Rob Cosma is a Registered Physiotherapist who brings a compassionate, evidence-based approach to movement and rehabilitation. He believes that true recovery and wellbeing come not only from addressing physical symptoms, but also from empowering patients with the knowledge and tools to reconnect with their bodies and restore confidence in movement. As a physiotherapist, Rob has experience working with a broad range of populations including post-surgery patients, job-related injuries, performance athletes, and those navigating complex musculoskeletal and neurological conditions. Drawing from his training in manual therapy, movement science, and vestibular rehab, Rob crafts individualized treatment plans that reflect both his clinical expertise and each patient’s unique goals. He has a special interest in knee and ankle injuries and post-operative rehab, but enjoys treating patients from all walks of life. Before his career in physiotherapy, Rob gained experience as a kinesiologist while training as a high level competitive swimmer, and working as a lifeguard and swimming teacher in his home city of Vancouver. Shortly after completing his studies in kinesiology at UBC, Rob travelled abroad to Scotland to complete his physiotherapy education, and moved to Vancouver Island upon his return to Canada. Rob’s time in the UK hospital system and his clinical private practice in Campbell River have given him the opportunity to gain experience in multiple specializations in physiotherapy, and integrate these different schools of thought for a unique treatment approach. Rob is a lifelong advocate for inclusive and holistic care, and his sessions are a collaborative space where patients are seen, heard, and supported throughout their recovery. Rob believes in the importance of listening deeply and embracing humour every day. As a newcomer to Salt Spring, Rob looks forward to learning from his patients and becoming a part of the community. Outside of his clinical practice, he can be found exploring the island by bike, learning to sail, and freediving with his fiancée, Anna, and their sassy Border Collie mix, Edna.
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Follow-up visit (up to 15 minutes) with a physiotherapist to review treatment progress, adjust exercises, and discuss questions and concerns. These visits may include hands-on techniques, therapeutic exercise, movement retraining, and ongoing reassessment to monitor changes and refine your treatment plan.
Follow-up visit (up to 30 minutes) with a physiotherapist to review treatment progress, adjust exercises, and discuss questions and concerns. These visits may include hands-on techniques, therapeutic exercise, movement retraining, and ongoing reassessment to monitor changes and refine your treatment plan.
Extended follow-up visit (up to 60 minutes) to review treatment progress, adjust exercises, and discuss questions and concerns relating to complex or multiple conditions requiring a longer follow-up session. These visits may include hands-on techniques, therapeutic exercise, movement retraining, and ongoing reassessment to monitor changes and refine your treatment plan.
Intake visit with a physiotherapist. In your initial physiotherapy assessment, we will discuss your primary concerns, medical history, and lifestyle factors. The visit includes a thorough health history, a focused physical assessment to evaluate movement, strength, posture, and function, as well as treatment to address your concerns. Based on our findings, we will develop a personalized treatment plan tailored to your goals with a combination of hands-on manual therapy, education, and therapeutic exercise. // Accessible rates are available for those eligible for MSP Supplementary benefits or experiencing financial hardship. Please contact the clinic for more details.
Intake visit with a physiotherapist. A comprehensive session suitable for the treatment of multiple areas of the body or multiple conditions. In your initial physiotherapy assessment, we will discuss your primary concerns, medical history, and lifestyle factors. The visit includes a thorough health history, a focused physical assessment to evaluate movement, strength, posture, and function, as well as treatment to address your concerns. Based on our findings, we will develop a personalized treatment plan tailored to your goals with a combination of hands-on manual therapy, education, and therapeutic exercise. // Accessible rates are available for those eligible for MSP Supplementary benefits or experiencing financial hardship. Please contact the clinic for more details.
Breast/chest and pelvic exam with PAP and/or HPV screening for cervical cancer risk. Appointments are conducted with a naturopathic, trauma-informed, and consent-based approach. Offered on a sliding scale of $175-$100. This visit is available to anyone to book. You are NOT required to be a current patient of a physician at Madrona.
