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    Physiotherapy is a primary care, autonomous, client-focused health profession dedicated to improving quality of life by:

    • Promoting optimal mobility, physical activity and overall health and wellness;
    • Preventing disease, injury, and disability;
    • Managing acute and chronic conditions, activity limitations, and participation restrictions;
    • Improving and maintaining optimal functional independence and physical performance;
    • Rehabilitating injury and the effects of chronic disease with therapeutic exercise programs and other interventions;
    • Educating and planning maintenance programs to prevent re-occurrence, re-injury, or functional decline
    • Physiotherapy is anchored in movement sciences and aims to enhance or restore physical function. The profession is committed to health, lifestyle, and quality of life. This holistic approach incorporates a range of physical and physiological therapeutic interventions to help individuals achieve optimal well-being (Canadian Physiotherapy Association).

      Why choose Pulse Physiotherapy?
      • Hour-long assessment that incorporates treatment on your first day;
      • Private follow-up treatments that are one-on-one with your physiotherapist;
      • Brand new equipment in our fully renovated facility;
      • Experienced therapists providing evidence-based, patient-centered care;
      • Our primary goal is to help our patients achieve pain-free movement for life!

    1 in 2 women and 1 in 9 men will experience urinary incontinence at some point during their life. Many women think it is normal to pee a little when they exercise or to cough and not be able to make it to the bathroom in time. We now know through research that pelvic floor rehabilitation can help. The Cochrane Collaboration (2010) concluded that physiotherapy should be the first line of defence for stress, urge and mixed incontinence in women.

    What is Urinary Incontinence?

    Urinary incontinence is the involuntary loss of urine. This can happen as the pressure within the abdomen increases quickly like when we laugh, cough, jump or run. An involuntary loss of urine can also happen when you feel a sudden strong urge to void and are unable to hold it long enough to make it to the bathroom.

    Who is at risk?

    The risk of incontinence increases after having one or more children, post-menopause, with prostate enlargement or post prostatectomy, chronic straining, being obese or being over 40 years of age.

    Role of the pelvic floor muscles.

    The pelvic floor muscles look like a hammock and act as a sphincter to prevent urinary and fecal leakage. They also work to support the internal organs and stabilize our back and pelvic girdle. The pelvic floor muscles need to be able to contract to maintain continence and relax to allow urination and bowel movements. Like any other muscle in the body, these muscles can get too tight leading to pain, constipation, urgency and frequent urination. When these muscles are not strong enough, it can lead to urinary and fecal incontinence and/or pelvic organ prolapse.

    What to expect at your pelvic health physiotherapy assessment?

    An hour-long assessment will be completed to get a comprehensive history of your pelvic health and determine the factors leading to incontinence or pelvic pain. Your physiotherapist will discuss ways of decreasing symptoms though changes in behaviour. An internal exam may be conducted to assess the strength and tone of the pelvic floor muscles and a comprehensive treatment plan will be discussed.

    Why do we do an internal exam?

    The muscles of the pelvic floor are hidden inside the pelvis; we cannot see them. Research has shown that doing an internal exam is the best way to assess the pelvic floor muscles and ensure that strengthening exercises are being done correctly. If you are uncomfortable having an internal exam or are not suitable for an internal exam for any reason, other treatment and assessment options are available as well.


    Massage Therapy can improve rehabilitation after surgery/injury and can be used to treat many conditions including:

    • Headaches/Migraines
    • Frozen Shoulder
    • Temporomandibular Joint Dysfunction (TMD)
    • Degenerative disc disease (DDD) and disc herniation
    • Arthritis
    • Acute / Chronic pain
    • Whiplash
    • Carpal tunnel syndrome
    • Overuse injuries/Tendonitis

    Massage therapy improves circulation and helps alleviate anxiety and depression. On a regular basis Massage Therapy can also be used as maintenance or a “tune-up” to keep your body in balance.


    Western medical acupuncture is a therapeutic modality used by physiotherapists and other health professionals. It is an adaptation of traditional Chinese acupuncture using current, evidence-based knowledge of anatomy, physiology and pathology. It involves the insertion of fine pins into specific areas of the body and is used in conjunction with various other physiotherapy treatments to alleviate pain and promote optimal function.

      How does acupuncture work?

    • Primarily by stimulating the nervous system (local nerves) and has both central and peripheral nervous system effects that help to alleviate pain.
    • What should I expect from acupuncture?

    • Most people describe a dull pinching sensation upon insertion of the acupuncture pin that subsides quickly. However, depending on the person and the region of the body, other people report not feeling the insertion of the pin at all.
    • This can be followed by a local region of sensation (tingling, warmth, pins & needles) that tends to subside in a matter of minutes.
    • The goal of acupuncture treatment is to help alleviate pain. A successful treatment should result in some decrease in patient’s pain. Depending on the chronicity of the condition, however, some individuals will require multiple treatments before they notice a reduction in their pain intensity.
    • Do I have to pay extra to receive acupuncture treatment?

