Search Results: aniela

Aniela Amio – Bio

Pilates, Yoga & movement teacher

Certified Reiki Practitioner level 2

Aniela completed her yoga certification at The Yoga Sanctuary in 2011, adding courses in meditation, Yin Yoga and Restorative Yoga shortly after.  She then went on to become certified in Mat Pilates with Body Harmonics in 2013, Reformer Pilates with The Mindful Movement Centre and Leslie Parker. She is currently working towards her Comprehensive Pilates Diploma with Body Harmonics (2019) with a special focus on spinal health and injury recovery, as well as pre and post-natal care.

Aniela  empowers people of all ages and abilities by teaching them how to move and care for their own bodies.  She hopes her students find joy, safety and strength in their sessions which translates into better quality and functional movement in their daily lives.  She is interested in and continues to expand her studies with workshops on the mind body connection, chronic pain, scoliosis, fascia, pre and postnatal health and recovery as well as working with the aging population. Aniela has had the opportunity to work with professional athletes, dancers, chronic pain suffers and those recovering from spinal injuries and surgeries.

Aniela is excited to collaborate and learn from the team at The Orthopaedic Therapy Clinic to further her education.  She looks forward to being an integral part of your recovery and journey to health and vitality. To arrange an appointment please call 416-925-4687 or email: aamio@orthophysio.com

Recently she has added the following courses and certifications to her education.

  • Movement and Exercise for Pregnancy
  • Post-Natal Reconditioning and Diastasis Recti Repair
  • Towards a Healthy Pelvic Floor
  • Strength, Balance and Fall Prevention for Seniors
  • Handedness and Scoliosis
  • Kinesiology of Pilates

She is currently completing her Pilates Level 3: CCSB Cadillac Chair Springboard and Barrels which requires 275 hours of training.

When Aniela isn’t teaching or taking courses you can find her in the park with her dog, travelling, or in a plant store deciding which plant baby to add to her home.

Safe Exercises for Back Pain 1A

Healthy Back On-Line Exercise Series – Safe exercises for your back

One of the challenges in this pandemic has been to stay fit, particularly when you have pain or injuries.  Your therapists at The Orthopaedic Therapy Clinic recognized how difficult this has been for our clients and have been working on a number of initiatives to help you to exercise safely.

(Watch the Video)

We know that many of you are selecting on-line programs.  Some of these programs are confusing and most are not back specific.  We would like our clients to exercise with people who understand how to get you stronger through exercise and to limit your risk for low back pain.

We are excited by your interest in our live Healthy Back online back series and decided to make some changes to allow more people to participate.  Beginning in mid- April, we are offering 2 new on-line classes each week for people who have experienced low back pain when they exercise.

Who should participate?

These classes will be suitable for most backs as each exercise will be completed in a spinal neutral posture.  If your back is a bit more particular about its directional preference https://orthophysio.com/healthy-back-on-line-exercise-program-directional-preference/, you can still participate as each exercise will also include a reminder of a modification for flexion or extension preference.

Who’s teaching?

Your classes will be led by one of The Orthopaedic Therapy Clinic’s exercise professionals.  Aniela Amio, Pilates/Yoga instructor https://orthophysio.com/pilates-and-yoga/ and John Gray https://orthophysio.com/our-team/therapeutic-fitness-professionals/, Registered Kinesiologist both have extensive experience in helping people who have back pain to exercise safely.

 

Class format

Technique is critical to getting the most out of these classes with the least amount of discomfort.  To help this work for you we have enhanced our use of technology to allow us to provide more immediate feedback.  Now if anyone wants immediate feedback, just leave your video live and the instructor will correct any concerns with your technique.  We will not be recording the sessions.

Sessions will be limited to 8-10 participants.  A minimum of 8 is needed to host the class.

Which Safe Exercise class is right for you?

Healthy Back Basic Mat On-line Class for Low Back pain

If you are able to complete light exercises you should benefit from Aniela Amio’s, Pilates/Yoga Instructor, basic mat class for low back pain. (Watch the Video)

This series of 6 weekly sessions is gentle however it will help you to build your strength as exercises will be progressed throughout the series.

This Zoom group class starts on Thursday April 29th, from 5:30-6:10 PM.

  • CLASS 1: Thursday April 29, 2021 5:30 -6:10 PM – Click Here for class details
  • CLASS 2: Thursday May 6, 2021 5:30 -6:10 PM – Click Here for class details
  • CLASS 3: Thursday May 13, 2021 5:30 -6:10 PM – Click Here for class details
  • CLASS 4: Thursday May 20, 2021 5:30 -6:10 PM – Click Here for class details
  • CLASS 5: Thursday May 27, 2021 5:30 -6:10 PM- Click Here for class details
  • CLASS 6: Thursday June 3, 2021 5:30 -6:10 PM – Click Here for class details

Healthy Back Intermediate Strength On-line Class for Low back pain

If you need more challenge take John Gray’s, Registered Kinesiologist, intermediate-level strength class for backs.

Watch the Video

This series of 6 weekly sessions will build your strength as exercises will be progressed throughout the series.

This Zoom group class starts on Saturday April 24th, 2021 from 10:00-10:30 AM

  • CLASS 1 Saturday April 24, 2021 10:00-10:30 AM – Click Here for class details
  • CLASS 2 Saturday May 1, 2021 10:00-10:30 AM – Click Here for class details
  • CLASS 3 Saturday May 8, 2021 10:00-10:30 AM – Click Here for class details
  • CLASS 4 Saturday May 15, 2021 10:00-10:30 AM Click Here for class details
  •  There is no class  on May 22 of the Victoria Day weekend
  • CLASS 5 Saturday May 29 2021 10:00-10:30 AM – Click Here for class details
  • CLASS 6 Saturday June 5, 2021 10:00-10:30 AM – Click Here for class details

Fees

The  fee is $105 + HST for the entire 6 week session.  Individual sessions will be offered at $20 + HST per session only if there is room in the class one week before the session date.

Register at 416-925-4687

More information

If you have any questions about the program or would like more guidance on whether you should participate you can reach out to your therapist directly.  Or send an email to physio@orthophysio.com and this will be forwarded to the right person to assist you.

We are looking forward to helping you to stay fit and healthy.  Look for our other new programs coming soon!

 

Safe Exercises for Back Pain – New On-line Exercise Classes

Healthy Back On-Line Exercise Series – Safe exercises for your back

One of the challenges in this pandemic has been to stay fit, particularly when you have pain or injuries.  Your therapists at The Orthopaedic Therapy Clinic recognized how difficult this has been for our clients and have been working on a number of initiatives to help you to exercise safely.  We are now ready to share the first in a series of new initiatives. (Watch the Video)

We know that many of you are selecting on-line programs.  Some of these programs are confusing and most are not back specific.  We would like our clients to exercise with people who understand how to get you stronger through exercise and to limit your risk for low back pain.

