Alisha Pulimalayil

Our recommended/standard appointment length for chronic pain self-management physiotherapy follow-ups.

Please note that our recommended appointment length for chronic pain self-management physiotherapy follow-ups is 40 mins. If you would prefer a longer session, please discuss this with your physiotherapist prior to booking this option.

Please choose this option if you are new to our clinic or it has been more than 6 months since your last visit. This appointment focuses on understanding your pain experience and developing personalized strategies to help you manage chronic or persistent pain. Your physiotherapist will assess contributing factors such as movement patterns, nervous system sensitivity, stress, sleep, and daily activities. Treatment may include gentle movement, pacing strategies, pain education, breath work and nervous system regulation techniques, and supportive manual therapy as appropriate. This approach is suitable for long-standing musculoskeletal or pelvic pain conditions and aims to improve function, confidence, and quality of life. For continuity of care, please book 3 follow-up visits at 2-3 week intervals with the same practitioner.

Our recommended/standard appointment length for follow-ups.

Please choose this option if you are 1.) new to our clinic, 2.) new to this treatment offering, or 3.) it has been more than 6 months since your last visit. Cranio-sacral therapy (CST) is a gentle, hands-on manual technique that focuses on assessing and treating the bones of the skull, spine, and pelvis, along with the connective tissue (fascia) and fluids of the central nervous system. This therapeutic approach is an excellent way to enhance overall health and promote connectivity throughout the body. It may support relief of headaches, jaw tension, back or neck pain, pelvic pain, postural imbalances, and stress-related conditions. CST can also complement both pelvic floor and orthopedic physiotherapy by promoting relaxation, alignment, and nervous system regulation. For best results, please book 3 follow-up visits at 2–3 week intervals with the same practitioner.

Please note that our recommended appointment length for follow-ups is 40 mins. If you would prefer a shorter session, please discuss this with your physiotherapist prior to booking this option.

Our recommended/standard appointment length for follow-ups.

Please note that our recommended appointment length for follow-ups is 40 mins. If you would prefer a longer session, please discuss this with your physiotherapist prior to booking this option.

Please select this appointment if you are new to Physiotherapy with us OR if you are an existing client seeking this more tailored care. Our therapists provide compassionate, inclusive and affirming care that respects your boundaries and is tailored to the needs of transgender, non-binary and gender diverse individuals. Pelvic floor physiotherapy can address a wide range of concerns including: pre- and post-surgical care (preparing for and recovering from surgeries such as vaginoplasty, phalloplasty, metoidioplasty and other pelvic procedures), binder and tucking support (managing pelvic floor and chest/trunk tension, discomfort or dysfunction relating to chest binding or tucking practices), hormone therapy adaptations (concerns relating to tissue health, muscle strength and overall functioning of the pelvic floor) and pain and dysfunction (pelvic pain, incontinence, retention, pain with sexual activity) and a multitude of other pelvic health concerns. For continuity of ongoing care please also book 3 follow-up visits at 2 week intervals with the same practitioner.

Please note the standard appointment length for all ICBC physiotherapy follow-ups is 25 mins. If you prefer a longer follow-up visit with your physiotherapist, please choose this option. There will be a $48.00 user fee charged for this session. Please note: We do not direct bill for ICBC claims. Clients are welcome to book with us and submit their receipts for reimbursement through their claims. If you have questions or need support navigating the process, our Client Experience Team is here to help—just reach out!

This is the standard appointment length for all ICBC physiotherapy follow-ups. Please note: We do not direct bill for ICBC claims. Clients are welcome to book with us and submit their receipts for reimbursement through their claims. If you have questions or need support navigating the process, our Client Experience Team is here to help—just reach out!

Please contact us to book if this is your first ICBC physiotherapy appointment. Please note: We do not direct bill for ICBC claims. Clients are welcome to book with us and submit their receipts for reimbursement through their claims. If you have questions or need support navigating the process, our Client Experience Team is here to help—just reach out!

Please note: We do not direct bill for ICBC claims. Clients are welcome to book with us and submit their receipts for reimbursement through their claims. If you have questions or need support navigating the process, our Client Experience Team is here to help—just reach out!