    • NO!
    • Acupuncture is just one modality that the physiotherapists at Pulse Physiotherapy may choose to include in your physiotherapy session. There is no extra fee associated with receiving acupuncture as a part of your treatment!
    • If you have any questions about acupuncture or would like to know if it might help your condition, please do not hesitate to ask your physiotherapist.

    Peterborough is a sports town! Unfortunately, acute and chronic injuries can occur with participation in sports across your lifespan. Physiotherapy is vital for early and safe return to sport while helping to prevent injury reoccurrence.

    Working with the Senior A Peterborough Lakers over the past seven seasons, we have experience assessing and treating acute, in-game injuries. We have worked closely with these athletes, keeping them on the floor while recovering from an injury or allowing them to return to play in a timely manner.

    Sports rehabilitation can involve:
    • Sport-specific exercises for mobility and strengthening;
    • Manual (hands-on) therapy to restore range of motion;
    • Local modalities for pain relief and inflammation control;
    • Taping and bracing for early return to sport.

    A concussion is a traumatic brain injury that alters the way your brain functions. Although a blow to the head usually causes concussions, they can also occur when the head and upper body are violently shaken. These injuries can cause a loss of consciousness, but most concussions do not. Because of this, some people have concussions but do not realize it. Concussions are common, particularly if you play a contact sport, such as hockey. This injury needs time and rest to heal properly.

    What are the most common symptoms?
    • Headache
    • Neck pain
    • Nausea
    • Dizziness
    • Blurred vision
    • Sensitivity to light or noise
    • Difficulty concentrating or remembering
    • Lack of energy
    • Confusion
    • Feeling more emotional or irritable
    How can Physiotherapy help?
    • The majority of concussions will fully resolve within the first week of injury.
    • Physiotherapists have a role in the treatment of some post-concussive symptoms and can provide guidance regarding safe return to sport or activity.
    • These treatments include:
    • Manual (hands-on) therapy to improve neck mobility;
    • Vision therapy;
    • Vestibular (balance) rehabilitation;
    • Safe exercise progression and return to play.

    A cervicogenic headache is another name for a headache that originates from the neck. These headaches typically occur due to damage to one or more joints, muscles, ligaments or nerves of the top three vertebrae of the neck. The pain associated with this condition is an example of referred pain (i.e. pain arising from a distant source – in this case the neck). This occurs because the nerves that supply the upper neck also supply the skin overlying the head, forehead, jaw line, back of the eyes and ears. As a result, pain arising from structures of the upper neck may refer pain to any of these regions causing a cervicogenic headache.

    What are common symptoms?
    • Constant, dull ache;
    • Pain normally located at the back of the head, behind the eyes, or temple;
    • Pain is usually greater on one side;
    • Pain is typically irritated by neck movements or prolonged positions (i.e. sitting at a computer with poor posture);
    • There is typically tenderness at the upper part of the neck just below the base of the skull along with local muscle tightness.
    How can physiotherapy treat my headache?
    • Manual (hands-on) therapy can improve mobility of stiff joints;
    • Soft tissue release will relieve muscle tension;
    • Exercise to improve posture and range of motion;
    • Acupuncture for pain relief.

    Most patients with this condition heal quickly and have a full recovery with appropriate physiotherapy treatment. Recovery time varies from patient to patient depending on compliance with treatment and severity of injury. Physiotherapy treatment for patients with this condition is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of injury recurrence.


    Dizziness can be caused by several different pathologies and usually results in a feeling of unsteadiness, which may lead to a loss of balance. Some of the most common causes of dizziness are:

    • Cervicogenic (dysfunction of joints and muscles in the upper part of the neck)
    • Inner ear problems (i.e. vertigo)
    • Motion sickness
    • Migraines
    • Medications

    Vertigo is described as a sensation of the environment (i.e. the room) spinning around you. Vertigo and its associated symptoms are due to a dysfunction of the vestibular system in the inner ear. The most common cause is Benign Paroxysmal Positional Vertigo (BPPV). Other cases may result from various medical conditions (i.e. Meniere’s disease). Moving the head, changing positions and turning while lying down often worsen vertigo. Although vertigo is a type of dizziness, not all dizziness can be classified as vertigo.

    Your hour-long assessment will allow your physiotherapist to get a comprehensive history of your dizziness and perform some specific assessment techniques to determine the root cause. If it is determined that your dizziness is the result of an inner ear dysfunction or is cervicogenic in nature, physiotherapy treatment should be effective in alleviating your symptoms.

    What are the common signs & symptoms?

