Max Health Institute & Physiotherapy’s goal is to provide rehabilitation treatment that will help you remain healthy, mobile and injury free for as long as possible.
Our services include the following:
Most insurance companies will cover physiotherapy, massage therapy, athletic therapy, chiropractic, osteopathy, women’s health physiotherapy. Please verify with your insurance company before you book your first appointment as you may need a doctor’s referral for it to be covered through your health insurance plan. Medicare will usually cover sport medicine.
What to Expect From Your First Appointment
We ask that you come in 15 to 20 minutes early to fill out a simple health questionnaire in order to serve you better. We need to know as much information as possible on your health and condition in question.
Your first appointment will, more than likely, last 60 minutes (approximately 45 minutes at our Fredericton clinic), consisting of an assessment/evaluation of your injury to help diagnose the problem, followed by treatment. The treatment approach will reflect the findings of the initial assessment. At the end of your session, your health professional will guide you on the next steps to take regarding frequency of future treatments and contraindications that comes with your type of injury. Your therapist may also give you home exercises to work on.
Our healthcare professionals use moist hot packs wrapped in several layers of towels and place them on the area that needs treatment. The main objective is to increase temperature of the affected area in question to create vasodilatation of the blood vessels (blood vessels increase in diameter and hence blood flow is increased) to the affected area, which will help with relieving muscle spasm and reduce pain. This also helps to prepare the affected area for manipulation, making it more responsive to treatment.
Cold packs are a frozen gel substance used by our healthcare professionals that are wrapped in a wet towel and applied directly to the area in need of treatment. In contrast of using hot packs, cold packs has the opposite effect of creating vasoconstriction of the blood vessels (blood vessels decrease in diameter and hence reducing blood flow) to the affected area, which will greatly help with reducing inflammation, swelling and pain.
Shockwave is essentially a sound wave. A gun like device is held against the affected site. This device has a projectile that moves up and down its shaft (the projectile itself is never directly in contact with the patient), creating a high energy sound wave to the injured tissue. The highly compressed air that shoots the projectile back and forth 3-4 times per second makes a loud noise that shockwave therapy is known for. This type of modality is often used to accelerate tissue repair and cellular growth, improving function and mobility. It’s often used to help treat chronic conditions (such as tennis elbow, plantar fasciitis) where scar tissue has built up overtime and needs broken down. Shockwave therapy somewhat resets the tissue to its former state.
Ultrasound machines are used to increase warming to the muscle and deep tissue of the affected area, promoting healing and increasing circulation. This is achieved by using a round headed wand and is put directly on the patient’s skin. A specialized gel is applied first to the skin, and then circular motions of the wand are performed directly on the affected site. These wands emit high and low frequency waves that are painless for the patients and promote deep tissue healing.
Interferential Current Therapy
Interferential current therapy (IFC) is a low frequency electrical stimulation of nerves and muscles. Electrodes (little rubber pads) are used to conduct these low electrical frequencies to the affected area, which are connected to the IFC machine. A specialized gel is applied between the skin and electrodes to facilitate electrical conductivity. The electrodes will stimulate the muscles in different cycles (off and on cycles) for about 10-20 minutes. This form of therapy can, for example, help block pain signals with arthritic patients, help with edema and inflammation as well as other painful conditions.
Laser therapy uses light to penetrate the skin into tissues. The therapist will use a wand with a probe at the end to emit the light energy (laser). It has been shown to aid in pain relief, reduce inflammation, increase blood flow, stimulate wound healing, stimulate tissue regeneration and reduce scarring.
Active Release Therapy
Active Release Therapy (ART) is a unique soft and deep tissue massage technique that incorporates movement to the mix. The therapist manipulates the tissue by applying directed tension combined with very specific patient movement. This form of massage can help release muscle adhesions, formed by scar tissue following an injury or simple hard physical conditioning. These adhesions can cause movement dysfunction as well as pain.
Swedish massage is the foundation of all massage therapy techniques and every licensed massage therapist is therefore very familiar with it. It involves lubricating the skin to facilitate massage strokes performed by the therapist. These massage strokes will help “break down” muscles knots or adhesions (adhered tissues that can cause pain), help with releasing muscular tension and promote overall relaxation.
Myofascial Release Therapy
Myofascial release techniques are used to treat muscle shortness and tension by unbinding fascia from soft tissues. Fascia is a network of long, thick elastic bands that can be found everywhere in the body and helps to keep “everything bundled together,” almost like a sock tube around your muscles and joints. It can unfortunately sometime impede movement and create pain when it binds to other tissues in the body after suffering from an injury (scar tissue buildup).
The craniosacral system consists of the membranes and fluid that surround and protect the brain and spinal cord, as well as the attached bones. A healthy central nervous system depends on a well-balanced flow of these fluids (cerebrospinal fluid). Cranialsacral therapy, also known as CST, is a gentle, noninvasive treatment option of the bones of the head (cranial sutures), spinal column and sacrum that includes applying a very soft pressure by the therapist (equal to the weight of a nickel on the skin) that can help relieve compression in these areas of the body and hence, improve the natural flow of the cerebrospinal fluids. This creates a more viable and balanced environment for the Central Nervous System to work in.
