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Tele-Rehab, Virtual Physio in Winnipeg, and beyond

yourPhysio is offering ‘tele-rehabilitation’; a virtual therapy session to compliment the treatment or lack thereof due to these viral circumstances.  Scroll down for more information.

But there are exceptions, that I can still assess in-clinic:

Under Order (changing day-to-day), the new public health order issued by the Government of Manitoba states that “any authorized health professional may provide urgent or emergent care.”

Given the lack of specific definition of what constitutes urgent and emergent care, I am going to adopt these criteria, used at several private practices:

1) In the absence of physiotherapy services, the patient will require services in an emergency department setting (i.e. severe pain).

2) The patient is an essential service provider (i.e. health care worker, first responder) who is unable to work due to an acute injury or exacerbation of a pre-existing injury.

3) The patient is seeking services related to a recent surgery or removal of a cast/immobilizer.

4) In the absence of physiotherapy services, the patient’s functional status will deteriorate to the point of requiring hospitalization in the foreseeable future.

If you feel you meet the above criteria, please give us a call at:

204- 9 4 3 8 4 1 1 or

text 204- 2 9 1 8 4 1 2 to discuss your options. 

Each physiotherapist must assess whether the risk of not providing services outweighs the risks of exposing the physiotherapist, staff and/or the patient to COVID-19.

Safety Protocols for In-Person Physiotherapy:

1) Patients are screened upon arrival for risk factors related to COVID-19.

2) No visitors are allowed to accompany a patient unless it is the parent of a minor or an escort for a person with a disability.

3) Masks and gloves will be provided upon request, for the safety of the therapist.  Patients who feel they require a mask should stay at home.

4) Physical distancing should be maintained as much as possible between therapist and patient, and between other patients or staff.

5) Full sanitation of treatment space will be performed after the treatment session finishes with facility approved cleaners and wet contact times observed.

6) We discourage payments by cash.

Frequently Asked Questions

1) What is telerehabilitation?
See our Easy Connect Virtual Services

2) Am I a candidate for telerehab?
Review the above criteria, and if you are unsure, please call us. We will connect you with your therapist who will help determine if you are a suitable candidate for this service or in-clinic services.

3) How does it work?
I will be using a combination of either Apple FaceTime, Zoom, Facebook Messenger video-call or Microsoft Teams. Upon virtual assessment, home pain management ergonomic assessment of your home and exercise prescription shall follow, along with physician/work letters, specialist referrals, etc.

4) What equipment do I need?
You can use your mobile device or computer for your Easy Connect Virtual Physic sessions. Please make sure your device is charged, you have a secure internet connection and/or download the appropriate app to enable quick connection at the time of your call and enable camera access.

5) How do I book?
I encourage you to use the email form (scroll down for New Patient form pdf) or

call 204- 9 4 3 8 4 1 1

text 204- 2 9 1 8 4 1 2

to setup an online session

6) How much does it cost?
Assessment $89
Treatment $79 (save at least 45 minutes)

7) Is it covered by insurance?

As of April 16, we have confirmed that these services are covered by:
Canada Life (Great West Life), Green Shield
Manitoba Blue Cross, Sun Life
Johnston Group, Chambers of Commerce
Maximum Benefit, Manulife
Johnson Inc., Industrial Alliance
Blue Cross Federal Programs: CAF for existing claims to a max of 4 sessions

If you are a MPI or WCB client; please confirm with your adjuster if such services will be covered

8) How do I pay?
Either by an interact email (online etransfer) or in some cases we can direct bill to your private insurance and/or company benefit program (with your written consent)

9) Can I receive virtual services if I am in another province or country?
Only those Ergonomic Assessments not conducted as part of a physiotherapy treatment plan

10) I just want to talk to my physio with a few quick questions. Do I need to book an official session?
Yes, your physiotherapist is operating under their professional licensure requirements and cannot provide medical advice unless done so under a mutually agreed, and signed consent contract. If you have specific medical questions for your therapist book an Easy Connect session.

11) How do I send my consent forms back to you?
If you have the ability to print and sign the forms, please do.  Then you can scan or take a photo of them and send them back to us via the secure email.  Otherwise your Physio will obtain your verbal consent and review the consent to treatment forms with you. If direct billing is requested, specific insurance forms must be signed.

12) What if I have further questions or feedback?
Please call us

204- 9 4 3 8 4 1 1

and we will be more than happy to answer your questions. Given this is a new service, we also welcome suggestions for improvement as well. Your feedback is important to us!

