Individual Services. Individual Needs

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.  

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Virtual Physiotherapy Care

** During COVID-19 all Initial  Consultations  and Follow-ups after prolonged time away or significant health changes will be completed virtually before in person appointments.  

 

What can you expect from a Virtual Physiotherapy session?  

 

  • Your initial virtual consultation involves all of the same care as your Whole Person Physiotherapy

  • Education and guided movement. 

  • 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 and consider a space you can move about  

  • Check your confirmation email for set-up instructions for using Jane Virtual Visits  

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In-Home Physiotherapy:  Physiotherapy Brought to You  

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 and limit the need for prolonged contact. 

  • 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.  

 

Please contact Jen LaRoy (Chilliwack) or Adrienne Sim (Langley) if you are interested in In-Home services 

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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.  Pelvic Health Physiotherapists 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, frequent urination, 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 Pelvic Health Physiotherapists use?  

  • Behavioural  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 work  

  • Manual therapy  

 

What can you expect from your Pelvic Health Physiotherapy appointments?  

       

  • Initial Virtual Physiotherapy appointment using a Whole Person Approach including guided questions around bladder, bowel and sexual health

  • 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. 

 

When could you see a Pelvic Health Physiotherapist for Prenatal Care? 

  • 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 Outcomesshortens 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 significant changes physically, emotionally and socially in a relatively short period of time, regardless of the mode of delivery. Pelvic Health 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 Pelvic Health Physiotherapist postpartum?  

  • 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 Pelvic Health Physiotherapist help with postpartum? 

  • 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 - c-section or perineal/pelvic floor 

  • 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. This can involve collaboration with other care providers.

 

What might Pelvic Pain feel like? 

  • Low back and hip pain 

  • Pelvic, pubic bone or tailbone discomfort

  • Abdominal discomfort and sensitivity 

  • Unwanted genital sensitivity – external and internal  

  • Uncomfortable menstruation

  • 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 questionnaires to explore how you relate to pain  

  • Education about your pain

  • Treatments to re-wire the nervous system 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 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 and Adrienne

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 and Community Movement

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 and Lisa

 

Who can participate in Group Exercise classes? 

  • For physiotherapy billing, initial assessment with one of our physiotherapists is required 

  • Geared towards prenatal and postnatal clients 

 

How to book in for a class: 

  • Discuss participation in the class with your physiotherapist 

  • Book yourself directly with Jodie

  • Sign up at least 24h prior to allow planning for your goals 

  • Complete your COVID-19 Screening Questionnaire the morning of the class 

  • Payment integrated through Jane, physiotherapy receipt provided  

 

Where are the Classes?

  • Saturdays 9:45-10:45 at Tillicum Community Annex, East Vancouver 

  • Outdoors, under cover, year round, socially distanced 

  • Dress in layers for the weather 

  • Bring a yoga mat and water bottle 

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Massage Therapy: Comfort and Care

Massage treatments geared towards prenatal and postnatal care with Emma. Helpful for adapting to changes and maintaining comfort through transitions.  

 

What can you expect from Massage therapy?

  • Geared towards care for clients at Pomegranate Midwives

  • Ongoing communication around safe and comfortable touch

  • Receipt provided for Extended Health Benefits

 

Rates for Services: 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.  

 

Physiotherapy Rates

  • Initial Virtual Assessment and Treatment (60 minutes) - $150

  • Follow-Up In Person Assessment and Treatment (30 minutes) - $85

  • Follow-Up Virtual Assessment and Treatment (30 minutes) - $85

Group Exercise Rates - Physiotherapy Receipt Provided

  • Class following Initial Physiotherapy Assessment (60 minute class) - $25

  • Sliding scale available for non-physiotherapy participants

Coaching Rates

  • Postnatal Membership Program - $75/month

  • All other coaching rates vary based on programs and needs. 

Massage Therapy Rates

  • Initial Assessment and Follow-up (60 minutes) - $110

Direct Billing

 

  • Jodie and Adrienne offer Direct Billing for most extended health plans

 

Sliding Scale

  • All providers can offer flexibility in pricing - we do not have an income fixed sliding scale but rather an individual need conversation  

Tree Rings
 

We are deeply honoured to work and play on the traditional, ancestral and unceded territory of the Coast Salish People including the territories of the Kwantlen, Katzie, Tsawassen,  Musqueam, Squamish, Stó:lō and Tsleil-Watuth Nations. 

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Make an appointment with the provider that feels right for you at a time that works in your day. Virtual and in person providers in Vancouver, Burnaby, Langley, Abbotsford and Chilliwack. 

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