Beginning the last week in February, we are offering 2 on-line classes each week for people who have experienced low back pain when they exercise.  These classes are with Aniela Amio, Pilates/Yoga instructor and with John Gray, Registered Kinesiologist. These professionals have extensive experience in helping people who have back pain to exercise safely.

Please join us. Your 1st session for both classes is free of charge! 

Healthy Back On-line Exercise Class – Basic Mat Class for Flexion Preference Low Back pain

Aniela Amio, our Pilates/Yoga instructor, is providing a Basic mat flexion preference exercise session via Zoom.  This group class will be held on Thursday from 5:30-6:10 PM.

Maximum participation is 10 people.

CLASS ONE: Thursday Feb 25, 2021 5:30 -6:10 PM – Click Here for class details

CLASS TWO: Thursday March 4, 2021 5:30 -6:10 PM – Click Here for class details

CLASS THREE: Thursday March 11, 2021 5:30 -6:10 PM – Click Here for class details

CLASS FOUR: Thursday March 18, 2021 5:30 -6:10 PM – Click Here for class details

CLASS FIVE: Thursday March 25, 2021 5:30 -6:10 PM- Click Here for class details

CLASS SIX: Thursday April 1, 2021 5:30 -6:10 PM – Click Here for class details

 

Register by contacting us at 416 925 4687

 

Healthy Back On-line Exercise Class – Basic Strength Training for Flexion Preference Low Back pain

John Gray, Registered Kinesiologist will be offering a strength training session for people with flexion preference low back pain.  This group class will be held on Saturday from 10:00-10:40 AM

Class 1 Saturday Feb 27, 2021 10:00-10:40 AM Click Here for class details

Class 2 Saturday March 6, 2021 10:00-10:40 AM Click Here for class details

Class 3 Saturday March 13, 2021 10:00-10:40 AM Click Here for class details

Class 4 Saturday March 20, 2021 10:00-10:40 AM Click Here for class details

Class 5 Saturday March 27, 2021 10:00-10:40 AM Click Here for class details

Class 6 Saturday April 3, 2021 10:00-10:40 AM Click Here for class details

Maximum participation is 10 people.

Register by contacting us at 416 925 4687

 

Who should participate?

This class is targeted for people who have back pain with a diagnosis of  flexion directional preference.

If you have this diagnosis, your current physiotherapy program will likely include pelvic tilt positions and exercises.   If you are not sure if this is your diagnosis and wish to participate, please reach out to your therapist to determine if this is the right class for you.

What is the format?

Each class will last 30 minutes and there will be an additional 10 minutes at the end of the class for you to ask questions.

Each class will review:

  • finding your start position,
  • 3-5 strength and coordination exercises
  • 1-3 stretches and posture correction exercises

The emphasis will be on technique and helping you to know when you are doing the exercise correctly.

How much will it cost?

We are offering the 1st class free.

After that, the cost is $20.00 per session or you can sign up for the first 4 sessions in advance and get one class free at $60. The full price is $80 if sessions are bought individually.

How to register

Call our front desk team to register – 416-925-4687.  You will be sent a participation waiver and our Telehealth policy form.  Once these forms are completed, we will send you a Zoom link. These forms need to be received a minimum of one day in advance to ensure we can get the link to you in time.

Privacy

The sessions will be provided using Zoom pro.

Each participant will be allowed into the session once their registration is verified.

All participants cameras and microphones will be blocked during the exercise session as each session will be recorded for later viewing.  During the question period you can unmute and use your camera as this section will not be recorded, however you will be observed by other participants.

More information

If you have any questions about the program or would like more guidance on whether you should participate you can reach out to your therapist directly.  Or send an email to physio@orthophysio.com and this will be forwarded to the right person to assist you.

What to do if these dates and times don’t work?

Please let us know if these times and dates don’t work for you as we are planning to offer more classes once these dates have been launched.  Contact physio@orthophysio.com and give them the dates and times that work better for you.

We are looking forward to helping you to stay fit and healthy.  Look for our other new programs coming soon!

 

Healthy Back Video and On-line Exercise Program

Our healthy back on-line video exercise program is an extension of The Orthopaedic Therapy Clinic’s philosophy and attention to detail for our low back pain patients.

Our goal is to help you to recovery quickly and to limit future back pain reoccurrences.

Why develop an on-line video program?

The pandemic has helped us to realize that many people need fitness guidance specific to their injury.  Although there is a mass of on-line exercise programs, our client’s and their therapists have been finding it extremely difficult to determine which of these programs would be right for them.

In response to this need, we have developed this series to help you return to exercise, fitness and the activities you love.  Our goal is to limit the risk of inappropriate exercises slowing or even worsening your recovery.

Why is this program different?

This program is unique as it is based on your specific back’s needs and knowing when you are ready to begin exercise.

We have identified appropriate exercises and guide you through proper technique and progressions.

Our videos are based on the foundational structure of a system which many health care professionals ascribe to called Directional PreferenceOnce you know your back’s directional preference it is much safer to select exercises that match this preference.

This program is cost effective as it supports the work of your therapist and helps you to exercise safely without incurring substantial personal training costs for oversight. 

Directional Preference

The key to knowing you are in this stage of recovery is that your back pain changes depending on which activities you select.  Some activities are more irritating whereas others make you feel better.

In other words, your back “prefers” to do certain movements and feels worse when you do others.  For example, you may prefer to sit and feel worse when you walk.

Over the last 40+ years, research and clinical experience has shown us that preferences can typically be grouped into one of three categories. Your back prefers to:

  1. Flex or round forward
  2. Extend or sway backwards
  3. Stay in neutral – limit forward or backwards movements

As part of our focus group, you have been pre-selected because your therapist has identified your back prefers to flex or round forward.

When to start

You are able to start this program when your pain is intermittent and your health professional has provided you with a directional preference diagnosis.

How the program works

You will have received an exercise playlist.  There is an introduction video and then the exercise section is constructed into 4 sections. We recommend you start with section 1 and work through it sequentially.

  1. Finding your start position

This video helps you to understand and utilize the correct spine posture throughout each exercise.  Understanding and maintaining this throughout each video is critical to your success.

Your therapist will have built your start position into your current program however these videos go into extensive depth to help you find this posture on your own.