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Golf today in Winnipeg? you may need our Golf 911 service

Did you know that more Canadians participate in golf than any other sport? 5.7 million Canadian golfers play over 60 million rounds of golf annually. Golf is especially popular with middle-aged and older Canadians. (PT Alberta)

In Canada, golf is generally considered an outdoor, spring or summer activity, but the opening of indoor golf domes, smaller golf centers and golf enthusiasts travelling to warmer climates to play has made it possible for Canadians to enjoy golf year-round. While this means Canadians can take advantage of the health benefits associated with golf all year, more time on the course may also increase the risk for injuries associated with the sport.

Golf is good for you?

Canadian physical activity guidelines recommend adults over 18 should accumulate at least 150 minutes of moderate to vigorous aerobic physical activity per week in bouts of at least 10 minutes.3

Many people assume golf is a leisure activity and that golfers do not reach a high enough level of intensity to be counted toward their weekly activity goals. However, although not as intense as some sports, a golfer who walks a nine or 18 hole course expends enough energy to classify golf in the moderate intensity group, meeting the physical activity guidelines.4

Walking 18 holes carrying or pushing your clubs takes around four hours, requires 11,000 to 17,000 steps, covers 4-8 miles and expends 500 to 2,400 calories.4 If you add in a few hills, take more strokes, cover more ground between shots or are a little less fit, the numbers are more likely to be in the higher ranges. Using a cart decreases the overall numbers by 50% but it’s still better than sitting at home.4

What are some of the benefits of golfing?

Evidence suggests that golfing can have beneficial effects on:4

  • Cardiovascular health: Golfing may be associated with improvements in known risk factors associated with heart disease by increasing physical activity levels, improving blood lipid and insulin-glucose levels, reducing overall body fat, and improving aerobic fitness.4
  • Respiratory health: Regular participation in golf may improve and maintain lung function in older adults.4
  • Musculoskeletal health: Older golfers may show improvement in balance, muscle function and strength, and golfing may be associated with better bone health in women.4
  • Mental health: Golf has been associated with positive impacts on overall mental wellness.4

What injuries may result from golfing?

Studies suggest that between 40% to 60% of golfers sustain a golf-related injury each year.  Although approximately 25% of participants are aged 65 and over and may have pre-existing conditions that predispose them to injury, injuries are seen among golfers of all ages.

The most common golf-related injuries affect the low back, shoulders, elbows or wrists. Nearly all injuries relate to poor technique or faulty swing mechanics.  Many of these injuries are caused by the unique twisting forces and the combination of movements that a golf swing applies to the body. Most fall into the category of overuse or repetitive strain injuries.

What can I do to prevent getting injured?

Tips to make your next round injury-free include:

  1. Warm-up: Start with some general aerobic activity such as walking for 10 minutes, then hit a few balls at the practice range. On the practice tee start with your short irons, then the long irons, the woods and finally your driver.6 Practice using gentle swings and focus on good technique. Warming up in this sequence lets your body get used to the combined movements of a golf swing before you add the resistance of a heavier golf club. If you have the opportunity, practice on natural turf. The natural golf swing involves some degree of contact between the club and the ground so practicing on artificial surfaces may increase stress to the wrists and elbows, leading to injury.6
  2. Stretch: There are mixed opinions as to whether stretching should be included in warm-up routines to prevent injury. However, stretching on a regular basis does help to increase your range of motion and flexibility.7 Both are important to ensure you have the physical ability to produce a full, easy swing and to ensure you are not putting too much stress on your back while twisting. Be sure to include stretches for your upper body and back as well as your wrists, shoulders and low back. Remember that stretching should not be painful. Focus on gradually increasing your range of movement and holding each stretch for 10 to 20 seconds without bouncing.
  3. Build up your golf endurance: When the sun is shining, and the opportunity arises, you may just want to play those 18 holes whether you’re prepared or not. Acting on that impulse without being prepared may increase your chance of getting injured. You will get more out of golf season if you gradually build up your time spent on the course. Consider starting on the driving range and then gradually increasing your game from 9 to 18 holes.

Preparing for the next golf season or winter golf getaway

  1. Rest: A four to six week break from golfing allows your body to recover from the last season and prepare for the next one.  Canadian winters allow for a natural break from golf; however, if you travel to warm destinations during the winter months and make golfing part of those travels, you may want to schedule in a break from golf as part of your yearly travel plans.
  2. Strengthening: A strengthening program for your core muscles and upper body will decrease your risk of injury and lead to better results on the golf course. Exercises should focus on the shoulders, wrists/forearms, back and core.6 If you are unsure how to start, contact a physiotherapist for some recommendations.
  3. Aerobic fitness: Working on your general physical fitness in both the regular and offseason will improve your cardiovascular strength and fitness and allow you to transition between the off season and golf season with greater ease. Good exercises for aerobic fitness include walking, jogging, swimming and cycling; anything that gets your pulse rate up. This too will help you meet the activity recommendations set out by the Canadian Physical Activity Guidelines for Adults.

