We want you to get back to a normal and active life as quickly and safely as possible. Instead of treating your symptoms for temporary pain relief, we focus on identifying the source of the problem and treat that for long lasting results.
We want you to see lasting results. Our team members will assess a variety of movement patterns and postures while empowering you with education and exercises so that you can reduce the risk of re-injury and prevent new injuries from occurring.
We understand that the human body is incredibly interconnected. We use a variety of technology and techniques to detect and treat not only the underlying cause of your problem but also other areas of your body that might be contributing to the problem.
Physiotherapy is a science-based health care profession with a focus on the body: its function, movements and ability to lead an active lifestyle. With a thorough knowledge of anatomy, biomechanics (how the body moves) and physiology (how the body’s systems work together), physiotherapists are body experts.
At Bentall Physiotherapy, we will:
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After a thorough assessment of the muscles, joints and ligaments in your area of injury or pain, your physiotherapist will create a treatment plan. This treatment plan,unique to your specific needs and goals, will involve several different treatment techniques and will evolve as you improve.
Your physiotherapist will explain what they are doing and why, but if you desire further information or are curious about what physiotherapy treatment techniques we offer at Bentall Physiotherapy, they are explained in this section of our website. Feel free to contact us if you have any further questions.
Please consider this information to be a general guide to a very complex and diverse science. The techniques we use are all evidence based and our physiotherapists are well qualified to perform them.
Spiral Stabilization is an unique exercise method effective in prevention and treatment of spinal disorders, muscle imbalance and mechanical problems of peripheral joints(shoulders, hips, keens and feet). This unconventional movement approach relies on the concept of spiral muscle chains producing traction of the spine that relieves pressure in the intervertebral discs and joints and allows for the proper nutrition and regeneration. Muscle spirals also allow for optimal spinal mobility while aligning the spine into a centralized axis.
The exercises are performed with an elastic cord and incorporate all important elements of strengthening, stabilization, stretching, relaxation, coordination and balance in every exercise.
They are easy to learn as they are based on the natural movement patterns of the body regularly used during walking and running.
Initially the focus goes to reducing muscle imbalances in the shoulder. We continue by correcting the muscle imbalance in the pelvis and later in the abdominal region. We stretch the muscles compressing the spine – long muscles located along the spine. We renew the activity of the short muscles that coordinate the mutual alignment of the vertebrae. We exercise the muscle spirals through body’s main section – the external, internal oblique and transverse abdominal muscles, which contract the area of the waist and create an upward force. After correctly performing the exercises with an excellent technique standing on both feet, we continue by exercising on only one foot. Exercising on one foot develops a sense of balance and increases the effect of spiral stabilization (intensively strengthens the abdominal muscles) and supports the arch of the foot.
Spiral Stabilization is especially for those who suffer from:
Osteopathy is an ancient science that views the body as a complete unit, not as an assortment of systems or joints. Osteopathic manual therapy uses hands-on techniques to both diagnose and treat the the soft tissues of your body (muscles, tendons, ligaments and fascia) as well as your joints and bones in order to restore your body’s natural movements. If any of these structures are not moving properly, there can be structural changes that can lead to arthritis, nerve impingement or a compromise in blood flow – all of which can lead to further injury or disease. The return of mobility and structural integrity allows your body’s tissue tension to find it’s natural balance, creating favourable conditions for healing.Please contact us if you would like to learn more about osteopathic manual therapy or book a session with one of our physiotherapists.
“Natural forces within us are the true healers of disease.”
(Hippocrates, 460 BC – 377 BC)
When a joint is unable to move freely, a cycle of muscle spasm, pain, and fatigue begins. Joint dysfunction (stiffness) can be caused by a number of things such as: poor posture, trauma, chronic inflammatory disease, overuse, or congenital conditions. If left untreated, joint dysfunction can affect the surrounding soft tissue (ligaments, tendons or muscles) and may lead to a loss of strength and flexibility. When left too long, joint dysfunction eventually leads to irreversible structural changes in your joints and a loss of function.
Joint mobilizations are hands-on techniques designed to restore normal joint mobility. You may feel some deep stretching when they are being done or nothing at all.
Your spine is actually a series of joints and the cycle described above can affect it too. Spinal mobilizations are specific techniques used to restore normal mobility in your spine.
A healthy body is an integrated neuromyofascial system, able to effectively transfer loads through the joints while maintaining mobility. This is a complex way of describing what we unconsciously do all day, whenever we move. Every movement requires the precise recruitment and timing of muscle contractions as well as stability of the surrounding tissues. This is all controlled by your nervous system (your brain, spinal column and nerves). At the same time it is causing movement, it is getting feedback to make sure the movement is being done right, adjusting the movements if needed and recording the experience as a movement pattern.
