“I would not have made it, if it weren’t for my rehab team.”
Cynthia on Lymphatic Drainage
Alternative medicine clinic that focuses on wellness and movement.
At Zone 4 Physiotherapy, we offer direct billing to Pacific Blue Cross, Manulife, Sun Life, Canada Life, Green Shield Canada, and more. We also accept ICBC and WSBC claims, making your recovery process stress-free while we take care of the paperwork. Your focus should be on healing—we’ll handle the rest!
Back pain is a major global challenge. Almost anyone might have a great chance of suffering a disabling back injury regardless of occupation. The lumbar spine supports the upper body and transmits the weight of the upper body to the pelvis and lower limbs. Because of the strategic location of the lumbar spine, this structure should be included in any examination of the spine as a whole (i.e., posture) or in any examination of the hip or sacroiliac joints. Unless there is a definite history of trauma, it is often difficult to determine whether an injury originates in the lumbar spine, sacroiliac joints, or hip joints; therefore, all three should be examined in a sequential fashion.
Some of the common diagnoses lower back and pelvis conditions are:
Lumbar discopathy, Sacroiliac joint dysfunction, Osteoarthritis, spondylolisthesis, myofascial trigger points.
The knee joint is particularly susceptible to traumatic injury because it is located at the ends of two long lever arms, the tibia and the femur. In addition, because the joint connects one long bone “sitting” on another long bone, it depends on the ligaments and muscles that surround it for its strength and stability, not on its bony configuration. Because the knee joint depends on its ligaments to such a great extent, it is imperative that the ligaments be tested during the examination of the knee.
Because of its anatomical arrangement, the knee is a complicated area to assess, and the examiner must take time to ensure that all relevant structures are tested. It must also be remembered that the lumbar spine, hip, and ankle may refer pain to the knee, and these joints must be assessed if it appears that joints other than the knee may be involved.
Some of the common diagnoses knee conditions are:
Osteoarthritis, ACL injury, Meniscus injury, Patellofemoral joint syndrome, Jumper’s knee.
At least 80% of the general population has foot problems, but these problems can often be corrected by proper assessment, treatment, and, above all, care of the feet. Lesions of the ankle and foot can alter the mechanics of gait and, as a result, cause stress on other lower limb joints, which in turn may lead to pathology in these joints. The foot and ankle combine flexibility with stability because of the many bones, their shapes, and their attachments.
Some of the common diagnoses foot and ankle conditions are:
Ankle sprain, Plantar fasciitis, Achilles tendinitis.
The prerequisite to any treatment of a patient with pain in the shoulder region is a precise and comprehensive picture of the signs and symptoms as they present during the assessment and as they existed until that time. This knowledge ensures that the techniques used will suit the condition and that the degree of success will be estimated against this background. Shoulder pain can be caused by intrinsic disease of the shoulder joints or pathology in the structures around it, or it may originate from the cervical spine, chest, or visceral structures. Pathology is commonly related to the level of activity, and age can play a significant role. The shoulder complex is difficult to assess because of its many structures (most of which are located in a small area), its many movements, and the many lesions that can occur either inside or outside the joints. Influences such as referred pain from the cervical spine and the possibility of more than one lesion being present at one time, as well as the difficulty in deciding what weight to give to each response, make the examination even more difficult to understand. Assessment of the shoulder region often necessitates an evaluation of the cervical spine to rule out referred symptoms, and the examiner must be prepared to include the cervical spine and its scanning examination in any shoulder assessment.
Some of the common diagnoses Shoulder conditions are:
Adhesive Capsulitis (Frozen Shoulder), Arthritis, Dislocation, Bursitis, Rotator Cuff Tendonitis and Shoulder Impingement, SLAP tear
It is essential that the elbow and forearm functions optimally in order to enable participation in activities of work, sport, leisure and daily living. This region is more commonly afflicted by overuse or insidious injuries of the soft tissues than by fractures and dislocations. However, it is noteworthy to consider that the latter can be very debilitating and challenging to rehabilitate. One of the commonly diagnoses elbow conditions is Lateral Elbow Tendinopathy (Tennis Elbow). Tennis elbow is commonly called lateral epicondylitis, lateral epicondylalgia, or lateral epicondylosis depending on whether inflammation is present or not. Symptoms include pain in the outer aspect of the elbow with gripping activities. Activities requiring firm wrist stability, such as the backhand stroke in tennis, or repetitive work tasks that require repeated wrist extension, such as computer keyboarding or pulling weeds in garden, can stress the musculotendinous unit and cause symptoms.
Injuries to the wrist and hand are common due to the constant involvement of the hand in most activities of daily living and sporting pursuits. Many of these injuries are a result of trauma, particularly in a physical occupation or sport, but there are a number of overuse conditions which can have a debilitating effect on the patient. There is a tendency to underestimate the importance of injuries to the wrist and hand but even the simplest injury, if not treated correctly, can have a disabling effect on not just sporting activities but activities of daily living.
