Ed Middleton

This appointment is to follow up on an injury or problem you have been assessed for in the last 6 months. DO NOT book this treatment if you have a NEW injury or problem that needs to be assessed. Please book an INITIAL appointment for any NEW problems.

This appointment is to follow up on an injury or problem you have been assessed for in the last 6 months. DO NOT book this treatment if you have a NEW injury or problem that needs to be assessed. Please book an INITIAL appointment for any NEW problems. If you are a returning client but have been absent from the clinic for more than 6 months we require an INITIAL assessment to satisfy regulatory requirements.

Unique one on one Physiotherapy treatment.. Treatment protocol will be based on initial assessment and findings. Please book an initial appointment if you are a NEW patient or if you have not been seen at this clinic in the last 6 months.

This appointment is to follow up on an injury or problem you have been assessed for in the last 6 months. DO NOT book this treatment if you have a NEW injury or problem that needs to be assessed. Please book an INITIAL appointment for any NEW problems. If you are a returning client but have been absent from the clinic for more than 6 months we require an INITIAL assessment to satisfy regulatory requirements.

This appointment is to follow up on an injury or problem you have been assessed for in the last 6 months. DO NOT book this treatment if you have a NEW injury or problem that needs to be assessed. Please book an INITIAL appointment for any NEW problems. If you are a returning client but have been absent from the clinic for more than 6 months we require an INITIAL assessment to satisfy regulatory requirements.

Specialized Physiotherapy is becoming more established in the literature as the first line of defence against Incontinence and Pelvic Pain. Pelvic Floor Dysfunction can be caused by: • HYPOTONICITY: contributing to stress incontinence and pelvic organ prolapse • HYPERTONICITY: contributing to Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Chronic Prostatitis. Kegels are NOT always indicated for pelvic floor problems. Sometimes they do more harm than good, and often they are NOT performed correctly. The Cochrane Collaboration 2010 concluded that Physiotherapists with specialized training in pelvic floor rehabilitation (using internal examination to teach the exercises) should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence in women.

Specialized Physiotherapy is becoming more established in the literature as the first line of defence against Incontinence and Pelvic Pain. Pelvic Floor Dysfunction can be caused by: • HYPOTONICITY: contributing to stress incontinence and pelvic organ prolapse • HYPERTONICITY: contributing to Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Chronic Prostatitis. Kegels are NOT always indicated for pelvic floor problems. Sometimes they do more harm than good, and often they are NOT performed correctly. The Cochrane Collaboration 2010 concluded that Physiotherapists with specialized training in pelvic floor rehabilitation (using internal examination to teach the exercises) should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence in women.

Young athletes participating in school academies receive a full baseline and functional assessment. Must have had an initial assessment prior to booking an Athlete Baseline Assessment.

Complete Decongestive Therapy (CDT) is a specialized treatment program for lymphatic conditions and is only available to clients who have already completed an initial Manual Lymphatic Drainage (MLD) assessment. This service is not appropriate without a prior MLD consultation. CDT may include a combination of Manual Lymphatic Drainage, compression therapy, skin care education, therapeutic exercise, and self‑management instruction, tailored to your individual treatment plan. Please note: Compression bandages and materials used as part of CDT are not included in the treatment fee and are billed separately. If you are unsure whether you are eligible for CDT or have not yet had an initial MLD assessment, please contact the clinic before booking.

You MUST have had an initial VESTIBULAR/CONCUSSION prior to booking this one FOR ICBC PATIENTS ONLY

ICBC approved session with full assessment and one on one treatment.

This is for clients that wish to pay privately and submit to ICBC themselves. Please note: there is a $15 patient fee for this visit.

ICBC approved session with full assessment and one on one treatment.

Vestibular rehabilitation therapy (VRT) is a specialized form of physiotherapy prescribed to treat and improve the symptoms caused by vestibular disorders. It often involves manual head maneuvers and/or a progressive program of exercises designed to reduce vertigo and dizziness, visual issues, and/or imbalance and falls. A concussion is a “rehabilitative injury,” meaning physiotherapists can play a significant role in rehabilitation. Our physiotherapists are trained to treat concussion symptoms and subsequent dysfunctions in the visual or vestibular systems, the autonomic nervous system, motor (movement) function, and the cervical spine (neck) region. Physiotherapists can contribute to the recovery process, and participating in physical therapy can lead to healthier outcomes for concussion patients.