What do I do if I have a golf-related injury?

Whether you are a golf enthusiast or an occasional weekend player, getting back to the game safely is important.

Golf 911

Staying on top of injuries and preventing new problems from becoming chronic will help you to enjoy the game for years to come. If you are injured, investing in rest and physiotherapy treatment will help. Consulting a professional golf instructor in conjunction with physiotherapy may also help you to modify your swing, prevent injury and be able to participate for years to come. Being able to enjoy a pain-free game of golf without worrying about an injury is a goal that physiotherapists can help with.

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Foot Pain? Winnipeg, you need to Strengthen your Arch or your ‘Sorels’ may hurt!

The feet are an important link in the kinetic chain that we sometimes forget about. The foot is a dynamic structure that needs to be strong and stable while also being soft and malleable. Thanks to its design and muscular attachments, it can store and utilize elastic energy with each footstrike. The strength and stability of the arch, referred to as the “foot core,” are required for proper foot function.


Both local and global muscles control the shape and function of the arch. The local muscles are primarily stabilizers known as the intrinsic foot muscles and are smaller in cross-sectional area. The global muscles are primarily prime movers of the foot and are larger in cross-sectional area. With each footstep and running stride, the local foot stabilizers function to control the amount and speed of arch deformation. Dysfunction of these muscles can result in an unstable arch and abnormal foot movement. Excessive deformation of the foot has been linked to plantar fasciitis and other lower limb injuries.


Traditional foot strengthening exercises usually involve curling the toes to pull a towel toward you or picking up marbles with your toes. These types of exercises will target the local foot muscles but will also involve the global muscles. Ideally “foot core” training should only target the local foot stabilizer muscles.

Enter the short foot exercise.

The goal of the short foot exercise is to “shorten” the foot by contracting the intrinsic muscles to raise the medial longitudinal arch, or in science-speak, pulling the first metatarsophalangeal joint toward the calcaneus (heel bone). Care should be taken to ensure the foot is in neutral alignment and that the toes are not flexed or extended.Pain, and your shoes will dictate foot posture, or alignment. Check for arch support, heel cups, external support foams, plastics…those transitional, seasonal shoes can be dangerous!

the dreaded 'flip-flops' of Summer

The short foot exercise is best learned seated and can be progressed to bilateral standing, single-leg standing then to functional activities such as squats, deadlift, lunges and hops. It should also be noted that being completely barefoot would enhance sensory input detection from the plantar surface of the foot and help you develop the sense of creating the short foot posture.

Your Arch Strengthening Routine

This routine consists of some exercises that can be performed daily (e.g. short foot, toe splaying and big toe presses) and exercises that can be performed 2-3 times per week (e.g. leg swings and calf raise to big toe press).

Short Foot Exercise

Sit in a chair in your bare feet. Form a 90-degree angle at your knees and ankles. Without crunching your toes, try to shorten your foot by doming the arches in your feet. You can focus on one foot at a time or do both at once. Try not to curl or extend your toes and keep your foot neutral. It’s harder than you think! Practice this throughout the day. You can even practice while sitting at your desk. Once you become competent in performing the short foot sitting, attempt the exercise standing on two legs then on one leg.


Toe Splaying

Try moving your toes away from each other but be careful not to curl or extend them. Practice throughout the day. Remember your Grandmother pinching you with her toes? Some just have the primordial gene.

Big Toe Presses

Press your big toe into the floor while extending your other four toes. Hold each press for 8 seconds and perform 12-15 reps per foot. Then, try to remember to encorporate your ‘big toe push’ into every step; train for a new gait.

Leg Swings

Dissimilar to dynamic leg swings that are commonly performed with a large amplitude, these legs swings are performed with a small amplitude to challenge your balance and hip and ankle stability. Stand on one leg in your bare feet and attempt to create the short foot posture. Swing the non-stance leg forward and backward 15 times. Without rest, swing the same leg left and right in front of your stance leg, also 15 times. Repeat this sequence without resting, then repeat on your opposite leg.

Calf Raise to Big Toe Press

Stand on the edge of a stair in your bare feet. Let your heels drop below the level of the stair. Then perform a traditional calf raise, but then proceed and press onto your big toe. This part is difficult for most. Feel free to hang on to something for balance. Perform 12-15 reps.

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50+ tips for your Ergonomic Health in 2019, for students, office employees, even drivers in Winnipeg…those that almost sit for a living

You might think that just because you’re still in college, you don’t have to worry about the physical stresses and strains that 8-plus-hour work days put on your body. But as a student, you put in a lot of hours studying and working, too. Besides getting regular exercise and trying to eat as healthfully as you can, you need to monitor your posture, especially at the computer and when you study. This is especially important for students enrolled in online graphic design programs or online IT programs as they will spend even more hours staring at the screen. Here are 50 tips and tricks for serious students. Think of it as your ultimate guide to ergonomics.