Some of the common diagnoses hand and wrist conditions are:
Carpal tunnel syndrome (CTS), Dequervains synovitis, Arthritis
Mehrdad Banaei2025-03-14Trustindex verifies that the original source of the review is Google. Friendly staff and great service, highly recommended✌🏻 JJ Lynch2025-03-13Trustindex verifies that the original source of the review is Google. Very professional and friendly staff. Helped me greatly in my recovery from lower back pain. Jalil Miripour2025-03-04Trustindex verifies that the original source of the review is Google. I had a great experience with my physiotherapy sessions at Zone 4 Physiotherapy. The treatment was effective, and the staff was professional and supportive. Highly recommend! Dora Valentine2025-03-03Trustindex verifies that the original source of the review is Google. Physio and acupuncture helped so much! They made you feel comfortable and they cared. I also got orthotics and they are great! maryam mohammadi2025-03-03Trustindex verifies that the original source of the review is Google. Today was my first cupping and laser therapy session for my back, and I’m truly amazed! Even though it was just the first session, I feel incredibly light, and the pain in my back and shoulders has significantly reduced. I am extremely grateful to Pooneh for being so professional and knowledgeable. She performed the treatment with great care and expertise, making the experience fantastic. I’m confident that after completing the sessions, I will achieve amazing results without any pain. This is an experience everyone should try. I thank Pooneh with all my heart! Mahlili Bastaki2025-02-27Trustindex verifies that the original source of the review is Google. One of the best physiotherapy centers in Vancouver with excellent and expert physiotherapists. After fifteen physiotherapy sessions with an acute lumbar disc problem, I achieved the desired result. Stephanie Bateson2025-02-26Trustindex verifies that the original source of the review is Google. Go see Ali the physiotherapist if you have plantar faciitis! He helped me so much with my foot pain. Andre S2025-02-22Trustindex verifies that the original source of the review is Google. I have chronic pain on my upper back. My back is in bliss, i feel restored. Prior to getting a massage from Jordann, I felt like a fully rusted 1930s truck left in the desert. Now I feel like a pristine Rolls Royce. Will work with her again in the near future! Thanks Zone4. NuDerma Laser Clinic2025-02-21Trustindex verifies that the original source of the review is Google. I had an amazing experience at Zone4 Physiotherapy! The staff is incredibly knowledgeable, professional, and friendly. From the moment I walked in, I felt welcomed and well taken care of. The physiotherapist took the time to understand my concerns and provided a personalized treatment plan that made a real difference. The clinic is clean, well-equipped, and has a great atmosphere. I highly recommend Zone4 Physiotherapy to anyone looking for effective and compassionate care! saeid shab2025-02-21Trustindex verifies that the original source of the review is Google. Zone 4 PHYSIOTHERAPY team is amazing! Maysam is very professional and good at her job. I would definitely recommend this place.
“I would not have made it, if it weren’t for my rehab team.”
“Rehabilitation was harder than I expected, but I’m grateful to resume my lifestyle once again.”
“They have been so good to me, I’m so glad they helped me.”
One-on-one treatments without the use of gym equipment, thus fully utilizing the hands on time with the therapist and ensuring greater homecare outcomes.
It defines the hands-on techniques that therapists use to assist in the recovery of movement through joint mobility and muscle re-education. Some of the techniques that we use at zone 4 physiotherapy are: acupressure, joint mobilizations, muscle energy techniques, myofascial release. For more information, please contact us.
Dry Needling in Physiotherapy : Unraveling the Intricacies of Precision Healing
In the vast landscape of physiotherapy, innovative techniques continually emerge to offer patients new avenues for pain relief and enhanced mobility. One such technique gaining recognition is dry needling—a treatment approach that involves the strategic use of solid filament needles for therapeutic purposes. This post explores the nuances of dry needling, encompassing various methodologies like acupuncture, trigger point dry needling, intramuscular stimulation, and similar treatments employed by healthcare professionals to bring about transformative healing.
Understanding Dry Needling:
Dry needling is a comprehensive term encompassing a variety of treatment techniques where solid filament needles are inserted through the skin to stimulate specific points in the body. Unlike traditional acupuncture, which is rooted in traditional Chinese medicine, dry needling is based on Western medical principles and anatomy.
Key Modalities of Dry Needling:
Acupuncture:
Trigger Point Dry Needling:
Intramuscular Stimulation (IMS):
How Dry Needling Complements Physiotherapy:
Pain Relief:
Improved Range of Motion:
Muscle Functionality:
Collaboration with Physiotherapy:
Dry needling is a specialized technique that is seamlessly integrated into the broader spectrum of physiotherapy. Physiotherapists, equipped with in-depth knowledge of anatomy and musculoskeletal function, skillfully apply dry needling to complement other therapeutic interventions and create a holistic treatment plan tailored to individual patient needs.
