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Physiotherapists are trained in the assessment and management of conditions that affect the musculoskeletal, circulatory, respiratory and nervous systems.  Here are some of the ways physiotherapy can help:


  • Address physical challenges associated with back pain, neck pain, shoulder and knee pain, ankle pain, fractures, arthritis and repetitive strain injuries
  • Treat sport injuries and provide advice on injury prevention
  • Help you get back on your feet after surgery

You may require manual therapy, including joint mobilization or manipulation, electrical modalities such as TENS, Interferential, Ultrasound and other specialized techniques such as IMS or Acupuncture.  Manual therapy and rehabilitation exercises are universally recognized as effective treatment for musculoskeletal problems.  Our approach emphasizes treatments which are shown to be safe and effective through evidence based research. 

Response to treatment depends on the nature of the problem; many patients see rapid improvement and pain relief, while others with more complicated conditions will improve with treatment and time.  Regardless, you can be sure that you will have the best quality treatment for your problem and the tools to help yourself get better!


Physiotherapy is greatly beneficial for children, for a whole range of different conditions and problems. Different rehabilitation strategies are used to achieve functional, child orientated goals.


Neurodevelopmental Therapy and other techniques can help improve functional outcomes and ultimately quality of life for children who have been diagnosed with neurological conditions such as Cerebral Palsy, Muscular Dystrophy and others. Functional Rehabilitation is essential to prevent lasting disability and to improve quality of life.

High Risk Screening is beneficial for infants or babies who were born after a complicated pregnancy, had a difficult or prolonged birth or a stormy neonatal period. This assessment can help identify future delays or problems, before they arise.


Physiotherapists are trained to do Developmental Assessment and therapy to aid infants and toddlers bridge a possible gap between developmental milestones.

Low muscle tone and activity can lead to poor coordination, postural control, handwriting and even attention issues. Physiotherapy can aid in normalising muscle tone and achieving postural control goals.


Manual therapy can be defined as skilled hand movements directed towards joints, muscles, and connective tissue. After an injury, manual therapy can be used by physiotherapists to alleviate movement restriction or musculo-skeletal pain by restoring normal movement in damaged tissue or other injuries such as:

  • Wiplash 
  • Sciatica 
  • Sport Injuries 
  • Arthritis

Physiotherapists carry out manual therapy through 3 common techniques; joint mobilization, joint manipulation, and soft tissue mobilization (massage). Through applying pressure on damaged muscle tissue. The movements used in manual therapy vary in firmness and range, thus varying from patient to patient. In some cases a movement may be followed by an audible “pop”, which is the result of gas or fluid inside the joint being moved.

Through applied pressure on “tight” or sore areas, manual therapy aides patients towards regaining range of motion, decreasing pain, reducing soft tissue swelling and inflammation, improving muscle patterns, and improving tissue mobility; helping you get back to moving the way you want to.


Intramuscular Stimulation (IMS) is an effective treatment for pain of neuropathic origin. This technique uses needles similar to the needles used in acupuncture to find and diagnose muscle shortening in deep muscles. This technique has few side-effects. When muscles become shortened, causing tension or further pain in other muscles and tissues, IMS directly treats the cause of the pain by relaxing the shortened muscle and allowing it to return to its normal state.

DOES IT HURT? IMS uses implements adapted from traditional acupuncture, it is based on scientific, neurophysiological principles. A trained physiotherapist inserts very fine needles, like those used in acupuncture, into the shortened muscle at the points where it is tight. You may not even feel it penetrating the skin, and if your muscle is normal, the needle is painless. However, if your muscle is supersensitive and shortened, you’ll feel a peculiar sensation – like a muscle cramp or Charlie Horse. This is a distinctive type of discomfort caused by the muscle grasping the needles. Patients soon learn to recognize and welcome this sensation. They call it a “good” or positive pain because it soon disappears and is followed by a feeling of relief no longer tight, you no longer feel it. What has happened is that the needling has caused your abnormal muscle shortening to intensity and then release. 

