Nicola Robertson of Diamond Physiotherapy specializes in a number of rehabilitative treatments with a concentration on Pelvic Health issues.
Nicola strives to ensure clients always receive a warm and inviting environment and works directly with you to develop a comprehensive, individualized plan to allow for maximum benefit in treatment and recovery.
“When meeting with clients, I create an inviting and safe atmosphere and devote one-on-one time to develop an individualized plan best suited to your recovery goals.”
Injuries can happen at any time; whether on the playing field, in your workplace, your car or even in your home. Without a proper diagnosis and timely care, recovery may become a slow, painful and frustrating process.
As one of your primary health care professionals, Nicola Robertson offers expertise in movement, physiology and anatomy. Because Physiotherapy combines the treatment of musculature conditions with specific hands-on skills to evaluate, diagnose and treat symptoms of illness, injury or disability; your individualized therapy and treatment will result in a return to a healthy and active lifestyle.
The vestibular system is better known as the inner ear and brain that help control balance and eye movement. Many people experience issues with balance at some point in their lives. An injury, illness or physical change to these systems can lead to vertigo, imbalance, hearing problems, nausea and vomiting, headaches, motion sensitivity and intolerance of crowds.
You may not realize that the source of your balance disorder may be due to an easily treatable condition in your inner ear.
Vestibular rehabilitation utilizes a combination of individualized exercises to improve balance function, decrease dizziness/vertigo symptoms and helps patients gain control of daily activities.
The goal of Vestibular Rehabilitation is to improve your safety and confidence as you go about your daily activities.
PELVIC FLOOR PHYSIOTHERAPY :
Pelvic Floor Physiotherapy is an effective form of physiotherapy that focuses on the muscles, connective tissues, and structures that make up or affect the pelvis. These muscles have five primary functions; movement of the pelvis, trunk and legs, continence of the bowel and bladder, sexual function, supporting our organs (bowel, bladder and uterus in women) and circulation to and from the legs to trunk.
These muscles are also the most ignored in the body. Physiotherapy can help with treating stress, urge and mixed incontinence, vulvodynia, vaginismus, vestibulodynia, painful bladder syndrome (interstitial cystitis) prostatitis and chronic pelvic pain syndrome, coccydynia, pelvic organ prolapse, pelvic floor and pelvic girdle dysfunction in pregnancy.
Diamond Physiotherapy offers a holistic, caring approach to serve the unique needs of women. As a qualified Rost* therapist, Nicola Roberston utilizes a 98% success rate for treating pelvic girdle pain in pregnancy. As well, pelvic floor physiotherapy can aid patients to minimize pelvic floor trauma in labour and delivery.
MEN’S PHYSIOTHERAPY :
Men’s pelvic health is often overlooked yet is equally as important for the maintenance of your overall well-being.
Physiotherapy that is targeted for the unique challenges specific to men’s physiology offers an effective process for relieving inflammation, working through scar tissue, and improving recovery times.
A number of pelvic health issues which commonly affect men include:
• Post-Prostatectomy Incontinence
• Erectile Dysfunction
• Pelvic Pain including Chronic Prostatitis
• Testicular and Penile Pain Syndromes
• Nocturia (frequent urination at night)
• Chronic Constipation
Other issues that can be addressed through physiotherapy:
• Sports Injuries – Nicola Robertson understands sports injuries thanks to her background as Team Physiotherapist for the Trenton Golden Hawks (OJHL) and working in high level soccer in the UK
• Chronic pain – we work with your unique requirements to find solutions to improve daily functions
• Strains/ sprains
Diamond Physiotherapy recognizes that effective pain relief begins with a thorough understanding of the source of your pain. We will work closely with you to create a tailor-made treatment program best suited to relieve pain and improve recovery times after an injury or accident.
Dutch Physiotherapist, Cecile Röst developed a very practical approach, initially based on personal experience, then consolidated through research, which has helped thousands of women with pelvic girdle pain. Although Cecile Röst’s research focused on peri-partum patients, this approach is also helpful clinically when addressing acute and chronic sacro-iliac and pubic pain in men, as well as in women who are not pregnant.
Diamond Physiotherapy has successfully utilized RÖST Therapy with hockey players, as well as many mainstream patients.
What to expect at your first appointment:
- Prior to your appointment, you will be asked to fill out some paperwork specific to your problem, previous medical history and some questions about the level of the pain you are experiencing. The intake questionnaire might seem a bit lengthy, but each section is equally important. Your overall issues and goals are explored while the physiotherapist reviews the completed forms during this initial assessment.
- Your first appointment will be approximately 1 hour in length, which allows for the opportunity to meet your physiotherapist and discuss your concerns and goals. A comprehensive orthopedic assessment will be completed on every client including postural screen, spinal movement analysis, gait analysis, motion and strength testing.
- At the end of the assessment, the findings, issues and goals are summarized and explained. You will leave the appointment with specific education, exercises and strategies to help you manage your individual issues and concerns.
- Treatment is individualized to each patient’s needs and goals, and is supported by current best practices. Treatment can include manual therapy (mobilization, soft tissue techniques, stretching, muscle activation, connective tissue techniques) acupuncture, cupping, taping and tailored movement programs.
- Follow up appointments are a minimum of 30 min to one-hour with your physiotherapist to work together towards your goals.
- For Vestibular clients: during your first appointment, the physiotherapist will complete an assessment of your eye and head movements, which includes walking and balance as well as a general overview of your musculoskeletal system. Following your assessment, your individualized program may include one or more of the following: balance retraining exercises, specific vestibular exercises, repositioning (Epley’s) maneuver for BPPV (Benign Paroxysmal Positional Vertigo) – a condition where crystals are caught in the inner ear canals and will conclude with an at-home program of individualized vestibular exercises.
- For Pelvic Floor clients: as well as the above-mentioned assessment pieces, we’ll examine the abdominal wall and all the muscles externally around the pelvis for excessive tension. The skin and external musculature of the perineum are examined to look for skin irritation and any other issues. The perineum is examined for any prolapse, either vaginally or rectally. This is unfortunately the most difficult part of the exam for most people to understand. It’s not like a pap smear as there are no stirrups or speculums used. And gentlemen, it isn’t like a prostate exam, but is equally important.
- During this specific exam, you will lie comfortably on your back and will be discreetly covered with a sheet. Consent is always required prior to every internal exam. Pelvic health treatment is best with an internal examination, but it can be accomplished with external examination only. The purpose of the internal palpation is to determine if there is low or high tone of the muscles. The internal connective tissue and skin are examined to ensure overall health and proper movement. The strength of your pelvic health is determined by contraction of the pelvic floor during the internal exam. Coordination, endurance and fatigue-ability of the muscles will also be tested.