Kelowna physiotherapy is now mobile!

Our Mobile Physiotherapists; Sierra Castonguay and Rob Ewanuk, come to YOU.

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New Leaf Physio: a Kelowna physiotherapy clinic that is mobile and comes to you on your schedule. No more packing up the kids and driving around to look for a parking spot. NLP arrives, sets up, assesses and treats, packs up and leaves. While you stay in the comfort of your home.


NLP prides itself on treating our clients one at a time. No running between clients, wondering when your physiotherapist is going to return. Your physiotherapist stays with you throughout your entire assessment and treatment.


Here at NLP we pride ourselves in taking a hands-on approach when assessing and treating our clients. No hooking you up to a machine and coming back later. We give you our undivided attention, not only with your assessment and treatment, but throughout your entire recovery process.

Let NLP Help You Recover!

The World Health Organization determines that there are 5 healthcare professionals; doctors, nurses, dentists, pharmacists and physiotherapists.


What is Physiotherapy?

Physiotherapy is a health profession that is concerned with getting our client's moving again. We help clients with injuries, pain, stiffness, weakness and other issues with movement. It does not matter if the client's are a senior that just had surgery or an athlete injured or a toddler with cerebral palsy. Getting the client to move is where it all begins.
Physiotherapists are university trained and excel in injury diagnosis, treatment and prevention, exercise prescription and rehabilitation. We have the capacity to assess musculoskeletal (muscles, joints, ligaments and bones) injuries and design an evidence based treatment plan. This helps our clients get back to their normal lifestyle as soon as possible. Through education, we teach our clients, give them the skills required to take care of their bodies and minimize the risk of reinjury.
All practitioners of physical therapy in British Columbia must be registered with the College of Physical Therapists of British Columbia.

Different types of physiotherapists?

There are many different types even though we all get the same training. Post graduate training is where the choosing of the pathway occurs. There are orthopaedic, neurological, cardiorespiratory and sport physiotherapists to name a few and I will describe each one and what they do.


The orthopaedic physiotherapist is the kind that most people think of when they think of this profession. They are concerned with the muscles, joints, bones and ligaments of the body. For example, if you are running and pull a muscle in your leg, this is the professional you would see, to help you most effectively. They will talk with you and find out where it hurts, how long ago the injury occurred, if the injury is getting better or worse to name a few things. They will then assess the body part and figure out what is the source of your pain. After that, figure out a treatment plan and work with you so that you feel better in the quickest possible time. This specialty is most likely to work in a private clinic. One pathway for further education, in Canada, is to go through the Canadian Physiotherapy Association's Orthopaedic Division education system and graduate get their Advanced Diploma of Manual and Manipulative Physical Therapy. This Advanced Diploma gives the member a Fellowship in CAMPT, Canadian Academy of Manipulative Physiotherapists, FCAMPT. This is an internationally recognized designation. As you can see, Rob has worked very hard to achieve his FCAMPT status.


A neurological physiotherapist specializes in people that have a neurological condition. For example someone that has multiple sclerosis, MS or work with someone that has had a stroke. There are many things that can be done with the people suffering with a neurological condition. The steps to treatment are similar to above. First and most important is talking with the client or the client's loved one. In some instances, people suffering from a neurological condition cannot talk, it is called aphasia that is where talking with the loved one's come into play. Then assessing what movements the client's can do and what movements they cannot perform. Working on movement patterns with the clients and individual movements help to improve the client's movement ability.


Cardiorespiratory physiotherapists deal with clients who have respiratory/ lung disorders. A couple of examples of respiratory disorders are chronic obstructive pulmonary disease (COPD) and cystic fibrosis. Assessment of the client starts, yet again, with talking with client. Important information including the medication list the client is on, is gone over in the interview process. The physical assessment part may follow the IPPA protocol. IPPA stands for Inspection, Palpation, Percussion and Auscultation. Treatment may consist of teaching the client's different breathing techniques, postural drainage as well as percussions.


Sport physiotherapist work with athletes and teams. They perform similar assessments and treatments as their orthopaedic counterparts, however, their interventions may be more specific to the athletes main sport. In addition, these specialists are usually superior when using tape to help protect the injured joints. There is travelling with the local teams, volunteering with local tournaments on weekends, and possibly working with National Teams as they progress through their career. Many times when working with a team, assessment and treatments are not performed in a regular clinical setting. Assessments and treatments are performed in locker rooms, hotel rooms when travelling with team, at the sporting venue (i.e. mountain tops with skiers). This can make the job much more demanding and challenging than a regular "in the clinic" job.


Do I need a doctor's referral to go to physio?