Please note the standard appointment length for all ICBC physiotherapy follow-ups is 25 mins. If you prefer a longer follow-up visit with your physiotherapist, please choose this option. There will be a $48.00 user fee charged for this session. Please note: We do not direct bill for ICBC claims. Clients are welcome to book with us and submit their receipts for reimbursement through their claims. If you have questions or need support navigating the process, our Client Experience Team is here to help—just reach out!

Please note: We do not direct bill for ICBC claims. Clients are welcome to book with us and submit their receipts for reimbursement through their claims. If you have questions or need support navigating the process, our Client Experience Team is here to help—just reach out!

Prior to booking this appointment, please ensure you have consulted with a physician to determine if it is clogged ducts, or mastitis. If you have been diagnosed with mastitis, please ensure you have been on antibiotics for 24 hours prior to your visit. Please make sure you bring baby or a pump to the appointment. **Please contact the clinic directly and we will do our best to get you seen by a practitioner within 24 hours**

Prior to booking this appointment, please ensure you have consulted with a physician to determine if it is clogged ducts, or mastitis. If you have been diagnosed with mastitis, please ensure you have been on antibiotics for 24 hours prior to your visit. Please make sure you bring baby or a pump to the appointment.

Prior to booking this appointment, please ensure you have consulted with a physician to determine if it is clogged ducts, or mastitis. If you have been diagnosed with mastitis, please ensure you have been on antibiotics for 24 hours prior to your visit. Please make sure you bring baby or a pump to the appointment. **Please contact the clinic directly and we will do our best to get you seen by a practitioner within 24 hours**

Specially trained therapists work with individuals before and after their cancer treatments to help manage side effects of treatments. This may include: improving range of motion and strength, fatigue management and education, axillary cording, management of neuropathy, circulation and lymphedema. Physiotherapy treatments often include manual therapy and soft tissue techniques, therapeutic exercise and modified clinical Pilates techniques, basic lymphatic drainage and education. *Please choose the telehealth treatment option if you are currently receiving cancer treatment or are within 7 days or less from your last cancer treatment.*

Specially trained therapists work with individuals before and after their cancer treatments to help manage side effects of treatments. This may include: improving range of motion and strength, fatigue management and education, axillary cording, management of neuropathy, circulation and lymphedema. Physiotherapy treatments often include manual therapy and soft tissue techniques, therapeutic exercise and modified clinical Pilates techniques, basic lymphatic drainage and education. *Please choose the telehealth treatment option if you are currently receiving cancer treatment or are within 7 days or less from your last cancer treatment.*

Specially trained therapists work with individuals before and after their cancer treatments to help manage side effects of treatments. This may include: improving range of motion and strength, fatigue management and education, axillary cording, management of neuropathy, circulation and lymphedema. Physiotherapy treatments often include manual therapy and soft tissue techniques, therapeutic exercise and modified clinical Pilates techniques, basic lymphatic drainage and education. *Please choose the telehealth treatment option if you are currently receiving cancer treatment or are within 7 days or less from your last cancer treatment.*

Specially trained therapists work with individuals before and after their cancer treatments to help manage side effects of treatments. This may include: improving range of motion and strength, fatigue management and education, axillary cording, management of neuropathy, circulation and lymphedema. Physiotherapy treatments often include manual therapy and soft tissue techniques, therapeutic exercise and modified clinical Pilates techniques, basic lymphatic drainage and education. For continuity of ongoing care please also book 3 follow-up visits at 2 week intervals with the same practitioner. **Please call to book a TELEHEALTH treatment option if you are currently receiving cancer treatment or are within 7 days or less from your last cancer treatment.**

Use this option if you are currently under the supervision of one of our registered physiotherapists. Please note this is our recommended appointment length for all Exercise Rehab follow-ups. Choose this appointment option if Exercise Rehabilitation under the care of a PTSW has been recommended to you by your physiotherapist. Please note, that these appointments are not accepted by Pacific Blue Cross.

Use this option if you are currently under the supervision of one of our registered physiotherapists. Please note our recommended appointment length for Exercise Rehab follow-ups is 40 mins. If you prefer a longer appointment, please discuss with your practitioner prior to booking this option. Choose this appointment option if Exercise Rehabilitation under the care of a PTSW has been recommended to you by your physiotherapist. Please note, that these appointments are not accepted by Pacific Blue Cross.