To assist you in understanding your specific start position we have:

    • Contrasted the 3 different back postures to help you to understand the difference and to be more confident on finding your specific posture i.e. flexion.
    • Emphasized techniques to help you be aware of whether you are maintaining the posture throughout each exercise.
    • Provided a trouble shooting video to assist you in executing the correct technique (see information button in video).
  1. Individual exercise technique videos

To prepare you for your 20-minute back pain exercise video, we have provided you with individualized technique videos, containing in-depth technique reviews for each exercise.  We recommend you master these techniques before you move into the faster pace of the exercise video loop.  Remember it is essential that you find and use the techniques that are right for your body.

These videos include tips and techniques on how to know you are doing the exercise correctly including:

    • How to maintain your start posture (directional preference).
    • Which muscles should you feel activate.
    • What sensations and muscle activations you shouldn’t you feel during the exercise.
    • Tips for finding the right muscle.
    • How much effort to use.
  1. Video exercise loop

As part of the focus group, you have been provided with only one 20-minute video.  Once we have incorporated your feedback, our plan is to develop a number of different videos to provide more variety and  to address different levels of difficulty.

Each video loop will have a structure that will continue throughout the series.  This structure reflects our experience of which muscles should be targeted to ensure back pain recovery.

Each video consists of 5 exercises.  The routine will be repeated twice.

In the video series you received three exercises were chosen to restore strength and muscle coordination.  These include:

    • Transversus abdominis – your core stability abdominal
    • Gluteus maximus – your powerhouse buttock muscle
    • Gluteus medius – your hip stability muscle

Two exercises focus on restoring length to the hip and thigh muscle. These include:

    • Quadriceps thigh stretch
    • Iliopsoas hip flexor stretch

Future videos will address different exercises, muscles and postures.

  1. Troubleshooting videos

Our troubleshooting videos are one of the hallmarks that makes our project unique.  These videos are designed to help you use the right muscle and to limit pain.

Each video reflects our experience of how we have helped our clients to know they are activating the right muscle and to recognize when they are using incorrect (compensatory) movement patterns.

These videos are key to helping you minimize pain during and after exercise.

Each exercise technique video and each exercise within the video loop has an information button (i) in the upper right corner.  When you click on the button it will take you to the Troubleshooting videos.

Our troubleshooting videos are structured into two sections.

    • Tips to ensure you are able to identify that the correct muscle is activating and techniques to activate it if you are not feeling the right thing.
    • Troubleshooting tips and techniques for common problems and pain.

The troubleshooting for common problems has been broken down into the most typical areas that people feel pain or difficulty correcting techniques.

For example, your Glut max bridge troubleshooting video consists of:

    • How to know you are using the right muscle
    • Trouble shooting these common problems:
      • Neck pain
      • Back pain
      • Knee pain

    Applying the program successfully

    To get the most out of your exercises it helps to understand these elements that are embedded in our program.

    1. Technique comes first

    To benefit from this program, you need to go through these exercises slowly and mindfully.

    Executing the right technique is key to your success and most difficulties come from incorrect tech nique, and not a lack of strength.

    1. More is not better

    To make sure you are working at the right level you should rate your effort level on a scale of 1 (easy) to 10 (maximal difficulty).  Throughout the video your effort levels should be rated at a 4-6/10 level.  If    you need to work harder, then these exercises may be too hard for you.  If you can’t reduce the effort or feel pain you should reach out to your therapist for assistance in correcting these concerns.

    This program starts at a basic level however you may still feel pain if you are working too hard.   Many people work too hard on their therapy exercises or progress too quickly.

    For some people it is in their nature to work harder.  If this is you, or you are convinced that the only way to get better is to work harder, then we cannot stress enough that you need to learn how to perform    your exercises with less effort.  Too much effort can get in the way of your back recovery.

    1. Pain is not good

    Mild discomfort, lasting less than 20 minutes, is usually not indicative of a need to change programs.  If over the next few weeks, the discomfort gets shorter and less intense, then this is usually indicative of  the benefit of the program.

    However, if you have sharp or lingering pain, pain which lasts longer than 20 minutes after the basic program, if your pain is getting worse or if you are unsure if what you are feeling is normal, then we          recommend you reach out to your therapist to guide you on what you should be doing.

    1. Take your time

    People tend to rush through their exercises and try to progress to the next level too quickly.  Doing less and performing each exercise correctly will get you more.

    Exclusively for clients of The Orthopaedic Therapy Clinic

    Currently we are providing this program exclusively to our clients.  We have made this decision to ensure that each participant has a proper diagnosis and a therapist to reach out to if they have questions or concerns.  We ask that you respect the limitations which were included in your participants waiver as this program, improperly applied, may increase back pain.

    Please reach out to your Orthopaedic Therapy Clinic therapist if you have any questions in relation to the program.  We are here to help this become a successful pillar of your recovery.

    Core conditioning

    Core conditioning

    At the Orthopaedic Therapy Clinic, Core Conditioning is not just about the ab’s.  Core conditioning addresses the primary muscles that support the back and help reduce strain on many joints in the body.

    This service begins with an assessment to determine which of your core muscles need to be strengthened and whether you need to work on coordination.  It’s important to work on strength but more importantly you need to apply this strength to your sport and daily activities if you want to prevent injuries.

    Our team is highly-experienced in finding the underlying weaknesses and developing a program to restore your core support.

    Who will benefit:

    Core Conditioning can help with:

    • Recurrent low back or neck pain.
    • Improving your posture
    • Addressing why you get injured when you try to up your game in fitness, sport or just in everyday life.

    Service provided by: 

    John Gray RKin (Bio)

    Aniela Amio Yoga and Pilates Instructor (Bio)

    More information:

    For an appointment call 416 925 4687 or email:jgray@orthophysio.com

    Spinal Rehab

    medically accurate illustration – painful spine

    Spinal Rehab

    Back and neck pain are the most common conditions we treat. We can assist you with diagnosing the cause, relieving pain and by providing self-treatment strategies.

    We have extensive experience in treating:

    • Low back pain
    • Sciatica
    • Sacro-iliac joint dysfunction
    • Neck pain
    • Whiplash
    • Concussion and neck pain
    • Spondylolisthesis
    • Degenerative disc disease and osteoarthritis
    • Pre and Post-surgical back pain
    • Post-surgical cancer back pain
    • Sports-related low back pain
    • Scoliosis

     

    Who will benefit?

    Anyone who has had neck or low back pain and would like to limit future occurrences, reduce pain and/or regain flexibility, strength and function. Anyone who is recovering from a neck or back injury. We also provide pre and post-operative programs to assist you in your recovery from spine surgery.

     

    Service provided by:

    Maureen Dwight          (Bio)

    Taylor Sipos, RPT            (Bio)

    Tiffany Shi, RPT               (Bio)

    Dr. Adonis Makris       (Bio)

    Aniela Amio                    (Bio)

    John Gray RKin                 (Bio)

    Juliette Woodruff RMT (Bio)

    Igal Untershats RMT      (Bio)

    Spinal Degenerative Conditions

    Spinal Degenerative Conditions

    Back and neck pain are the most common conditions we can experience as we age. We can assist you with diagnosing the cause, relieving pain and by providing self-treatment strategies.

