519-732-9954
254 North Park Street
Brantford, Ontario
(289) 639-1161
25 Main Street West #900
Hamilton, Ontario
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Frequently Asked Questions

Why are people referred to Centreline Physio, Sports & Wellness Inc.?

Health care professionals are professionals who understand movement and function. The healthcare team at Centreline Physio, Sports & Wellness Inc. in Brantford and Hamilton is skilled at assessing and managing a range of conditions including:

  • Physical conditions such as back pain, arthritis and repetitive strain injury
  • Sports injuries
  • Paediatric conditions such as developmental delay, fractures and cardio respiratory conditions
  • Post surgery recovery
  • Physical complications of cancer and its treatment
  • Mobility problems related to neurological disorders such as stroke, spinal cord injury or Parkinson’s disease
  • Pre- and post-natal problems and other women’s health conditions
  • Neck and back pain and other joint injuries
  • Respiratory and cardiac conditions
  • Dizziness and vestibular dysfunction

(Ref: CPA, 2007).

Health care professionals are highly skilled in treating movement and neuro-musculoskeletal disorders. Pain often accompanies a movement disorder, and health care professionals can help correct the disorder and relieve the pain. Centreline Physio, Sports & Wellness Inc. can also help you to prevent most of the above conditions by offering advice on posture, exercise and workplace and lifestyle habits.

What areas of physiotherapy are offered at Centreline Physio, Sports & Wellness Inc.?

The baseline education of all health care professionals at Centreline Physio, Sports & Wellness Inc. includes post-secondary training in a broad range of disciplines which enables them to assess and treat a variety of injuries and problems. While there are no formal physiotherapy “specialists” many  health care professionals go on to focus their practice in one particular area by undertaking extra training, and by developing knowledge and skills through treatment of a  large volume of patients within an area of interest.

Some of the common practice areas are listed below. Ask your Centreline Physio, Sports & Wellness Inc. physiotherapist if you are interested to know about any advanced training or skills they have acquired.

  • Orthopaedics - Probably the most common rehabilitative physiotherapy practice area is orthopaedics. Our practitioners are skilled in post-surgical care, fracture rehabilitation, muscle sprain and strain injuries, neck and back pain, hip and knee problems, shoulder, elbow, and wrist conditions, as well as arthritis, tendinitis injuries, and a wide variety of other orthopaedic problems. Some therapists even go on to further focus within orthopaedics to one particular body part or injury, for example, neck pain resulting from whiplash.
  • Manual Therapy - Manual therapy is a broad term that describes a variety of hands-on treatment techniques. Mobilizations, manipulations, Mulligan techniques, Maitland and Kaltenborn techniques, neural mobilizations, joint mobilizations, craniosacral therapy, strain/counter strain, massage therapy and myofascial release are examples of some commonly used manual therapy techniques. Centreline commonly integrates manual therapy as a part of their treatment plans.
  • Geriatric Physiotherapy- Some therapists focus particularly on rehabilitation for seniors. As the body ages, a variety of age-specific challenges arise. The body stiffens, loses strength, balance declines, bones may become brittle (osteopenia) and easily break (osteoporosis), endurance decreases, and it takes longer to recover from injuries. Balance and fall prevention are of paramount importance to the therapist who is working with seniors and for this reason, Centreline is dedicated to caring for those with balance problems.
  • Sports Rehabilitation – Sports rehabilitation is focussed on assisting with recovery after injury or surgery related to a sporting activity. We have extra training and knowledge of the unique injuries that sporting activity can create, whether at a recreational or Olympic level. Each sport tends to generate a common set of injuries and sports.  We are knowledgeable in dealing with these specific injuries as well as the many other non-specific injuries that occur due to sport participation. Sport-specific programs, such as throwing, running or swimming tend to be incorporated into the rehabilitation used by our therapists with the goal of getting the patient back to the specified sport as soon as safely possible. We will also use multiple techniques as part of our rehabilitation programs.
  • Fitness and Wellness – Centreline Physio, Sports & Wellness Inc. therapists have been trained with a baseline knowledge in fitness and wellness. Our healthcare providers, however, have experience creating or teaching individual or group programs for fitness or to prevent or deal with a wide variety of other health related areas.  Issues such as osteoporosis, diabetes, weight loss, cardiac problems, and fall prevention are examples of these focus areas.
  • Hand Therapy – Centreline Physio, Sports & Wellness Inc. healthcare providers have baseline training and knowledge in the rehabilitation of the hand after injury. The hand, however, due to its complex anatomy, functional ability and importance for normal daily function, has become an entire practice area on its own. Centreline's hand therapist works very closely with plastic surgeons that specialize in hand operations, and also works very closely with other therapists to ensure that the function of the hand post surgery or injury is maximized.
  • Women's Health – Some health care professionals focus their practice in women's issues such as pregnancy problems, pelvic pain, and incontinence. When compared to men, women have both a unique body structure as well as specific gender-related health issues that can arise. Some physiotherapists who work primarily in women’s health have advanced knowledge and training regarding these problems and issues.
  • Industrial Rehabilitation – The Centreline healthcare team deals specifically with patients that have suffered on-the-job injuries. They have experience in such things as evaluating work tasks and ergonomics, fabricating assistive devices, and helping to redesign work flow/tasks to decrease the incidence of injury. We will evaluate the ability to perform specific job tasks by performing a Functional Capacity Evaluation (FCE) and will then use this information to modify job tasks in order to maximize rehabilitation.
  • Paediatrics – Paediatric clinicians focus their practice in the rehabilitation of children. In comparison to adults, children present with unique issues in regards to their bodies, and health. These specific paediatric issues need to be taken into account when treating and caring for this population; therefore the training and knowledge of a paediatric clinician is crucial.  We work with children who suffer from a wide variety of problems such as cerebral palsy, developmental disorders, neurological disorders, and/or orthopaedic issues. For specific conditions, please inquire with our clinicians.
  • Aquatic Physiotherapy – Aquatic therapists take advantage of the physical properties of water to assist with the rehabilitative process. Buoyancy, turbulence, hydrostatic pressure, and the thermal properties of water can assist in the rehabilitation of a patient. Those suffering from chronic pain, osteoarthritis, fibromyalgia, rheumatoid arthritis, lumbar fusion surgery, or with a limited weight-bearing status are just a few of the many different patient populations that can benefit from aquatic therapy.
  • Neurological Rehabilitation – A large portion of health care professionals work with patients who suffer from neurological conditions such as brain injury, spinal cord injuries, strokes, and other neurological diseases. The rehabilitation for these patients is highly specialized and includes functional training or retraining of their limbs in order to accomplish tasks such as moving around in bed (bed mobility,) getting in and out of a bed or chairs (transfer training), walking, and wheelchair use if needed.
  • Dizziness and Vertigo Rehabilitation – Centreline includes the rehabilitation of patients who suffer from dizziness or BPPV (benign paroxysmal positional vertigo). Our therapists are skilled in managing these unique issues and the associated problems that arise.  Special techniques that affect sensory and balance centres of the brain and limbs are used in this rehabilitation.
  • Amputee Rehabilitation – Some health care professionals focus their practice in the rehabilitation of amputees. Their special knowledge and expertise includes caring for the injured limb, training for the use of assistive devices (crutches, canes, prosthetic limbs, etc.), as well as functional activity and walking training. Additional outpatient care options can be discussed with our team.
  • Wound Care – Some health care professionals have further training in the treatment and care of wounds. This is another very focussed practice area and requires advanced knowledge in the removal of unviable tissue (debridement), the application of special dressings and prescription drugs/ointments. Centreline uses ultrasound, electrical stimulation, acupuncture, manual therapy and aquatic modalities to promote woundcare healing.
  • Lymphedema Rehabilitation – Our therapists have experience in the treatment of the lymphatic system.  This system is a special component of the circulatory system that helps filter and drain fluid from our arms and legs. When this drainage system is damaged, painful and detrimental swelling can result which is called lymphedema. Common causes of lymphedema are cancer treatments, specific diseases, surgery or immobility. Special positioning, massage and bandaging techniques are utilized by our therapists to both avoid the onset of lymphedema in high risk situations as well as treat it if it occurs.
  • Osteoporosis Rehabilitation and Prevention – Our clinic can evaluate and treat patients with osteoporosis (low bone mass leading to bone fragility and increased fractures.) We work closely with medical doctors to educate their patients about this disease, and design very specific weight-bearing and resistance training programs to combat it.

