What is Extracorporeal Shockwave Therapy?

Extracorporeal Shockwave Therapy is also known by its short form of ESWT and it’s a type of treatment for multiple tendonopathies which are derived from lithotripsy. ESWT is becoming more common in various medical areas including wound applications, cardiology, and urology, mainly for erectile dysfunction and is offered at FIT Physiotherapy of Newmarket.

In addition, extracorporeal shockwave therapy has been found to be quite effective when it comes to treating pain caused by calcific tendonitis of the shoulder as well as plantar fasciitis.

Extracorporeal Shock Wave Therapy is basically a noninvasive surgical procedure which stimulates healing by using sound waves. The word Extracorporeal basically translates to “outside of the body” which refers to how the therapy is applied. Since the method doesn’t require an incision there are a couple of advantages to ESWT when compared to traditional surgical procedures as there’s less chance for complications and you’ll be able to return to your normal routine quicker.

Shockwave Therapy Newmarket

Extracorporeal Shockwave Therapy for Plantar Fasciitis

Plantar fasciitis known as the world’s most common type of heel pain. It occurs when the plantar fascia becomes inflamed. This is the tissue which stretches from your heel bone and across to the arch of the foot to the base of your toes. If a bony protrusion can be seen Plantar fasciitis is often referred to as heel spur syndrome. ESWT is often used as a therapeutic choice for people who can’t get rid of the pain via conservative treatments such as stretching, ice packs, steroid injections, anti-inflammatory drugs, physical therapy, and orthotic devices.

When ESWT was first used to treat plantar fascia it was an out-patient situation where local anesthesia was used. However, in many cases it can now be performed at a doctor’s office in about 10 minutes. Patients should stay away from ESWT though if they have vascular and neurological disease of the foot, if they’re pregnant, if they have ruptured their plantar fascial ligament, have bleeding disorders, if they have open bone growth plates, and if they have any medical pins or screw implanted in the area. In addition, ESWT doesn’t mix well with blood-clotting medications such as prophylactic aspirin and Coumadin.

Your surgeon will assess your medical history and let you know if ESWT is a good option for you. If you’re going to be treated with the therapy the doctor will instruct you to cease any anti-inflammatory drugs such as ibuprofen or aspirin approximately five days prior to the procedure. This is because these medications may prolong bleeding underneath the skin’s surface. The method consists of sound waves penetrating the area and stimulating the healing. The sound waves create new blood flow in the affected area and this helps to heal the tissues. In some cases, you may need more than one ESWT treatment to alleviate your heel pain.

After the treatment you may be asked to elevate and rest the foot and then gently stretch the heel area. You may also be instructed to stay away from anti-inflammatory medication for about a month. Extracorporeal Shockwave Therapy treatment is approved by the American Food and Drug Administration (FDA) for both tennis elbow and plantar fasciitis and the administration is also studying how it can be used as a treatment for recalcitrant diabetic wounds.

If you have questions about Shockwave Therapy and how it can help with your physio treatment plan, contact us today to speak to a health professional.  FIT Physiotherapy offers Shockwave Therapy treatment as well as a variety of natural and drug free physiotherapy treatment solutions.

Physiotherapy for Pain Management

Chronic Pain Management Newmarket

When you’re in pain, physical activity is usually one of the furthest things from your mind. However, physiotherapy can actually put you on the road to recovery quite quickly and can also help out when it comes to pain management. You may be tempted to lay in a warm bed with medication and an electric blanket when you’re suffering from aches and pains, but exercise may actually be the best thing for you at that point. This is because physiotherapy is known to be effective for just about all types of chronic neuropathic and musculoskeletal pains.

Types of Pain Managed

Physiotherapy is often used to alleviate the source of many types of common chronic pain including chronic headaches, Fibromyalgia, Osteoarthritis, Rheumatoid arthritis, and Neuropathic pain, which results when nerves or tissues are injured. One goal of performing physiotherapy is to strengthen your body since it can become weakened if you haven’t been moving around. Physiotherapy can help manage pain as it teaches people to move functionally and safely after they haven’t moved in quite some time.

