/// Services

Manual Therapy
Manual Therapy involves the physiotherapist’s use of his or her hands to mobilize the joints of the spine and extremities, create movement in nerve tissue or facilitate the activation, flexibility and normal tone of muscle. Several different techniques can be used to restore normal motion (not too much, not too little) and regain control of that motion. This allows each region of the body to move fully, efficiently and safely.

Soft Tissue Release
Soft tissue consists of the fascia, connective tissues, muscles, tendons, fat and organs that lie beneath the skin. When these become injured pain and decreased function are the result. Soft tissue therapy seeks to speed the body's natural healing mechanisms through manipulation and other hands-on techniques. Conditions that respond well to soft tissue therapy are muscle strains and sprains, contusions, tendonitis and bursitis.
Depending on the nature of the injury, one or a combination of techniques may be employed. These may include:

• Trigger point massage also known as neuromuscular therapy applies concentrated finger pressure to trigger points - the tight, painful knots in muscles that cause pain and spasm.
• Myofascial release - a form of manipulative therapy that rebalances the body. It stretches the thick bands of tissue beneath the skin to remove tightness and reduce tension.
• Sustained pressure gets rid of tight areas within the muscle and fascia.
• Friction. This is a type of Swedish massage, but it goes deeper and uses deep circular motions to the soft tissue that cause the underlying layers to rub against each other, stimulating blood flow to the area.

Some problems may be caused by soft tissue that is too tight or too short. Soft tissue therapy, accompanied by stretching exercises, alleviates tightness and elongates the tissue to improve flexibility and range of motion.

Pilates
When compared with traditional physiotherapy, Pilates brings faster and better relief to those who are suffering from pain and limited range of motion due to impingement. After a thorough assessment of your posture and alignment, we help you maintain a neutral shoulder and scapula, key points in Pilates exercises. Activities like lifting, pulling and pushing heavy items, tucking in one's shirt or hooking one's bra become manageable as pain disappears and range of motion improves. Exercises follow to help you to regain strength and function.
Pilates makes use of Thera-band®, foam rollers and other simple equipment, however there are machines that are different from those used in traditional rehabilitation. Pilates equipment promotes a better workout by using both concentric (as in lifting) and eccentric (as in lowering) muscles. The machines give feedback that provides more self-control and body awareness. Even children benefit from Pilates, using equipment and other techniques to provide sensory feedback. Therapists try to make it fun and offer many choices to children during the sessions.
Pilates is a new way for therapists to help patients get rid of pain, regain function and strength in a safe and efficient manner. Equipment is simple and inexpensive for the most part and you can use it at home once the basic movements are mastered. Since Pilates targets the core muscles, patients lose belly fat quickly and this in itself is a boon to good health.

Joint Mobilization
When joints become dysfunctional as a result of trauma, overuse or disuse, they are unable to perform the movements for which they were designed. Joint mobilisation is a technique physiotherapists use to restore the small, involuntary movements that assist joints to perform to their optimum. Joint mobilisation involves performing a back and forth oscillation of the joint in order to restore motion.

Exercise Therapy
Exercise therapy involves eliciting motion of the body or its parts in order to relieve symptoms and improve function. Specific stretching, strengthening, and stabilization exercises are a critical part of the rehabilitation process for most musculoskeletal injuries. Continued exercise is an important component of injury prevention. Athletic Taping and Bracing Taping and bracing injured joints and body parts protects those areas from further re-injury and allows for an earlier return to activity. It also can supply support to an area which will allow muscles which have tightened or sprained to relax thus facilitating an earlier return of motion.

Sports and Fitness Conditioning
Twist Conditioning has built its own unique system of training. The Twist Training paradigm focuses on training movement, not muscle. We want athletes to develop efficient, quick, powerful, deceptive, and confident movement abilities that will translate into increased sport skills, tactics, and overall performance. This method has developed and evolved through years of practical experience and sport science research. Traditional methods of training, such as muscle isolation, machine based training, aerobic training, and linear speed training can all lead to injury and leave the body ill-prepared for the demands of sport and life.
The Twist Sport Conditioning Paradigm draws upon the secondary fitness characteristics: anaerobic energetics, dynamic balance, speed, agility, quickness, multi directional movement skills, muscle reactivity, joint stability, whole body reaction skills, multi-joint strength, whole body power initiation, rotary core power, deceleration and other athletic attributes that contribute to making athletes more skillful and durable. The complete Twist paradigm is coached with an integration of sport movement mechanics and posture, skill technique, individual tactics, and metabolic demands of games. In your most critical competitions, you never actually rise to the occasion; rather you sink to the level of your training. Be Ready™!

Electrotherapy
TENS (Transcutaneous Electro-Neuromuscular Stimulation)
Ultrasound