Your Content Goes Here 1. Not all Physiotherapists are the same. Just like other health care providers, Physiotherapists may differ in their approach to caring for patients. The biggest difference you will notice when attending a physiotherapy clinic, is whether or not the treatments are performed by a registered physiotherapist or by their assistant. Although there is nothing wrong with either approach, some people prefer to work with the same person each time they visit the office, in a private setting. If you are thinking about visiting a physiotherapist and you want a one-on-one approach, then it is important to ask if they perform their treatments in this manner. The other main difference amongst physiotherapists is in their technique. Every Physiotherapist is required to hold a certificate of registration that proves they have passed the necessary exams and are legally able to practice in Ontario, however, they are able to learn various techniques outside of school and many choose to do so. Some Physiotherapists perform acupuncture, cupping, taping, manual therapy, etc. These techniques are all useful in certain situations and it is the physiotherapists job to determine the best approach for their patients based on a thorough assessment. 2. You do not need a doctor referral or diagnosis to be seen by a physiotherapist. In Ontario, you do not need a doctors referral to seek the help of a physiotherapist, if you feel you could benefit from their services, then you can call and see one at any time. Often times, your doctor will refer you to see a physiotherapist, if he or she feels it is necessary, but if you want to skip that step and find a physiotherapist, you can call one today. Although you do not need an diagnosis to visit a physiotherapist, if you have had an Ultrasound or x-ray recently, they might want to see the results of those tests, as this can impact their treatment approach. A physiotherapist will make their own diagnoses based on the testing and exam procedures they perform in the office. This should include, but is not limited to testing: range of motion, performing various orthopedic and neurological tests, as well as palpating (feeling) the affected area. Some physiotherapists might also use different gadgets or devices to assess their patients, which can provide valuable data that is used to diagnose. During the treatment plan, a physiotherapist will also reassess, and compare that to their original findings. This is the evidence needed to see whether or not their approach is working, and is used to change treatment strategies and approaches if necessary. 3. They can help with a wide variety of ailments. People will often wonder whether or not they need a physiotherapist. The short answer is, if it hurts or feels stiff, a physiotherapist can most likely help. People will also seek the help of a physiotherapist if they are tired of popping pain pills or if their doctor hasn't given them the answers they [...]

Your Content Goes Here Muscle atrophy refers to a condition where there is a decrease in the size of a muscular tissue due to a shrinkage at a cellular level. This shrinkage is generally driven by the loss of cellular components, such as the cytoplasm and its associated proteins. With the decrease in muscle size, this creates a problem scenario where an individual may lose function and performance related to activities of daily living. It can happen at any age but is most common in the elderly. In order to regain and prevent a decrease in the size of a muscular tissue, it really comes down to an individual-tailored exercise regimen to build strength so that the needs of each cellular component are addressed. It may work as a strengthening-based exercise, stretch-based exercise, a combination or a cardiovascular based workout that is reflected upon each individual’s capacity. The key message is that we do not want muscle atrophy to continue to progress. This can lead to muscle wasting, meaning a loss of an actual muscular tissue. There are numerous causes that may lead to muscle atrophy, such as genetics, cancer and chronic inflammatory conditions. The most common ones that are known to cause muscle atrophy include ALS (Amyotrophic lateral sclerosis), multiple sclerosis, myasthenia gravis, and SMA (Spinal muscular atrophy). Depending on the underlying root cause of the disease, treatments may vary amongst individuals but the common theme that they share is that encouraged movement is essential for managing the atrophy process. If you or someone you know is concerned about muscle atrophy it would be worthwhile to visit your local Chiropractor or Physiotherapist. Although treatments from a trained professional do not necessarily reverse the course of these conditions, they can help manage and correct dysfunction that muscle atrophy causes. Catered to each individual’s goals and needs, the treatment can be designed in many different ways, including supervised exercise sessions, mobilization-based manual traction, spinal adjustments or muscle release work. It is of utmost importance that the treatment plan includes exercises and other advice that will help build muscle back up. If you are concerned about muscle atrophy or have already been diagnosed and are looking for guidance from a trained professional or perhaps struggling related to pain from this condition, call our office to book a free 15 minute consultation. One of our doctors will discuss your case with you and make sure that we are able to help. Call 519-751-0728 to book today.