We accept OHIP for chronic pain illnesses

Physiotherapy Treatment Options for Chronic Pain

There are several different types of effective physiotherapy to help relieve and manage chronic pain. These include the manipulation of bones and joints, manual therapy using tools or hands on soft tissue, movement therapy and exercise, massage, cold laser therapy, and microcurrent stimulation. The cold laser therapy is designed to relieve pain and inflammation while releasing endorphins and microcurrent stimulation will emit alpha waves to the brain and relieve pain naturally by increasing dopamine and serotonin.

Physiotherapists can provide a variety of treatments in each of these therapy categories. For example, depending on your physical capabilities and the cause of pain, you may be able to exercise by swimming or walking on a treadmill. Each patient is unique and a therapist will make sure your physiotherapy treatments are personalized. The type of treatment will depend on the cause of your pain and what methods are the best for managing it. A therapist specializes in this type of treatment whereas many doctors don’t usually have the time to dig deeper into the problem and will simply treat it with medication.

How Physical Therapy can Help Relieve Chronic Pain

You can manage and control chronic pain by exercising for 30 minutes a day three to four times a week. The physical activity will help with your endurance level as well as stabilize your joints, strengthen the muscles and improve flexibility in your joints and muscles. A regular exercise routine will also enable you maintain the ability to function and move physically instead of allowing the chronic pain to disable you. Regular physical therapy and massage can help fight off soreness, stiffness, and inflammation. It also helps your body heal itself at it encourages the body  to produce natural pain-relieving chemicals.

The Right Combination for Pain Management

You’ll usually feel more pain the loss your body moves. However, your body will generally feel less pain when it engages in safe exercise and therapeutic activity. This will enable you to function normally when it comes to your daily routine. But even though physiotherapy may be very effective at dealing with chronic pain, you also need to combine it with things such as cold and heat therapy, nutritional supplements, and perhaps TENS (transcutaneous electrical nerve stimulation). In addition to physiotherapy it’s recommended to visit a doctor for diagnosis to see of any type of medication is needed to help control your chronic pain.

Why Your Treatment For Back Pain Should Include Physiotherapy

Thousands of men and women across Canada suffer from back pain on a regular basis and aren’t sure how to get rid of it. In fact, back pain is one of the most-common causes for a visit to the doctor in North America. If you’re one of these people you may want to consider some physical therapy instead of taking overly-aggressive drugs for the pain.

Since 1999, many people have been taking diagnostic tests, being referred to specialty doctors, or taking narcotic drugs to help battle back pain. In comparison to these forms of common treatments, not as many people are using physical therapy as a solution to their back problem even though it’s recommended by the American College of Physicians. A recent study has shown that conservative treatments such as therapy have been successful in the majority of cases of back pain.

Why use physical therapy

According to the College of Physicians, physical therapy is a more beneficial way to treat back pain when compared to medicine alone. It’s known that physical therapists are able to help their patients relieve back pain without the use of injections, medications, or any type of surgical procedure. Physical therapists are also able to teach their patients how to prevent back pain in the future by engaging in certain types of exercise.

Temporary relief

Many physicians and therapists have found that the majority of back-pain sufferers are looking for a quick fix when it comes to their pain and discomfort and this is why they take medications. While taking a drug can usually relieve back pain, it’s basically just a temporary solution and the drug doesn’t address the origin and cause of the pain. Taking medication may often seem like the quickest and simplest solution, but there’s a good chance the pain will return when the effects of the drug have worn off.


Treatment plans

A good physical therapist will consider a patient’s entire body when they’re suffering from back pain instead of just focusing on their back. They will come up with a comprehensive treatment plan which will help to eliminate the pain and discover the roots of it. A therapist can evaluate a person and pinpoint the cause of the suffering. Many times the treatment will require patients to strengthening their lower back and abdominal muscles. This can typically be achieved by manual techniques, flexibility exercises, movement training, and/or. In many cases a combination of all these techniques will achieve the best results. Patients will also be educated on ways to avoid future back pain by being told what things they should and shouldn’t be doing.

If you’re suffering from annoying and relentless back pain and would like to eliminate it without the use of medications and surgery you should visit a licensed physical therapist for an evaluation of the problem. A therapist will present you with a list of treatment options and recommendations when it comes to solving the irritating problem.

