By: Pickering Sports Medicine & Wellness Centre  09-12-2011
Keywords: Massage Therapy, exercise, Physiotherapy

Rehabilitation assessment and treatment services are offered:

  • in the clinic
  • in the pool: hydrotherapy treatment supervised by a Registered Physiotherapist and a Kinesiologist
  • in gyms – beginner or performance - progressive resisted exercise supervised by the Registered Physiotherapist and the Kinesologist

To teams: individual team members or as a whole teams by prior arrangement

Physiotherapy uses series of exercises, techniques, and machines to help minimize or eliminate pain. Physiotherapy helps you to feel better, but also maximizes recovery and helps return you back to a healthy lifestyle. Physiotherapy helps prevent problems from recurring and is an important part of recovery process after surgical procedures.

Each patient undergoes an initial physical assessment to determine soft tissue injuries, orthopaedic injuries, neurological status and functional limitations by a qualified registered physiotherapist. This may take place in the outpatient clinic or in the home. These treatment plans are patient specific and are determined from the assessment and include long and short term goals. Continuous reassessment and ongoing physiotherapy treatment help to reduce pain and inflammation. Treatments are safe and effective. We use outcome measures and evidence based practice to continually improve our quality of care. To ensure the best for our patients, we educate you about your injury and we make sure you understand your specific treatment plan.

Early mobilization of joints, postural correction, injury specific exercises and use of hydrotherapy (pool) therapy are all instrumental in progressing clients to return to full activity. An individual exercise program is formulated and progressed to encourage client improvement. When able, the client is progressed to resisted activity in the beginners’ gym and/or performance gym depending on the client’s ability and the level of activity required by the client’s work/school/sport.

Hydrotherapy is used for clients unable to tolerate gravity-resisted exercise, for clients unable to weight bear, for seniors who need easier resisted exercise and for children who are injured and need a more stimulating environment to exercise in.

Physiotherapy is beneficial for people who are suffering from sports injuries, soft tissue injuries resulting in pain, stiffness and weakness. Post-surgical cases following knee, shoulder, hip or any other orthopaedic surgeries are rehabilitated back to normal activities of daily living with the assistance of our registered physiotherapists. Clients who have been involved in Motor vehicle accidents or have back and neck pain, headaches, repetitive strain injuries, arthritis or fibromyalgia will find beneficial results from physiotherapy treatment.

Massage Therapy is the assessment and treatment of the soft tissues and joints of the body by hands-on manipulation. Its purpose is to develop, maintain, rehabilitate or augment physical function and relieve pain. Massage therapy is the oldest form of treatment and one that is used in every culture. Today massage therapy is the fastest growing complimentary therapy. As consumers become more aware of their health and well being, their focus has begun to shift to include health prevention and maintenance. Along with primary care and rehabilitation, massage therapy now plays an integral part of this combined approach.

Massage therapy provides an alternative health option to help with the soft tissue discomfort associated with every day and occupational stresses, muscular overuse and many chronic pain syndromes. It can also reduce the development of painful muscular patterning such as: constant low back pain or headaches associated with an accident, or another type of trauma or associated with poor positioning during the workday.

Massage therapy is offered at the clinic and in the home. The Massage Therapists are registered with the Ontario College of Massage Therapists and are licensed under the Regulated Health Professionals Act. They provide rehabilitation massages for those patients suffering from whiplash (motor vehicle accidents), headaches, tension and migraines, back and neck pain, chronic stress disorders, sports injuries, fibromyalgia, arthritis and discomfort due to pregnancy. Massage produces decreased body tension and emotional stress, improved range of motion, decreased swelling and inflammation and decreased pain, stiffness, and muscular spasm.


Pain and Injury:
  • Promotes faster healing of strained muscles and sprained joints
  • Reduces pain and swelling
  • Reduces formation of excessive scar tissue
  • Rehabilitation after car accident or post-operation


  • Enhances athletic performance
  • Treats injuries caused during sport or work
  • Reduces muscle spasms and treats musculoskeletal problems
  • Provides greater joint flexibility and range of motion


  • Improves circulation of blood and lymph fluids
  • Promotes deeper and easier breathing
  • Reduces blood pressure


  • Helps reduce stress and promote relaxation
  • Helps relieve tension-related headaches and effects of eye-strain
  • Reduces blood pressure
  • Helps relieve mental and physical stress
  • Improves ability to monitor stress signals and respond appropriately

Mental Health and Emotional Benefits:

  • Encourages peace of mind and a relaxed state of mental alertness
  • Enhances capacity for calm thinking and creativity
  • Fosters a feeling of well-being by reducing anxiety levels
  • Creates body awareness and reinforces mind-body connection

Additional Benefits:

  • Alleviates discomfort during pregnancy
  • Enhances the health and nourishment of skin
  • Improves posture and strengthens the immune system
  • Satisfies need for caring, nurturing touch

Acupuncture is a therapeutic method used to encourage natural healing, reduce or relieve pain and improve function of affected areas of the body. Acupuncture is safe and effective and is often successfully used as an alternative to medications or even surgery. Relief is often obtained when traditional medical therapy has failed.