General Posture

Make sure you adopt these good posture habits whether you’re sitting in the cafeteria or at your desk.

Fill in the space between your back and the back of the chair: When sitting in a chair, sit straight so that the space between your lower back and the chair is no longer existent.
Keep your tummy relaxed: Don’t contract all of your muscles when you sit down. You can rely on the chair to help you with your posture without tightening your tummy.
Keep your neck, back and heels aligned: If you draw an imaginary vertical line down your back, your neck and heels should hit in the same spot, too.
Keep your feet flat on the floor: Make sure you keep your feet flat on the floor when you’re sitting at your desk.
Sit down: Instead of sitting up, sit down, letting your chest relax down, but not over.
Tuck in your chin: When standing, keep your head straight but your chin tucked in to keep your neck stable but not overexerted.
Keep your knees at a 90-degree angle when sitting: Remember to keep everything aligned. Don’t tuck your knees in, which can make you start to hover and hunch over your keyboard.
Draw your shoulders back and relax: Draw your right shoulder, then your left shoulder back and then down, and then take a deep breath and relax. After working for several minutes, monitor the position of your shoulders, and make sure you’re not hunched over.
Align your hips with the base of your chair: Tuck your tummy in and sit so that your hips are touching the base of your chair back.
Evenly distribute your weight: You shouldn’t lean over to one side when you sit: you should distribute your body weight evenly between both hips.

Computer and Keyboard

When you’re researching, writing papers, or playing on Facebook, be aware of how your body should be aligned to prevent injury and strain.

Use a chair with a flat surface and straight back: This type of chair will support your back while you work at the computer.
Place your ankles underneath your knees: When you sit, make sure your ankles line up underneath your knees for proper posture and balance.

Your monitor should be at eye level: This is one of the most important tips to keep your posture in order. Adjust your chair and get the right desk so that the top of your monitor is at eye level.
Align your wrists with your forearms: Keep your wrists in line with your forearms instead of bending them up or down, which causes great stress on the muscles and tendons.
Bend your head slightly forward: Keep your head bent slightly forward and aligned so that you’re looking at your monitor straight on.
Use a document holder: To prevent twisting your neck and body, use a document holder next to your monitor if you’re making a transcription.
Keep your elbows close to the body: Experts recommend that elbows should be bent between 90 and 120 degrees.
Turn your whole body, not just your neck or mid-section: When you are sitting in a swivel chair, it’s best to turn your whole body instead of just straining your neck or mid-section.
Take advantage of armrests: Armrests will help you relax your shoulders and keep elbows close to the body.
Use a wrist rest: Use a wrist rest on your keyboard and on your mouse pad to make sure your wrists are supported and in line with your forearms.
Bring your keyboard down: It’s best to avoid reaching up to type, so use an adjuster that allows you to type at a more relaxed level.
Consider a slightly reclined position: A good ergonomic chair will allow you to lean back slightly, which relaxes your back muscles and decreases pressure on your lower back.


Believe it or not, sleeping in the correct position also benefits your health, can prevent injury and will help you maintain good posture habits when you’re awake, too. Check out this list for sleep-related ergonomics.

Keep your pillow under your head: It sounds obvious, but pillows are meant to support your head and neck, so don’t sleep without ample support under them.
Don’t sleep on your stomach: This rule is especially important if your mattress is weak, as sleeping on your stomach causes back strain.
Get up correctly: Don’t just roll out of bed. Avoid cricks and muscle cramps by first turning on your side and pulling up your knees, swinging your legs over the side of the bed. Push yourself up from the sitting position by pushing down on the bed.


Libraries, study centers and your dorm couch aren’t necessarily designed with ergonomics in mind, so you’ll have to make some adjustments. Here are tips for DIY ergonomics.

Bring a pillow or bolster: A small pillow, cushion or bolster will do wonders for your sitting or reclining position and will keep you comfortable for longer periods of time.
Watch the weight of your backpack or messenger bag: A purse or book bag that’s too heavy will cause great strain and even injury to your shoulder, neck, and/or back. Try switching the way you carry your bag every once in a while, and only carrying what you really need.
Don’t bring your laptop to bed: Balancing your laptop on your bed will cause you to hunch over and strain your neck, so leave it at your desk.
Choose the right ebook: If you’re lucky enough to use an ebook in college, choose the edition that has the best ergonomic improvements and that won’t cause eye strain.


Try out these exercises and stretches to give your body a break and work out some of the tension.

