“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, where our experienced physiotherapists provide 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, including Pacific Blue Cross, Manulife, Sun Life, Canada Life, and GreenShield. We also provide physiotherapy for eligible ICBC and WorkSafeBC claims. Our team can help with billing and claim-related paperwork, making the process easier so you can focus on your recovery. Coverage and eligibility may vary depending on your insurance plan or claim.
common CONDITIONS
Our physiotherapists in North Vancouver assess and treat a wide range of musculoskeletal conditions affecting the back, pelvis, knees, shoulders, elbows, hands, wrists, feet, and ankles. Your treatment plan is tailored to your symptoms, movement needs, and recovery goals, with a focus on helping you move and feel better.
Physiotherapy can help reduce pain and improve movement in the lower back, pelvis, and sacroiliac (SI) joint. During your assessment, we may look at your mobility, strength, posture, and movement patterns to better understand what may be contributing to your symptoms.
Common conditions we treat include:
Knee pain can make everyday activities like walking, climbing stairs, or exercising more difficult. Physiotherapy can help restore strength, improve stability, and support better movement after an injury or when managing ongoing knee problems. We may also assess the hip and ankle, as they can influence how the knee moves and manages load.
Common knee conditions we treat include:
Foot and ankle problems can affect the way you walk, move, and stay active. Physiotherapy can help improve mobility, strength, and stability while helping to reduce pain and improve movement.
Common foot and ankle conditions we treat include:
Shoulder pain can make simple movements like reaching, lifting, dressing, or sleeping uncomfortable. Physiotherapy can help improve movement and strength while assessing whether your symptoms are coming from the shoulder itself or may also be influenced by the neck.
Common shoulder conditions we treat include:
Elbow pain can develop due to repetitive movements, sports, work activities, or injury. Physiotherapy can help reduce discomfort, restore strength and mobility, and make everyday tasks like gripping, lifting, and carrying easier.
Common elbow conditions we treat include:
Hand and wrist pain can make everyday tasks like typing, gripping, lifting, or exercising more difficult. Physiotherapy can help improve movement, strength, and function while helping manage pain related to injury, repetitive use, or ongoing joint and tendon problems.
Common hand and wrist conditions we treat include:










“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 hands-on methods designed to improve movement and reduce discomfort.
At Zone 4 Physiotherapy & Wellness Centre, manual therapy techniques are 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 muscle tension and trigger points. The goal is to help reduce muscle tightness, improve movement, and support recovery.
At Zone 4, dry needling may be used as part of a personalized physiotherapy treatment plan when appropriate. Your physiotherapist will assess your condition and determine whether dry needling or IMS may be appropriate for 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 support recovery, build physical capacity, and help you return to the activities that matter to you.
At Zone, your physiotherapist creates an exercise plan based on your condition, symptoms, current abilities, and recovery goals. Your program may be adjusted over time as your movement and strength improve.
Shockwave therapy is a non-invasive treatment that uses acoustic waves to target painful areas and support the body’s natural healing processes. It is commonly used for certain tendon and soft tissue conditions, especially when pain has been persistent or difficult to manage.
At Zone 4, shockwave therapy may be used as part of 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 may support your rehabilitation.
Electrotherapy is a physiotherapy treatment that uses controlled electrical stimulation and other therapeutic modalities 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, electrotherapy may be used 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 may support your recovery.