, your physiotherapist may recommend regular monthly visits as a preventative measure.

Cupping therapy is a traditional practice of alternative medicine where a practitioner places special cups on the skin for a few minutes to generate suction. It is used to alleviate pain, inflammation, improve blood flow, promote relaxation, and as a form of deep-tissue massage.

The cups may be made of:

  • Glass
  • Bamboo
  • Earthenware
  • Silicone

During the process, the therapist puts a flammable substance like alcohol, herbs, or paper inside the cup and ignites it. After the fire extinguishes, the cup is placed upside down on the skin. As the air inside the cup cools, it creates a vacuum that causes the skin to rise and redden as blood vessels expand. The cup remains in place for up to three minutes.

The Graston Technique is a therapy that mobilizes soft tissue using specialized instruments. The treatment involves gentle scraping of the skin.

Is Graston Technique® treatment painful?

It is not intended to be painful or cause excessive bruising. However, minor discomfort during the therapy and bruising afterwards can occur. This is a common experience with any type of manual therapy and may vary depending on your condition.

What Is Lymphedema?

Lymphedema is a condition characterized by the accumulation of lymph fluid in the body, resulting in swelling. The lymph system, which transports fluid and cells that help fight infections throughout the body, can become obstructed, leading to this buildup. The swelling may occur rapidly or gradually over several months.

To alleviate this condition, we employ lymphatic drainage, a clinically proven therapeutic method that produces immediate and noticeable effects. BTL’s Lymphastim employs pneumatic pressotherapy to provide a gentle massage through specialized applicator sleeves that feature multiple chambers that overlap. This massage encourages natural lymph and blood circulation throughout the body.

What Are the Symptoms of Lymphedema?

Lymphedema can present with several symptoms, including gradual swelling that worsens over time in a particular body part such as the arm, leg, or other areas. The skin in the affected region may feel tight and tingle, and the limb may feel heavy. Clothing and jewelry may fit more tightly in the affected area, and the skin may appear thicker or have a leathery texture. 

It’s essential to consult your doctor promptly if you experience any of these symptoms to determine the cause of the swelling and get the best possible treatment. In some cases, the swelling could be due to other conditions requiring immediate attention, such as a blood clot.

What Health Problems Can Lymphedema Cause?

Lymphedema increases the risk of developing infections in the affected area, as the immune cells are unable to reach that part of the body due to the swelling. The healing of wounds in the affected area may be delayed. The experience of lymphedema can cause emotional distress such as feelings of sadness, embarrassment, frustration, or anger. Additionally, the joints in the affected area may feel stiff or sore.

How Is Lymphedema Treated?

Currently, there is no known cure for lymphedema, but there are various treatment options available to manage and alleviate symptoms. The focus of treatment is to prevent infections and promote lymphatic flow. The following treatment options may be recommended:

  • Exercise: Moving the affected limb can help reduce swelling by promoting lymphatic drainage.
  • Compression garments: Wearing a compression sleeve or stocking can apply pressure to the affected area, helping to move lymph fluid out.
  • Manual lymphatic drainage: This specialized massage technique can stimulate lymphatic flow and reduce swelling.
  • Pneumatic pump: A device like LYMPHASTIM can be used to inflate a sleeve placed over the affected limb and help move lymphatic fluid out.
  • Weight loss: In overweight patients, weight loss may improve lymphedema related to breast cancer.
  • Surgery: In severe cases, surgery may be suggested by your doctor.