This type of therapy involves placing suction cups on the skin to create suction and therefore, increases blood flow to the area to help promote healing. The therapist inserts a pump on top of the cups and pumps the air out, creating suction and a massage like-effect. The cups are left there for a few minutes at a time. Cupping is almost the direct opposite of massaging, where massage therapy involves applying pressure, while cupping does the opposite by gently pulling the skin away from the muscles and is believed to be a great complimentary treatment option.
Nerves can get impinged by bulging discs (herniated disc), which creates pressure on the nerve root and therefore pain. Traction is a way to relieve this pain by lightly pulling on the spinal column from both ends to help relieve compressive forces. Traction involves a longitudinal pull or distraction of spinal segments (separation) for the relief of nerve irritation (radiculitis) or muscle spasm by use of a machine on the cervical (neck) spine with the use of a neck halter or lumbar (low back) spine with the use of a pelvic belt attached to a patient lying down.
Our services include the following:
Physiotherapists, also known as PT’s, are healthcare professionals who are experts in human anatomy and use scientifically based hands-on methods to assess and treat musculoskeletal injuries, an array of health conditions as well as disability. They normally play a big role in someone’s rehabilitation process, and work closely with other healthcare professionals such as physicians, surgeons, kinesiologists, massage therapists and many others. Their main objective is to help restore function and movement and/or help prevent future injuries to maximize their patient’s quality of life.
Who Needs Physiotherapy?
Contrary to popular belief, physiotherapy is NOT only used to treat neck and back pain, but a wide array of musculoskeletal injuries (please see examples below). The profession actually provides both preventative and rehabilitation treatment for an array of mobility issues, injuries and/or diseases.
Examples of Conditions/Injuries a Physiotherapist Can Treat
Falls and fractures
Vestibular disorders (dizziness)
Motor vehicle accidents
Please note that some of the conditions listed above require postgraduate specialty training, meaning not every physiotherapist can treat these conditions.
To become a physiotherapist, you must:
Complete a 4-year bachelor in the field of health sciences
Complete a master’s degree in Physiotherapy
Meet the national entry-level education and practice standards and have successfully passed a standardized physiotherapy competence examination prior to being registered with the college of physiotherapists in their province/territory
For more information, please visit the CPA website.
About Massage Therapy
Registered massage therapists, also known as RMTs, are experts in relieving tight muscles associated with every day and occupational stresses by manipulating and kneading soft tissue (muscles, tendons, ligaments and joints) using different massage therapy techniques.
RMTs are therefore very knowledgeable in human anatomy and know how to precisely manipulate and massage any muscle of the body.
For more information, visit the ANBMT site.
Who Needs Massage Therapy?
If you find yourself having very tense neck and back muscles at the end of each work day or if you have painful trigger points that just won’t go away, massage therapy might be for you.
Massage therapy can help with anxiety, lack of flexibility, mental stress, overall relaxation (mental as well as muscular) and wellness, edema (inflammation) and blood circulation. It can also be used as part of a preventative care program.
RMTs often work closely with other healthcare professionals in a clinical setting where they can play a very important role in someone’s rehabilitation process.
Examples of Conditions/Injuries a Massage Therapist Can Treat
Leg and back muscles
Painful trigger points
Anxiety and depression
To become a registered massage therapist, you must:
Complete a 2-year massage therapy program from an accredited college
Be registered through CMTNB (College of Massage Therapists of New Brunswick)
For more information, visit the NBMA site.
About Women’s Health
Many people are often surprised to learn that physiotherapy can help treat health conditions specifically related to women. Pregnancy and normal aging in women can often cause health issues that most of us believe is part of the normal process of aging and having kids, such as chronic constipation, urinary incontinence and much more. Most of these conditions do not have to be a normal part of bearing a child or aging! We can help!
Physiotherapists who work in the field of women’s health are part of a special physiotherapy group called Women’s Health Division and understand the physical differences (and unique needs) of the female population and are uniquely qualified to assist women to live healthy, pain-free lives.
Who Needs a Women’s Health Physiotherapist?
If you are a woman and suffer from the need to frequently void at night, if you are pregnant or just delivered, or if you have involuntary urine leakage, we may be able to help!
1 in 3 women suffers from problems related to urinary incontinence
Constipation can cause urinary incontinence
50% of pregnant women have urine leakage
When left untreated, incontinence can have a negative impact on your social, sexual and professional life
Examples of Services and Education Our Women’s Health Physiotherapists Can Provide:
Teaching of specific exercises during pregnancy to prevent urinary incontinence
Treatment of urinary incontinence after giving birth
Correction of Rectus Diastasis (separation of abdominal muscles following pregnancy, giving the appearance of bulging in the abdomen)
Assessment of pelvic floor muscle strength before returning to physical activity...returning to high impact activities (running, jumping, etc.) with weak pelvic floor muscles will increase the likelihood of developing urinary incontinence
Effective treatment of mastitis (blocked ducks) for nursing mothers
Consultations with baby: practical advice for the development of baby, education on important milestones of normal development (sleep positions, play positions to encourage optimal gross motor, fine motor and hand-eye coordination development, etc.)
