BONAVISTA PHYSICAL THERAPY  |  739 Lake Bonavista Dr. SE, Calgary  |  Lower Level of Bonavista Medical Clinic

It HURTS!!! Should I do it?

This is a question we hear every day in the clinic. It is human nature to avoid things that hurt but sometimes the avoidance of a movement or activity can exacerbate the problem. The rule of thumb we use is this: If it hurts when you do it but is NO WORSE after you are done, it is probably okay (even beneficial) to continue the activity. If the pain lasts (more than 30 min) and is WORSE post – activity such that you have difficulty sleeping or need medication, then it is not advisable to continue that activity or movement. Complete rest for soft tissue injuries is only recommended for a maximum of 48 hours post trauma and then gentle activity should be resumed. Physiotherapists are experts in assessing and improving movement and function while relieving pain and optimizing healing. We can get you back to your activity safely while avoiding re-injury. If you’re still not sure…..come in and get some advice from our “movement experts”!!

One Patient’s Experience at Bonavista Physiotherapy

I just went for my 12 week post knee replacement appointment at the Hip and Knee Clinic. They asked where I went for my physiotherapy. I told them I saw Merrylee at Bonavista Physical Therapy, and that I thought she did a great job. (They were very impressed with the change in my measurement of flexion (72 to 120) and extension (-25 to -6). I said she was very nice and really knew how to deal with my other limitations as well. I told them if they were asked for a referral to a physiotherapist or a clinic, I would highly recommend her. I am going to see her on a maintenance basis, but I will definetly be seeing Merrylee after my second knee replacement.
Debra Stenhouse
Calgary, Alberta

Motor Vehicle Accident?

Slippery roads this time of year unfortunately result in car accidents. Often times, people think they are not injured but within a few days start noticing some stiffness or pain in the neck or back. This is a minor form of whiplash and should be assessed and treated. The Alberta Government introduced the minor injury protocols for MVA’s (Motor Vehicle Accidents) in 2004. This legislation allows you to access a physiotherapist directly after an accident without a physician’s referral in order to get your injury claim started. If assessed by a primary health care practitioner (eg physiotherapist) within 10 days of your accident, we are able to direct bill your insurance for your treatments with no out of pocket expenses to you. Getting started early before your symptoms become chronic is the best way to make sure you completely recover from your injury. For more information, see the MVA section of our website.

Clinical Specialist

CONGRATULATIONS TO AUDREY LONG!
Audrey Long, physical therapist at Bonavista Physical Therapy has just been officially recognized by the Canadian Physiotherapy Association as a Clinicial Specialist in MSK (Musculoskeletal). She is among the first group in Canada to receive this designation. Audrey is also qualified to order X-Ray, MRI and Ultrasound studies for her clients if indicated. Combined with her expertise as an instructor in the McKenzie Method (MDT), Audrey is an invaluable member of our team.

DIRECT BILLING FOR PHYSIOTHERAPY

Good news for Alberta Blue Cross policy holders! We are able to bill your insurance company directly for your physiotherapy treatments. Depending on your policy, this means minimal or no out of pocket expenses for you. If you have extended health benefits through Great West Life, Sun Life, or Green Shield we are able to electronically submit your physiotherapy claim for you. This includes City of Calgary employees with Green Shield benefits. Please have all your insurance information with you for your appointment.

Beware of Temporary Feel Goods!

Remember that we usually have pain because of an injury of some kind; i.e. tissue damage. In order for the injury to heal, our tissue needs to repair itself. We can influence the repair process in many ways such as: ice in the early stages (day 1-5 post injury) to reduce swelling, movement/stretching (to “organize the scar tissue”), avoidance of further strain, and finally strengthening to protect the area from future episodes. We could take pills and that would take the pain away but would that actually affect the tissue repair? No. How would taking a pill restore movement or strength? We can agree that pills alone would not be sufficient to actually rehabilitate an injury. Literature supports what we at Bonavista Physical Therapy already know: ACTIVE therapy is much more effective than PASSIVE therapy. Passive treatments (kind of like pills or band aids) are things that are done TO you with no effort on your part. Passive treatment may ease the pain temporarily, but this type of treatment does not FIX the problem nor prevent future episodes. The single most important thing affecting your healing is WHAT YOU DO, not what someone does TO YOU! It doesn’t matter if you’re suffering from headaches, sciatica, tennis elbow, tendonitis, bursitis, arthritis, a sprained ankle, rotator cuff tear, whiplash, or a ligament injury, you should be getting homework (ie exercises) from your therapist. Physical therapy should be physical! Therapeutic exercise should be the foundation of ANY rehabilitation program as it is the MOST EFFECTIVE way to influence tissue healing.