The effects of IMS are cumulative – needling stimulates a certain amount of healing, until eventually, the condition is healed and the pain disappears.
HOW MANY TREATMENTS ARE REQUIRED? The number of treatments you require will depend on several factors such as the duration and extent of your condition, how much scar tissue there is and how quickly your body can heal. If the pain is of recent origin, one treatment may be all that is necessary. In published studies of patients with low back pain, the average number of IMS treatments required was 8.2.
WHY IS IMS A GOOD CHOICE? Supersensitivity and muscle shortening cannot be operated on and 'cut away'. 'Pain killers' and other analgesic pills only mask the pain. The goal of treatment is to release muscle shortening which presses on and irritates the nerve, where supersensitive areas can be desensitized and the persistent pull of shortened muscles released.

To learn more about IMS, please visit the Institute for the Study and Treatment of Pain’s website at  www.istop.org/ or contact us 604-532-5722


Acupuncture is a therapeutic method used to encourage natural healing, reduce or relieve pain and improve function of injured areas of the body.  Classical acupuncture was developed in China as a system of diagnosing and treating pain and disease. Acupuncture is safe and effective and is often successfully used as an alternative to medications.  The procedure involves the insertion of very fine needles through the skin and tissues at specific points on the body.  There is no injection of any substance and the treatment itself causes minimal discomfort.IS IT SAFE?  Acupuncture is safe when practiced by someone with appropriate training.  Acupuncture Foundation Of Canada Institute (AFCI) members are trained to use the strictest hygiene; we use sterilized needles in sealed packages. These needles are used only once and then disposed of. Any side effects are extremely rare. There are a few cases in which acupuncture is inappropriate. Your physiotherapist will run through a series of questions with you before treatment is started to discover whether there are any contraindications to the use of acupuncture.

This is the most common question asked by patients when needles are used. Acupuncture needles are so fine that the prick of the needle as it goes through the skin is barely felt. Most patients feel only minimal discomfort as the needles are inserted: some feel no pain at all.  Once the needles are in place, there should be no significant discomfort.

The number of treatments will vary with each individual and the condition being treated.  For acute problems, only a few treatments may be required.  In some cases, one treatment will be sufficient.  For complex or chronic conditions, one or two treatments a week for several weeks may be recommended with less frequent treatment as improvement occurs.  Treatment sessions usually last between 15 and 20 minutes. Relief may be immediate or occur within a few hours, or after a few days.  In some conditions, several sessions may be required before improvement is noticed.  Eighty to ninety percent of patients respond well to acupuncture with noticeable improvement.  Acupuncture can be used as the only form of therapy or it may be combined successfully with other forms of physiotherapy.

IS THERE ANY SPECIAL ADVICE TO FOLLOW BEFORE AN ACUPUNCTURE TREATMENT? Acupuncture treatment can be done at any time.  Patients are advised to be will rested and have a light meal before treatment.  It is best to avoid alcohol or sedatives for four hours prior to treatment and tobacco one hour prior to treatment.  Pain medication may be taken as required.

If possible, a short rest after treatment is desirable, but not essential.  Some patients feel unusually relaxed and prefer to plan activities accordingly.  Strong exercise is not recommended immediately after treatment.  For painful conditions, avoid strenuous activity for 48 hours after treatment.  Alcohol and ideally caffeine and cigarettes, should be avoided for at least two hours.  Medication as directed by your physician, may be taken as required.


Shockwave therapy is a form of therapy that utilises non invasive acoustic wave pulsations that are sent through the target injured area through a person’s skin via a gel medium. Introduced as a method to non-surgically remove kidney stones and gallstones, shockwave therapy has evolved into a treatment for lingering injuries; causing bone, tendon, ligament and other cells to regenerate and finish healing in even the oldest chronic injuries.


The most typical cases shockwave therapy can be applied to are those of lingering tendinopathy, or tendon conditions that do not respond to other treatments that occur as a result of sport, overuse, or repetitive strain, such as:

  • Achilles
  • Plantar fasciitis
  • Calcific Tendinosis of the shoulder
  • Rotator cuff
  • Jumpers knee

Shockwave therapy may cause mild discomfort, however only lasting a short period of time. The intensity of the shockwaves can be adjusted to stay comfortable.