    We have extensive experience in treating:

    • Low back pain
    • Sciatica
    • Sacro-iliac joint dysfunction
    • Neck pain
    • Spondylolisthesis
    • Degenerative disc disease and osteoarthritis
    • Pre and Post-surgical back pain
    • Post-surgical cancer back pain
    • Degenerative Scoliosis

     

    Who will benefit?

    Anyone who has had neck or low back pain and would like to limit future occurrences, reduce pain and/or regain flexibility, strength and function.  We also provide pre and post-operative programs to assist you in your recovery from spine surgery.

    Service provided by:

    Maureen Dwight          (Bio)

    Taylor Sipos, RPT            (Bio)

    Tiffany Shi, RPT               (Bio)

    Dr. Adonis Makris       (Bio)

    Aniela Amio                    (Bio)

    John Gray RKin                 (Bio)

    Juliette Woodruff RMT (Bio)

    Igal Untershats RMT      (Bio)

    More information: 416-925-4687 or email physio@orthophysio.com

    TeleHealth and Video Conferencing

    TeleHealth and Video Conferencing

    Virtual and Remote Therapy Sessions

    Self-care is more important than ever in these stressful times. We don’t want you to lose the progress you’ve made or get back into pain because of a change in routine. This is why  The Orthopaedic Therapy Clinic is now offering virtual and remote therapy sessions.

    This new service will allow us to see you in the comfort of your own home, not only now but also in the future!

    Watch Maureen Dwight RPT, Clinic Director explain how TeleHealth works: 

    What services can we provide?

    We can help you manage your pain, watch you exercise and check out your ergonomic set-up for your home computer or just how you are doing puzzles.

    You can call us at 416-925-4687 and leave a message or book with your physiotherapist directly at their email below to set up an appt. Plus, here are the inevitable forms we all have to look at and acknowledge: Telehealth Procedures and Informed Consent

    Maureen Dwight RPT mdwight@orthophysio.com

     

     

     

    Taylor Sipos RPT Tsipos@orthophysio.com

     

     

     

    Tiffany Shi RPT Tshi@orthophysio.com

     

     

     

    Who can we see?

    We can see any of our existing client’s or new clients who may benefit from this service. If you are unsure whether this will work for you we can set up a 10 minute free session to show you how it can benefit you.

    You must be located in Ontario at the time of the teleconference. If you have friends or family, outside of the Toronto area we can provide these services to them as well.

    Need help with getting motivated to exercise?

    Aniela Amio will be providing one-on-one Yoga, Pilates and Mindfulness sessions. She can also continue with your Physiotherapy assistant exercises under the supervision of the designated physio.

    Contact aamio@orthophysio.com

     

     

    JJohn Gray, Registered Kinesiologist RKin, MSc, CSCS Torontoohn Gray Reg. Kinesiologist will be providing one-on-one exercise sessions. He can also continue with your Physiotherapy Assistant exercises under the supervision of the designated physio.

    Contact jgray@orthophysio.com .

     

     

    How remote therapy sessions work

    It’s as easy as Facetime and Skype but more secure. We send you a unique link by email that brings you into a video conference. You can use your smart phone, tablet or laptop. Desktops can be used if you don’t need to move around during the appointment.

    Your privacy is paramount

    We have partnered with our Electronic Record Provider to make sure it’s compliant with privacy legislation (HIPIDA and PIPEDA).

    Planning your session

    Once you have set up a time, your therapist will send you the link. That’s all it takes other than a bit of pre-planning on your part to get the best visuals.

    Here are some things to consider prior to the appointment

    • Can your therapist see the area that hurts? This may mean you need to wear clothing that can be adjusted to show us the area.
    • Can we see you move? Make sure your technology can move to show us different views. We may need to see a full-length view or you lying on the floor/bed to do your exercises.
    • How much privacy do you need? Do you want to send your housemates on an outdoor walk while this is in process or have a videographer handy to help you with the technology?
    • How much privacy will the Orthopaedic Therapy Clinic provide? Our therapists will provide the sessions in a room separate from their colleagues.

    Will your insurer cover this?

    These sessions are noted as telehealth on your invoice and many of the insurers are committed to funding these sessions. 

    Early insurance adopters:

    Sunlife announced that they consider telehealth/virtual appointments the same as in office sessions

    Telus Health is the portal for many insurers. They have confirmed that their insurance companies will pay for telehealth/virtual appointments, however it’s always good to check with your insurer directly.

    How is this paid?

    We will call you to get a credit card to bill your session and email the receipt to you so you can submit it to your insurer. We are currently exploring options for online payments.

    If you have any questions please call us at 416 925 4687, email your physio directly at their address above or email physio@orthophysio.com and we will get back to you promptly!

    Be Safe and Be Well

     

    How to shovel snow without injuring your back

    types of snow shovels

    Winter can be a tough season for back pain sufferers.  For many people shoveling snow is almost certain to cause low back pain.  Perhaps surprisingly, as a former back pain suffer, I look forward to this season. I enjoy being outside in winter weather and view snow shovelling as a great recreational alternative to going to the gym.  What better than a heavy shovel of snow to raise my pulse, tax my obliques and work on my glutes.  The fireplace and a rewarding glass of wine after can also be a great motivator.   Heres how to shovel snow without injuring your back:

    TEC

    Whether these demanding activities will improve your fitness and strengthen your core, or cause you to need an appointment with your favourite physiotherapist, is often determined by how you approach the activity.  Here are a few easy tips which can prevent low back pain which I find can be easily remembered by using the acronym TEC:  Technique, Ergonomics and Core.

    T-Technique avoids snow shoveling back injuries

    Technique relates to how you shovel.  Whenever activities are heavy or repetitive the technique you select becomes more important. Video 

    Warm-up

    Too often it’s our head space that causes our injuries.  We dive in full force, trying to get the job done quickly when our body is not at the same level of readiness as our head. 

    When it comes to demanding activities, it is essential to prepare by warming-up if you want to shovel snow without injuring your back. 

    Don’t confuse this recommendation with stretching.  Although these terms are frequently used interchangeably, warming-up really means you should raise your body temperature.  This is easily done by starting an activity slowly and avoiding the hard stuff until you feel your body is prepared to work.  You will know you are ready to work harder when you feel warmer and your breathing and heart rate start to increase.  Save the stretching for after the work-out, when your tight muscles need to relax. 

