Individual Needs. Individual Services

WHOLE PERSON PHYSIOTHERAPY: Care Personalized for You  

A biopsychosocial model of care understands the connection of your body structures and functions with how your individual thoughts, feelings, beliefs and social contexts influence each other. 

What can you expect when being cared for under a Biopsychosocial model?

A detailed intake form including past medical history, current history, social and emotional wellbeing and beliefs about your body A verbal consultation for you to share what brings you into care. You may be asked guided questions to learn more about you and your health.   A physical assessment of how your body moves and feels completed in a way that helps you understand your body and feels safe. A partnering with your provider to bring your needs and goals together with the physiotherapists knowledge and resources.  Create a comprehensive care plan to support and empower you in your body.  

 

VIRTUAL PHYSIOTHERAPY

What can you expect from a Virtual Physiotherapy session? 

Virtual physiotherapy allows for the opportunity to do a thorough subjective history and provide education tailored to your unique needs.  Virtual physiotherapy allows for informed decision making regarding hands on care and deciding the best course of action to move forward for you.  Education and guided movement tailored to your unique needs.   Electronic resources and app based exercise programs to support you at home. 

What do you need to know before your virtual appointment?

Complete your intake forms, wear comfortable clothes, consider a space you can move about and check your confirmation email for set-up instructions for using Jane Virtual Visits  

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IN HOME PHYSIOTHERAPY:  Physiotherapy Brought to You  

**Please note - in home services are currently not a regular part of our provider's practices. If this is a service you need, please connect with your provider in a virtual consult to discuss your needs and possibilities. 

 

In-Home Physiotherapy visits can help to eliminate barriers for people who need access to Physiotherapy services beyond a virtual appointment.  

What do you need to know before your in-home physiotherapy appointment?

Complete an Initial Virtual Appointment prior to your in-home visit so you can make the most of the time together. Your physiotherapist will help you plan and prepare your space during your virtual visit, including what protective equipment and hygiene steps the provider will take.  Dress in comfortable clothing and have an area cleared to move around with ease.

 

PELVIC HEALTH PHYSIOTHERAPY: Learning and Discovering 

Pelvic Health Physiotherapy supports your body to have optimal bladder, bowel, sexual function, organ support, abdominal function and birth support. Physiotherapists who work in pelvic health have additional post-graduate training to assess and treat all of the components that impact the healthy functioning of the pelvic floor and surrounding areas. 

What symptoms might indicate the pelvic floor is not functioning well?

Bladder Control : loss of urine with coughing, sneezing, laughing, sports or increased pressure, frequent urination, loss of urine with urgency, pain with urination Bowel Control  and Constipation – loss of gas or stool, frequent and/or infrequent bowel movements Genital Pain – external and internal  Pelvic Girdle, Low Back and Abdominal Pain   Painful sex  Tailbone pain   Pelvic organ  prolapse   Abdominal separation 

What types of treatment techniques could Physiotherapists use?

Behaviour and lifestyle coaching, breathing re-training, exercise and body movement, pain science education, pain management strategies  and nervous system training, pelvic floor manual internal techniques , real time ultrasound assessment and biofeedback for pelvic floor and abdominals , connective tissue mobilization and manual therapy.

What can you expect from your Pelvic Health appointment?

Initial Physiotherapy appointment using a Whole Person Approach including guided questions around bladder, bowel and sexual health. VIRTUAL visits can be a great starting point for health history, education and care planning. Physical assessment completed at a subsequent in-person visit. This may include an external and internal examination of your pelvic floor muscles.    ​An internal examination with the provider's gloved hand can give specific information about your pelvic floor which cannot be discovered externally.  An internal assessment is NEVER mandatory and may be supplemented with other treatment techniques. 

 

PRENATAL CARE: Comfort, Movement and Birth Preparedness

During pregnancy, people go through significant emotional, physical and social changes in a relatively short period of time. Connecting with a healthcare professional who understands all the ways you are changing can help support your pregnancy.

Why could you see a Pelvic Health Physiotherapist during Pregnancy?

Preconception: early visits allow your Physiotherapist to understand your baseline health and support pre-conception pelvic health Pregnancy – It’s never too soon or too late to check in during pregnancy. In an otherwise healthy pregnancy, with no pelvic health concerns, consider seeing a physiotherapist by 20 weeks and again by 34 weeks for birth preparedness. 

Why could you see a Pelvic Health Physiotherapist during Pregnancy?

