1. MOTOR VEHICLE ACCIDENT REHABILITATION
If you have been in a car accident, call us and we will schedule an assessment for you. The fee is covered by your accident benefits claim through your car insurance.Reinhold Rehabilitation Services enjoys a high reputation in Hamilton for the treatment we provide our patients who have been injured in motor vehicle accidents.
Our patients receive a detailed assessment by a registered physiotherapist. A treatment plan is formulated with the patient and a report is provided to the family doctor and the patient’s insurance company.
Our goal is to help our patient return to all pre-accident activities. We deal with a number of other health care practitioners and will refer to the services required.
2. PAIN SKILLS EDUCATION PROGRAM
This program is designed by Irene Reinhold to fit our patient population. It is based on evidence based research on pain and neurophysiological concepts of pain. The goal is to educate our patients to be active participants and to promote an active independent lifestyle, decrease dependency on medication, passive treatments and dependency on various therapies.We teach a variety of self-management techniques, including the importance of exercise, various postural techniques, relaxation, ergonomic and biomechanical skills, meditation and other evidence based pain and stress management solutions.
3. INDIVIDUALIZED PHYSIOTHERAPY
A Registered Physiotherapist performs a detailed neuromuscular assessment of the patient’s complaint and based on the objective findings formulates an individualized treatment plan.Treatment may include a variety of modalities such as manual therapy techniques, modern anatomical acupuncture, traditional acupuncture and/or intramuscular neurostimulation. We may also use electrical treatments.
An individualized specific exercise program is devised by the physiotherapist and kinesiologist. The physiotherapist and kinesiologist work on a one-on-one basis with each patient in our clinic. Patients with neurological conditions are treated with neurological and proprioceptive stimulation techniques and specific exercise programs.
4. ORTHOPEDIC INJURIES
These include headaches and temporomandibular joint pain, whiplash injuries and other neck pain, shoulder and arm injuries, back sprains/strains, hip problems, knee injuries, ankle and foot injuries.5. ACUPUNCTURE
What is acupuncture?
The basis of acupuncture is to tap into the body’s ability to heal itself.This is achieved by inserting very fine needles to specific points along energy channels or meridians on the body.
These meridians allow the circulation of “chi”; which is thought of as an energetic force. Blockage of this energy flow or chi results in illness and the balance of the body is altered.
By stimulating these points the body’s own defense mechanism is activated and balance is restored. The body produces its own pain relieving chemicals called endorphins. Endorphins are the body’s natural morphine that blocks pain messages from the body to the brain. This results in pain relief, relaxation of muscle spasm, general relaxation and restoration of the body’s own internal regulatory system (autonomic nervous system).
The improved energy and biomechanical balance stimulates the body’s natural healing ability, reduces inflammation and promotes physical and emotional wellbeing. Acupuncture is very effective in the treatment of many acute and chronic pain disorders.
At Reinhold Rehabilitation we provide patients with:
1) modern anatomical acupuncture;
2) traditional acupuncture;
3) Chan Gunn intramuscular stimulation.
6. CHAN GUNN INTRAMUSCULAR STIMULATION
Intramuscular stimulation is a treatment which is effective for headaches, neck pain, whiplash injuries, shoulder pain, tennis elbow, low back pain (with or without sciatic pain). It is effective for hip problems caused by muscle spasm, as well as leg pain such as shin splints and foot pain such as Achilles tendonitis, muscular foot problems such as plantar fasciitis and early pain from halux valgus.Intramuscular stimulation is an effective treatment for chronic pain of neuropathic origin. It is effective for neuropathic and musculoskeletal pain syndromes.
Intramuscular stimulation was developed in Canada by Dr. Chan Gunn, a clinical professor at the University of Washington's Multidisciplinary Pain Centre and the University of British Columbia's Medical School.
Intramuscular stimulation is an effective treatment modality for pain of muscular origin and at Reinhold Rehabilitation Services is used in conjunction with other treatment techniques, such as manual therapy and exercise.
Intramuscular stimulation is performed only by certified practitioners.
