“I would not have made it, if it weren’t for my rehab team.”
Cynthia on Lymphatic Drainage
Zone 4 Physiotherapy & Wellness Centre is a trusted physiotherapy clinic in North Vancouver that provides personalized physiotherapy services for sports injuries, back and joint pain, workplace injuries, and ICBC-related injuries. Direct billing is available for many extended health plans.
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We offer two free patient parking spots behind the building on a first-come, first-served basis. If you have trouble finding them, our front desk staff will be happy to assist you.
YOUR RECOVERY. OUR EXPERTISE
At Zone 4 Physiotherapy, we offer direct billing for many extended health plans from providers such as Pacific Blue Cross, Manulife, Sun Life, Canada Life, and GreenShield. We also provide physiotherapy for patients with eligible ICBC and WorkSafeBC claims. Our team can help with billing and claims, so you can spend less time on paperwork and more time focusing on your recovery. Coverage and eligibility depend on your insurance plan or claim.
common CONDITIONS
Physiotherapy can help manage pain and movement limitations affecting the lower back, pelvis, and sacroiliac (SI) joint region. Your assessment may include an evaluation of mobility, strength, posture, and movement patterns to help identify factors that may be contributing to your symptoms.
Common conditions we treat include:
Low back pain, sacroiliac (SI) joint dysfunction, osteoarthritis, spondylolisthesis, and disc-related pain.
Physiotherapy for knee pain can help improve movement, strength, stability, and function after an injury or with ongoing knee problems. Your assessment may also include the hip and ankle, since weakness or movement issues in these areas can sometimes affect the knee.
Common conditions include:
Knee osteoarthritis, ACL injuries, meniscus injuries, patellofemoral pain, and patellar tendinopathy.
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.
Shoulder pain can involve the muscles, tendons, and joints around the shoulder, and in some cases may be related to the neck. Your physiotherapy assessment looks at your movement, strength, symptoms, and how shoulder pain affects your daily activities to help guide a personalized treatment plan.
Common conditions include:
Frozen shoulder, rotator cuff-related pain, bursitis, arthritis, shoulder impingement, SLAP injuries, and shoulder instability or recovery after a dislocation.
Physiotherapy for elbow pain focuses on improving movement, strength, and function when symptoms are related to repetitive activities, sports, work, or injury. Treatment may also address difficulties with activities such as gripping, lifting, and carrying.
Common conditions include:
Tennis elbow (lateral elbow tendinopathy) and other overuse-related elbow conditions.
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










“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.

Manual therapy is a hands-on physiotherapy approach that uses specific techniques to assess and treat muscles, joints, and soft tissues. It may include joint mobilization, soft tissue techniques, and other manual techniques designed to help improve movement and reduce areas of discomfort.
At Zone 4 Physiotherapy & Wellness Centre, manual therapy is selected based on your assessment, symptoms, and recovery goals. Your physiotherapist will determine which techniques are most appropriate as part of your personalized treatment plan.
Dry needling is a physiotherapy technique that uses thin, sterile needles to target areas of muscle tension and trigger points. The goal is to help reduce muscle tightness, improve movement, and support the recovery process.
At Zone 4 Physiotherapy & Wellness Centre, dry needling may be used as part of a personalized physiotherapy treatment plan when appropriate. Your physiotherapist will assess your condition and determine whether techniques such as trigger point dry needling or IMS may support your rehabilitation goals.
Exercise-based rehabilitation is a physiotherapy approach that uses specific exercises to improve strength, mobility, balance, and movement control. These exercises are designed to help your body recover, build physical capacity, and return to the activities that matter to you.
At Zone 4 Physiotherapy & Wellness Centre, your physiotherapist creates an exercise plan based on your condition, symptoms, current abilities, and recovery goals. Your program may progress over time as your movement and strength improve.
Shockwave therapy is a non-invasive treatment that uses focused sound waves to target painful areas and stimulate the body’s natural healing response. It is commonly used for certain tendon and soft tissue conditions, especially when pain has been persistent or difficult to manage.
At Zone 4 Physiotherapy & Wellness Centre, shockwave therapy is combined with a personalized physiotherapy plan based on your assessment, symptoms, and recovery goals. Your physiotherapist will determine whether this treatment is appropriate for your condition and how it can support your rehabilitation.
Electrotherapy is a physiotherapy treatment that uses controlled electrical energy or therapeutic technologies to support pain management, muscle activation, and tissue recovery. Depending on your condition, it may include treatments such as IFC, NMES, or therapeutic ultrasound.
At Zone 4 Physiotherapy & Wellness Centre, electrotherapy is selected based on your assessment, symptoms, and rehabilitation goals. Your physiotherapist will determine whether it is appropriate as part of your personalized treatment plan and how it can support your recovery.