Improve Birth Outcomes: shortens 1st  and 2nd  stage of  labour and may reduce risk of tearing and episiotomy Preventative Care Address any pregnancy related aches, pains early  Optimize physical activity and fitness Urinary incontinence prevention in late pregnancy and postpartum Optimize Pelvic Health Preparation for Birth  Informed birth choices Birth positions Pain education Perineal and pelvic floor massage/awareness

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POSTNATAL CARE: Supporting Transitions

Over the course of any pregnancy, the body undergoes changes physically, emotionally and socially in a short period of time, regardless of the mode of delivery. Physiotherapists can help you on your journey of recovery after birth to understand your body, pace yourself and support return to activities you want.​

When could you see your physiotherapist post partum?

0-4 weeks - virtual check-in to discuss birth and support recovery  4 weeks+ in-person physical assessment and individualized recovery support  Never too late!

What can your physiotherapist help with post partum?​​

Abdominal separation  and progressive exercise. Pelvic health and individualized pelvic floor rehabilitation eg. incontinence, pelvic organ prolapse, painful intercourse and perineal tearing including anal sphincter tears and episiotomy. Scar Care for c-section or perineal/pelvic floor. Support for body aches and pains. Positions for feeding, carrying and other care related activities. Treatment for mastitis/blocked ducts. 

 

PELVIC PAIN CARE: Your Pain Can Change

There are many reasons why people experience pelvic pain. Treating pain from a biopsychosocial model and trauma informed lens can help you understand your pain and how it can change. With your consent, this could involve collaboration with other care providers to ensure fuller wrap around care. ​​

What might pelvic pain feel like?

Low back/hip pain, pubic bone/tailbone discomfort, abdominal discomfort and sensitivity, unwanted genital sensitivity (external and internal), uncomfortable menstruatio, pain and/or urgency with bowel/bladder function  

What can you expect from a pelvic health physiotherapy appointment?

Belief that your pain is real, treatment from a Whole Person Approach, objective exploration about how you relate to pain, education about your pain and treatments to re-wire the your sensations in ways that feel safe and meaningful to you.

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TRANS AND GENDER DIVERSE CARE: Your Body Is Incredible 

If you have a pelvis, you have a Pelvic Floor and accessing healthcare in a way that feels safe for you matters.

What can you expect from a pelvic health physiotherapy appointment?

Forms that are neutral in language with flexibility for your preferences. Pelvic Health and Pelvic Pain services for your body. Consideration of varied hormone influences. Support for comfort with body modification strategies. Understanding of reproductive and sexual health considerations. Prenatal and Postnatal care. Preoperative and Post-operative support for Affirmation Surgeries.  **While all of our providers are working to change the structure of healthcare to be more inclusive, Jodie has more specific training for post-operative care.

Disclosure: We recognize that the current providers at Full Circle Physiotherapy all currently identify as cis passing white women and have our limitations for understanding the lived experience of further oppressed groups. We are actively working to create a space of empathy, where inclusive language and support is our standard of practice for everyone.  

 

CLINICAL PILATES AND STRENGTH COACHING

The best exercises are the ones you do.  Clinical Pilates and Strength Coaching are fantastic extensions of your regular physiotherapy care to keep you moving freely and comfortably.

What can you expect from clinical pilates?

Extension of care from your regular physiotherapy services with any provider. Virtual mat Pilates and 1:1 Reformer Pilates with Jen, Adrienne, Hayley and Mikaela ​

What can you expect from strength and conditioning coaching?

Progressive programming with Lisa to help transition from physiotherapy services. Customized creative virtual programs. Weekly check-ins and accountability.

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GROUP EXERCISE CLASSES

Exercise is for more than just physical wellbeing. Being in community can be an opportunity for supporting your emotional and social health while tailoring your activity to your individual physiotherapy goals. Led by Jodie, Adrienne and Lisa

Saturday morning outdoor classes in East Vancouver and Langley 

Discuss participation in the class with your 1:1 physiotherapist. For physiotherapy billing, initial assessment with one of our physiotherapists is required. Classes are geared towards prenatal, postnatal and other pelvic health clients. 

Bring a yoga mat, water bottle and dress in layers. Covered areas available.

Vancouver Location @ Tillicum Community Annex School *

Langley Location @ Gordon Greenwood Elementary/McClughan Park *

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RATES FOR SERVICE: Accessing the Care You Need

Care services are under a fee for service model. We recognize this can be a barrier to accessing healthcare and are working to advocate for change and to support access in reduced barrier ways. Direct billing available to most extended health plans.  

Physiotherapy Rates

Initial Physiotherapy Assessment (1 hour) $160-170 (provider specific) Follow-up Physiotherapy Assessment (30 minutes) $95 Group exercise class (1 hour) $30 Sliding Scale - all providers can offer flexibility in pricing. We do not have an income fixed sliding scale but rather an individual need conversation. A rough starting recommendation can be to start with 1 initial visit and one follow up at 50% rate and determine need together beyond that place. ​

Tree Rings