No, you do not need a doctor/physician's referral. However, if you have health care benefits, some insurance companies require a doctor's referral for them to accept your claim.
Each provider will have a unique College of Physical Therapists of British Columbia registration number that must be present on your receipt. Your insurance company will want this number to make sure you are seeing a properly registered professional.

Did you know… you can choose which clinic to go to. It does not have to be the clinic on the referral pad!! Most of the time, it is simply the first referral pad the doctor pulls out that they fill out. You are free to go and see any physiotherapist, at any clinic you like! Or better yet, have New Leaf Physio come to your house.

Does New Leaf Physio contact my family doctor?

At the request of our client, giving NLP consent to share medical information with your family doctor, we will share your assessment results and give regular, every 5-10 treatments, updates as well as a discharge report. We do this because the more your family doctor knows of your journey, the better equipped they are to help you along the way.

Do you cover ICBC and WorkSafe BC claims?

Unfortunately, NLP does not cover ICBC or WorkSafe BC claims.

I just had surgery. Can physio help me to get moving again?

Absolutely! The amount of time after surgery to get moving can be quite variable. Some surgeries require bedrest for a couple of days after and other types of surgery you can get up that day, postoperative day 0 (zero), or the day after, postoperative day 1. This is done by the physiotherapists in the hospital. After you are discharged and go home, if you have having problems getting around, having muscle weakness and balance issues it would be beneficial to have NLP come to your home to assess you. Some muscle strengthening can occur right away, after a knee or hip replacement. Other times, after an abdominal surgery, you should wait a few weeks to make sure the incision heals, before starting to activate the muscles in the area.

How long does it usually take once I call, to get an appointment?

We strive to see you as soon as possible. The majority of the time we can book a new client in within a week.

What should I wear to my assessment?

When assessing a body part it is best practice to be able to see the body part move. If it is a lower body injury wearing shorts in encouraged. If it is an upper body injury, then wearing a tank top would be beneficial. In addition, wearing long hair in a pony tail is helpful for neck, upper back and shoulder assesses.

How long is each visit?

The first visit is with a medical history, assessment and first treatment, typically is between 45 – 75 minutes.
Follow up visits, which include a reassessment of the area and discuss of what worked and what needs to be modified as well as treatment is between 30-60 minutes.

How many visits will I need?

This is highly variable. You may need one visit or you may need months of care. It depends on your diagnosis, the severity of your impairments, and numerous other factors. You will be re-evaluated at most visits and when you see your doctor, we will provide you with a progress report with our recommendations, if you like, see above.

I get confused about all the information on using cold vs. heat. Is there a simple way to remember?

Yes, I think there is a simple way to remember. If you have injured yourself very recently, within the past 96 hours, 4 days, you should use cold. Cold/ice should be left on no more than 10-15 minutes. The cold should be wrapped in a towel or some other barrier between the skin and cold pack. After 15-20 minutes, the body recognizes that the cold/ice is on an actually INCREASE the blood flow to the area to limited any potential damage done by the cold. Remember that cold/ice penetrates the skin deeper than heat. With cold you get vasoconstriction, fancy word for decreased blood vessel size, with less blood flow to the area, less warmth going to the area, cold goes deeper into the body.

Basically, any other time, you should be safe to use heat. Heat does not penetrate the body as deeply. If you have even put a hot pack on your leg and taken it off, you can see a red silhouette of the hot pack. That red silhouette is where the body has increased the blood flow to absorb the heat given to that area on the body, so the skin does not burn. Heat with only typically penetrate to ¼ of an inch, deep. That is it. You will increase the temperature of your muscles more with a 10 minute walk than 15 minutes of a hot pack. People like hot packs more because the packs given them a sense of relaxation as well, which will help with tight muscles and muscle spasm.
One exception, if you think you have an infection, i.e. you fell and scraped your knee and the next day it is swollen and painful. I would recommend you see a doctor first before doing either. If it turns out to be an infection in the joint, putting on hot or cold could cause permanent damage to the joint. Best to be started on antibiotics, asap.

What is the difference between physiotherapy and physical therapy?

There is no difference, two different ways to say the same thing. Physiotherapy is more of an English and Canadian terms. While physical therapist is more of an American used term.
The same can be said for the term physiotherapist and physical therapist.

How does a physical therapist differ from a chiropractor?

Physical therapists are university educated healthcare professionals. They are concerned with movement. What moves on the client, what moves too much, what does not move enough. We are concerned with how this movement/lack of movement/too much movement contributes to the discomfort the client is feeling.
Chiropractors are college educated alternative healthcare professionals. Chiropractors are more concerned with alignment. Chiropractors usually order x-rays or different types of scans to look for the alignment of the spine. They look at how the alignment of the spine is comparable to the client's symptoms.

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