Services

Physiotherapy

two people running

Talbot Trail Physiotherapy began in 2002 with a mission to deliver comprehensive physiotherapy care, one patient at a time. Blending science with inspiration, our team focuses on the assessment and treatment of all conditions related to bone, muscle and joint problems. We work as your partner through your journey to restore and maintain motion for long-term health benefits.

All of our physiotherapists are registered which means they are members of the Canadian Physiotherapy Association. As a condition of membership, individuals agree to adhere to the CPA's Rules of Professional Conduct, are expected to meet the CPA Standards of Physiotherapy Practice and have to undergo continued professional development the same way as a doctor or nurse.

At Talbot Trail Physiotherapy, our first and foremost responsibility is to our patients. We take the best that technology has to offer and combine it with superior therapy and exercise to help patients reach their optimum level of physical function in a friendly and caring atmosphere.

Our patient satisfaction survey shows that:
  • 98% stated marked improvements to their condition following treatment at Talbot Trail Physiotherapy.
  • 99% stated they were “completely satisfied” with the overall health care provided by the team of therapists at Talbot Trail Physiotherapy.
  • 96% of Patients were seen by a Physiotherapist within 15 minutes, following completion of paperwork, during their first visit.
  • 99% stated they were completely satisfied with overall customer service provided at Talbot Trail Physiotherapy.

We strive to provide excellence in patient care with each member of the community in which we serve. We want our patients to return to a better quality of life as soon as possible.

arm bandaged

Orthopaedic Surgery

Orthopaedic surgery is the branch of surgery focused on bone and joint conditions of the musculoskeletal system. The Orthopaedic Surgeons located in the clinic utilize both surgical and non-surgical methods to treat musculoskeletal trauma, sports injuries and degenerative diseases.

Chiropractic

Our Chiropractic care team focuses on restoring and maintaining the health of joints, muscles and nerves. We provide advanced spinal correction utilizing state-of-the art chiropractic techniques that are safe, comfortable and more effective than ever before.

Services include:
  • Gentle chiropractic manipulation/mobilization
  • Medical Contemporary Acupuncture
  • Graston Technique (GT)
  • Active Release Therapy (ART)
  • Flexion Distraction/Decompression therapy

Talbot Trail Physiotherapy Concussion Testing and Rehabilitation Program

concussion images

Talbot Trail Physiotherapy has created a concussion unit utilizing ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing).

The ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is the first, most-widely used, and most scientifically validated computerized concussion evaluation system. It is used by the NHL, the NFL, and NBA. Developed in the early 1990's by Drs. Mark Lovell and Joseph Maroon, ImPACT is a 20-minute test that has become a standard tool used in comprehensive clinical management of concussions for athletes of all ages.

Given the inherent difficulties in concussion management, it is important to manage concussions on an individualized basis and to implement baseline testing and/or post-injury neuro-cognitive testing. This type of concussion assessment can help to objectively evaluate the concussed athlete's post-injury condition and track recovery for safe return to play, thus preventing the cumulative effects of concussion. In fact, neuro-cognitive testing has recently been called the "cornerstone" of proper concussion management by an international panel of sports medicine experts.

A concussion is a disturbance in the function of the brain caused by a direct or indirect force to the head. It results in a variety of symptoms (like those listed below) and may, or may not, involve memory problems or loss of consciousness.

What is a Concussion?

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  1. Concussion may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an ‘impulsive’ force transmitted to the head.
  2. Concussion typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously.
  3. Concussion may result in neuropathological changes but the acute clinical symptoms largely reflect a functional disturbance rather than structural injury.
  4. Concussion results in a graded set of clinical syndromes that may or may not involve loss of consciousness. Resolution of the clinical and cognitive symptoms typically follows a sequential course.
  5. Concussion is typically associated with normal neuroimaging studies such as MRI or CT scans.