Shoulder blade squeeze: Lift your arms straight out in front of you, then swing them out towards your back as far as you can go, without over-straining yourself. Bring them forward again and repeat a few times.
Crunches: Anything that works out your core — including crunches — will help support your back.
Stretch everything: Take little breaks to stretch everything, including your facial muscles and fingers.
Work out your hands and palms: Fold your hands together, face your palms away from your body, and stretch your arms in front of you. Repeat up to eight times.
Knee Kiss: As you pull one leg at a time up to your chest (or lips), hold it with both hands and hold for five.
Superman: To do the Superman, lie face down on the floor, and lift your right arm and left leg off the floor. Hold for a few seconds, and then switch arms and legs.
Quadricep stretch: Scoot your chair back so that you can stretch out your legs in front of you, and hold for five.
Neck and shoulder stretch: Roll your shoulders back, and then drop your head so that your chin nearly rests on your chest. Move your head to the right, then to the left.

Identifying Risks and Injury

Here you will learn some potential risks for injury like carpal tunnel.

The scrolling wheel: Overusing the scrolling wheel on your mouse can actually lead to pain and discomfort, so choose to click instead.
Don’t cradle your phone with your neck: If you spend time on the phone while you work or study, hold it properly with your hand, and not by cradling it with your neck.
Monitor your B12 intake: Ergoblog reports that B-12 deficiencies, which can be common among college students who aren’t vigilant about their diet, can lead to tingling feelings in muscles and hands, which is similar to carpal tunnel symptoms.
Understand the difference between cumulative trauma and repetitive stress injuries: Visit a doctor so that he or she can help you correctly identify your injury and a rehab solution.

Miscellaneous Tips

From using a footrest to taking frequent breaks, here are more ergonomics tips for students like yourself.

Take breaks: Ease eye strain and repeated muscle movement by getting up to walk around the room and stretch a couple of times every hour, at least.
Test your posture: You can test your standing posture by standing with your head, rear end, and shoulder blades pressed against a wall. You should have one hand’s thickness between your back and the wall.
Know how to lift your laundry: If you like to go weeks without doing laundry, don’t try to pick up the entire heavy load at once. Try lifting a few loads, and make sure you bend at the knees, not at the waist, and use your leg muscles to stand up.
Use a checklist: Use this checklist to make sure your workstation has all the right components for promoting good posture.

Check out our Ergonomic Services link about the onsite assessment and education services provided by yourPhysio.

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Need pain relief from; plantar fascitis, tennis / golfers’ elbow, frozen shoulder, low back trigger points, whiplash, cellulite? …could they all be ‘fascial distortions’ Winnipeg?

Fasciae are connective tissue structures that pervade the entire body. In the 1950s, the American biochemist Ida Rolf examined fasciae for the first time. She believed that the connective tissue or fasciae played a greater role in muscle pain than muscles did. This resulted in rolfing, a manual body therapy that affects the network of fasciae in the human body. For a long time, it was unclear what really had an effect on the connective tissue and the role that it actually played. Today, we know that fasciae cover all our muscles as well as all our organs. Muscles are only able to transfer their complete force through them. Fasciae contain all nerve endings, receptors and lymphatic fluids and thereby cover our bodies like a network. Fasciae are flexible and can change.

Fascia is ‘connective tissue’, organized as an interconnected, multi-dimensional network. It wraps around every cell, tissue and organ. Think of it like a web that supports the bones, muscles, etc.; without it the body would fall apart. Fascia is formed by undulated collagen fibres and elastic fibres arranged in distinct layers, and within each layer the fibres are aligned in a different direction. Due to its undulated collagen fibres, fascia can be stretched and, thanks to its elastic and ‘smooth muscle’-like fibres, it can then return to its original resting state.

Given that fascia adapts to muscle stretch, it is unable to transmit force like a tendon or an aponeurosis (thicker, connective tissue that binds and protects; such as that covering the carpal tunnel of the wrist). Please view this beautiful, but anatomical video displaying our fascial types. Subcutaneous connective tissue forms a very elastic, sliding membrane essential for thermal regulation, metabolic exchanges and the protection of vessels and nerves, whereas the deep fascia envelops the muscles, and surrounds the muscle’s aponeurosis up to where it inserts onto bone.

While part of the fascia is anchored to bone, part is also always free to slide. The free part of the fascia allows the muscular traction, or the myofascial vectors, to converge at a specific point. It is hypothesised, that the richly innervated fascia could be maintained in a resting state of tension due to the different muscular fibres that insert onto it. Due to this optimal resting state, or basal tension, of the fascia, the free nerve endings and receptors within the fascial tissue are primed to perceive any variation in tension and, therefore, any movement of the body, whenever it occurs.