    • Sensation of spinning, tilting, rocking or falling;

    • Vomiting or nausea;

    • Difficulty standing or walking;

    • Abnormal eye movements.

    How can physiotherapy help?

    • Epley’s Maneuver is used for a specific type of vertigo called BPPV, which is caused by tiny calcium crystals dislodging in the inner ear and brushing against nerves that control balance. When this happens, the wrong signals are sent to the brain, causing disorientation and vertigo.

    • Epley's Maneuver involves four separate head movements designed to use gravity to move the crystals back to a place where they will no longer cause symptoms.

    • Education about activities and movements to avoid.

    • Exercise to re-train the vestibular (balance) system.


    The results of a car accident can be very traumatic and injuries may not be apparent until the days or weeks following. Injuries can vary from sprains and strains to fractures and whiplash associated disorders. Physiotherapy assessment and treatment is specific to individual cases and goals. Treatments can involve a combination of therapies including: manual (hands on) therapy, local modalities, acupuncture and exercise prescription. The main goals of treatment usually involve pain reduction, promotion of range of motion and strength as well return to work and daily activities.

    Navigating the motor vehicle insurance claim system can be quite daunting for most individuals. The process can involve numerous phone calls to insurance providers and the completion of lengthy paperwork. Guidance through this process can be very helpful to eliminate wasted time and effort on the part of the injured person.


    Many people are unaware that physiotherapy is capable of treating a wide range of symptoms caused by a dysfunction of the Temporomandibular Joint (TMJ). Common symptoms are local jaw pain, clicking, headaches and muscle tension around the jaw.

    What can cause a TMD?

    • Abnormal posture of the head and neck;

    • History of micro-trauma (i.e. grinding teeth, gum chewing, nail biting);

    • History of macro-trauma (i.e. whiplash, facial impact);

    • Dental alignment (i.e. overbite).

    How can physiotherapy help?

    • Manual (hands-on) therapy to restore jaw range of motion;

    • Soft tissue release to relieve tension in muscles around the jaw and neck;

    • Exercise to improve strength, mobility and posture;

    • Local modalities (ultrasound, acupuncture) to relieve pain;

    • Education regarding activity modification.

  • Virtual Physiotherapy

    We are now offering telehealth physiotherapy services via video communication when an in-person visit is not possible or necessary. This allows you to get a thorough evaluation of your injury by a registered physiotherapist through a video chat in the comfort of your own home. The video chat technology that we utilize is encrypted to ensure safety and confidentiality. You will have the opportunity to have all of your questions answered and work with your physiotherapist to establish a game plan to help you get back to the activities you love.

    The physiotherapy profession has moved away from a reliance on modalities and manual therapy, towards structured rehab plans that patients can carry out themselves with the help of a trained professional. This approach lends itself well to online video consultations, where much of what we do in the clinic can be carried out online. During your assessment, your physiotherapist will formulate a personalized rehab plan geared towards helping you achieve your goals. A summary of your consultation will then be emailed to you, along with a personalized exercise program that can easily be followed using an app on your phone or computer.

    If we believe that your condition would be more appropriate for an in-person assessment with a physiotherapist or other healthcare professional, we will certainly guide you in that direction!

    If you are interested in setting up your online physiotherapy appointment today (or have questions about whether or not you are appropriate for telehealth treatment), please fill out the form below and a member of our team will contact you shorty!

  • Dietitian Services

    What is a Registered Dietitian?

    A Registered Dietitian (RD) is a regulated health professional who is considered a trustworthy and credible source of nutrition information. Dietitians undergo extensive clinical education and training in nutrition and dietetics, including a four-year Bachelor of Science degree, as well as an accredited, practical training program. Dietitians must also pass the Canadian Dietetic Registration exam and uphold annual professional development requirements with their provincial dietetic regulatory body.

    What Can a Dietitian Help With?

    Dietitians are trained to provide evidence-based nutrition education to clients. A dietitian will work with their client to give the best advice that is tailored to meet the specific needs of the individual. A dietitiancan provide you with guidance and give you information about a variety of nutrition-related topics including (but not limited to):

    • Eating to optimize your health

    • Diabetes, high blood pressure and other chronic diseases

    • Weight management

    • Digestive concerns

    • Sports nutrition

    • Supplementation

    • Pregnancy/postpartum/breastfeeding

    • Food allergies

    • Optimizing nutrition across the lifecycle

    Are Dietitian Services Covered Under Insurance Plans?

    Many health insurance plans include dietitian services in their standard plans. Did you know 7 of 10 major insurers in Canada include coverage for dietitian services? Check with your health insurance provider to determine what coverage you have!

    What to bring to your first appointment:

    • List of medications/supplements you are currently taking

    • List of specific goals and/or questions

    • A copy of your latest relevant lab test results (optional)