It should be recognized that the reporting of symptoms may not be entirely reliable. This may be due to the effects of a concussion or because the athlete’s passionate desire to return to competition outweighs their natural inclination to give an honest response. Remember, concussion should be suspected in the presence of ANY ONE or more of the following:

Signs: brain electro impulses
  • Appears dazed/stunned
  • Confused about assignment or position
  • Forgets sports plays/tasks
  • Is unsure of game, score, or opponent
  • Moves clumsily
  • Answers questions slowly
  • Loses consciousness (even briefly)
  • Shows behavior or personality changes
  • Can’t recall events prior to or after incident
Symptoms:
  • Headache or “pressure” in head
  • Nausea or vomiting
  • Balance problems/dizziness
  • Double/blurry vision
  • Sensitivity to light and noise
  • Feeling sluggish, hazy, foggy, or groggy
  • Concentration/memory problems
  • Confusion/Does not “feel right”

Treatment Recommendations:

Allowing enough healing and recovery time following a concussion is crucial in preventing any further damage. Research shows that the effects of repeated concussion in young athletes can be cumulative. Most athletes who experience an initial concussion can recover completely as long as they are not returned to contact sports too soon. Following a concussion, there is a period of change in brain function that varies in severity and length with each individual. During this time, the brain is vulnerable to more severe or permanent injury. If the athlete sustains a second concussion during this time period, the risk of more serious brain injury increases.

The following treatment of a sports related concussion is recommended:

REST

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The most important thing you can do following your concussion is rest. Rest allows your brain to heal and return to normal function. It is very important that the athlete increases their amount of sleep time as this helps the healing process. They may hear the term “relative rest”. Relative rest means that you should restrict your physical and mental activity as much as possible. You should only do the minimum activity you need to do to complete your schoolwork, housework etc. This includes limiting your participation in sports and physical education as well as limiting your computer use, video game playing and other activities that can stimulate your brain.

COMPUTERIZED NEUROPSYCHOLOGICAL TESTING

The ImPACT Computerized Concussion Test to help provide an objective measurement of how your brain is functioning. This tool assists the physician and health professional in determining the severity of the injury and when it is safe for you to return to play. We recommend taking the ImPACT test within 48- 72 hours of your injury. This will be repeated to measure progress or deterioration of the condition.

PHYSICAL EXERTION TESTING

Once you are symptom free at rest, the physicians will generally allow you to resume gradual physical activity. If this activity is tolerated without a return of symptoms, it can be progressed by your school’s Licensed Athletic Trainer.

RETURN TO PLAY

Once you are symptom free at rest, your neuropsychological test is back to normal (if applicable) and you are symptom free with exertion and sports specific activity, your physician may allow you to return to sports participation. If at any time during your return to play you experience a return of your concussion symptoms, it is very important that you notify your coach, parent, Licensed Athletic Trainer or Physician.

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Concussion Testing and Rehabilitation Program Fees Initial Assessment: $60 Routine Visit: $45 Impact Testing/Per test: $30

Frequently Asked Questions (FAQ)

My son suffered a concussion on Wednesday; will he be able to play in Friday’s football game?

It is recommended that an athlete should not return to competitive sports until they are symptom free, both at rest and with exercise and their neuro-cognitive function returns to normal. Return to play should only occur with permission from your Physician.

Can I give my son/daughter any pain medications?

We do not recommend that the athlete take medicine without your physician’s permission. Aspirin, Non-Steroidal Anti Inflammatory Drugs (Advil, Ibuprofen, Aleve), blood thinners and drugs that cause drowsiness should be avoided. Headache intensity may worsen with too much activity; therefore, rest instead of medicines should be the first choice for treatment. Alcohol use should also be avoided.

Can my child participate in school, work or other activities?

Returning to school or work activities will be at the discretion of the Physician. Some school and work activities may need to be monitored, for example: the athlete may need to participate in only ½ days of school with frequent break periods, homework may need to be monitored, and he or she may need to avoid loud music and video games. Academic tests and written papers may also need to be postponed.

What are the long-term effects?

It is the opinion of experts that if concussions are properly treated, there are no long-term effects for the vast majority of people.

My daughter’s teammate just suffered a concussion and she was allowed to return to play sooner than my daughter, why is that?

Each concussion should be treated individually. Concussion symptoms and severity are different for each head injury and the return to play decisions vary based on the individual.

What happens if my child returns too soon?

If your child is under the care of a Credentialed ImPACT Consultant or qualified physician he or she will make sure that the athlete is cleared mentally, physically, and neurologically before the athlete returns to play. However, if your child’s concussion is not properly managed they could suffer what is called Second ImPACT syndrome. Second ImPACT syndrome occurs when an athlete sustains a second head injury before symptoms associated with the first have cleared. Although, very rare, Second ImPACT syndrome can be fatal.

If my child has a negative MRI/CT scan why can’t they play?