So what happens when fascia gets tight, distorted or rigid? Well, that is where that tight feeling in your hamstrings comes from, creates those lumpy looking chunks in your rear end, and causes pain like plantar fasciitis. As you age, workout and sit still your fascia becomes a little more sticky and creates adhesions. These adhesions can restrict movement, create a tight feeling around the muscle like wearing jeans that are way too tight, and lead to injury if left untreated.


When we get injured or engage in repetitive actions that don’t have much variety in range of motion our body may over time develop excess fascia between muscle tissue like the image above as if a spider was weaving a web. This can create cross-linkages and fascial adhesions that begin to restrict our ‘usual movement’ which over time creates other lines of tension that are unnecessary on joints and muscles. This increases the likelihood for fascial restrictions which have the capacity of creating up to 2,000 pounds of pressure per square inch in a restricted area. This intense pressure can compromise our physiology and result in chronic pain and dysfunction.


Shockwave therpy is being increasingly used for treating fascial structures, alongside conventional treatments – with excellent results. Dr Stephan Swart and Dr Carlo Di Maio are two physicians who used shock wave therapy to treat fascia-related problems early on. Based on their ideas and experiences, in collaboration with STORZ MEDICAL the new PERI-ACTOR® transmitters were developed to facilitate and optimise fascial therapy.




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your Concourse Physiotherapy Winnipeg update to prevent back pain

Created for those alumni of Concourse Physiotherapy that want the latest articles, exercises and information regarding back pain, sciatica, degenerative disc disease, etc.

This information is gathered, and reviewed by the physiotherapist from a number of sources, such that you do not have to hunt through the internet, ‘self diagnose’ and just not know where to go next.

Please don’t hesitate to check back monthly for updates:

Was your back pain due to shoveling, raking, lifting, or golf, baseball, hockey? All of these require ‘rotational power’, and it’s those smaller, deep muscles of the spine that frequently do not get strengthened enough. Check out these exercise videos for great, ‘swing’ exercises!


Core exercise by Physiotherapy Winnipeg
Core exercise by Physiotherapy Winnipeg

Ready to take the ‘PLANK’ challenge? Learn more about your core, and how this relatively, simple exercise can benefit your health, click here for the article …try to plank each day for a month (let me know the result)



Are you a runner? no, well apply these principles to how you walk, do stairs or play; and now you’ve got the basics to prevent your back pain from happening again, check out this article.


Great video on ‘understanding your gluteal muscles’; for those that ‘sit-for-a-living’, this is an absolute must watch; click here


For pre-natal, peri-natal or post-natal…back pain is almost always a problem; you must learn to breathe diaphragmatically, engage the core, re-train those kegel’s and get your spouse to do these also; go here for 6 exercises


Another video for those that ‘swing’, golfers, tennis, baseball…some standing core exercises that incorporate your trunk rotators for greater strength and stability.

If you don’t have the space for a medicine ball, exercise bands or tubing works great when tied to something you know you cannot move; see the video


If you do not have therapy bands or tubing, come in for some instruction, specific to your condition or sport activity; you can purchase this offer online


You must remember to stretch those hip flexors. You know I gave you that as ‘homework’; that ‘dynamic lunge’ exercise is a must; here is your review

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your Physio updates for neck-shoulder pain in Winnipeg

Created for those alumni of Concourse Physiotherapy that want the latest articles, exercises and information regarding neck pain, whiplash, headaches, etc.

This information is gathered, and reviewed by the physiotherapist from a number of sources, such that you do not have to hunt through the internet, ‘self diagnose’ and just not know where to go next.

Please don’t hesitate to check back monthly for updates:


Neck pain still hindering your activities? Check out this article on specific biomechanics and postures that can make a difference at work, rest and play!

Diaphragmatic breathing is opposite that of ‘chest breathing’, and is really your first core exercise. If you breathe with chest expansion/shoulder shrugs, you are engaging the accessory muscles of upper respiration and will always aggravate chronic neck pain. Learn about breathing during activity and exercise here!

‘Eccentric’ training; a must for any gym routine. Your neck and upper back stabilize and hold your head in place, for function and structural health. Check out this article to understand eccentric muscle work and always include a SLOW RETURN in your exercises to maximize muscle work!