Intramuscular stimulation is based on neurophysiological principles and modern anatomical concepts. Pain occurs when nerves malfunction following minor irritation. The nerves and nerve endings become sensitive and this is referred to as super sensitivity. Muscle spasm, or muscle shortening produces pain by pulling on tendons and distressing the joints which they move.
The muscle shortening increases wear and tear of joints and contributes to degenerative changes such as tendonitis and osteoarthritis. Inserting a fine needle into the shortened muscle will relieve the spasm and decrease the irritation over the nerve.
The effects of intramuscular stimulation are cumulative, as needling stimulates the healing process and decreases pain.
Intramuscular stimulation is highly effective and has few side effects. The technique is excellent for finding and diagnosing muscle shortening in deep muscles, which cannot be reached by other physiotherapy methods or massage.
Treatments are usually performed one to two times per week, with decreasing intensity as the pain and muscle shortening is released. In published studies, the average number of treatments on patients with low back pain was 8.2 sessions.
7. VESTIBULAR REHABILITATION
What is Vestibular Rehabilitation?
Vestibular rehabilitation refers to treatment for vertigo (dizziness and imbalance). The types of balance problems treated at Reinhold Rehabilitation Services:1) Benign Paroxysmal Positional Vertigo (BPPV)
2) Inner ear (Vestibular problems)
3) Balance disorders
4) Joint and muscle problems
The goal of Vestibular Rehabilitation is to retrain the brain to recognize and process signals from the vestibular system in co-ordination with information from vision and proprioception. This involves desensitizing the balance system to movements that provoke symptoms.
Vestibular Rehabilitation is an exercise-based approach to relieve the symptoms and discomfort of vestibular disorders. Dizziness, vertigo, unsteadiness and balance problems can all be treated through a gentle exercise program tailored to meet the specific needs of the patient. Throughout North America, people are getting better and returning to normal lives through Vestibular Rehabilitation.
What can be expected?
Following the assessment with a Registered Physiotherapist with a special interest in Vestibular Rehabilitation, an individualized home exercise program will be given. Follow-up appointments will be made in order for the physiotherapist to monitor the progress and enhance the individual program. In general, improvement of symptoms is seen within 6-8 weeks.8. ACTIVE EXERCISE PROGRAMS
Active graduated exercise is taught for acute, sub-acute and chronic conditions. Our Kinesiologist and exercise therapist spend time on a one-on-one basis, teaching, monitoring and tailoring exercises to each patient's needs with the goal of increasing flexibility strength, motor-control and cardiovascular fitness.Tai Chi
Tai Chi is a Chinese discipline which originated at least six centuries ago. It was developed as a means to improve health. The unique combination of postures and moves will have positive physical effects on the cardiovascular, skeletal, muscular and nervous systems. Taoist Tai Chi is a means of reducing stress; improve posture, balance, co-ordination and muscular control. It is also an excellent method of learning meditative movement which leads to a relaxed state of mind.Pilates
Pilates is an educational exercise program which incorporates a mind/body approach to movement. Pilates evolved from the teaching of Joseph Pilates. Initially Pilates was utilized by dancers and actors in New York City in the 1940’s. During the last decade, Pilates has gained popularity with people of all ages, worldwide. Pilates is a pain-free form of exercise which focuses on strengthening your core-muscles mind-body connection through five basic principles and their application to each exercise.WHAT CAN YOU EXPECT FROM PILATES EXERCISE?