Shoulder Impingement, hip bursitis, knee osteoarthritis, golfer’s elbow, tennis elbow patients needed

Bonavista Physical Therapy in Calgary is hosting a continuing education course for physiotherapists on June 23rd and 24th 2012. This course is a McKenzie Method of Mechanical Diagnosis and Treatment (MDT) course for advanced practitioners of this method. An essential feature of this educational program is the demonstration of assessment and treatment principles on symptomatic patients. For this course, we are looking for patients with shoulder impingement, hip bursitis, osteoarthritis of the knee, golfer’s elbow or tennis elbow. Examination and treatment is conducted by the course instructor (Richard Rosedale – an expert from Ontario) who is certified by the McKenzie Institute International. An examination and one treatment, if appropriate is provided free of charge. MDT treatment emphasizes education and active patient involvement in the management of their treatment to decrease pain quickly, restore function and independence, minimizing the number of visits to the clinic. If you would be interested in participating, please contact the clinic where Kari Lambden, Gord Routledge or Audrey Long will conduct a phone interview/triage and then schedule you as a patient on the course. Please call us at (403) 278-0705.

Waiting for an MRI or to see a Specialist in Calgary, Alberta?

Just because you are waiting for tests does not mean you can’t be treated for your pain or lack of function. Physiotherapists are trained to make a FUNCTIONAL diagnosis, we don’t rely solely on these tests in order to treat our patients. For example, it has been well documented that patients with ADVANCED degeneration in their spine can (and often are) painfree and fully functional. Alternatively, an MRI or X-Ray can show very little and yet the patient is in severe pain. Remember that MRI, X-Ray and other tests are a static picture. The picture doesn’t always predict the function. MRI and X-Ray are usually done with the patient laying down – when their pain is not present!. A specialized physiotherapy assessment (MDTor McKenzie done here at Bonavista Physio in Calgary) has been shown in the research to reduce the need for MRI and surgery by 50%. The research was done on patients with full leg sciatica. For simple back or buttock pain, the results would be much higher. The great thing about MDT assessment and treatment is that we know within 3 Visits if it is going to work! While you are waiting for your MRI/specialist appointment, why don’t you try 3 visits with one of our McKenzie trained physiotherapists.

To book a Physiotherapy or Physical Therapy appointment in Calgary, please contact Bonavista Physical Therapy, appointments always available.

Free On line assessment for anyone experiencing back pain or sciatica

Are you suffering with acute or chronic back pain? Have you already tried everything? Maybe you’ve already tried medication, traditional physiotherapy, chiropactic, or massage……Are you looking for advice & guidance on what next steps you should take to address your back pain or sciatica?

Take this free on line assessment to see if MDT (Mechanincal Diagnosis and Therapy), or the McKenzie Method could work for you. See the link provided under McKenzie Method on our website or simply go to: http://www.mckenzieinstitutecanada.org/method-quiz.cfm.

If you are a candidate for MDT, you should notice definite improvement in your symptoms within the first 3 sessions.

Should I use heat or ice?

A question I am often asked is: “Do I use heat or ice after an injury?“. The answer is simple. During the first 24-48 hours following an acute injury, always remember this rule of thumb: “R.I.C.E” –Rest – Ice – Compression – Elevation. This rule goes for ALL injuries – even back or neck injuries respond well to ice in the initial stages of healing.

You may not be aware that all injuries heal in stages. These stages are:
1. Inflammatory Phase (0-5 days): characterized by pain, swelling and heat
-this phase may be prolonged if not managed appropriately!
-If the acute phase lasts longer than 5 days, consult your medical doctor or physiotherapist
2. Proliferation Phase:(about 5-15 days)
-Scar tissue starts to build and contract
-Light stretching and movement will benefit wound healing, physiotherapy should be initiated
3.Remodelling Phase:(15 days up to a year)
-Scar tissue becomes tighter and stronger for up to 2 months
-Scar tissue remodels according to the stresses placed upon it for up to a or longer
-More intense activity would be appropriate
No injury can be made to heal faster than normal/natural speed. While the injury is healing however, we must make sure not to delay healing through inappropriate management initially. So remember R.I.C.E for the first 24-48 hours. Once the inflammatory phase is over, you can use heat OR ice and gradually return to activity. **Ice linaments are not the same as an ice pack, and are not effective in controlling inflammation**

HUNDREDS OF SATISFIED PATIENTS

Lynne Sansome
I am so happy to report to you Rachelle that her exercises worked so well that I no longer have any back/hip pain and it only took2 ses...
Jean Sheppard
Audrey is the best!! She helped me gain a quick recovery and will, hopefully, receive her help when I get my left knee replacement in J...
Greg McFetridge
Thank you for getting Maureen and I started. Very happy with the service. It enabled us both to be able to transition to other physical...

Track Your Recovery!

We have some of the fastest recovery times across North America:

Faster than:

96%
of clinics for
hip injuries

99%
of clinics for
knee injuries

97%
of clinics for
foot/ankle injuries

92%
of clinics for
back/lumbar injuries

Over the past 3 years, we’ve compared our stats to 16.9 million assessments and 19,600 clinicians in over 4,200 clinics. Find out more with Focus on Therapeutic Outcomes (FOTO).

Learn more about how we’re
Pushing the industry

APPOINTMENT HOURS AVAILABLE:
7:30 am – 7:00 pm
Monday – Friday

WEEKEND MASSAGE HOURS:
By Appointment

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