ICBC approved sessions post MVA that focuses on Assessment, development of a treatment plan and one on one rehabilitation with a Registered Kinesiologist. Home care plans will also be developed and provided. Patients MUST have a doctor's note sent to the office and approved prior to the initial appointment.

Must have had an initial ICBC assessment appointment prior to scheduling this treatment. There is a $5.00 patient fee on this service.

This is an extended follow up treatment, after your initial assessment. Patient fee not covered by ICBC is $35.00

Specialized Physiotherapy is becoming more established in the literature as the first line of defence against Incontinence and Pelvic Pain. Pelvic Floor Dysfunction can be caused by: • HYPOTONICITY: contributing to stress incontinence and pelvic organ prolapse • HYPERTONICITY: contributing to Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Chronic Prostatitis. Kegels are NOT always indicated for pelvic floor problems. Sometimes they do more harm than good, and often they are NOT performed correctly. The Cochrane Collaboration 2010 concluded that Physiotherapists with specialized training in pelvic floor rehabilitation (using internal examination to teach the exercises) should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence in women.

This appointment includes a reassessment as well as a hands-on treatment. Please be aware that a portion of this appointment will be dedicated to conversing about your progress in order to complete a Treatment Plan for ICBC. There is a $5 patient fee for this appointment.

This appointment includes a reassessment as well as a hands-on treatment. Please be aware that a portion of this appointment will be dedicated to conversing about your progress in order to complete a Treatment Plan for ICBC. There is a $15 patient fee for this appointment.

Unique one on one Physiotherapy treatment.. Treatment protocol will be based on initial assessment and findings. If it has been more than 1 year since your last visit with one of our physiotherapists, you must book an initial appointment.

This will primarily consist of medical history and full injury assessment with a treatment plan and initial training program.

One on one training to help prevent or recover from injuries. Together we will develop realistic goals where you will learn and improve movement patterns, gain strength and endurance and develop strategies to get Stronger. Braver. Better. Sessions include assessment, treatment/exercise plan, active rehab, and homecare plan.

Vestibular rehabilitation therapy (VRT) is a specialized form of physiotherapy prescribed to treat and improve the symptoms caused by vestibular disorders. It often involves manual head maneuvers and/or a progressive program of exercises designed to reduce vertigo and dizziness, visual issues, and/or imbalance and falls. A concussion is a “rehabilitative injury,” meaning physiotherapists can play a significant role in rehabilitation. Our physiotherapists are trained to treat concussion symptoms and subsequent dysfunctions in the visual or vestibular systems, the autonomic nervous system, motor (movement) function, and the cervical spine (neck) region. Physiotherapists can contribute to the recovery process, and participating in physical therapy can lead to healthier outcomes for concussion patients. **NOT for ICBC or WSBC patients**

Any MVA's that occurred prior to May 1, 2021 need this initial treatment after receiving approval from ICBC.

ICBC approved session with full assessment and one on one treatment.

This is for clients that wish to pay privately and submit to ICBC themselves. Please note: ICBC only reimburses up to $95.00 for a standard 20 minute visit.

This program helps women strengthen their core and recover from pelvic pain, incontinence, prolapse and more. **NOT COVERED BY MOST INSURANCE PLANS**

You must have had an initial appointment prior to booking this. This program helps women strengthen their core and recover from pelvic pain, incontinence, prolapse and more. **NOT COVERED BY MOST INSURANCE PLANS**

Specialized Physiotherapy is becoming more established in the literature as the first line of defence against Incontinence and Pelvic Pain. Pelvic Floor Dysfunction can be caused by: • HYPOTONICITY: contributing to stress incontinence and pelvic organ prolapse • HYPERTONICITY: contributing to Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Chronic Prostatitis. Kegels are NOT always indicated for pelvic floor problems. Sometimes they do more harm than good, and often they are NOT performed correctly. The Cochrane Collaboration 2010 concluded that Physiotherapists with specialized training in pelvic floor rehabilitation (using internal examination to teach the exercises) should be the first line of defence, before surgical consultation, for stress, urge and mixed incontinence in women.