This synergy can easily be disrupted in the event of injury, chronic disease, repetitive strain or even poor postural habits as any of these can cause pain, stiffness, weakness or instability. Over time, your body tries to accommodate for these symptoms, often resulting in compensating movement patterns, which can then cause further dysfunction. For example, if a movement hurts, you might try to find a different way of doing it that ultimately causes strain on other joints.
After identifying and addressing the underlying issue (ie pain, stiffness or weakness), the goal of physiotherapy is to re-establish normal (or optimal) movement patterns. In other words, your physiotherapist will give you exercises to teach your body how to move properly again. This part of your treatment plan is called motor control or muscular retraining. Some of the basic principles involved are isolating positions for optimal muscle recruitment, low level of tension and integration of breathing.
Neuromuscular mobilization is a technique used in the assessment and treatment of neural structures. These structures can be easily affected by restrictions or inflammation in the spinal column or in tissues surrounding the nerve anywhere along its path. Any structural changes like a disc protrusion (ie a bulging disc), osteophytes (little bone spurs that can grow off any bone) or carpal tunnel syndrom (a condition where the nerves that pass through the wrist get constricted) can produce tension on neural structures. Tension can reduce elasticity, creating a low degree of inflammation and a tendency for nerves to adhere to surrounding tissues. This situation can lead to pain, bad postures, compensation movements, muscular weakness and joint stiffness if left untreated.
The goal of neuromuscular mobilization is to restore nerve elasticity and its ability to glide through surrounding tissues. A healthy nervous system is crucial to regaining muscle strength, motor control or correcting patterns of movement and forming good postural habits. Therefore, neuromuscular mobilization, in conjunction with joint mobilization, postural re-education and strengthening exercises are the cornerstone of any treatment plan for musculoskeletal problems.
Fascia is the fibrous tissue that supports joint capsules and ligaments as well as encases muscles separating them into groups and layers. As a result of trauma or chronic inflammation, tension builds in the fascia causing it to shorten, lose elasticity and adhere to itself or surrounding tissues. This results in increased muscle tension, restricted joint mobility and blood flow.
Myofascial release is a hands–on soft tissue mobilization technique used to release tension in the fascia by breaking up these adhesion, relaxing muscle tension, improving blood flow and restoring joint function.
Spinal decompression or traction is a treatment technique where a gentle stretching force is applied to the vertebrae (bones) of the spine. This can be done by a piece of specialized equipment (a spinal decompression bed) or traction can be applied manually by your physiotherapist.
Spinal decompression has been found effective in the treatment of many conditions including:
Taping and strapping are techniques that can help prevent injury as well as protect from re-injury while returning to sport or work. The role of the tape is to limit movement in an injured joint to prevent excess or abnormal movement. In addition it should provide support to the muscles surrounding the joint which might be under additional strain due to the injury.
Kinesio Taping is particularly beneficial in the rehabilitation of joints because it gives support and stability without compromising circulation and range of motion. It also reduces pain and inflammation while helping to relax overused muscles. Because it can enhance proprioceptive feedback (knowing where your body is in space) it can also be a useful tool in muscular re-training and motor control. Kinesio taping is also an excellent technique used for postural
awareness and re-training.
Capnometry (a breathing evaluation) is objective way to analyze your breathing pattern and its effectiveness in getting oxygen into your body. People who suffer from chronic pain conditions or anxiety often have altered breathing habits. Breathing too fast and/or too deeply (ie hyperventilating) leads to hypocapnia, which is an abnormally low level of CO2 in exhaled air. This simple analysis can be used clinically to teach strategies to modify breathing patterns and thereby improve your body’s performance.
LASER (Light Amplification Stimulated Emission of Radiation) has been used with a very high success rate in the treatment of injuries such as muscle strains/sprains, ligament and tendon injuries, open wounds and bone injuries including fractures and joint dysfunction. LASER is a therapeutic application of low power, visible red or near-infrared light to stimulate cell regeneration. A small, concentrated beam of laser light penetrates into the tissue where it is absorbed and converted to biochemical energy which speeds up healing and reduces pain and inflammation.
Ultrasound is a therapeutic modality that utilizes high frequency sound waves (too high to be heard by humans) to produce micro-vibration in tissues. This micro-movement of particles produces heat which helps break down scar tissue. Ultrasound can also accelerate the healing process by increasing blood flow and stimulating the production of collagen (an important protein found in muscles, tendon, ligament and skin) to repair damaged tissue.