Your Content Goes Here Many of us parents have been there. We are rushing to get our child(ren) off to school, we get to the school and our child has a big, emotional outburst and refuses to go into their classroom. This is more common in younger children whilst they are still adapting to being away from the safety and comfort of their home and their primary caregiver, and many children will grow out of this as they settle into the school routine and become more familiar with their new surroundings and teacher/classmates. But for some children, school refusal is something that is more of an ongoing issue and can be a sign of an underlying anxiety disorder. School refusal can affect children of all ages, from kindergarten right through to highschool. Obviously the signs and symptoms will differ depending on the age. Your teenager is less likely to have a big emotional outburst, but may show some of the following signs: Complete refusal to attend, Attending, but leaving early, Starting late, Having a tantrum when they arrive at school, Attending, but experiencing a high degree of distress. What causes school refusal? There are many things that can contribute to school refusal, some of those reasons can include: An underlying anxiety/depressive disorder, The child might be experiencing bullying at school, They may be involved in conflict at school with teachers, or other students, They may be experiencing issues at home that make them feel worried to leave, They could have acute stress/PTSD as a result of something that happened at school, They may struggle at school and have academic issues or issues with their teacher. It is important to note that children with Special Educational Needs (SEN) have a higher rate of experiencing school refusal. What are some symptoms of school refusal? This will vary from child to child and will, again, vary with different age groups. Some symptoms include: Stomach distress (nausea, vomiting, diarrhea, stomach aches etc.) Headaches Fatigue Crying Tantrums It is good to also have your child checked out by their family doctor if they are experiencing any of these physical symptoms, to rule out any potential health concerns. How to help with school refusal: Many parents are unsure whether or not they should be “punishing” or “disciplining” their child when they experience school refusal, this will not work. School refusal is not something that can be disciplined out of a child, it is a form of anxiety that requires treatment. One of the most effective forms of “treatment” is Cognitive Behavioural Therapy (CBT). CBT should be provided by a registered mental health professional who has received training in this modality. CBT teaches the client to confront and change negative thoughts/behaviours. Something that has worked in our family is normalizing anxiety. We all have open conversations about anxiety as a human experience. When anxiety is appropriately managed it can alert us to danger, or help us perform in a situation. We discuss [...]

Your Content Goes Here There are many different moving joints and muscles in our feet but when the bottom of our foot or heel becomes painful this is usually a sign of plantar fasciitis. When this kind of foot pain strikes, we usually notice it right away and hope that it goes away quickly because with each step we feel it. We don't want foot pain interfering with our ability to walk or enjoy other activities. Plantar fasciitis can either be short lived (acute) or can become chronic if not addressed early on. It is caused by inflammation that sets into the plantar fascia (a big ligament) in the bottom of our foot. This can be due to immobility or sometimes an old foot injury such as a sprain or strain that doesn't heal properly. The plantar fascia attaches to our heel bone (calcaneus) and wraps around it to form the Achilles tendon on the back of our ankle. Pain from plantar fasciitis can even be related to problems with these structures. Sometimes the calf muscle and Achilles tendon are the source of the problem. They can become tight which can pull on the plantar fascia and throw off foot mechanics causing the pain on the bottom of the foot. What Causes It? At its root, plantar fasciitis is inflammation of the plantar fascia. This is typically caused by poor foot mechanics. Poor foot mechanics can be a result of immobility (i.e. wearing boots all day at work and standing on concrete floors) or muscles and joints that are not moving the way they should. When muscles and joints are not moving properly in any part of the body it can lead to pain and problems that creep up without warning. Usually this is from some sort of overuse or old injury to the area that never healed properly. Once inflammation sets in the bottom of the foot, it can be very difficult to get rid of it because we are always using our feet. How Do You Treat It? The good news is that if you have plantar fasciitis there are many treatment options for this painful condition. The other good news is that many of the recommendations for plantar fasciitis can be performed at home with simple items you have around your house. The first step is to reduce inflammation, so using ice will be most helpful. It is best to freeze a water bottle and then take it out, place it on the floor and roll the bottom of your foot over it for 10 - 15 minutes. Stretching is also something that will need to be implemented if you wish to solve plantar fasciitis. Calf stretching should be performed regularly as well as stretching the bottom of your foot. This can be accomplished by grabbing your toes, bending them backward while also bending your ankle upward. Think toes to nose, while using your hand to bend your foot and hold the [...]