MRI’s and CT scans are tests to rule out more significant injuries such as bleeding in the brain orconcussion-2skull fractures. We rely on other tests to help determine the appropriate return to play. We evaluate physical and cognitive symptoms as well as neurological deficits. While we do use the ImPACT Computerized Concussion Test to help assess your sons’ or daughters’ neuro-cognitive function, it is only one of the tools we use to assist in determining the level of their concussion.

SpineCare Program

Back Alleviate pain, control symptoms, and improve daily functioning with a customized spine program which includes Chiropractic, Physiotherapy, Kinesiology, and Massage therapy for a number of spine conditions including:

  • Degenerative Disc Disease
  • Spinal Stenosis
  • Cervical/Lumbar Strain/Sprain
  • Disc Bulges/Disc Herniation
  • Nerve Impingement
  • Sciatica
  • Arthritis

Talbot Trail Physiotherapy provides convenient high quality, one-on-one care in a friendly and caring atmosphere.

We know you want to return to your optimal level of physical function in the shortest period of time. We will be right by your side to improve and/or maintain your physical mobility and independence, while improving your overall fitness, health and well-being.

Rheumatologist

Talbot Trail Physiotherapy is proud to have Elgin County’s first-ever Rheumatologist as a part of our team!

Rheumatology focuses on common and complex problems including certain autoimmune diseases and pain disorders that affect the entire body. Talbot Trail Physiotherapy is able to successfully treat and manage many conditions including rheumatoid arthritis, gout, lupus, osteoarthritis and spondylitis.

Sports Medicine

image010 Have You Been Injured Participating in a Sport?

You are probably asking yourself, “When can I return to play?” Our sports medicine physicians are here to help! They have the training and certifications needed to treat athletes like you. With their help, we can get you on the right track for recovery and rehabilitation.

Custom Orthotics

Orthotics, also called: foot orthotics, foot orthoses, or arch supports, are foot beds that fit into your shoes to improve the weight bearing mechanics and comfort of your feet. They are used to treat a variety of problems including:

  • Plantar Fasciitis
  • Low back pain
  • Arthritis
  • Sports injuries

Our state-of-the-art technology utilizes computerized gait and pressure analysis, as well as other casting techniques, to create customized foot orthotics for ultimate pain relief and comfort.

In addition to aligning the foot to function properly, customized orthotics sustain alignment of the knees, hips and back for treating imbalances and modifying weight-bearing areas for long-lasting pain relief.

Talbot Trail Physiotherapy offers a variety of styles of orthotics including dress shoes, boots and running shoes.

Acupuncture

image014 Acupuncture is an ancient form of healing which pre-dates recorded history that is used to promote health and alleviate pain and suffering. The philosophy is rooted in the Taoist tradition which goes back over 8000 years.

In North America, acupuncture has grown into what is now a common form of pain management therapy in many clinics and hospitals for a variety of symptoms including chronic pain, fatigue, nausea, arthritis, and digestive problems.

Acupuncture is the stimulation of special points on the body that release substances in the nervous system involved in pain reduction. The biochemical changes stimulate the body's natural healing abilities to promote physical and emotional well-being. This treatment is typically used to complement other physiotherapy techniques such as joint mobilization, massage and exercises.

In 1997, the US National Institute of Health issued a report titled: "Acupuncture: The NIH Consensus Statement". It stated that acupuncture is a very useful method for treating many conditions. It acknowledges the side effects of acupuncture are considerably less adverse than when compared to other medical procedures such as surgery or pharmaceuticals.

In addition, the NIH made the recommendation to U.S. insurance companies to provide full coverage of acupuncture treatment for certain conditions. This momentous advancement in the status of acupuncture in the United States has influenced its status elsewhere in the world, including in Canada.

In 1997, the Ontario Medical Association officially recognized acupuncture as a 'complimentary medicine', acknowledging its broad success in treatment. As acupuncture becomes increasingly accessible to more Canadians, Doctors recommend it more and more as an effective relief for many medical conditions and is included in many insurance plans.

When performed by a properly trained and licensed practitioner, acupuncture is safe and effective, free from adverse side effects.

Custom Braces/Splinting

image016 Custom braces are an effective way to decrease pain while improving mobility, condition, co-ordination and strength. Braces are designed with your own measurements and contours to ensure proper support for long-term relief and healing.

Talbot Trail Physiotherapy uses the lightest, easy to use braces on the market designed to fit comfortably, while providing superior structural support and durability. We offer one of the largest selections of braces, supports and accessories in southwestern Ontario.