Electrical Muscle Stimulation (EMS) uses low-level electrical currents to stimulate muscles, forcing them to contract involuntarily. It is very useful as a treatment technique for motor control and muscular re-training and can be used in the very early stages of physical rehabilitation following injury to the muscle tissue, long periods of immobilization or an injury that affected the nervous system. The goals of EMS are two-fold. The first is purely to build muscle tone and strength in weakened muscles. The second goal is to force the contraction of muscles in a desired pattern, aiming to strengthen the link between the brain and the movement. Once strength and motor control has been regained, physical rehabilitation progresses to more strenuous and functional exercises. EMS can also be used to relax muscle spasms, prevent atrophy, increase blood circulation and improve range of motion.
Transcutaneous Electrical Nerve Stimulation (TENS), Interferential Current (IFC) and Microcurrent Stimulation are other electrothermal modalities used to increase blood circulation, stimulate tissue healing, reduce swelling and pain and restore normal muscle function.
“I ‘m an active professional with very little time to spare; so when I need help with my aches and pains I go to the best. At Bentall Physiotherapy therapists are experienced, professional and dedicated to helping us, the patients, feel really good again. An assessment is always focused on the root of the problem not the symptom and I always leave with exercises and suggestions on how I can participate in this healing process. Keep up the great job, you guys! I’m sure I will be back.”
“Mariola’s knowledge of human body, hands-on approach, professional and friendly manner has made a world of difference in dealing with my chronic low back pain. Now I have my life back and I am grateful for all the help.”
“Experienced, professional and knowledgeable physiotherapists, empowering experience”
“Just wanted to share with you how much I have appreciated the fine work Mariola has done helping to heal my back. Her cheery disposition and professional manner brightened many of my “rainy “days.”
“Most of my family and I have been visiting Jacek for almost 15 years with various sports related ailments. Jacek is the best Physiotherapist we have found to get us pain free and moving again.”
“After a shoulder injury I wanted to give up and curl into a ball and pass my days with self pity. Jacek believed in the benefits of exercise and encouraged me to try even when I felt grumpy and frustrated. He told me that the journey might take some time, but that it would be worthwhile. As part of my therapy he challenged me with 10,000 steps a day, and naturally I doubted myself because it was easier not be accountable. Jacek was determined to stand his ground and encouraged me every step of the way – to have courage and to “stick with the program”. Walking 10,000 steps is now a breeze for me, and each day I set new challenges with tremendous pride in myself. I cannot thank Jacek enough for believing in me when I had given up on myself.”
“Jacek gave me back my life. After I was diagnosed with Rheumatoid Arthritis, Polymyositis and now Osteoarthritis, I struggled for many years with the disease until I found Jacek. He is very knowledgable and skilled to deal with the complexity of my disease and he is flexible with his time in order to bring me relief. His treatments relived me of my joint pains which enabled me to gradually reduced my pain medications. He eventually helped me achieved remission. I’m now off medication and lead a normal life. Jacek is my Physiotherapist of choice whenever I have a flare up for 20 yrs. and recommended him to my family and friends.”
“My 86 years old mother and I, we are both having arthritis, osteoporosis and osteopenia. We are Jacek’s patients for over 15 years or so, and I told him once that he is not allowed to retire ever! Without his treatments, we would be having very poor life quality. He takes the time to listen and helps you understand what is going on. He is knowledgeable, skilled, intuitive and so thorough. He is confident and inspires you to reach for the highest possible level of physical functioning despite your limitations. And when we talk and joke about his native Poland or our Serbia, our minds are forgetting the painful stretching or twisting that we have to endure in order to improve the range of motion or muscle strength. I have to say that even the toughest manual adjustments are done with extremely gentle approach. Jacek genuinely wants you to be in the best shape you could be. I would absolutely recommend this great professional to anyone!”
“Jacek is a very special physiotherapist, my family and I are very grateful to be under his care. I never thought that a physiotherapist would teach me how to breath. Jacek educates about the fundamentals and awareness required to live in your body aligned and healthy. Of course, the process is one of co-creation—his wisdom and guidance and your action incorporating his prescribed posture and exercises. Jacek is a Master at his craft. His passion in understanding the integrated workings of the human body are incredible to say the least. With the depth of Jacek’s knowledge and wisdom in his field, coupled with his presence, makes is easy for me to say, that everybody would be well served to have a session with Jacek!”
We always warmly welcome new patients to our office and direct bill all major insurance companies. To book an appointment please feel free to call us or book online. If you have a question, please feel free to fill out the form or give us a call.