Acupuncture treatment is given by a Registered Physiotherapist who is qualified and has successfully completed the accredited course. Acupuncture is used for the treatment of soft tissue injuries, joint pain, chronic pain, relief of muscle spasm. Acupuncture assessment and treatment is carried on in the clinic, on an outpatient basis. Acupuncture combines traditional clinical information with bio medical sciences. Contemporary Medical Acupuncture is a precise peripheral nerve stimulation technique, in which fine solid needles are inserted into neuro-reactive anatomical loci and are stimulated manually. Many patients already use acupuncture and many more could potentially benefit from the use of this safe and versatile therapeutic discipline. Acupuncture focuses on holistic, energy-based approach to the patient rather than a disease-oriented diagnostic treatment mode. Acupuncture is thought to have a general homeostatic effect, facilitating the body’s natural healing mechanisms, thus returning the body to its normal functional state.

Patients who are unable to tolerate ‘land exercise’ are introduced to pool therapy. In this milieu the client can experience success in exercise tolerance and pain relief from the soothing effects of the water. The client is able to exercise using the assistance of buoyancy and the resistance of the water. Hydrotherapy is beneficial to clients post surgery or post accident when weight bearing is not allowed as yet. Water therapy benefits seniors who find it very stimulating and yet relaxing or clients who are too weak to be able to exercise against gravity. A Kinesiologist accompanies the client in the pool and will modify the exercises as applicable with the supervision and assistance of the Physiotherapist. A hot tub is available for hot water exercise if needed.

Clients who are advancing in their program and are able to tolerate more resisted exercise and are ready to use aerobic conditioning equipment such as treadmill, cross-trainer, elliptical, stepper and rowing machines are taken into the gym program. Here, in both gyms, there is a choice of 15-20 resisted exercise machines as well as the above mentioned conditioning equipment. Both a physiotherapist and kinesiologists will supervise the gym and the conditioning area. Pickering Sports Medicine and Wellness Centre has an agreement with the Pickering Recreation Complex to be able to contract their facilities for use for patients. A record of the clients’ progress is kept and documented on their charts as well as in progress reports.

The structure of your foot supports your entire body. Any misalignment of muscles and structures of the foot can cause problems. Footmaxx orthotics are used in the treatment and prevention of many foot and related problems that can affect the ankle, knee, hip and lower back. Footmaxx orthotics are used in treating foot conditions such as Plantar Fasciitis, Bunions, medical conditions such as arthritis and diabetes or for correcting poor biomechanics and gait alignment. Footmaxx offers a line of Sportmaxx Orthotics specifically designed for professional athletes. Each design is uniquely crafted to meet the different requirements of the individual sport. Sportmaxx orthotics are used by the majority of teams in Major League Baseball, the National Football League, the National Basketball League and the National Hockey League and as well are endorsed by the Professional Baseball Athletic Trainers Society (PBATS).

Traditional orthotics are generated from static molds of a person's feet, usually from plaster casts or Styrofoam molds. The mold cannot take into account gait, foot motion or foot pressure. Footmaxx's technology focuses on a dynamic approach through a computerized analysis that greatly increases the accuracy and effect of the orthotics. The procedure is simple, clean and can be done in under 5 minutes. A person walks across a forceplate. Each foot is scanned by 960 electronic measurement points capturing the foot in motion 30 times per second. Data from the scan is sent via modem to the Footmaxx diagnostic and manufacturing laboratory where it is analyzed by the proprietary software, Metascan. Metascan then determines how best to construct custom orthotics to meet the patient's needs.

Pickering Sports Medicine and Wellness Center offers a variety of bracing for your needs. Before any brace is prescribed to you, a formal assessment is done and properly measured to best fit you. We offer braces such as:

  • braces for tennis and golfers elbow
  • for painful knees
  • carpal tunnel
  • ankle supports
  • shoulder support

An Orthopeadic consultation is available during clinic hours once or twice a month. A Sports Medicine Doctor is available for consultation once weekly. All medical consultations require a referral from your family physician and need to be booked for an appointment. Your consultations are covered by OHIP.

Active clinics focus on empowering individuals to take responsibility for their own recovery and to safely return them to their pre-accident functional status as soon as possible.

Active clinics support the provision of treatment in the form of complete programs to allow for the flexibility that is necessary in meeting all of the needs of each patient.

Active programs are somewhat flexible in order to allow for the provision of patient-specific treatment programs. Active programs take into account that patients do not progress in stages but in a continuum, and not all patients progress at the same rate.

Active programs are NOT time-limited programs which, by nature, tend to set individuals individuals up for failure if, and when, they (the patients) do not happen to be “average”.

Key Components: Pain Management, Movement, Education, and Exercise. Most also contain ongoing functional testing.

Functional information through the assessment process is obtained in order to plan and provide a suitable treatment, with the goal of returning individuals to their re-accident function.

The Kinesiologist at Pickering Sports Medicine & Wellness Centre is very active in the patient’s progression of exercise therapy. The Kinesiologist and the Physiotherapist decide, from initial assessment information, the best exercise program for the patient. They reassess on a continuous basis and progress the exercise program accordingly. The Kinesiologist accompanies the client into the gym and into the pool to better supervise the exercise program. In this way, clients perform their exercises with the best positioning and are given one on one supervision. Higher quality outcomes are achieved with this direct approach.

Keywords: exercise, Massage Therapy, Physiotherapy, Soft Tissue Injuries

Contact Pickering Sports Medicine & Wellness Centre


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