Because head and neck posture combine to form the dreaded ‘forward head posture’, please check your posture with each task; proper ergonomics slows you down initially, but practice makes perfect; postural exercise

neck and upper back pain of whiplash

Did you know the accessory muscles for breathing are those ones that feel constantly tense, the ones at the base of the neck, towards the shoulder blades…the picture above points to the ‘upper Trapezius’ muscle; the most common trigger points of the neck. If you hold your ‘tension and stress’ there, you must learn to breathe, no, really! check this article


Smartphones, and their apps, have changed the way we communicate and access information forever. Your neck and upper back take the brunt of this constant rounded, slumped posture; here’s a few stretches to prevent ‘text neck pain’


rSWT Shockwave therapy for those chronic, neck-shoulder pains

Many patients have asked about foam rollers and how to use them, especially for daily release and tension headaches. If you have one, fantastic; here is a great video focusing on the neck-upper back

If you don’t have a foam roller yet, I’m still offering the best deal on the internet…no really, and it’s covered by your company benefit plan or private insurance, just call me or hit the upper right CONTACT button for an appointment; check this out here


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Tennis Elbow more common in those who do not play racquet sports…Downtown Winnipeg computer users get Laser or ShockWave therapy today!

Q: My doctor says my elbow pain is due to tennis elbow. But I don’t play tennis. Could you explain how this has come about and what I can do about it?

A: “Tennis elbow” is a common term for a condition doctors call lateral epicondylitis. It’s caused by inflammation of the tendon that connects the extensor muscles of the wrist to the outside of the elbow.

Probably fewer than 10 percent of people get this by playing tennis. The usual causes are recreational activities such as gardening, job-related lifting, using a screwdriver or wrist overuse.

The medial epicondyle can also get inflamed. In this condition, called medial epicondylitis, the affected tendons connect the flexor muscles of the wrist to the inside of the elbow. It’s commonly called “golfer’s elbow” or “pitchers elbow.” Tightening and twisting the wrist from activities such as golfing or throwing a baseball can cause it.

Most people with medial or lateral epicondylitis feel pain when their doctor applies direct pressure to the inflamed area. He or she might ask you to push your wrist against resistance, which could also cause pain. You might also feel pain with handshaking, lifting a briefcase or heavy pot or similar activities.

The treatment is similar for both conditions.

LLLT Low Level Laser Therapy is widely used for any inflammatory condition. Given the minimal depth to the affected bone-tendon area, there is little to impede the efficacy of laser treatment.


rSWT Radial ShockWave Therapy was developed little over 10 years ago by the Swiss company that treats kidney and gallstones. It is the latest treatment for those myofascial trigger points; those areas of chronic, nagging pain, whether it be from overuse or poor postural habits, we all have them.

rSWT neck

You could wear a wrist splint or forearm brace to prevent overuse of the muscles of the forearm.

You can also try a non-steroidal anti-inflammatory drug (NSAID such as ibuprofen or aspirin) and ice packs to help relieve symptoms. Your doctor may recommend physical therapy, especially if you need to return to a job or activity that caused the problem.

Sometimes doctors recommend one or two steroid shots over the affected epicondyle. But there is some risk of tissue loss around the elbow with repeated shots.

The symptoms of “tennis” or “golfer’s” elbow normally get better within a few months with conservative therapy. Once the symptoms disappear, you should begin gradual stretching and strengthening of the tendon and muscle attachments. We will develop an exercise program for you specific to your chosen activity or sport mechanics.

We will also look at your biomechanics. How you move, and perform your work is called ergonomics. Even the simplest changes can have great affects on chronic pain.

Call or email today, I can probably assess your elbow the next business day.

204-9438411 or


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Your SmartPhone habits may be the cause of ‘Text-Neck’ pain in Winnipeg

yourPhysio is treating an increase in patients with neck and upper back pain. Computer use, tablets, smartphones or previously, just reading in bed bad habit were likely the causal factors. But now researchers are focused on communication via text, and the pain related to poor posture during prolonged smartphone use, according to a recent report in the international Journal, The Spine.

Our patients endure all of the above causal factors, but the demographics of smartphone use, particularly young patients who shouldn’t yet have back and neck issues, are reporting disk hernias and alignment problems, the study authors write in The Spine Journal.

In an X-ray, the neck typically curves backward, and what we’re seeing is that the curve is being reversed as people look down at their phones for hours each day, said study coauthor Dr. Todd Lanman, a spinal neurosurgeon at Cedars-Sinai Medical Centre in Los Angeles.


The real concern is that we don’t know what this means down the road for kids today who use phones all day. Lanman and co-author Dr. Jason Cuellar, an orthopedic spine surgeon at Cedars-Sinai, write that people often look down when using their smartphones, particularly when texting, as compared to browsing online or watching videos. Remember that ‘reading in bed’ comment? Now it’s using our phones or tablets that affect our spine, wrists and eyes!

It’s the way you hold your neck

Previous studies have also found that people hold their necks at around 45 degrees, and it becomes even worse as they sit, versus standing, the study team writes. The impact on the spine increases at higher flexed postures, they add.

While in a neutral position looking forward, the head weighs 4.5 to 5.5 kilograms. At a 15-degree flex, it feels like 12 kilograms. The stress on the spine increases by degree, and at 60 degrees, it’s 27 kilograms.