Please select this option if this is your first exercise rehabilitation session. You must be assessed by one of our physiotherapists prior to booking exercise rehab. Choose this appointment option if Exercise Rehabilitation under the care of a PTSW has been recommended to you by your physiotherapist. Please note, that these appointments are not accepted by Pacific Blue Cross. For continuity of ongoing care please also book 4 follow-up visits at 1-week intervals with the same practitioner.

Use this option if you are currently under the supervision of one of our registered physiotherapists. Please note our recommended appointment length for Exercise Rehab follow-ups is 40 mins. If you prefer a shorter appointment, please discuss with your practitioner prior to booking this option. Choose this appointment option if Exercise Rehabilitation under the care of a PTSW has been recommended to you by your physiotherapist. Please note, that these appointments are not accepted by Pacific Blue Cross.

Use this option if you are currently under the supervision of one of our registered physiotherapists. Please note this is our recommended appointment length for all Exercise Rehab follow-ups. Choose this appointment option if Exercise Rehabilitation under the care of a PTSW has been recommended to you by your physiotherapist. Please note, that these appointments are not accepted by Pacific Blue Cross.

Use this option if you are currently under the supervision of one of our registered physiotherapists. Please note our recommended appointment length for Exercise Rehab follow-ups is 40 mins. If you prefer a longer appointment, please discuss with your practitioner prior to booking this option. Choose this appointment option if Exercise Rehabilitation under the care of a PTSW has been recommended to you by your physiotherapist. Please note, that these appointments are not accepted by Pacific Blue Cross.

Please select this option if this is your first exercise rehabilitation session and you and your therapist have decided to incorporate pilates as part of your treatment. You must be assessed by one of our physiotherapists prior to booking exercise rehab. Choose this appointment option if Exercise Rehabilitation under the care of a PTSW has been recommended to you by your physiotherapist. Please note, that these appointments are not accepted by Pacific Blue Cross. For continuity of ongoing care please also book 4 follow-up visits at 1-week intervals with the same practitioner.

Our recommended/standard appointment length for follow-ups.

Please note that our recommended appointment length for follow-ups is 40 mins. If you would prefer a longer session, please discuss this with your physiotherapist prior to booking this option.

Please choose this option if you are seeking support for pelvic health concerns, are wanting to incorporate rehabilitative ultrasound in to your care plan and are: 1.) new to our clinic; or 2.) it has been more than 6 months since your last visit. Rehabilitative Ultrasound Imaging is an effective tool for clients experiencing pelvic floor symptoms but who are unable or uncomfortable with an internal vaginal or rectal assessment. It can also be helpful for assessing and treating pelvic floor conditions in kids. For continuity of ongoing care please also book 3 follow-up visits at 2 week intervals with the same practitioner.

Please choose this option if you are seeking support for pelvic health concerns, are wanting to incorporate rehabilitative ultrasound in to your care plan and are: 1.) new to our clinic; or 2.) it has been more than 6 months since your last visit. Rehabilitative Ultrasound Imaging is an effective tool for clients experiencing pelvic floor symptoms but who are unable or uncomfortable with an internal vaginal or rectal assessment. It can also be helpful for assessing and treating pelvic floor conditions in kids. For continuity of ongoing care please also book 3 follow-up visits at 2 week intervals with the same practitioner.

Please note that our recommended appointment length for follow-ups is 40 mins. If you would prefer a shorter session, please discuss this with your physiotherapist prior to booking this option.

Our recommended/standard appointment length for follow-ups.

Please note that our recommended appointment length for follow-ups is 40 mins. If you would prefer a longer session, please discuss this with your physiotherapist prior to booking this option.

Please note that our recommended appointment length for follow-ups is 40 mins. If you would prefer a shorter session, please discuss this with your physiotherapist prior to booking this option.

Our recommended/standard appointment length for follow-ups.

Please note that our recommended appointment length for follow-ups is 40 mins. If you would prefer a longer session, please discuss this with your physiotherapist prior to booking this option.