• Maximized core strength
• Better flexibility
• Improved posture
• Reduced pain
• Re-balanced, stable musculature
• A more streamlined body
• Increased co-ordination
• Optimal Fitness
• Mental Control
9. POOL THERAPY
Exercises in the pool use the freedom of movement in water to achieve balance, strength, flexibility and co-ordination to restore normal function for orthopedic and neurological conditions. The program is taught by one of our kinesiologists who have extensive knowledge and experience working with patients with pain and movement disorders.10. WORK HARDENDING/WORK RETURN ASSISTANCE
The work hardening program is a customized work simulation exercise and strengthening program which aims at safely returning the injured person to work, perform their pre-injury activities or enter into a work placement program (see Occupational therapy)11. FUNCTIONAL TESTING
At Reinhold Rehabilitation Services we perform functional evaluations to assess the patient’s strength, progression and readiness to return to work. The test provides objective measurements to determine our patient’s ability and limitations. It provides guidelines to recommend safe return to work programs.12. MULTIDISCIPLINARY TREATMENT PROGRAMS
We believe in a multidisciplinary treatment approach and work closely with our patients' physicians, occupational therapist, psychologist and other health care providers to ensure a coordinated approach to treatment.Occupational Therapy
At Reinhold Rehabilitation Services we work closely with Occupational therapists in the community. Occupational therapists assist people to do day-to-day activities, despite impairments, movement and activity limitations. The Occupational therapist will perform a detailed assessment of the patient's day-to-day needs in the home and/or at the workplace. They will provide education and treatment "hand-in-hand" with physiotherapy and psychology.They will evaluate when a patient can return to work, if specific equipment is required, if the patient requires a vocational evaluation and/or retraining program, or whether they should enter one of the specific work return/placement programs.
The Occupational therapist is an integral member of our Multidisciplinary Chronic Pain Treatment Team.
Psychological Services
It is well established in the chronic pain literature that patients with chronic pain respond best when they are enrolled in multidisciplinary treatment programs.At Reinhold Rehabilitation Services we work closely with psychologists in our community. We offer a combined approach using cognitive behavioral, physical, functional and psychological approaches to rehabilitation.
13. TEMPOROMANDIBULAR JOINT DISORDERS
The temporomandibular joint (TMJ) is where the skull and lower jaw meet. Usually, the temporomandibular joints are pain-free and can move with little problem.Because the muscles and joints work together, a problem with either one can lead to pain, stiffness, headaches, bite problems, or a locked jaw.
What are some of the symptoms of TMJ disorder?
• Pain in the jaw joints, face, neck and head.
• Painful clicking, popping, grating.
• Locking of the jaw with opening or closing the mouth.
• Difficulty and/or pain with opening the mouth to eat or yawn.
• Frequent headaches that get worse with stress and/or clenching of the teeth
• Worn down teeth.
CAUSES OF TMJ PAIN
Tight Muscles from stress, teeth clenching/grinding.Poor Posture causes the muscles to tighten.
Damaged joints can occur from injuries or from arthritis of the neck.
Whiplash injuries often cause TMJ pain. The pain can develop long after the initial injury. Muscles Provide Power. Around the jaw joint are groups of muscles that contract and relax so you can open and close your mouth, talk, and chew. When they are flexible and not under stress, they work in harmony with other parts of the jaw.
Are Temporomandibular Joint (TMJ) Disorders Permanent?
The condition is often cyclical and may recur during times of stress. The symptomatic periods can usually be managed using simple self treatment techniques. Lifestyle management is a key element in understanding and coping with TMJ pain.
Treatment of Temporomandibular Joint (TMJ) Disorders.
1. First visit your family dentist.
Your dentist will determine if you need dental intervention, an appliance or if you need a referral to a specialist.
2. Physiotherapy for TMJ disorders
A Registered Physiotherapist specifically trained in temporomandibular joint evaluations will assess your posture and perform a detailed assessment of your neck, jaw and facial structure.
You will be provided with a specific neuromuscular exercise program addressing the postural muscles and the muscles in the neck, shoulders and specifically around the TMJs.
Manual Therapy may be required as well as modalities such as ultrasound, acupuncture, heat and/or electrical stimulation to decrease pain and discomfort. Relaxation and stress management forms an integral part of your therapy, as does a regular fitness and exercise program.
Nutrition and proper sleep hygiene are areas that must be addressed. Any underlying psychological issues must be dealt with for treatment to be effective.
FEES
Extended Health Care Benefits or Car Insurance Benefits (if your injury is secondary to a car accident) generally cover our fees.