Lanman and Cuellar suggest simple lifestyle changes to relieve the stress from the text neck posture. They recommend holding cellphones in front of the face, or near eye level, while texting. They also suggest using two hands and two thumbs to create a more symmetrical and comfortable position for the spine.

Beyond smartphone use, the spinal surgeons recommend that people who work at computers or on tablets use an elevated monitor stand so it sits at a natural horizontal eye level. But with Windows software, it is more effective, and ergonomic, to have the most common ‘cursor use area’ at eye level. Now, this may change with the software or program being used; but change is good for postural awareness.

With laptops, I recommend a similar adaptation by using a separate keyboard and mouse so the laptop can be at eye level and still create a good ergonomic position while typing.

It is difficult to recommend a proper posture for smartphone users. If we raise the phone at eye level to avoid the look-down posture, it will add new concerns for the shoulder due to the elevated arm posture, now we create those dreaded rotator cuff issues. And even, frozen shoulder or adhesive capsulitis.

rSWT neck

Take a break from texting

A more practical recommendation would be frequent rest breaks or some physical exercise that can strengthen the neck and shoulder muscles. Ask yourPhysio for a custom exercise plan for your specific work tasks.

Selfie? to self examine…no, get a friend to take a picture of you texting or using your computer. Check your posture. Bring it to yourPhysio for an Initial Assessment and we’ll correct your posture and give you the exercises you need to avoid pain.



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Chronic Pain? Here’s why you need to try Shockwave Therapy Winnipeg

Radial Shockwave Therapy (rSWT) for muscle, joint, ligament and myofascial pain, brings the technology for disintegrating kidney stones in to the Physiotherapy clinic for chronic pain, musculoskeletal problems.

It is great for:

  • Chronic Neck and Low Back trigger points
  • Calcific, shoulder Rotator Cuff Tendinitis
  • TMJ, chronic jaw pain
  • Achilles tendinitis
  • Plantar fasciitis, heel-arch pain
  • Tennis or Anglers’ elbow pain, and golfers elbow
  • Patellar, knee tendinitis
  • Quadriceps, thigh tendinitis
  • Iliotibial band, friction syndrome
  • Trochanteric, hip pain
  • Other tendon problems

All of these conditions are otherwise hard to treat if they don’t get better with physiotherapy and before shockwave therapy existed the next step would often be surgery.

It has a success rate of about 70-80%, so it does not work for everyone, but does help most people even when other treatments have failed. It is a great way to keep yourself away from an operation.

How does Radial Shockwave therapy work?

Radial Shockwave therapy is a non invasive way of restarting the natural healing process allowing your body to repair itself. The common factor in all of these conditions is the chronic inflammatory process, which is a vicious cycle of pain and damage that is often seen in association with over use injuries. Shockwave therapy can convert this chronic inflammatory process into an acute inflammatory process much like a fresh injury, from which the body can usual heal itself.

Institutional Shockwave units for kidney stones are huge, costly and have the power to disintegrate tissue at larger distances. This musculoskeletal unit is almost portable, affordable and works only millimeters below the skin.

How much does it cost, and will my insurance cover it?

Shockwave therapy is covered as ‘physiotherapy treatment’ being a modality used by a trained, medical professional. In Europe, a similar unit is used in dermatology and aesthetics to affect myofascial distortions; specifically those that cause ‘cellulite’. Watch for our introduction of this service under your Health Savings Account.



What happens during shock wave therapy treatment?

During Shockwave therapy, a high-intensity sound waves are sent into the tissues of the body. This leads to all sorts of beneficial effects such as new blood vessel growth, reversal of chronic inflammation, stimulation of new tissue growth and breaking down calcium deposits. For you it’s about 5 minutes of quite noisy, and a little bit uncomfortable treatment to the sore area. Some people feel some benefit right after the session, but then it may be sore for the next day or two.

Benefits of shock wave therapy treatment

How long does it take to work?

You are likely to feel reduced pain within minutes of starting the first treatment. You will be sore after each treatment, but it is important NOT to take anti inflammatories. The treatment works by stimulation of a ‘pro-inflammatory state’; heat may even be recommended with normal activity. Most patients experience considerable benefit by 3 months from the first treatment, but studies show improvements continue up to one year from treatment.

Are all shockwave treatments the same?

No! There are a variety of types of shockwave machines and ways to deliver the therapy. Concourse Physiotherapy uses the latest Storz Radial Shockwave Therapy unit (as pictured); which has a wealth of research for orthopedic injuries.

The type of hand piece determines how much energy can be given, and the newer ceramic hand pieces deliver more energy with less discomfort. The variable applicator head allows the new Storz machine to be much more comfortable and delivers more of the all important energy for less discomfort.