Joanna Miller Registered Physiotherapist, BA, MPT 

My journey with energy work started before I became a physiotherapist and is what led me to pursue this career. In my early 20s, I had chronic, severe hip pain and wasn’t getting relief from the various passive and active therapies I had tried. I was referred to a physiotherapist and was confused when she started using a very light hands-on technique on my lower abdominal and hip region. Before I had a chance to think of a good way to politely leave the session, because I knew this method wouldn’t work for me, I started to feel a sensation of something shooting down my leg. It was the first time I felt something finally getting into my hip pain. I was convinced this technique was magic and was surprised when I found out that anyone could learn how to do this. From there, I started the process of applying to school to become a physiotherapist, so I could share this work and help people.

What is energy work?

Energy work is a branch of manual therapy that is part of a holistic approach to rehabilitation. There are many different types of energy work that can be used to treat acute and chronic pain and health conditions. At The Orthopaedic Therapy Clinic we use 3 types of energy work- Evolutionary Process, Reiki, and Craniosacral therapy. This article will focus on Evolutionary Process and will attempt to demystify this type of therapy.

What can I expect from an Evolutionary Process Treatment?

Your Evolutionary Process physiotherapy session will begin with a traditional physiotherapy biomechanical assessment. Once your condition has been determined and explained, you will lie down and begin the energy work session. This technique is provided over clothes and usually takes you into a state of deep relaxation. The initial appointment is 90 minutes, which includes assessment and treatment. Evolutionary Process is an indirect, hands on technique where varying degrees of pressure are used to match the body’s resistance. This means that sometimes the pressure is very light and sometimes moderate to deep pressure is used.

Two fulcrums on the body are selected that relate to lines of tension in the tissues and your physical restrictions. The fulcrums are guided and stretched allowing deep layers of tightness to elongate and release. As the tension in the body releases, habitual postures and patterns ease, which leads to decreased pain and improved mobility.

Who benefits from Energy work?

During my 10 years of practice, I have studied various energy medicine techniques, and am currently treating patients using a technique called Evolutionary Process and have found it very useful in the treatment of:

· rotator cuff tears

· frozen shoulder

· disc bulges 

· decreased mobility following total knee and hip replacements

· headaches

· chronic pain.

Joanna Miller is a registered physiotherapist practising in downtown Toronto at the Orthopaedic Therapy Clinic. She practices energy work, Yoga therapy and traditional physiotherapy. For more information on Evolutionary Process and her practice contact Joanna at; for information on Craniosacral therapy contact Juliette at, and for information on Reiki contact Dr. Adonis Makris at You can also contact us at 416-925-4687 to book an appointment.

The advice in this article is not meant to replace advice from your health care professional.

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    By: Joanna Miller

    Joanna Miller is a Registered Physiotherapist working in downtown Toronto. She provides a holistic approach including Evolutionary Process energy work, Therapeutic Yoga and direct treatment for injuries at The Orthopaedic Therapy Clinic.

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