Your Content Goes Here Many people in therapy express that they feel disconnected from their own emotions or have difficulty processing the emotions that they are feeling. The breadth and depth of our human emotions add so much to our life stories and can also bring great suffering and pain. It is not uncommon for people to struggle with their emotions, particularly those that are powerful, such as joy, anger, and sadness. One of the things we have in common as human beings is our emotions, our feelings- are energy within ourselves that tell us what we need from ourselves and from others. They are our warning signs and our life enhancers. Emotions drive us to get what we need. When we ignore our emotions, we can become stuck, and even worse, we can become unwell. We may have learned during our lives to minimize, hide, change, or ignore our feelings. We may have learned to put other’s feelings before our own, or we may have learned how to manage our feelings in healthy ways. How we understand and respond to emotions comes from many different sources, including our parents, family, culture, religion, school, work, relationships, media, and our life experiences, which is why we respond to emotions in unique and different ways. What should we do when working through emotions? 1. Acknowledge emotions. If you are wanting to do a better job of processing your emotions, the first step is to learn some of the language of emotions. Did you know there are approximately 150 words to describe emotions? The six primary emotions are anger, fear, joy, love, sadness, and surprise. Having the words to describe how we are feeling can help us and others to better understand our experiences and improve our relationships. Take some time to familiarize yourself with the “feelings wheel”, which is a nice visual depiction of many shades of the primary human emotions, as well as the meanings of the words, to help you better attune to your own feelings. Notice where you feel your different emotions in your body- is it your gut, your head, your shoulders? Emotions create energy that can be held in the body, especially if not released. 2. Notice negative self-talk when it happens, and the emotion behind it. What is the need beneath the behaviour that you are condemning? Is there an unmet need that you are ignoring? Feelings, thoughts, and our behaviour are inextricably connected. Take some time to notice how your thoughts and feelings fuel your behaviour, and vice versa. Consider that your body and brain may be signalling to you that there is a situation that requires your attention. At times, it may be a “false alarm” such as in the case of recurring anxiety. Sometimes there is a physical need that is being signalled, that takes an emotional form, such as the need for rest, movement, and nutrition. Sometimes it may be an unmet emotional need, a part of [...]

Your Content Goes Here Starting your children's day off with a balanced meal is a great way to make sure they are ready to take on the day! Providing them with essential nutrients like protein, fibre, fats, and carbs will ensure they will be bringing their best and brightest selves to school. This graphic shows why we want to give our kids the best possible start for their day: Here are a couple of ideas from our Holistic Nutritionist: English Muffin Breakfast Pizzas Ingredients: 1/2 cup Egg Whites 1 tbsp Water 1 1/2 cups Baby Spinach 2 English Muffin (sliced in half) 2 tbsp Salsa 1 oz Mozzarella Cheese (shredded) Directions: 1. Add the egg whites to a cold saucepan. Place over low to low-medium heat and stir continuously with a heat-safe spatula until fluffy and cooked through, about 10 minutes. 2. Heat the water in a pan and add the spinach. Cook for about one to two minutes or until wilted. 3. Top the English muffin slices with spinach, scrambled egg whites, salsa, and mozzarella. Broil in the oven until the cheese is melted and golden brown. Enjoy! Peanut Butter and Blueberry Toast Ingredients: 1tbsp All Natural Peanut Butter 1 slice Whole Grain Bread (toasted) 1/3 cup Blueberries Directions: 1. Spread the peanut butter onto the toast and top with blueberries. Enjoy! Some other great ideas could include: Oatmeal, Colourful smoothies using your child's favourite fruits, Healthy breakfast wraps with lots of veggies! Make sure to reach out to us if you are looking for more guidance and ideas, our Holistic Nutritionist would be happy to support.

Your Content Goes Here What is Arthritis? Arthritis is inflammation or swelling of one or more joints in the body. It is a painful condition that is caused by the erosion of the joint surfaces. Arthritis is not always painful and can often flare up or down depending on various factors. There are over 100 different kinds of arthritis, the most common being osteoarthritis which is when the joint surfaces wear out in our bodies causing pain and inflammation. Who is Affected by Arthritis? Arthritis can affect anyone at any age, but typically gets worse the older we get. However, there are also forms of arthritis that can affect young children. It does tend to be worse in those who have physical jobs that require continuous strain on their bodies. It can also set in quickly in those who have had significant injuries such as car accidents or sports injuries. What Causes Arthritis? As mentioned above, physical strain on the body can accelerate the arthritic process in our joints. As well, injuries, if not healed properly, can cause long lasting dysfunction in the affected area, and this causes the joints to wear out quicker. Just like a car with bad alignment, the tires are going to wear out quicker over time. However, if the alignment is checked and corrected on a car, then the tires should wear out evenly and last longer. The arthritic process in our bodies can also be accelerated by smoking, obesity, lack of exercise and poor diet. Our bodies require proper nutrients to feed the cells of our joints, and if they don't get this, then they wear out sooner. Smoking and poor diet cause this, so it is imperative that these two things be avoided. How Do You Prevent Arthritis? Arthritis is almost unavoidable, just like a car with properly aligned tires that is well maintained, the tires will still wear out eventually. However, there are plenty of things that can be done to slow this process down and stop it from causing problems as you age. The first would be to make regular exercise a part of your routine. Joints need movement and if they don't get it, they break down quicker. This is why people who sit all day at work develop arthritis in their low backs. A simple yoga routine or general exercise program is all that is necessary. Simply staying active by walking can also help. The next thing to address is your diet. Make sure you avoid processed foods and foods high in sugar. Eat plenty of leafy greens and drink lots of water. Simple decisions like these will provide your joints with the best nutrition. Lastly, consider seeing a chiropractor on a regular basis. It is the job of a chiropractor to find and correct any dysfunction in the joints in your body. Their treatments help keep the joints in good alignment so they are less prone to wear and tear as you age. [...]