FIT Physiotherapy is the premier physiotherapy clinic in Newmarket.  We offer advanced phyio treatment plans customized just for you.  Ask us about our direct billing options when you call.



How To Ease Stress On Your Knees

Knee pain is quite common across the world since it can be caused by numerous things such as overusing your muscles, excessive foot pronation, and arthritis etc. It’s such a common problem in the USA that knee arthritis is now regarded as the greatest cause of chronic disability in seniors aged 65 and over and the numbers are similar here in Canada.

There’s some light at the end of the tunnel though since you can avoid most forms of chronic knee pain with physical therapy and exercise, which is preferred over surgery by most people. The key to reducing knee pain is to stretch and strengthen the muscles which support your knees. These are five ways in which you can relieve and prevent bothersome knee pain.

1-Toning the core muscles
If your abdominal muscles are weak your pelvis will likely tilt forwards and this can cause your lower back to curve and the leg bones could shift inward. If your core muscles are strong enough they will help your back remain in a neutral position. This will result in less compression on your knees since they’ll be in the best position for body movement. There are several exercises to strengthen the abdominal muscles with crunches being one of the most popular and common. Another beneficial method is to participate in Pilates workouts since they help to improving your core strength. Other common abdominal-muscle strengthening activities are abs-ball exercises, yoga, kickboxing, and dancing.

2-Strengthen the buttocks
It may surprise you to know that research has shown that many knee injuries such as ACL (Anterior Cruciate Ligament) can be caused then your large hip muscles aren’t strong enough. Also, female athletes are more likely to suffer a torn ACL because of this. To make matters worse a torn ACL often results in torn cartilage and can eventually lead to knee arthritis later. In general, most people have weak buttock muscles. The gluteus maximus is the main muscle and it can cause the femur (upper thigh bone) to fall inward and the pelvis to drop if it’s weak. This causes an imbalance and can result in pain as there’s too much downward stress on your ankles, knees and hips when you walk. A good way to strengthen the gluteus maximus is to perform hip extensions.

3-Stretch the knee-supporting muscles
If the buttock muscles are imbalanced it means the inner thigh muscles (hip abductors) and hamstrings usually have to work too hard to compensate for it. This puts too much compressive pressure on the knee. If these supporting muscles are stretched properly it will become more difficult for them to tighten up and result in muscle imbalances. Therefore, when you strengthen muscles such as the gluteus maximus, which are naturally weak, you should also stretch the supporting muscles.

4-Watch your feet
The type of shoes you wear could place more strain on your knee joints. For instance, high heels can cause tightness in your calf muscles, which may lead to knee pain. When the calf muscle is too tight it can pull your foot inward. This position is known as pronation and it more or less causes the arch of the foot to collapse while the lower leg will roll inward. If this happens it will put stress on your knees and ankles. Flat shoes are better for your knees and it’s also a good idea to stretch your calf muscles regularly so they don’t tighten up. Also, workout or running shoes should be replaced every 300 miles to make sure your joints and arches are properly supported.  Custom orthotics may be needed if you experience chronic foot pain.

5-Retain a healthy weight
If you’re overweight your chances of developing knee osteoarthritis will increase greatly. Research has shown that a decrease in weight will result in increased knee function for everyday tasks such as walking and climbing stairs. Also, studies have found that a female’s risk of developing knee arthritis will be cut in half for each 11 pounds of weight loss. This is because muscle strength is decreased by fat and excess weight puts unneeded strain on your knee joints. Basically, your knee muscles will be weaker the heavier you weigh. Some good methods of losing fat without putting too much pressure on your knees is to cycle, use an elliptical trainer, and/or participate in water aerobics.

Rehabilitation Tips For Tennis Elbow

As you may know, you don’t have to play tennis to suffer from the ailment commonly known as tennis elbow. It generally affects people who overuse their arm as it results in small tears in the tendon. If you do happen to contract tennis elbow there are several rehabilitation procedures you can do to help relieve the pain and inflammation. Just remember, not everybody reacts the same to rehabilitation methods so it’s a good idea to try a combination of treatments if necessary.