    Take breaks

    The second mistake we make is trying to get a heavy activity done as quickly as possible.  If an activity takes two hours to complete, doing it all at once is not the same as breaking it into two one-hour sessions.  Instead plan for a 15-minute break to allow your body to recover.  This reduces your risk of injury from fatigue. Always remember that the heavier the activity, the more breaks you need. 

    Building strength, not injury

    The third most common exercise mistake I see is repeating an activity before your body is ready.  Exercise only makes us stronger if we allow our body to rebuild from the strain. Hard work breaks our muscles down and during this period we are weaker than before we started the exercise.  No matter what type of exercise you do, make sure you build in post-exercise recovery. 

    The need to recover is why we shouldn’t repeat the same demanding exercise two days in a row.  This allows sufficient time for our muscles to rebuild. Repeating heavy exercise before our muscles have had time to complete this physiological process raises our risk for injury.  

    Ideally, we should exercise on alternate days but when it snows three or four days in a row you may not have a choice.  When this happens try to reduce the intensity by taking more breaks or lifting smaller loads.   Alternatively, perhaps the kid next door needs to earn a few extra dollars.…

    To maximize recovery, take a page from the playbook of athletes and make sure you are well hydrated and consider your post-activity nutrition requirements.  In moderation foods that contain both sugar and protein provide your muscles with what they need for recovery i.e. low fat chocolate milk. http://www.rechargewithmilk.ca/compare-it.php

    Learn the technique of lifting with your legs as the key on how to shovel snow without injuring your back

    If you want to shovel snow without injuring your back you should “lift with your legs”.  Although I find that most people can recite this mantra they don’t actually execute it all that well. Rather than keeping their torso over their legs they lean forward.  When you are lifting in this posture it increases the difficulty of the task as you are now lifting the weight of the snow, the shovel as well as the weight of your upper body.  This can add 40 or 50 lb to a lift.   Keeping your shoulders over your hips reduces the strain on your back. 

    This video shows a difficult snow shoveling task .  The area is bordered by a shoulder height barrier.  The shoveller is bending her knees and lifting smaller loads to reduce the strain of the task.

    Use the right muscles

    As you squat to lift the snow, pause for a moment and feel which muscles are working.  You should be using both your thigh (quadriceps) and buttocks (gluteus maximus) muscles.  Many people who are at risk for low back pain don’t use their buttocks and overuse their back muscles.  The high strain on the back  muscles causes spasms.  

    Limit twisting 

    Your spine is able to twist but twisting while you are lifting a heavy load is a quite another matter.  In snow shoveling, twisting can be avoided by pushing the snow forward rather than throwing it over your shoulder.  If you need to twist, keep the load lighter and take more breaks.     

    types of snow shovels

    E-The right Equipment avoids back injuries

    Always take a moment to look at which tools you can use for the task.  A larger shovel will get the job done faster but it will also add to the strain.  A lighter, smaller shovel will take a little longer to complete the task however a few extra minutes is well spent in preventing an injury.  You can also consider one of the ergonomically designed, bent-handled snow shovels as they can make a substantial difference in the effort needed to push snow (see picture). 

    C-Good Core avoids back injuries 

    Despite following the best advice on technique and ergonomics some people will still get injured.  As a treating physiotherapist I have found this can often be traced back to mismatches between what you need to do the task and what strength your body has available.  Video

    Before you start the snow season, make sure your abdominals, buttocks and thigh muscles are up to the task. If the snow arrives before you have gotten your core muscles working it is even more important that you focus on the T and E in TEC as this will limit the likelihood of injury.  On non-snow days work on targeted exercises to gain the lifelong support you need to prevent injury.

    Next year start your pre-season fitness program in the fall, rather than waiting for the new Year.  Better yet keep the program going all year long as each season has its challenges and activity rewards.

    Need more advice

    If you need a fitness program our Kinesiologist, John Gray, or our Pilates/Yoga instructor, Aniela Amio can help you find your core.  They can also teach you the technique of how to snow shovel to without hurting your back.   If your back hurts even thinking about snow shoveling book to see one of our physiotherapists to get you on the right track.  Call us at 416-925-4687 or email physio@orthophysio.com to book an appointment.

    Athletes and the Actively Aging Reduce injuries and Stay Fit with Pilates

     

    You’re recovering from an injury and it’s taken much longer than you expected but now it’s time to get going again.  You really want to get active but you don’t want to go through the pain again.  A friend is running a marathon, your neighbour is going to spin class.  Every fitness magazine is preaching a new workout trend.  You’re unsure of where to go next and are worried you might aggravate the injury you’ve been working through. You know you need to keep moving ahead on your health and wellness journey, but where to next?

    If this sounds like what you are going through, then I would recommend trying Pilates to help reduce injuries and stay fit.  Pilates is a type of movement system used by elite athletes, that is also amazing to help recovery from injury. You may have seen the recent article on Canuks player, Brandon Sutter,  turning to Pilates to reduce his injuries.

    The great thing about Pilates is that it knows no age barrier.  it is helpful for the young as well as the actively aging.  It works because it’s not just another type of workout but rather helps you to restore the fundamental way of “how” your body is supposed to move.

    Reduce Injuries and Stay Fit with Pilates

    Pilates was developed by German born Joseph Pilates in the early 1900’s.  His focus was rehabilitation. Throughout the years it has evolved.  Input by  Kinesiologists, Physiotherapists and many other movement-based sciences have helped it to further develop as a system that is safe for all bodies and levels of practitioners to help you reduce injuries and stay fit.

    Pilates is designed to help you move better, period! It focuses on changing how you move.  learning how to move your body well translates into all areas of your life.  From how to stand with easy upright posture to bettering your golf game.  The effects of Pilates reach far outside the work you do in the studio. Not only will it help the continued healing of your injury, but it will also help to strengthen and balance all the other joints in your body, reducing wear and tear injuries in the future.

    The hour you spend in the Pilates studio will spill over into the other 23 hours of your day; the principals you will learn and hone-in-on will stay with you for a lifetime of good movement.

    How do you get started?

    First you need to find the right Pilates teacher.  A good Pilates teacher has a thorough biomechanical understanding of the body, or in other words “how things move”.  They can teach you how to do it as best as you can for your body’s current state.  This is particularly important if you are recovering from an injury.

    Pilates can be done on a mat, on equipment, and with props that modify exercises to your needs. It can be done at home or in a studio.  Sessions are designed to target the whole body with special focus on core strength, breathing mechanics, posture, and balance all with a mindful approach fostering mind body connection.

    You may notice many of the exercises are similar to what you have done with your Physiotherapist or Kinesiologist and help you to continue the good work you started with them.  At the Orthopaedic Therapy Clinic our clients often progress from their therapeutic exercises into Pilates or other more independent programs with our kinesiologists so that they can continue to get stronger, better, more resilient.

    Private or group sessions?