Is physiotherapy painful?

Usually one of the primary objectives of physiotherapy treatment is pain relief and most patients feel better after treatment. However, in some cases, physiotherapy techniques can cause pain. For example, it may be painful recovering knee range of motion after total knee replacement or shoulder range of motion after shoulder surgery.
Other techniques such as deep massage can sometimes feel painful and even repetitive prescribed exercises may cause some pain to a recovering body part.  Some patients feel sore immediately after a treatment but then feel great relief by that evening or next day. NO PAIN CAUSED EITHER DURING TREATMENT OR THAT YOU FEEL AFTER TREATMENT SHOULD BE UNBEARABLE OR EXCEED YOUR COMFORT LIMITS.

Since each patient has a different pain tolerance, if you do experience pain it is of utmost importance that you communicate the intensity, frequency, and duration of pain frequently to your Centreline Physio, Sports & Wellness Inc. physiotherapist both during your treatment and on subsequent visits. Without this information, it is difficult for the physiotherapist to adjust the treatment techniques and treatment plan to provide the individual care that each patient requires.

Will I get a massage at physiotherapy?

Massage may be part of your treatment; however, health care professionals are trained in a wide variety of techniques that assist recovery (including massage) so generally several different techniques are used even in one treatment session. Massage, if used, is typically done for three reasons 1) to facilitate venous return from a swollen area, 2) to relax a tight muscle, or 3) to relieve pain.

What happens if my problem or pain returns?

‘Flare ups’ (exacerbations) of managed pain or a recurrence of a problem can occur for a variety of reasons. If this happens you should either call or return to see your physiotherapist at Centreline Physio, Sports & Wellness Inc..  You may need to return to physiotherapy for further assessment or treatment, may need to see your doctor, or may simply need to modify your daily activities or exercise routine until the flare up subsides or the problem resolves.

Can I go to any physiotherapy clinic?

In most cases, you have the right to choose any physiotherapy clinic. The best thing to do is give us a call and we can answer any questions you might have.

What will I have to do after Physiotherapy?

Our physiotherapists will be very specific regarding what you need to do independently once you have stopped your physiotherapy sessions.  Some patients will need to continue with home exercises to manage their injury or avoid a recurrence. Some may be asked to return for a follow-up several months later. Others will complete their rehabilitation and return to normal daily activities without an ongoing home-program or need for further follow-up. It is important that you ask your physiotherapist specifically about what you should do once you are no longer attending regular physiotherapy treatments, and that you clearly communicate your goals to your therapist, so he/she can develop a custom home program tailored just for you.

What are the hours of operation?

We are open daily Monday through Saturdays, including evenings. Please contact the clinic for our current hours.