Rest your arm

This is probably the simplest piece advice you’ll receive concerning tennis elbow. If you’re suffering from it, then make sure you rest your arm. If you got tennis elbow from playing tennis then you’ll need to put your racquet away until it’s healed.

Cold Therapy

If you feel tennis elbow coming on you should use cold therapy to take away the pain. To do this you just need to wrap an ice pack in a wet towel and apply it to the affected area for up to 15 minutes at a time, several times a day. Don’t place ice on your skin as it could burn it. You’ll also be able to find other types of cold therapy treatments at your local drug store.


Tennis elbow can also be treated with electrotherapy, such as ultrasound or lasers. The effectiveness of this method will depend on the frequency and intensity of treatments.

Wear a brace

Another option is to wear a tennis-elbow brace or support. This will help to prevent aggravating the injury. A brace is effective since it can reduce the strain on your arm by changing the direction of the forces through your tendon. You can also support your elbow by wearing a heat retainer for support as this will aid the healing process by stimulating the elbow’s blood flow.

Non Steroidal Anti-inflammatory Drugs

Medications such as Ibuprofen, naproxen and aspirin often help to reduce inflammation and pain, especially during the early stages of an injury. But before taking any type of drugs or applying creams you should always check with a physician first.


You shouldn’t try to rehabilitate your elbow until all the pain has gone. It’s recommended that you try rehab exercises before opting for more drastic cures such as injections or surgery. You may want to visit a licensed medical professional to find out what specific exercises you should be engaging in to help your condition. Take it easy at first when performing stretching exercises and remember that if you perform them on a regular basis it may keep tennis elbow at bay. ion process and after. During the early exercise period you should you’re your stretches for 10 to 15 seconds. When your elbow starts to feel better you can then hold them for as long as 40 seconds. Stretching at least three times a day will help speed up the process. If you feel any pain when stretching, you should stop and give your arm a couple of day’s rest before trying again. If you’re pain-free you can then move on to strengthening exercises. You can begin this process with wrist strengthening and then gradually move on t concentric and eccentric exercises. It’s a good idea to strengthen your arm before resuming with your normal activities and you should apply cold therapy following the exercises to help control inflammation and pain.

Physio Therapy

If your elbow still bothers you after two months of exercising you may want to try massage therapy. Physiotherapy can be used after the injury’s acute stage. A therapist will typically use cross-friction techniques on your tendon to help it heal. You can also have your forearm muscles massaged as it will relax them and may help release any tightness which is resulting in elbow strain. Cold therapy is also recommended after massage therapy.


If nothing seems to be working for you and you still suffer from severe tennis elbow for over a year you may want to ask a physician about a possible surgical procedure. The exact type of operation used will depend on the surgeon, but the most common method is to cut the degenerated or diseased tissue away.

Other Treatments

Some people treat their tennis elbow with corticosteroid injections, but studies have shown that this may be just a temporary solution. Some medical professionals believe injections can actually delay the recovery process and can also increase the chance of the injury reoccurring.

Another treatment is nitric oxide donor therapy. This takes place when glycerol trinitrate is applied to patches and then placed on the affected area. However, some people suffer side effects such as headaches and/or skin rash.

Botox injections can be used as a short-term cure as well as Autologous blood injections. With the blood injections, the affected area is injected with blood that has been centrifuged to concentrate the platelets in the blood. This can help reduce inflammation and speed up the healing process.

Return to normal activity

Once your tennis elbow has healed you should return to your normal activities gradually rather than rush into them. Make sure your elbow is pain-free and strong enough to resume your usual routine. If the problem was caused by playing tennis you should consider wearing a brace and check with a coach to make sure your using the correct technique when playing. You should also continue to perform the stretching and strengthening exercises.

If you have questions about treating tennis elbow, you can contact us here for a free consultation.  Be sure to consult a medical professional before undergoing any treatment plans.

How To Avoid Back Pain When Gardening

Here in Newmarket, the gardening season can be relatively short so you have to get as much done as you can during that short season. However, one thing’s the same the world over and that’s the fact that gardening can often be quite strenuous on the body, especially the back. So if you have a green thumb and would like to make it through a pain-free summer of gardening these are a few tips that could make the activity more pleasing to the body.