This one on one 45 minute training session is provided by a Kinesiologist under the direction and supervision of a physiotherapist to help prevent or recover from injuries. **Before booking this session, you must have had an initial appointment with one of our physios.** Together you and our Kinesiologist will develop realistic goals where you will learn and improve movement patterns, gain strength and endurance and develop strategies to get Stronger. Braver. Better. Sessions include assessment, treatment/exercise plan, active rehab, and homecare plan.

This one on one 45 minute training session is provided by an Athletic Therapist under the direction and supervision of a physiotherapist to help prevent or recover from injuries. **Before booking this session, you must have had an initial appointment with one of our physios.** Together you and our Athletic Therapist will develop realistic goals where you will learn and improve movement patterns, gain strength and endurance and develop strategies to get Stronger. Braver. Better. Sessions include assessment, treatment/exercise plan, active rehab, and homecare plan.

This one on one 45 minute training session is provided by an Athletic Therapist under the direction and supervision of a physiotherapist to help prevent or recover from injuries. **Before booking this session, you must have had an initial appointment with one of our physios.** Together you and our Athletic Therapist will develop realistic goals where you will learn and improve movement patterns, gain strength and endurance and develop strategies to get Stronger. Braver. Better. Sessions include assessment, treatment/exercise plan, active rehab, and homecare plan.

This one on one 45 minute training session is provided by a Kinesiologist under the direction and supervision of a physiotherapist to help prevent or recover from injuries. **Before booking this session, you must have had an initial appointment with one of our physios.** Together you and our Kinesiologist will develop realistic goals where you will learn and improve movement patterns, gain strength and endurance and develop strategies to get Stronger. Braver. Better. Sessions include assessment, treatment/exercise plan, active rehab, and homecare plan.

This one on one 45 minute training session is provided by an Athletic Therapist under the direction and supervision of a physiotherapist to help prevent or recover from injuries. **Before booking this session, you must have had an initial appointment with one of our physios.** Together you and our Athletic Therapist will develop realistic goals where you will learn and improve movement patterns, gain strength and endurance and develop strategies to get Stronger. Braver. Better. Sessions include assessment, treatment/exercise plan, active rehab, and homecare plan.

This one on one 45 minute training session is provided by a Kinesiologist under the direction and supervision of a physiotherapist to help prevent or recover from injuries. **Before booking this session, you must have had an initial appointment with one of our physios.** Together you and our Kinesiologist will develop realistic goals where you will learn and improve movement patterns, gain strength and endurance and develop strategies to get Stronger. Braver. Better. Sessions include assessment, treatment/exercise plan, active rehab, and homecare plan.

This one on one 45 minute training session is provided by an Athletic Therapist under the direction and supervision of a physiotherapist to help prevent or recover from injuries. **Before booking this session, you must have had an initial appointment with one of our physios.** Together you and our Athletic Therapist will develop realistic goals where you will learn and improve movement patterns, gain strength and endurance and develop strategies to get Stronger. Braver. Better. Sessions include assessment, treatment/exercise plan, active rehab, and homecare plan.

This one on one 45 minute training session is provided by a Kinesiologist under the direction and supervision of a physiotherapist to help prevent or recover from injuries. **Before booking this session, you must have had an initial appointment with one of our physios.** Together you and our Kinesiologist will develop realistic goals where you will learn and improve movement patterns, gain strength and endurance and develop strategies to get Stronger. Braver. Better. Sessions include assessment, treatment/exercise plan, active rehab, and homecare plan.