Please choose this option if you are seeking support for pelvic health concerns and are: 1.) new to our clinic; or 2.) it has been more than 6 months since your last visit. Pelvic health concerns may include: incontinence, (peri)menopause, pelvic pain, hip pain (unresponsive to standard treatments), pelvic organ prolapse, pain with sexual activity, endometriosis, bladder pain, bowel health concerns, post gynecologic surgery, infertility and pregnancy loss. For continuity of ongoing care please also book 3 follow-up visits at 2-week intervals with the same practitioner.

Please choose this option if you are seeking support for pelvic health concerns and are: 1.) new to our clinic; or 2.) it has been more than 6 months since your last visit. Pelvic health concerns may include: incontinence, pelvic pain, pain with sexual activity, bladder pain, bowel health concerns, chronic prostatitis, erectile dysfunction and post urologic surgeries (ie. prostatectomy). For continuity of ongoing care please also book 3 follow-up visits at 2-week intervals with the same practitioner.

Our recommended/standard appointment length for orthopaedic follow-ups.

Please note that our recommended appointment length for orthopaedic follow-ups is 25 mins. If you would prefer a longer session, please discuss this with your physiotherapist prior to booking this option.

Please choose this option if you are seeking support for general musculoskeletal physiotherapy services (or postpartum aches and pains unrelated to your pelvis) and are: 1.) new to our clinic; or 2.) it has been more than 6 months since your last visit. Common aches and pains we treat include: neck and back pain, headaches, TMJ and jaw pain, wrist pain or carpal tunnel, shoulder pain, sports injuries, post-surgical rehabilitation for all orthopaedic conditions, and pain related to altered posture and movement mechanics. For continuity of ongoing care please also book 3 follow-up visits at 2 week intervals with the same practitioner. If your appointment is related to an open WSBC or ICBC claim, please contact our office at: Langley: (604) 649-2867 Port Moody: (604) 562-2867 *Please note that we are unable to direct bill for WSBC or ICBC. These appointments will need to be paid for up front and you must seek reimbursement directly from WSBC/ICBC

This option is only open to clients who have been recently assessed by one of our physiotherapists. If you have not been assessed, please choose the Clinical Pilates Initial Assessment option.

This option is only open to clients who have been recently assessed by one of our physiotherapists. If you have not been assessed, please choose the Clinical Pilates Initial Assessment option.

This option is only open to clients who have been recently assessed by one of our physiotherapists. If you have not been assessed, please choose the Clinical Pilates Initial Assessment option.

Please select this option if you would like to incorporate clinical pilates as part of your treatment and you have NOT been recently assessed by one of our physiotherapists.

Please note that our recommended appointment length for follow-ups is 40 mins. If you would prefer a shorter session, please discuss this with your physiotherapist prior to booking this option.

Our recommended/standard appointment length for follow-ups.

Please note that our recommended appointment length for follow-ups is 40 mins. If you would prefer a longer session, please discuss this with your physiotherapist prior to booking this option.

Please choose this option if you are seeking support for pregnancy or postpartum related concerns and are: 1.) new to our clinic; or 2.) it has been more than 6 months since your last visit. Common concerns include: low back pain, pelvic girdle pain, pubic symphysis dysfunction, tailbone pain, round ligament pain, prenatal education and pre-rehabilitation, diastasis recovery, c-section rehabilitation and return to exercise and pre-pregnancy activities. For continuity of ongoing care please also book 3 follow-up visits at 2 week intervals with the same practitioner.

Please choose this option if you are seeking support for pregnancy or postpartum related concerns and are: 1.) new to our clinic; or 2.) it has been more than 6 months since your last visit. Common concerns include: low back pain, pelvic girdle pain, pubic symphysis dysfunction, tailbone pain round ligament pain, scar tissue management, pain with sexual activity, prenatal education and pre-rehabilitation, diastasis recovery, c-section rehabilitation and return to exercise and pre-pregnancy activities. For continuity of ongoing care please also book 3 follow-up visits at 2 week intervals with the same practitioner.

Please choose this option if you are an existing client to the clinic with a vestibular condition. This is option is for EXISTING CLIENTS ONLY.

Please book this option for Vestibular conditions.