    To get the most out of your Pilates practice you will want to start with a private session.  This can be done as a one-off to introduce you to group classes or as the first step back into any type of exercise. It’s important to start this way if you have pain.  The personal modifications and movement strategies you learn in your session can make you a smarter mover for life.

    Group classes can be fun, motivating and empowering.  Keep in mind it’s best to talk to your physiotherapist before jumping into anything new; classes are designed for the average body.  Go early to your class to set up and discuss your injury with your teacher so that they can offer you modifications and assistance as needed.

    With Pilates exercising less can often be more!

    We’re always telling you to do your exercises daily and we know you find it hard so if you are looking for another way to help get better recent research presented at the Low Back Pa9j  world congress in Antwerp[i] showed that you can benefit with as little as 2-1 hour sessions per week.  People with persistent low back pain (pain lasting longer than 6 months) improved substantially with Pilates exercise done only twice per week. If you find it hard to do your exercises on a regular basis it can help to commit to booked sessions.  You can try a mix of class and individual depending on what you need or enjoy.  Who knew that exercise that helps you recover from injury can even be fun!

    Aniela has been teaching movement and Pilates for over 10 years.  She specializes in rehabilitation and mindfulness.  She is at The Orthopaedic Therapy Clinic on Tuesdays and Thursdays providing private instruction.  She can also help you to transition into group settings, use of equipment and home programs.  She has experience in scoliosis, post-operative spine surgery and persistent low back pain.  She also has worked extensively with pregnancy and post-partum clients.  She is currently certifying in Pilates Level 3: CCSB Cadillac Chair Springboard and Barrels which requires 275 hours of training. If your goal is to reduce injuries and stay fit, please contact her at 416-925-4687 to make an appointment or at aamio@orthophysio.com if you would like to know more.

    Collins, JS, A study to determine the effectiveness of Pilates exercises on pain and function in people with chronic low back pain http://www.worldcongresslbp.com/site/assets/files/1129/lbp_program_book.pdf

    Meditation improves your pain and your brain – just ask Bianca Andreescu

     

    The Canadian teen Bianca Andreescu, visualized herself playing tennis, using  meditation to  create a positive mindset. After defeating Serena Williams in the US open she said, “I think your Biggest weapon is to be as prepared as you can. I really think that working your mind is important because at this level, everyone knows how to play tennis”.

    Regardless of whether you are an athlete preparing for your sport, a job interview, reducing stress, or helping with pain management, having a positive mindset produces positive effects on our brains.

    My journey with meditation

    I was guided to meditation after the passing of my lovely mother. I was very close to her and was not coping very well with the emotional grief and it was affecting different aspects of my life. I tried the traditional methods: grief counselling or seeing a psychologist although I always left the session feeling worse (raw) after therapy that I did not want to go back. A client suggested Reiki therapy. I was curious as I had heard of it’s many benefits, so I made an appointment with Dr. Adonis Makris, a functional  medicine chiropractor. My session was unlike anything I had ever had before.  I’m not sure exactly how to explain the experience however it helped and I felt better, lighter, I was hooked! It helped me to feel calmer and clearer in my thoughts, enough that I was able to start to incorporate mediation into my daily practice.

    Once I became consistent with my meditation and practiced for longer periods of time, I started to become mindful of my daily thoughts, emotions and how I was responding to the interactions in my life. I became less stressed, calmer and was no longer only reacting with my emotions.  I started to recommend it to my client’s and found that it helped them with their recovery from pain and their daily life stresses.

    Why Meditate?

    Meditation is a skill that can be learned and practiced.  It is one of many tools used to induce calmness, slow brainwave patterns and increase grey matter.  Numerous research papers show that slowing the frequency of brainwaves causes reduction of cortisol. (10)

    Benefits of meditation:

    There are so many benefits that occur with daily practice of meditation.  Here are just a few:

    • reduces age-related brain degeneration and improving cognitive functions (1).
    • improves focus, spatial tasks, new learning (2)
    • improves sleep (3),(11)
    • helps with anxiety/depression (4, 6)
    • promotes awareness of self and surroundings (6)
    • improves cardiovascular health (3,5)
    • promotes emotional health (3,4)

    How Much Do I Need To Meditate?

    From personal experience, it takes time and practice.  As with most new skills, the more you practice meditating or being mindful of your thoughts, the easier and better it becomes.  Your goal should be to work up to a 1/2 hour per day.  When I began to meditate, I started with five minutes and increased the time as I developed the skill. I noticed more changes began to occur when I was meditating for longer periods of time. I was focused on consistency at the beginning to develop a positive daily pattern.

    Why Does Meditation Works?

    Studies show positive effects of meditation on our physical and emotional health. At the root of all our thoughts, emotions and behaviors is the communicating system of our neurons within our brain. Brainwaves are produced by synchronized electrical pulses from masses of neurons communicating with each other.

    Neuroscientist Dr. Joe Dispenza, stated, “we on average have over sixty thousand thoughts per day. If our thoughts are stressful then our body releases stress hormones that change our biological system and the gene expression therefore leading to disease and illness”. (8)

    New research shows that meditation literally rebuilds grey matter with a half hour of daily meditation, practiced for two months. It’s the very first study to document that meditation produces changes in grey matter over time.

    The Center for Mindfulness at the University of Massachusetts conducted an eight week Mindfulness-based stress reduction program in which participants practiced mindfulness for an average of 27 minutes a day.  This study also showed increased grey matter density.  It affected the hippocampus, the area of the brain known for learning, memory, structures associated with self-awareness, compassion, and introspection. It also showed that stress decreases the density in grey matter in the amygdala, the area known to play a significant role in anxiety and stress. (10)

    What Brainwaves Mean to You

    Meditation influences brainwaves. Our brain wave profile and our daily experiences of the world are inseparable. Studies show that when our brainwaves are out of balance, there will be corresponding problems in our emotional or physical health. (3,4).

    Our brainwave balance is key because the brain mediates our perception of the world – every emotion, thought, every sensation you have corresponds to activity in your brain. The brain drives our:

    • ability to pay attention
    • emotional balance
    • central nervous system tone
    • autoimmune functions
    • and so much more!

    The brainwaves are classified from fast to slow (gamma, beta, alpha, theta and delta). Each type of brainwave corresponds with a certain frequency which stimulates different parts of the brain. These brainwaves reflect different functions when they occur in numerous locations in the brain.  The most beneficial health changes are when the brainwaves are consistently in a theta frequency. (9)

    Theta waves occur most often in sleep and are also very active in deep meditation. Theta is our gateway to improving learning, memory, and intuition. During the presence of increased Theta wave activity, our senses are withdrawn from the external world and focused on signals originating from within.