Help with voiding frequency and/or urgency
Women’s Health Expert Education/Background
To become a physiotherapist who works in the field of women’s health, you must:
Complete a 4 years bachelor in the field of health sciences
Complete a master’s degree in Physiotherapy
Meet the national entry-level education and practice standards and have successfully passed a standardized physiotherapy competence examination prior to being registered with the college of physiotherapists in their province/territory.
Complete postgraduate Women’s Health courses that meet the required competencies of their respected governing body.
For more information, please visit the CPA website.
About Athletic Therapy
Athletic therapists, also known as ATs for short, are experts in treating musculoskeletal injuries (muscles, bones and joints). They are also knowledgeable in the areas of biomechanics, exercise physiology as well as basic emergency care.
Athletic therapists are known for their quick ability to assess and treat injured elite athletes during sporting events. They are normally the first ones on the scene for on-field emergency care. One of their main objectives is to get the athlete back to playing their sport as quickly and safely as possible.
Who Needs Athletic Therapy?
Athletic therapy is not limited to on-field care. ATs also work in a clinical setting such as rehabilitation clinics where they will see and treat a variety of clients, from a competitive athlete who suffers from an ankle sprain while playing basketball to your everyday person who is suffering from chronic low back pain due to arthritis.
It’s that combined expertise of on-site care and active rehabilitation skills that makes athletic therapists unique and efficient.
Examples of Conditions/Injuries an AT Can Treat
Dysfunctional movement patterns
Low back pain
Pre and post-surgery strengthening
Tennis and golf elbow (medial and lateral epicondylitis)
Athletic Therapy Education/Background
To become an athletic therapist, you must:
Have a Bachelor of Science in athletic therapy (a 4-year program)
Have the first responder certificate
Pass the CATA (Canadian Athletic Therapist Association) national certification examination
For more information, please visit the CATA website.
Osteopathy is a form of medical care that focuses mainly on musculoskeletal problems for your neck and back. Osteopaths assess the injured place, treating it with specialized techniques so your body can function better as a whole. Osteopaths will examine, diagnose, treat, prevent and care for your conditions. They also seek to reduce pain, stiffness and inflammation.
Providing a complete and extensive body approach to healthcare, osteopaths use complimentary medicine using a series of moving, stretching and the massaging techniques for your tissues, muscles and joints. This can reduce pain and promote healing of injuries while re-aligning and encouraging overall wellness of the body. We treat everyone from athletes to seniors. Whether you work in an office-based job with poor ergonomic conditions, or if you’re a senior experiencing joint stiffness, osteopaths can help.
Jaw dysfunction & pain
Pregnancy low back pain
The osteopathic profession has evolved into two branches, non-physician manual medicine osteopaths and full scope of medical practice osteopathic surgeons. Osteopathic surgeons or physicians hold a qualification as a Doctor of Medicine, M.D., and practice the full scope of medicine as well as osteopathic manipulative medicine.
To become an osteopath, you must:
Complete 11 to 13 years of university, doctoral, and specialty training by the time they are ready for licensure and practice, according to the Canadian Osteopathic Association.
For more information, please visit the CCO website.
Chiropractors work with patients to help ease pain in their muscles and joints. This comes in the form of adjustments to the spinal area or massaging and working on loosening muscles in the back area. Orthotics, electrotherapy, and laser therapy are methods used to assist patients. It is also often related to massage therapy and acupuncture.
Chiropractors not only look at the symptoms but also address the cause. Physical examinations often include a functional movement screen and/or a selective functional movement assessment that detects abnormal movement patterns that increase the likelihood of injury.
Did you twist your back while playing sports? Do you have chronic aches due to working on a computer all day? Have you strained your joints and muscles from performing physical labour? For all of these complaints and more, you can trust our team of chiropractors, who work to alleviate your aches and pains.
Tennis Elbow (Lateral Epicondylitis)
Knee Pain (Patellofemoral Disorders)
Foot Pain (Plantar Fasciitis)
Thoracic Outlet Syndrome
Frozen Shoulder (Adhesive Capsulitis)
Carpal Tunnel Syndrome
Iliotibial Band Syndrome
Knee Meniscus Injuries
Golfers Elbow (Medial epicondylitis)
Shoulder Pain (Rotator Cuff Tendinitis)
To become a chiropractor, you must:
Complete a three-year undergrad university program in Canada to gain entrance into the Canadian Memorial Chiropractic College (CMCC) Doctor of Chiropractic Degree program
Be enrolled in a CMCC program for a minimum for four years, or 4,200 hours
For more information, please visit the CMCC website.
About Sport Medicine
Injuries & Conditions
Upper Back and Neck
To become a SEM doctor, you must:
Have a Bachelor’s Degree in biology.
Complete a three or four year medical doctor program at an accredited university.
Complete a post-graduate training in family medicine, family practice, paediatrics, emergency medicine or orthopaedics.
Complete a 1 to 2 year sport medicine fellowship.
For more information, please visit the CASEM website.