Services
Every first visit is a full appointment: a proper history, a physical examination and a written plan you leave with. Exercise is the backbone of almost every plan; the treatments below support it where they help. Looking for help with a particular condition? See my programs of care.
01
Most of what I treat responds to graded loading rather than rest: tendon problems, most back pain, and nearly all post-operative rehabilitation.
You leave every session with a written programme, and we progress it at each visit as your capacity improves. Where it helps, sessions happen on the gym floor rather than on a treatment table.
How it works and what to expect
Read more: Achilles tendinopathyTennis elbow (lateral epicondylalgia)
02
Post-graduate certificate, McMaster Contemporary Medical Acupuncture Program
I completed the post-graduate certificate in McMaster University’s Contemporary Medical Acupuncture Program, which teaches a neurofunctional, evidence-informed approach: fine needles placed according to anatomy and nerve pathways rather than traditional meridians.
With electroacupuncture, small electrodes are clipped to the needles and a gentle, adjustable current is passed between them to help modulate pain, and it may help muscles that are inhibited after injury or surgery activate more easily.
It is used alongside exercise, not instead of it, to make movement more comfortable while the loading programme does the long-term work.
How it works and what to expect
Read more: Tennis elbow (lateral epicondylalgia)
03
Needling aimed directly at tight, tender and overactive areas of muscle. It may reduce pain and muscle tension in the short term, which can make the exercise that follows easier.
I am authorised by the College of Physiotherapists of Ontario to perform acupuncture, including dry needling.
04
Graded joint mobilisation and, where appropriate, spinal manipulation to ease pain and restore movement in the short term, so that the exercise programme is easier to do.
I am on the College of Physiotherapists of Ontario roster authorised to perform spinal manipulation.
05
Sustained pressure on trigger points (the tight, tender knots that refer pain) together with soft tissue techniques, myofascial release and neural mobilisation.
Like all hands-on work, it is there to make movement easier, and it is always paired with what you do between sessions.
06
Instrument-assisted soft tissue mobilisation (IASTM) uses a smooth, contoured tool glided over the skin to change how stiff or sensitive an area feels, for example around tendons and scar tissue.
It is followed by exercise to use the extra range of movement.
How it works and what to expect
Read more: Achilles tendinopathyTennis elbow (lateral epicondylalgia)
07
Silicone cups create gentle suction that lifts the skin and underlying tissue. In static cupping the cups stay in place; in dynamic cupping they are glided over the area, or left on while you move through a range of motion.
It is used to ease muscle tension and help movement feel freer, as one part of a wider exercise-based plan.
08
Extracorporeal shockwave therapy delivers acoustic pulses through the skin to a painful tendon or insertion point. A session takes a few minutes.
I use it for persistent tendon and plantar heel problems (such as the Achilles, the plantar heel or the outer elbow) that have not settled with a well-run loading programme alone.
How it works and what to expect
Read more: Achilles tendinopathyTennis elbow (lateral epicondylalgia)
09
The Functional Movement Screen is a series of seven fundamental movement patterns (such as a deep squat, a hurdle step and an in-line lunge) scored against a standard.
It highlights mobility and stability gaps and left–right differences, so the programme can target them. It is particularly useful before starting a new training programme or at the start of a season.
10
A structured movement assessment and, for runners, gait analysis to see how you load the painful area, and what to change.
The findings feed straight into your exercise programme and, where relevant, cues for how you run.
11
Virtual consults from my Country Lane home office: a full history, a guided movement assessment on camera, and a written plan with a home programme, for patients anywhere in Ontario.
They suit first assessments, second opinions, post-operative and ACL check-ins, and running and training programme reviews. In-home visits are available for patients who cannot easily travel.
Programs of care
For some conditions I have completed additional training, and each program of care is a structured, staged plan.
Choose the clinic nearest you. Not sure which service you need? Book an assessment and we will work it out together.