    Having a positive mindset creates greater brain efficacy. (7) If your  brain works better then you will feel better. At the same time, traditional meditation approaches emphasize that there needs to be a clear intention and an elevated emotion to be able to change your energy and to change your life. In short, how you think and how you feel creates your reality.

    Finding your own way to Meditate

    Mediation is a great tool, that can be done anywhere. There are many different forms of meditation (Buddhist meditation, transcending meditation, mindfulness meditation, tapping, singing bowls, etc.).  I recommend you explore different types until you find the one you connect with.

    I found guided meditation helpful for me, being able to focus on the voice with guided instructions. It was very hard for me to sit still with silence or even with music.

    What works is individual. For some people, a walk in the forest or nature (forest bathing) is a great way to relax and enjoy the fresh air while calming the mind and exercising the body. Below are some suggested apps and podcast that might help you get started.

    Meditation App:        

    Insidetimer, Headspace, Calm, Sadhguru, Mooji

    Podcast:

    A New Earth, Dr. Joe Dispenza, Eckhart Tolle, Sadhguru, Mooji, Allan Watts

    Resources at the OTC:

    While I am still learning and perfecting my skill with meditation, Reiki is a great therapy to balance the energy, calm the mind and help you get started. Our chiropractor, Adonis Makris is very gifted and I would highly recommend him as a resource. Yoga is very calming and for those of you who like to move, Aniela Amio is a great instructor, as well as being trained in Reiki.  Call us at 416-925-4687 to make an appointment or email physio@orthophysio.com if you have any questions on how we can help you get started.

    References:

    1. Meditation and music improve memory and cognitive function ( text)
    2. Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings ( text)
    3. Strengthening sleep-autonomic interactions via acoustic enhancement of slow oscillations. (text)
    4.  Alpha power, alpha asymmetry and anterior cingulate cortex (text)
    5. Guided meditation as an adjunct to enhance postoperative recovery after cardiac surgery: study protocol for a prospective randomized controlled feasibility trial (text)
    6. Effects of mindfulness-based cognitive therapy on body awareness in patients with chronic pain and comorbid depression. (text)
    7. Mindfulness practice leads to increases in regional brain grey matter density (text)
    8. Stress Hormone Causes epigenetic changes/national (text)
    9. Positive emotional experience: Induced by vibroacoustic stimulation using a body monochord in patients with psychosomatic disorders associated with an increase in EGG-theta and a decrease in EEG-alpha power (text)
    10. Distinct Trajections of cortisol response to prolonged acute stress are linked to affective responses and hippocampal gray matter volume in healthy females. (text)
    11.  EEG sleep slow-wave activity as a mirror of cortical maturation (text)

    Pilates and Yoga now available at The Orthopaedic Therapy Clinic

    Aniela Amio – Pilates and Yoga Instructor, Reiki practitioner is joining our team at the Orthopaedic Therapy Clinic. Aniela brings extensive experience in injury rehabilitation through Yoga and Pilates. She is a certified instructor Pilates, Yoga and Reiki. Her focus is on spinal health and injury recovery as well as pre and post-natal care. https://orthophysio.com/pilates-and-yoga/

    Aniela will be an integral part of the therapeutic team, along with our registered kinesiologist, John Gray, in helping you to advance your recovery to return to fitness while reducing your risk of injury.

    Aniela’s passion is to empower people of all ages and abilities to improve how they to move and help them to take care for their own bodies.  She is interested in and continues to expand her studies with workshops on the mind body connection, chronic pain, scoliosis, fascia, pre and postnatal health and recovery as well as working with the aging population.  Aniela has had the opportunity to work with professional athletes, dancers, chronic pain suffers and those recovering from spinal injuries and surgeries.

    Aniela will be at our clinic on Tuesday’s starting February 19, 2019. Call us  at 416-925-4687 to book an appointment or chat with your therapist to determine when you are ready to benefit from working with her.

    PIlates and Yoga

    Aniela Amio

    Pilates, Yoga & Movement teacher, Certified Reiki Practitioner level 2

    Aniela completed her yoga certification at The Yoga Sanctuary in 2011, adding courses in meditation, Yin Yoga and Restorative Yoga shortly after.  She then went on to become certified in Mat Pilates with Body Harmonics in 2013, Reformer Pilates with The Mindful Movement Centre and Leslie Parker. She is currently working towards her Comprehensive Pilates Diploma with Body Harmonics (2019) with a special focus on spinal health and injury recovery, as well as pre and post-natal care.

    Aniela  empowers people of all ages and abilities by teaching them how to move and care for their own bodies.  She hopes her students find joy, safety and strength in their sessions which translates into better quality and functional movement in their daily lives.  She is interested in and continues to expand her studies with workshops on the mind body connection, chronic pain, scoliosis, fascia, pre and postnatal health and recovery as well as working with the aging population. Aniela has had the opportunity to work with professional athletes, dancers, chronic pain suffers and those recovering from spinal injuries and surgeries.

    Aniela is excited to collaborate and learn from the team at The Orthopaedic Therapy Clinic to further her education.  She looks forward to being an integral part of your recovery and journey to health and vitality. To arrange an appointment please call 416-925-4687 or email: aamio@orthophysio.com

    Recently she has added the following courses and certifications to her education.

    • Movement and Exercise for Pregnancy
    • Post-Natal Reconditioning and Diastasis Recti Repair
    • Towards a Healthy Pelvic Floor
    • Strength, Balance and Fall Prevention for Seniors
    • Handedness and Scoliosis
    • Kinesiology of Pilates

    She is currently completing her Pilates Level 3: CCSB Cadillac Chair Springboard and Barrels which requires 275 hours of training.

    When Aniela isn’t teaching or taking courses you can find her in the park with her dog, travelling, or in a plant store deciding which plant baby to add to her home.

     

    Therapeutic Exercise1A

    Therapeutic Exercise

     Therapeutic Fitness is a new concept in exercise available at The Orthopaedic Therapy Clinic. It combines personal training with the expertise of highly-trained professionals who are experienced in working with individuals who have more complex fitness requirements i.e. osteoarthritis, low back pain, joint replacement surgery, high blood pressure, etc. Under the experienced care of our registered kinesiologist we tailor an individualized exercise program to help the recovery from orthopaedic and neurological conditions.

    Who will benefit?

    These programs can be used to treat and prevent re-injury as well as improving levels of performance in your sport.  It is ideal for individuals who are recovering from injury, are trying to stay fit while injured or have other conditions which interfere or limit fitness i.e. arthritis.