Your Content Goes Here Travelling is a wonderful time to enjoy a new place and experience new things with friends or family. But aches or pains from travelling can interfere with your enjoyment of your much deserved time off. With travel season in full swing we wanted to share some important tips to help you and your family avoid the aches and pains that can strike when riding in planes, trains and cars. Move Around Sitting for long periods while on a plane or in a car is usually what contributes to the aches or pains we experience with travelling. Although it is hard to move around while we are in motion, getting to our destination, we can take any opportunity possible to move around. This would include walking around while waiting for your plane instead of sitting in the airport, and also making frequent rest stops if you are driving. It can even be a quick stop where everyone gets out of the car and walks around for a couple of minutes. This will help counteract the negative effects of sitting for extended periods of time. If you are stuck on the tarmac, waiting for the plane to take off, stand up if possible and move around in your space. You don't have to overthink it, just move at every opportunity. Carry a Hot / Cold Pack In case an ache or pain does strike, be sure to pack a hot / cold pack. Heat is best for when the pain is achy in nature and cold is best for when a pain is sharp. Having this with you doesn't take up much space in your luggage but can help ease aches and pains in case they do happen. Remember that you only want to apply ice or heat for 15 minutes at a time. This can be done every hour, but don't leave the hot or cold pack on for extended periods of time. Use Supports Another helpful thing you can keep with you while travelling is a neck / back support pillow. These are small little neck pillows that go around your neck to help support your head while sitting for long periods. They can even be found in airports or at rest stations. The supportive pillow can help prevent neck problems related to the strain that is placed on our necks from sitting. Stretch Stretching is something that can be done even while you are sitting. You can tilt your ear towards your shoulder, reach over your head and pull down, in order to effectively stretch your neck muscles. This should be done as often as possible, especially throughout a long flight or car ride where there is not much opportunity to stand up and move around. Hold the stretch for 1 - 2 minutes per side and repeat twice. If you do get the opportunity to stand up, you can stretch your low back. You can lean back and side [...]

Your Content Goes Here It is completely normal for younger children to imitate their siblings. If you have an autistic child, you might see younger siblings copy behaviours that are more often ASD-specific. While much of this imitation is harmless, it can be tricky to handle if the behaviour is more harmful (e.g. severe meltdowns, self-injury, or aggression). Here are some tips to help navigate this! Think about how often it has happened. Is your child just trying the behaviour out? If so- it's quite likely it'll pass. Or- are you seeing a behavioural pattern where you might need to intervene or respond differently? If you said yes to the last question, keep reading! Think about why your child is repeating the behaviour. Are they getting anything out of it? This might be getting access to something they want, getting out of something they don’t like, or getting a reaction or connection with a parent or other person. If we know why the behaviour is continuing, this will help us know how to respond. Teach your child what to do instead. For example, if your child is screaming because they are finished eating, teach them what to say instead of screaming (e.g. “all done”). If your child is screaming because they want something, give them the language to ask for what they want. Refrain from giving a big reaction. If your child seems to be seeking a reaction, refrain from saying too much or reprimanding. Instead, remain neutral and calm. When you do see positive behaviour, react and praise A LOT! Questions? Want to know more? Feel free to book a complimentary consultation with our BCBA Alisa Gagne by calling 519.751.0728 or emailing pathwaystohopebrant@gmail.com.

Your Content Goes Here As many of you may already know, challenges with communication are one of the criteria that must be met for to reach a diagnosis of autism. When we talk about communication challenges it can include the following: Difficulties with understanding, Difficulties using language to communicate with other people. However, there is a wide range as to what communication skills may look like in an individual with autism. Verbal and Non-verbal We often hear of children with ASD being referred to as verbal or non verbal, and whilst some children may be very verbal and participate in full conversations, other may communicate completely without words (for example, using pictures, or through gestures or behaviours). Some children with ASD will also use a combination of ways of communicating. No matter how a child communicates, there are many ways we can build on their strengths and interests in order to support and help further develop their communication skills. Speech Language Services and children with ASD Speech-Language Pathologists are often one of the first professionals to become involved with a young child showing possible signs of autism, as communication differences or delays are often one of the first signs noticed by parents/caregivers/educators. It is important to know that Speech-language Pathologists cannot diagnose autism, but can assist in helping support communication skill development even before a diagnosis is received, and can also help direct families to find the appropriate resources if they are looking to determine a diagnosis. If you are concerned about your child’s communication skills and would like more information, call us at 519.751.0728 or email pathwaystohopebrant@gmail.com to book a free consultation with our Speech Language Pathologist.