Resident physiotherapist and owner, Anil Bhambhani, has over 20 years experience in the field of rehabilitation medicine. Orthopaedic injuries, osteopathic conditions, and post surgical rehabilitation are the majority of our cases. Having treated WCB, MVA and sports injuries at all stages of recovery and healing, his expertise is extensive and well rounded. He is able to combine an evidence based approach to modern physical medicine with the powerful effects of Acupuncture and trigger point dry-needling. A whole body approach, or big picture view of an individuals condition can often lead to unforeseen health benefits in addition to the alleviation of pain and dysfunction. The fascial network or connective tissue system of the body is one of the newest fields of research in physical medicine. This web of interwoven structural tissue strands can be worked and released manually, with needles or other modalities to reverse many chronic conditions. This type of approach goes beyond conventional therapies and can be effective where other treatments have failed.
Types of Treatment Offered:
Orthopaedic Physiotherapy Assessment
this involves taking a thorough Medical History of a client’s recent injury or reason for attending. It often also involves learning about a client’s past medical history, previous treatment interventions and medications. A physiotherapist would also want to know specifically about the chief complaint. The quality and varying intensity through the day, what aggravates and what helps.
Physical Assessment: this involves looking at how a person moves, measuring their range of motion, strength and stability. This provides a baseline against which improvements can be compared. Special Tests investigating specific anatomical structures are often included to establish a physiotherapy diagnosis.
Goals for treatment will be established and means to achieving those ends will be put into effect.
Exercise in its many forms is the main prescription a physiotherapist provides. We as physiotherapists are experts in determining what activities are safe and how to progress them to maximize rehabilitation and avoid re-injury.
This is what should be expected of any visit to a physiotherapist and at minimum what a client would receive on their first visit or initial consultation.
At the Physi-Yogis we typically provide much more on any given visit.
Treatment can also include:
Manual therapy joint and soft tissue mobilization/ manipulation as well as muscle and fascia release techniques. These are high level skills used by experienced therapists to assist the client where exercise has fallen short. This is used to regain joint range of motion, decrease pain and restore function.
Acupuncture and Dry Needling: certain modalities in Traditional Chinese Medicine seam beautifully with physiotherapy. In particular is the use of acupuncture. The insertion of sterile needles and no medication (dry) to release tension in muscles, calm nerves, and optimize blood flow. A combination of TCM wisdom and a neuroanatomical understanding of the body informs point selection. Trigger point/ dry needling/ IMS (intermuscular stimulation) are techniques derived from acupuncture that are also employed. Needle stimulation can vary from gentle insertion and retention to, when needed, more intense muscle and fascia release involving frequent grab and release stimulation.
Calm and serene relaxation or "break it down" demolition work, we can do what is needed at the time. This can be followed with manual therapy to better restore movement and function.
Therapeutic Cupping: this involves applying a sterile plastic cup to the skin and suctioning air out to lift the tissue underneath. Cupping can be used instead of acupuncture for those clients that do not like needles. It can also be used in conjunction or when dealing with larger areas of pain.
Hot/Cold therapy: to relax muscles and/or reduce inflammation.
Electro-therapy (TENS, EMS, IFC): to reduce pain, improve blood flow/reduce swelling and thereby restore joint range of motion.
Ultrasound: ultrasonic vibration of tissue to reduce pain, improve blood flow/reduce swelling and thereby restore joint range of motion and stimulate healing.