    Service provided by:

    John Gray RKin               (Bio)

    Aniela Amio, Pilates, Yoga & Movement teacher (Bio)

    Taylor Sipos, RPT             (Bio)

    Tiffany Shi, RPT                (Bio)

    More information:
    https://orthophysio.com/latest-news/physiotherapy/therapeutic-fitness-with-john-gray/

    To Book an appointment call 416 925 4687 or email jgray@orthophysio.com

    Healthy Aging1A

     

    Healthy aging

     

    There is no doubt that physicality changes as we age, however there are some changes we should never accept.  Keeping or restoring these physical abilities will not only help your quality of life, however in addition many of these activities are predictors of longevity and independence. Therapeutic exercises helps to remove barriers to exercise and activity which result from ageing.

    Who will benefit?

    Anyone who is age 50 plus and is active and wants to continue to exercise, be active and prevent injuries.  

    Service provided by:

    John Gray RKin                              (Bio)

    Aniela Amio, Yoga and Pilates      (Bio)

    More information: https://orthophysio.com/?s=healthy+aging

     

    Announcements

    Announcements:

    OTC Social Media Platforms

    We have been working hard to develop content that helps you to manage your injuries and pain by making better choices on exercises, products and even how you manage your therapy type i.e. Telehealth. You can keep in touch with us on the following platforms:

    Fee changes due to COVID

    Please note that effective August 18, 2020 the fees will be increased by $10 per 1/2 hour appointment or $20 per 1 hour appointment. This reflects the increased costs of COVID control. You can read about our process here

    If you have any concerns about the fee change, please contact Maureen Dwight directly at mdwight@orthophysio.com?

    Functional Fascia Therapeutics (FFT)

    In 1996 Zhonghua Fu, PhD, invented a technique which inserts needles under the skin into the fascia.  The technique is different from traditional acupuncture as the needles are inserted horizontally and more superficially.  Only one needle is inserted at a time and the therapist provides the treatment by gently moving (swaying) the needle. The technique is relatively pain free.

    The technique is used to reduce tightness in the myofascial system.  Its effect can be an immediate increase in mobility.

    The theory behind the response is that the collagen tissues are most abundant in the subcutaneous layer of the body.  As the technique targets this layer of tissue it stimulates more change in connective tissues.

    At the Orthopaedic Therapy Clinic we find that this technique is most effective when paired with soft tissue treatments that assist your full myofascial system to lengthen i.e. massage, soft tissue manipulation.  This technique, coupled with therapeutic exercises and posture change awareness creates a comprehensive catalyst for recovery from persistent musculoskeletal restriction.

    Igal Untershats therapist at Orthopaedic Therapy Clinic in TorontoIgal Untershats is trained in Functional Fascia Therapeutics. To arrange an appointment please call 416 925 4687 or email: igalu@orthophysio.com

     

     

    Welcome to our new Registered Physiotherapists!

    Please join us in welcoming Taylor Sipos,  Tiffany Shi to the team at The Orthopaedic Therapy Clinic. 

    Taylor Sipos Registered Physiotherapist MPT, BKin

    Taylor completed his Master of Physical Therapy degree from Western University after earning his Bachelor’s degree in Kinesiology from McMaster University. His passion for physical therapy developed as he grew up participating in competitive sports.

    Since graduation, Taylor has taken numerous courses to improve his skills and advance his professional development. These courses include the Mulligan Concept Lower Quadrant course, Soft Tissue Release and Acupuncture. He plans to complete his manual therapy levels through the Orthopaedic division of the Canadian Physiotherapy Association.

    Taylor delivers treatment with a great deal of empathy and compassion for his clients. He strives to provide evidence-based therapy with a strong focus on exercise and education. He believes in motivating his clients in taking an active approach in their rehabilitation to meet their individual goals.

    In his spare time, Taylor participates in mid and long-distance running and as such, he has a keen interest in the rehabilitation of running-related injuries. In addition to running, he also enjoys weightlifting, playing hockey and cycling.

    For an appointment please call The Orthopaedic Therapy Clinic at 416 925 4687 or contact Taylor at tsipos@orthophysio.com

     

     

     

     

    Tiffany Shi Registered Physiotherapist, MSc.PT, BSc

    Tiffany graduated from the University of Toronto with a Master of Science in Physical Therapy in 2019. Prior to pursuing a career in Physiotherapy, Tiffany obtained a Bachelor of Science degree in Honors Biochemistry from McMaster University in 2017.

    Tiffany is passionate about helping people recover from their conditions and return to the activities they love. She loos to obtain a thorough history and a holistic physical examination of patients to identify the root cause of the condition. Tiffany’s treatment approach includes manual therapy and evidence-based exercise prescription tailored to the different goals of each client.

    Tiffany is a strong believer in life-long learning. She is interested in continuing education in areas of manual therapy, acupuncture/dry needling, concussion rehabilitation, and pelvic health. She has recently received her certification in level 1 orthopaedic manual and manipulative physiotherapy.

    In her spare time, Tiffany is busy practicing in sabre fencing and refereeing at competitions. She also enjoys photography, sewing, life drawing, and reading. Tiffany is bilingual, she is happy to provide service in Mandarin if needed.

    For an appointment please call The Orthopaedic Therapy Clinic at 416 925 4687 or contact Tiffany at tshi@orthophysio.com

    Announcing:  Aniela Amio – Pilates and Yoga Instructor, Reiki practitioner

    We are excited to announce Aniela Amio is joining our team at the Orthopaedic Therapy Clinic. Aniela brings extensive experience in injury rehabilitation through Yoga and Pilates. She is certified in Pilates, Yoga and Reiki. Her focus is on spinal health and injury recovery as well as pre and post-natal care. Aniela will be an integral part of the team, along with our registered kinesiologist, John Gray, in helping you to advance your recovery to return to fitness while reducing your risk of injury.

    Aniela’s passion is to empower people of all ages and abilities to improve how they to move and help them to take care for their own bodies.  She is interested in and continues to expand her studies with workshops on the mind body connection, chronic pain, scoliosis, fascia, pre and postnatal health and recovery as well as working with the aging population.  Aniela has had the opportunity to work with professional athletes, dancers, chronic pain suffers and those recovering from spinal injuries and surgeries.

    Call us  at 416 925 4687 to book an appointment or chat with your therapist to determine when you are ready to benefit from working with her.

    Scoliosis Presentation

    Maureen Dwight presented a paper on scoliosis at the National Orthopaedic Division Conference held  in London Ontario.  This will represent her third presentation to treatment professionals on managing and treating scoliosis.  These engagements have been based on the paper she  co-authored on scoliosis treatment.  Although primarily written for treating professionals, it is available on our website at https://orthophysio.com/?s=scoliosis. These efforts are helping to raise the awareness of treatment professionals on evidence-based treatments for scoliosis.  Maureen also attended the International scoliosis conference (SOSORT http://sosort2018.com/ ) in Dubrovnik Croatia.