Conclusion: In the intricate tapestry of physiotherapy, dry needling emerges as a precise and targeted approach for pain relief and enhanced well-being. Whether through trigger point dry needling, acupuncture, or intramuscular stimulation, this technique reflects the evolving landscape of healthcare, offering patients a path to healing that aligns with Western medical principles.
As with any therapeutic approach, it’s crucial to consult with a qualified physiotherapist to determine the suitability of dry needling for your specific needs. In the hands of skilled professionals, dry needling becomes a key player in the symphony of healing, guiding individuals toward a pain-free and revitalized life.
Exercise Prescription in Physiotherapy : Empowering Healing
Physiotherapy is a dynamic field that goes beyond traditional treatments to empower individuals on their journey to recovery. Among the arsenal of therapeutic approaches, exercise prescription stands out as a cornerstone for enhancing strength, flexibility, and overall well-being. In this blog post, we’ll delve into the symbiotic relationship between exercise prescription and physiotherapy, exploring how tailored exercise regimens can play a pivotal role in restoring mobility, preventing injuries, and promoting lasting health.
The Essence of Exercise Prescription:
At its core, exercise prescription in physiotherapy involves the systematic design and implementation of tailored exercise programs to address specific musculoskeletal issues, injuries, or chronic conditions. It’s a personalized roadmap to recovery that considers an individual’s unique needs, capabilities, and health goals.
Key Components of Exercise Prescription in Physiotherapy:
Assessment and Individualization:
Targeted Rehabilitation:
Prevention and Wellness:
Benefits of Exercise Prescription in Physiotherapy:
Muscle Strengthening and Endurance:
Improved Range of Motion:
Pain Management:
Enhanced Functional Capacity:
Collaboration between Patient and Physiotherapist:
Successful exercise prescription is a collaborative effort between the patient and the physiotherapist. Open communication, feedback, and the setting of realistic goals are essential elements in ensuring the effectiveness of the prescribed exercises.
Conclusion: Exercise prescription is not just a routine; it’s a personalized pathway to health and well-being. In the realm of physiotherapy, it serves as a guiding light, empowering individuals to take an active role in their recovery and preventive care. If you’re on a journey to better health, consider the transformative impact that exercise prescription, under the guidance of a skilled physiotherapist, can bring to your life.
Remember, each exercise is a step towards resilience, strength, and a healthier, more active future.
Shockwave therapy is an evidence-based, non-invasive, and highly effective modality used in treating injuries such as:
Plantar Fasciitis
Achilles tendinopathy
Jumper’s knee
Hamstring tendinopathy
Back pain
Calcific rotator cuff tendinitis
Trigger points
Frozen shoulder and more.
According to Hansen, Krogh, and Ellingsen (2018), shockwave therapy is the most effective treatment option for treating plantar fasciitis. Large randomized trials (RCT) supports the efficacy of shockwave therapy.
How frequently and how many sessions are required for shockwave therapy for plantar fasciitis?
A significant reduction in discomfort requires 3-5 shockwave treatments (Moya D, Ramo S, Schaden W et al., 2018). Sessions are typically once a week. The number of sessions required will vary depending on how quickly you react, how long the symptoms have been present, and how intense the pain is.
Our clinic provides high-quality treatments to customers and accepts ICBC & WorkSafeBC clients.
Electrotherapy and Pain Relief: The Power of Electrotherapy in Physiotherapy
In the realm of physiotherapy, one modality stands out as a powerful ally in the fight against pain and discomfort—Electrotherapy. This cutting-edge approach utilizes various techniques to alleviate the pain associated with a myriad of health conditions, ranging from shoulder pain to muscle weakness. In this post, we’ll explore the world of electrotherapy, shedding light on its mechanisms and how modalities like Interferential Current, Neuromuscular Electrical Stimulation, and Ultrasound are transforming the landscape of pain management.
Understanding Electrotherapy:
Electrotherapy involves the application of electrical stimulation to the body to promote healing, reduce pain, and improve muscle strength. It’s a versatile physiotherapy modality that finds its application in treating a wide array of health conditions. Whether you’re grappling with persistent shoulder pain, neck discomfort, low back pain, post-surgical pain, tendinitis, bursitis, muscle weakness, spasm, or inflammation, electrotherapy might be the solution you’ve been seeking.
Key Electrotherapy Modalities:
Interferential Current (IFC):
Neuromuscular Electrical Stimulation (NMES):
Ultrasound Therapy:
Benefits of Electrotherapy:
Pain Relief:
Muscle Rehabilitation:
Improved Circulation:
Conclusion:
Electrotherapy is not just a buzzword; it’s a transformative approach in the realm of physiotherapy. By harnessing the power of modalities like Interferential Current, Neuromuscular Electrical Stimulation, and Ultrasound, healthcare professionals can provide targeted and effective relief for a spectrum of health conditions. If you’ve been grappling with pain or muscle-related issues, consider exploring the possibilities that electrotherapy may offer under the guidance of a qualified physiotherapist.
Remember, the journey to a pain-free life often begins with a single spark—let that spark be the power of electrotherapy.