As shockwave therapy stimulates an inflammatory response, you many experience temporary tenderness, soreness, or swelling for a few days after the treatment as a result of the body naturally healing itself.  


  • Non surgical
  • Limited side effects
  • High success rate
  • Drug free therapy


After a knee or hip replacement surgery the best way to recover and get back into the activities you enjoy is through rehabilitation, which aids the body’s healing process in a significant manner.

At Twin Rinks Physiotherapy, knee and hip replacement rehabilitation is divided into 3 core parts throughout your treatment experience; assessment, treatment (manual therapy and modalities), and exercise.

The inital assesment is an essential part to creating a treatment experience that maximizes your surgery rehabilitation. Our physiotherapists will asses your situation accordingly and introduce the many modalities available to assist the treatment.

Twin Rinks Physiotherapy offers an extensive range of knee and hip replacement treatment rehabilitation modalities to facilitate recovery and manage pain, including the following:

  • Manual Therapy: focuses on regaining mobility in affected knee or hip.
  • Interferential Therapy (IFC): accelerates body’s natural healing process via electrical stimulation of tissue and nerves.
  • Transcutaneous Electrical Nerve Stimulation (TENS): provides short term pain relief via electrical stimulation of nerves in the affected area which interrupts pain signals to the brain.
  • Electrical Muscle Stimulation (EMS): stimulates weak muscle fibers that may be deconditioned.
  • Heat/Ice Application: heat application stimulates flow of oxygen rich blood and improves range of motion and Ice application reduces inflammation and relieves pain.

After treatment with the modalities, kinesiologists will then assist and guide you through your home exercise program as part of your physiotherapy treatment. Programs can include, but are not limited to strengthening, balance, range of motion, stretching, return of function, and core activation.

Twin Rinks Physiotherapy also offers pre-operative treatments, which allows you to be better informed prior to your procedure, have improved speed of recovery, and be stronger and more mobile.


Massage  therapy is a hands-on treatment that involves manipulation of the soft tissue structures of  the body (muscle, skin and connective tissue, tendons, ligaments, and membranes) to prevent and alleviate pain, discomfort and muscle spasm.

Massage therapy also promotes health and wellness. It improves the functioning of the circulatory, muscular, skeletal, and nervous systems, and helps increase recovery from injury and illness.


  • Post injury and post operative rehabilitation
  • Provides relief from pain
  • Relieves stress and promotes relaxation
  • Reduces muscle spasms, tension, and stiffness
  • Helps to relieve tension related headaches
  • Enhances circulation
  • Provides greater joint flexibility and range of motion
  • Promotes deeper and easier breathing
  • Helps heal strained muscles and sprained ligaments


Kinesiologists are human movement specialists, that apply the principles of physiology, anatomy, and biomechanics to help guide patients through a program focused towards increased performance and function.

Exercise is an essential component to injury rehabilitation and prevention. By creating  customized exercise programs our patients increase function and improve performance.          

At the time of the inital appointment, our Kinesiologists will evaluate the client to determine their strengths, weaknesses, needs, and goals. These become the foundation for the exercise program that is designed specifically for each indiviual. These programs will incorporate cardiovascular trainging, strength training, and flexibility training. As clients improve their function, their programs will progress accordingly.

Our goal is to promote independence and have clients take an active role in their recovery process, and make lifelong changes to achieve optimal health and function. 

At Twin Rinks Physiotherapy, all kinesiologists are registered members of the BCAK (British Columbia Association of Kinesiologists).                                              

TO GET STARTED: Please contact our Kinesiologists at 604-532-5722 to schedule an appointment.

APPOINTMENT CANCELLATION: Cancellations must be made up to 24 hours in advance by phone. If a patient fails to show up for their scheduled appointment, or doesn't cancel 24 hours before their scheduled appointment, the fee will be $50.