**Patient must have had an initial visit with the Pelvic Floor Physio prior to booking these sessions** Our Kinesiologist uses the information from the Pelvic Floor Physiotherapist’s assessment and incorporates it into a better and more individualized exercise program. This program helps women strengthen their core and recover from pelvic pain, incontinence, prolapse and more under the supervision of a Pelvic Floor Physiotherapist. **THIS TREATMENT IS COVERED BY MOST INSURANCE PLANS**

Radial shock wave is a state of the art treatment designed to treat chronic soft tissue pain in your heels, feet, knees, elbows and shoulders. It is based on the same technology that was developed to break up kidney stones. Radial shockwave often succeeds in cases of chronic conditions involving scar tissue, adhesions, calcified tendons, fasciitis, tendonosis etc, when all other forms of treatment have failed. Typically a patient requires only one treatment per week for 3-4 weeks to achieve results.

MUST HAVE HAD AN INITIAL ASSESSMENT PRIOR TO BOOKING. Radial shock wave is a state of the art treatment designed to treat chronic soft tissue pain in your heels, feet, knees, elbows and shoulders. It is based on the same technology that was developed to break up kidney stones. Radial shockwave often succeeds in cases of chronic conditions involving scar tissue, adhesions, calcified tendons, fasciitis, tendonosis etc, when all other forms of treatment have failed. Typically a patient requires only one treatment per week for 3-4 weeks to achieve results.

Unique one on one Physiotherapy treatment.. Treatment protocol will be based on initial assessment and findings. This treatment is therapist driven and should not be booked by a patient unless instructed by the therapist.

Unique one on one Physiotherapy treatment.. Treatment protocol will be based on initial assessment and findings. This treatment is therapist driven and should not be booked by a patient unless instructed by the therapist. This appointment is to follow up on an injury or problem you have been assessed for in the last 6 months. DO NOT book this treatment if you have a NEW injury or problem that needs to be assessed. Please book an INITIAL appointment for any NEW problems.

Patients MUST have had an initial appointment prior to booking this one. NOT for ICBC or WSBS patients

Patients MUST have had an initial appointment prior to booking this one. NOT for ICBC or WSBS patients

Must have had an initial ICBC assessment appointment prior to scheduling this treatment. There is a $5 patient fee on this visit.

**only for WorkSafe BC Patients** **must have had an initial appointment** Concussion/Vestibular rehabilitation therapy (CVPT) is a specialized form of physiotherapy prescribed to treat and improve the symptoms caused by vestibular disorders. It often involves manual head maneuvers and/or a progressive program of exercises designed to reduce vertigo and dizziness, visual issues, and/or imbalance and falls. A concussion is a “rehabilitative injury,” meaning physiotherapists can play a significant role in rehabilitation. Our physiotherapists are trained to treat concussion symptoms and subsequent dysfunctions in the visual or vestibular systems, the autonomic nervous system, motor (movement) function, and the cervical spine (neck) region. Physiotherapists can contribute to the recovery process, and participating in physical therapy can lead to healthier outcomes for concussion patients. **ONLY FOR WORKSAFE PATIENTS**

Concussion/Vestibular rehabilitation therapy (CVPT) is a specialized form of physiotherapy prescribed to treat and improve the symptoms caused by vestibular disorders. It often involves manual head maneuvers and/or a progressive program of exercises designed to reduce vertigo and dizziness, visual issues, and/or imbalance and falls. A concussion is a “rehabilitative injury,” meaning physiotherapists can play a significant role in rehabilitation. Our physiotherapists are trained to treat concussion symptoms and subsequent dysfunctions in the visual or vestibular systems, the autonomic nervous system, motor (movement) function, and the cervical spine (neck) region. Physiotherapists can contribute to the recovery process, and participating in physical therapy can lead to healthier outcomes for concussion patients. **ONLY FOR WORKSAFE PATIENTS**

To provide coaching/educational support to the Injured Worker and/or Supervisor in order to facilitate the Injured Worker’s stay at work/return to work plan; This treatment must be provided onsite at the Employer’s workplace.

Choose this option if you had an injury at your workplace and this is your first appointment at our clinic.

Choose this option if you had an injury at your workplace. You must have had an initial appointment at our clinic prior to booking this appointment.

Choose this option if you had an injury at your workplace that required surgery within the last 60 days and this is your first appointment at our clinic since your surgery.