Occupational Therapist / Splinting / Hand Therapy

The team at Talbot Trail Physiotherapy includes an Occupational Therapist who specializes in the treatment of hand and upper extremity conditions.

95° Therapeutic Saltwater Pool

image020 Warm water healing (or hydrotherapy), is one of the oldest and safest methods for treating many common ailments including painful joints, muscles and everyday stress, as well as accelerate post-surgery recovery time.

The pool temperature is maintained at 95°F, for a variety of customized therapeutic exercise programs, community aquafit classes and swimming lessons.

Personal Training

lifting weightThe Talbot Trail STEGH location offers individual and group personal training sessions. The program will focus on strength training, stretching, flexibility and cardiovascular fitness.

The primary goals of a personal training program are to increase overall physical activity, increase energy levels, flexibility and endurance, as well as achieve personal goals! The program will also educate you on various aspects of health and wellness that will aid in achieving a healthier lifestyle!

Fit For Golf

tpi-certified

Want to swing like a golf pro ...lower your score ...enjoy success in the game?

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Titleist Performance Institute Certified

The Titleist Performance Institute was created to provide players with a total game learning experience, using industry leading experts, state of the art technology, and world class facilities to enhance performance. Over 70% of PGA tour winners have used TPI analysis as part of their game play strategy.

Talbot Trail Physiotherapy has a team of Titleist Performance Institute Certified Medical Professionals. The team includes a Chiropractor, Physiotherapist and Fitness Professional providing golf-specific fitness, golf health, and golf swing biomechanics expertise from the world's leading experts in the game.

Swing technique and style are as unique as a player's fingerprints. At Talbot Trail Physiotherapy, we utilize video analysis to understand all the rotational speeds of your body. Our Premier Evaluation Analysis can recommend a custom-conditioning program that can be seamlessly integrated into your golf game to help optimize your performance.

Work Conditioning / Work Hardening

work-conditioning Work conditioning is a worker-focused exercised-based program which matches the activity level of the injured worker to the physical demands of his / her job. An individual exercise or conditioning program is designed for the worker based on a work demands analysis determined during the initial assessment between the physiotherapist and the worker. At Talbot Trail Physiotherapy, we want to get you back to work as soon as possible, and reduce the risk of re-injury once there.

Shockwave Therapy

image026 Shockwave therapy is a unique state of the art modality. Talbot Trail is one of very few clinics that offer this service. Shockwave therapy sends acoustic shock waves into bone or soft tissue to regenerate blood vessels and bone cells. Typically the patient feels no pain after a treatment and is able to resume normal activity within a few days. Talbot Trail Physiotherapy can treat the following conditions with Shockwave therapy.

  • Plantar Fasciitis/heel spurs
  • Rotator cuff tendonitis (calcific tendonitis)
  • Achilles Tendonitis (Ankle)
  • Trochanteric bursitis(Hip)
  • Stress fractures (shin splints)
  • Tennis elbow
  • Patellar tendonitis

Fibromyalgia

Fibromyalgia is a disorder most commonly characterized by connective tissue pain, chronic widespread pain and a heightened painful response to gentle touch. Other symptoms of Fibromyalgia include but are not limited to; debilitating fatigue, sleep disturbance, and joint stiffness. Fibromyalgia can seem like a debilitating condition; however, at Talbot Trail Physiotherapy we have treatment methods available to alleviate some of the pain associated with this condition.

Treatment

95° Therapeutic Saltwater Pool Warm water soothes and relaxes muscles so that exercise is possible with less pain. The warm water allows for a more intense workout because there is less resistance in water. Low impact exercises in water can reduce pain considerably. Call today to sign up for our Fibromyalgia class in our Heated Therapeutic pool. Physiotherapy Our staff has experience treating this condition with hydrotherapy in conjunction with physiotherapy. Back / Neck Pain

Common Causes of Back and Neck Pain

  • Weak lower back muscles
  • Repetitive or prolonged bending
  • Poor Posture
  • Weak abdominal muscles
  • Improper lifting techniques
  • Mobility problems of the spine joints
  • Disc problems

Facts about Back and Neck Pain

  • Almost all back and neck pain is mechanical. This means that the pain is caused from an injury, or excessive strain on discs, nerves, or joints in the spine, rather than conditions such as arthritis.
  • Very few people who have back pain require surgery. Most spine pain can be fixed with physiotherapy.
  • Low back pain is the most common cause of job-related disability and is second only to headache for missed work.
  • Over half of people with low back pain also have neck symptoms

Treatments

Physiotherapy All our Physiotherapists are experts in musculoskeletal pain, including spinal pain. All staff have advanced expert training. The therapists at Talbot Trail Physiotherapy will be able to help decrease your current pain and teach you how to prevent your pain from recurring in the future. Massage Therapy Massage Therapy decreases pain, muscle soreness, muscle spasm and improve general mobility. Heated Therapy Pool

Low impact exercises in water can reduce pain while maintaining strength and flexibility. Call today to sign up for classes or set up an appointment in our 95 degree Hydrotherapy pool.