Intramuscular Stimulation (IMS), also known as dry needling, is used to reduce persistent muscle tension and sensitivity. This treatment targets shortened or overactive muscles to help restore normal tone, improve mobility, and reduce pain. May be helpful for stress-related tension, headaches and migraines, as well as complex or persistent pain presentations. Performed by a Registered Physiotherapist certified in Gunn IMS. Treatment may also include assessment, manual therapy, and movement-based strategies as appropriate.
A comprehensive session suitable for the treatment of multiple areas of the body or multiple conditions. Intramuscular Stimulation (IMS), also known as dry needling, is used to reduce persistent muscle tension and sensitivity. This treatment targets shortened or overactive muscles to help restore normal tone, improve mobility, and reduce pain. May be helpful for stress-related tension, headaches and migraines, as well as complex or persistent pain presentations. Performed by a Registered Physiotherapist certified in Gunn IMS. Treatment may also include assessment, manual therapy, and movement-based strategies as appropriate.
Extended follow-up visit (up to 45 minutes) with a physiotherapist to review treatment progress, adjust exercises, and discuss questions and concerns relating to complex or multiple conditions requiring a longer follow up session. These visits may include hands-on techniques, therapeutic exercise, movement retraining, and ongoing reassessment to monitor changes and refine your treatment plan.
A gentle, hands-on, osteopathically informed treatment focused on supporting the body’s natural rhythms and reducing tension within the nervous system. This approach may help with stress-related tension, headaches, complex or persistent pain presentations, and associated digestive or pelvic symptoms. Performed by a Registered Physiotherapist and may also include assessment, manual therapy, and movement-based strategies as appropriate.
First visit with Miriam at Madrona for patients who have already done an initial visit with Miriam elsewhere
First visit with Miriam at Madrona for patients who have already done an initial visit with Miriam elsewhere
Optional free 15-minute visit for new patients interested in exploring pelvic floor physiotherapy. Opportunity to meet your practitioner and get a sense of her treatment approach. Please note that medical advice cannot be provided during this visit.
Optional free 15-minute visit for new patients interested in learning more about physiotherapy. Opportunity to meet one of our physiotherapists and get a sense of their treatment approach. Please note that medical advice cannot be provided during this visit.
IV iron (for returning patients).
IV iron (for returning patients).
First consult with a naturopathic doctor for patients interested in exploring if IV iron is right for them. For your first appointment please bring a copy of any recent iron results you have from the past 3 months (specifically ferritin, and whatever else you have).
First consult with a naturopathic doctor for patients interested in exploring if IV iron is right for them. For your first appointment please bring a copy of any recent iron results you have from the past 3 months (specifically ferritin, and whatever else you have).
Follow up pool rehab visit with a physiotherapist in a small group setting (1-3 participants). In each session, patients learn how to use the water for therapeutic exercises, stretches, and pain relief strategies tailored to their specific injury or condition. The buoyancy of the water reduces pressure on joints, making it easier to build strength and improve mobility with less pain. [PLEASE NOTE: THIS VISIT SHOULD ONLY BE BOOKED BY CURRENT PATIENTS OF ROB]
For patients who have not been in for 3+ months or who have a new area of concern/injury.
Online follow-up visit (up to 30 minutes) with a physiotherapist to review treatment progress, adjust exercises, and discuss questions and concerns.
Extended online follow-up visit (up to 45 minutes) with a physiotherapist to review treatment progress, adjust exercises, and discuss questions and concerns relating to complex or multiple conditions requiring a longer follow up session.
Optional free 15-minute visit online or by phone for new patients interested in learning more about physiotherapy. Opportunity to meet one of our physiotherapists and get a sense of their treatment approach. Please note that medical advice cannot be provided during this visit.
Optional free 15-minute visit online or by phone for new patients interested in exploring pelvic floor physiotherapy. Opportunity to meet your practitioner and get a sense of her treatment approach. Please note that medical advice cannot be provided during this visit.
Video or phone first consult with a naturopathic doctor for patients interested in exploring if IV iron is right for them. For your first appointment please bring a copy of any recent iron results you have from the past 3 months (specifically ferritin, and whatever else you have).
First consult with a naturopathic doctor for patients interested in exploring if IV iron is right for them. For your first appointment please bring a copy of any recent iron results you have from the past 3 months (specifically ferritin, and whatever else you have).
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