Warm-up for Gardening

It may be a lot of fun and quite satisfying to plant a garden, but there’s usually a lot of hard work involved too. This is because gardening typically consists of a lot of lifting, twisting, and bending. In fact, some people compare it to a sporting activity or exercise program and they prepare for a gardening session by stretching their muscles. It makes a lot of sense when you think about it since most people wouldn’t participate in a sport without going through a helpful warm-up session.

Before you start gardening you may want to consider doing these exercises by holding each of the stretches for 10 seconds and performing them three times apiece.

1-Bend your body forward as if you are attempting to touch your toes. You don’t have to actually touch the toes since the goal is to feel the stretch in your lower back and the back of the legs.

2-Clasp your hands together and raise them over your head. Lean to the left side until you can feel the stretch in the side of your torso. Then do the same stretch by leaning to the right side.

3-Put your hands on your hips and lean backward until you can feel your lower back stretch.

Protecting your Back

Since there’s a lot of planting and weeding involved in gardening it’s important to protect your spine. These movements can take a toll on your back so the idea is to be able to perform them by putting less strain on it. One of the most effective ways of protecting your back is to make sure you don’t bend and twist your spine at the same time. In addition, you should sit on a stool or chair whenever possible during gardening since it will ease the stress on your back and knees. If you find yourself bending over for lengthy periods it’s recommended that you take regular breaks and perform a few back bends before resuming. Also you can reduce neck stress by tucking in your chin while gardening.

Lift with your Legs

Most people learn at an early age that they should use their legs when lifting, not their back. The same reasoning goes when you’re carrying things and digging. If you lift, carry and dig with your legs and core muscles then your back will thank you for it. Lower back problems are one of the most common reasons for visiting a doctor or therapist. Therefore it’s definitely worth taking the time and effort to learn how to lift properly. But before you lift an object, you should know how much it weighs and if you require a helping hand. You should also know exactly where you’re going to put it down.

When you lift the object you should bend your hips and knees as much as possible so you don’t have to bend your lower back too much. When you have a grasp of the item you should stand up with your legs, keep your back as straight as possible and hold the object close to your body. Remember, never bend and twist your back simultaneously as these movements often lead to an injury when they’re combined.

Have questions about pain you are feeling while gardening?  If you live in Newmarket or the surrounding York Region, we offer a free wellness consultation and can answer any questions you may have.

What Are Core Muscles and How Do I Strengthen Them?

Most people have heard of core muscles, but many of them aren’t exactly sure what they are. Some people instantly think of the abdominals or stomach and they’re certainly on the right track. However, there’s a lot more to the core muscles than just the abs. In fact, the core muscles are made up of 29 different muscles that are located in the hips, pelvic floor, buttocks, and lower and mid back.

When combined, they basically act as the foundation for all of your body’s movements. And since they work together it’s a good idea to try and develop them together.

No matter what physical activity you’re involved in, such as lifting, running, or playing sports, there’s a good chance your core muscles are being used to control your functional movement, performance and balance. The core muscles are also depended on to help prevent injury and this is why they need to be strong. If your core isn’t strong enough you may find yourself with decreased coordination and control when it comes to your body movements. This is why core strength and stability are important for everything from everyday activities to sports.


The Core Muscles

A person’s core muscles are made actually up of two separate groups. These are the inner core muscles and the outer core muscles. The inner muscles can be found deep internally as they’re attached to the spine. These muscles stabilize your core and help support body movement. The outer core muscles work hand in hand with the inner muscles by supporting them when your body moves.


Strength and Stability

Core strength is needed when the outer core muscles are used to produce body movement. Core stability allows the inner core muscles to stabilize your spine due to muscle activity. If your core muscles are strong your stability, posture and balance will improve. Your body movements will be enhanced and the risk of injury will be reduced. A strong core will also typically result in better athletic performances and it will help cut down on back pain.