If you have a TMJ problem & would like an assessment for treatment, please do not hesitate to call Reinhold Rehabilitation Services Ltd at (905) 547-6461 to schedule a consultation.
14. PELVIC REHABILITATION PROGRAM
(Urinary incontinence training) Do you pee yourself when you laugh, cough, sneeze or run for the bus? You may be experiencing urinary incontinence. One in four women over 35 does. It is not normal and there are solutions. What is Urinary Incontinence? It means involuntary loss of urine, ranging from a few drops to complete emptying of the bladder. It affects young and old, men and women but is more common in women. One in four women over the age of 35 are affected. One in ten men will suffer from this condition. There are different types of Incontinence.STRESS INCONTINENCE
This is the most common form. It occurs when you cough, sneeze, stumble, play sports, or during intercourse. Stress incontinence is caused by weakness of the pelvic floor musculature. The muscles may be weakened after delivery, due to obesity, or overpushing during bowel movements. Stress incontinence often gets worse in the peri-menopausal and menopausal years due to hormonal changes. CAN IT BE TREATED? Yes. After you have seen your doctor for an assessment to rule out any pathology, a Registered Physiotherapist with special training will be able to help you. Physiotherapy can be very effective.URGE INCONTINENCE
Also known as key in the door syndrome You have to go, but can’t make it to the toilet. MIXED INCONTINENCE This is a combination of Stress and Urge Incontinence. FREQUENCY OF URINATION This is when you need to go every 15 minutes. Normal frequency should be every 2-3 hours Physiotherapy For Bladder Control On your first visit you will receive a detailed assessment, including an internal examination. This is to evaluate the strength of the pelvic floor muscles.You will be given a pelvic floor home exercise program. Treatment may involve biofeedback training and possibly electrical muscle stimulation. This program is aimed at all women who want to remain active and independent for the rest of our lives.
Frequently Asked Questions
How many times do I need to come?It varies with each patient, but 4-12 treatments are usually necessary, depending on the results.
Does it hurt?
No, the treatments are not painful.
How successful is Pelvic Floor Rehabilitation?
Most patients experience a significant improvement in symptoms or become completely continent. Clinical studies report a success rate as high as 80%.
How do I Enroll in the Program?
1) See your doctor to rule out any medical problems and ask for a referral to Reinhold Rehabilitation Services.
2) Call Reinhold Rehabilitation Services and ask for an appointment for The Pelvic Rehabilitation Program.
15. SPORTS INJURIES
If you have been injured in a sports related mishap our physiotherapist will provide you with a detailed assessment and assign a program for you to help you back to your sport as soon as possible.16. IONTOPHORESIS
What is Iontophoresis?
Iontophoresis is a drug delivery system administered to the body without the use of hypodermic needles. The medication is delivered through transporting soluble ions across intact skin using two electrodes and a mild current.What kinds of medications are used with Iontophoresis?
The drug most commonly used at Reinhold Rehabilitation is Dexamethasone Sodium Phosphate, which is a steroidal anti-inflammatory. This medication needs to be prescribed by a doctor.What kind of conditions can be treated with Iontophoresis?
Iontophoresis is used to treat tendonitis, bursitis, tennis elbow, carpal tunnel syndrome, plantar fasciitis and other inflamed structures.
What are the benefits of Iontophoresis?
1. No needle injection trauma.
2. Quicker reduction of pain, swelling and inflammation compared to other modalities.
3. Decreased need for oral anti-inflammatories, which can have systemic side effects.
4. Painless and non-systemic.
Are there any possible risks or side effects with Iontophoresis? There is a small percentage of people (less than 1%) who may experience an immune response which presents itself as small tiny hives at the site of the electrode application.
Most people experience no pain, but a mild tingling sensation under the electrodes. The steroidal anti-inflammatories are applied directly through the skin at the site of pain, so there are no systemic effects such as weight gain or an upset stomach.
How many physiotherapy sessions will I need for Iontophoresis treatment?
Studies indicate that beneficial results are achieved within six treatment sessions. The best results are achieved in conjunction with an active therapeutic exercise program designed specifically for you by your physiotherapist.