Hip / Knee / Foot Problems

Common Causes of Hip, Knee and Foot Pain

hipHip

  • Arthritis: Arthritis is a group of conditions involving damage to the joints of the body. See Arthritis
  • Trochanteric Bursitis: Inflammation of the Bursa over the outside of the hip joint
  • Tendonitis: Inflammation that can occur in any of the tendons that surround the hip joint
  • Muscle Strains
  • Hip Fracture

Knee

  • Arthritis: Arthritis is a group of conditions involving damage to the joints of the body. See Arthritis
  • Ligament Injuries: Ligament injuries commonly occur during athletic activities and can cause pain and instability.
  • Patellar Tendonitis: Tendonitis that occurs around the Patellar Tendon, the large tendon over the front of the knee.
  • Bursitis: The most common Bursa affected around the joint is just above the kneecap.

Foot

  • Plantar Fasciitis: Common condition that causes foot pain, due to irritation and inflammation of the tight tissue that forms the arch of the foot. This condition causes pain in situations of prolonged walking and standing.
  • Heel Spur: Closely related to Plantar Fasciitis, a heel spur occurs when a hook of bone that forms where the plantar fascia attaches to the heel bone.
  • Achilles Tendonitis: Severe pain in the back of the calf precipitated by overuse of the affected limb and is more common among athletes.

Treatments

Shockwave Therapy A few Shockwave Therapy treatments you will notice considerable pain relief and will be able to return to your normal levels of activity. Orthotics Custom Orthotics are created for you based on an in-depth analysis of your feet. Orthopaedic Surgery Fractures often require surgery. Physiotherapy Physiotherapy is an important aspect of treatment of almost all Orthopaedic conditions. Physiotherapists use different techniques to increase a patient’s strength, regain mobility, and help return the patient to their pre-injury level of activity. Joint Injections

Joint injections performed by our on-site Rheumatologist and Orthopaedic Surgeon help to treat for inflammation of the joint.

Arthritis

Arthritis is a group of conditions involving damage to the joints of the body. There are different forms of Arthritis with different causes:

Osteoarthritis

Osteoarthritis is a degenerative joint disease that is a result of trauma to the joint, joint infection or age. Osteoarthritis can affect any joint in the body but usually concerns hands, and weight bearing joints such as hips, knees, feet, and spines. The disease is characterized by joint pain, stiffness or swelling.

Rheumatoid Arthritis

Rheumatoid Arthritis is caused when the body’s immune system attacks healthy joints. This causes inflammation in the lining of the joint.

Gout

Gout is a condition in which Uric Acid, a waste product that occurs naturally within the body rises above normal levels. Instead of being flushed out of the body, crystals and deposits are formed in the joints. These deposits cause pain, swelling, redness and tenderness of the area.

Lupus

Lupus categorizes a group of chronic autoimmune diseases. The most common and serious type of Lupus is Systematic Lupus Eryhematosis (SLE). SLE causes the immune system that normally protects the body from germs, viruses, and bacteria to begin to malfunction. It generates antibodies that attack healthy tissue in different parts of the body. Tissues become inflamed as a result.

Treatments

Physiotherapy Muscles and other tissue that hold joints together weaken when they are not moved enough. The joint can then lose its shape and function. Exercise helps lessen the symptoms making you feel better overall. Physiotherapists can teach you techniques to manage the pain and restore joint motion and muscle strength. Moderate stretching techniques will help relieve the pain and keep the muscles and tendons around the affected joint more flexible and strong. Heated Therapeutic Pool Low impact exercises in water can reduce pain while maintaining strength and flexibility. Call today to sign up for classes or set up an appointment in our 95 degree Heated Therapeutic pool. Joint Injections Joint Injections provided by the on-site Rheumatologist, and Orthopaedic Surgeon can help manage severe joint pain caused by arthritis.