Core Strengthening

You can work on strengthening your core by aligning your pelvis properly. To achieve this you should rotate your hips (pelvis) forward and backward within a range that’s comfortable. Once you find a comfortable mid-range position you can train your inner core muscles by trying to contract your navel towards your back without holding your breath. If you do this correctly you should be able to move, breathe and talk while contracting the muscles. This exercise is commonly known as the drawing-in maneuver and it’s recommended that you try it for 30 seconds at a time. However, if you feel any increased pain while trying the exercise make sure you stop immediately.

Just remember that the core muscles are a relatively large group. Therefore it’s important to work on as many muscles as you can, not just your stomach or abdominal muscles. There are several other types of exercises that can be performed to strengthen these other muscles. Some of these activities are trunk rotations, bridges, side planks and prone planks.


Core Muscles and Physical Therapy

If you’re experiencing pain in the core area or feel that your core muscles are a tad on the weak side you may want to visit a licensed physical therapist for some help. A physiotherapist will be able to evaluate your core and determine if any of the muscles are deficient. If they are, the therapist will be able to draw up an in individualized manual-exercise program to help you stretch and strengthen them.

What is Functional Exercise and What Are its Benefits?

What is Functional Exercise and what are its benefits?

There are many different types of exercise programs to help you get into, and stay in shape these days. However, you don’t have to change your daily routine to an extreme level to enjoy a better and healthier overall lifestyle. Some people exercise by running full marathons and bench-pressing 300 pounds, but this type of rigorous activity isn’t really necessary if you simply want to improve your general level of fitness and quality of life.

Functional Exercises

Functional exercises have been designed to specifically help you improve the routine and daily activities that you perform. For example, these could be things such as mowing the lawn, shoveling the driveway, and carrying the groceries etc. You can benefit from functional exercises without the need for expensive and complicated workout machines. In addition, many of these exercise machines will focus on just one specific muscle group. This isn’t the case with functional exercise since many different areas of your body will benefit from it.

Functional exercise will focus on combining your coordination and strength when it comes to facing real-life situations and activities. For example, some people may use an agility ladder for the specific purpose of improving their athletic skills in a chosen sport. But for older adults, the exercise device will help them with their foot/eye coordination, body control, and balance. In turn this will help when it comes to reducing the risk of falling while performing their routine daily tasks.

Other types of exercise apparatus such as the kettle bells may help strengthen a person’s posterior chain and abdominal core. While this is helpful to athletes, it’s also an ideal way to cut down on lower-back ailments while doing things such as lifting loads of laundry or a sack of potatoes from your grocery cart.

How Functional Exercise can benefit you

Like most types of exercise and fitness programs, to benefit from functional exercise it needs to be unique and designed for an individual’s specific situation, body, and needs. What’s good for one person may be harmful for another. This is why it’s important to visit a professional, licensed physiotherapist before beginning any type of exercise routine. Once you’ve been provided with a unique functional exercise program you’ll benefit from it in several ways, such as:

1-It helps reduce injuries

2-The exercises are ideal for people of all ages

3-It will help motivate you to achieve your fitness goals

4-The exercises can be performed anywhere

5-It’s cost effective

6-Your progress is easy to track

Taking advantage of functional exercise

You don’t have to spend hundreds of dollars and join a high-tech exercise gym to enjoy an improved lifestyle. You can exercise various areas of your body with functional exercises and can perform them from just about anywhere, such as at work and home. A good functional exercise routine will give your muscle groups a daily workout and will help you perform your routine activities pain-free.


What is Manual Therapy?

Manual therapy involves specific hands-on techniques to treat various problems throughout the body. Physiotherapists are healthcare practitioners who have both the training and the skill to evaluate and work with you to reduce pain and to help you manage a variety of health issues. They can use manual therapies such as massage, resistance training and joint mobilization and manipulation to help reduce muscle tightness, reduce pain and improve function.

Manual Therapy


Whether you are managing a chronic illness or recovering after surgery or an injury, manual therapy can help. These treatments will help you to return you to an active lifestyle and maintain maximum mobility and flexibility. Sprains, strains, back and arthritis pain are only a few of the conditions that are suitable for manual therapy. Patients with postural problems or issues of overuse such as tendonitis can also benefit. Even if you have a debilitating disease or a major injury, manual therapy can help to ease the negative impact and improve functionality.

One aspect of manual therapy is massage which involves applying pressure to the soft tissues of the body, particularly the muscles. Injured patients, or patients in pain, tense up as the body tries to protect itself from harm. Unfortunately, this tenseness usually causes more pain and can also cause more problems. Massage helps to relieve this tension, increase circulation to bring blood to the injured area, and alleviate a significant amount of pain so that muscles can relax and the body can begin to heal.


Another manual therapy used is mobilization. This is where the physiotherapist slowly twists, pulls or pushes you into alignment to alleviate pain and to restore structure. When the body is misaligned pain is just one result. Another problem involves decreased functionality as the body is unable to move as it should. If left uncorrected, this misalignment impedes movement in other parts of the body which escalates problems for the patient. Resistance exercises are often included to strengthen muscles so that the body returns to its proper state when the body is at rest and to cut the risk of further injury.

Finally, physiotherapists use manipulation to help patients. Pressure is applied to a joint in a particular manner to correct problems. The physiotherapist chooses an appropriate movement, whether it be slow or fast, strong or gentle, to bring about effective results.


Besides pain management and flexibility, manual therapies also increase strength and coordination and improve respiratory function. This makes these techniques suitable for a wide range of conditions including headaches, neurological conditions and chronic breathing issues such as asthma, hay fever and sinusitis.

The licensed physiotherapists at FIT Physiotherapy have the evaluative and “hands-on” skills necessary to get you on the right track towards improved health. If you are looking for relief without having to take medication, manual therapy is a good alternative or an excellent addition to your existing treatment protocol. Our professionals have spent years in the classroom and in practice and have mastered manual techniques that can help you feel better. There is no need for you to suffer. Manual therapies are affordable and effective.

Have a question about manual therapy?  If you live in Newmarket, Ontario or the surrounding area, feel free to call us at 905-235-5360 with any questions you may have.  You can also book an appointment online using the form below.

Physiotherapy After a Motor Vehicle Accident

At FIT Physiotherapy Newmarket, we understand that the aftermath of a motor vehicle accident can be challenging from both a physical and emotional perspective. Our team of knowledgeable and sensitive professionals can minimize the pain and frustration of recuperation, and help get you back to your pre-accident physical condition.

One of the most common injuries caused by a motor vehicle accident is whiplash, which occurs when the head and neck are thrust suddenly forward and backward, injuring the muscles and ligaments. Research has shown that even motor vehicle accidents that take place at speeds of as little as 5 mph can still cause neck injury.

Other common injuries include:

• Fractures of extremities, trunk or spine

• Bruising resulting from impact with the steering wheel or airbags

• Sprains and strains of other body parts

The impact of the crash typically strains the soft tissues around the neck, shoulders, and back, causing inflammation and bleeding. After the accident, many patients experience dizziness and headaches, as well as pain or stiffness, particularly in the neck, back and jaw. Some patients experience these symptoms immediately following the crash, while in other cases, the symptoms do not appear until days later.


Seeking treatment as soon as possible is the best way to minimize your risk for long-term problems. At FIT Physiotherapy Newmarket, we can develop a treatment plan that will help you recover and get back to normal as soon as possible.

Your initial treatment may include:

• Cold therapy to manage pain, as well as control bleeding and inflammation in the muscles and around the joints

• Passive joint mobilization, which involves gentle, repetitive movements of the joints in and around the neck, can also provide pain relief

• Gentle stretching exercises, which can prevent stiffness or loss of mobility

As your acute symptoms resolve, we may also recommend strengthening and condition programs, as well as massage, acupuncture, TENS, or other treatment approaches based on your unique issues. A typical treatment program lasts between six to twelve weeks, but the exact length depends on the nature and severity of your injuries, as well as how you respond to treatment.

Beyond physiotherapy, it’s important to remain as active as possible following the accident and resume as much of your normal daily routine as you feel comfortable doing. If you have any doubts about what you should or shouldn’t be doing, we’re available to provide education and guidance.

To find out more about our advanced physiotherapy treatments for motor vehicle related injuries, you can call us at 905-235-5360 to speak to one of our physio professionals.