Manual therapy being done by Carol Kennedy at Treloar's Vancouver clinic

Manual Therapy

Manual Therapy is skilled hand movements used to assess and treat the joints, muscles and soft tissue throughout the body. Physiotherapists graduate with basic skills in manual therapy and continue to improve their skills through various continuing education options. One of our expectations at Treloar Physiotherapy is that our physiotherapists will work toward and complete their exams to become Fellows of the Canadian Orthopaedic Manipulative Physiotherapists Association (FCAMPT). To achieve this designation they must have excellent manual skills and a thorough knowledge of assessment and treatment approaches for patients with orthopaedic problems.  

For more information about the benefits of manual therapy and what to expect during treatment CLICK HERE

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.


Targeting specific points along meridian pathways defined by the ancient Chinese, this modality of treatment uses needles, lasers or TENS to stimulated areas, which influence pain and tissue healing in the body. For more information visit Acupuncture Foundation Institute of Canada:

To learn more about the benefits of acupuncture and what you can expect from treatment CLICK HERE

Intramuscular Stimulation (IMS)

IMS is a needling technique that helps to reduce adverse tone in tight muscle bands or trigger points that contribute to pain and dysfunction. By targeting localized areas of tightness with the needle insertion a reflex relaxation is produced in the muscle. This helps to relieve pressure on tender joint structures and in the muscles themselves which in turn influences pain and inflammation produced by the adverse tightness. Special assessment is done to determine if this modality of treatment is appropriate for you.  For more information visit UBC Gunn IMS: 

To learn more about the benefits of IMS and what you can expect from treatment CLICK HERE

Gokavi Transverse Technique (GTT) 

GTT, a slight variation to IMS is a dry needling acupuncture technique for the treatment and management of chronic myofascial pain.  It incorporates the use of high frequency electrical stimulation followed by needling of tight muscle bands in a transverse direction which then releases muscle spasms and tender trigger points.  The increase in muscle length increases mobility, reduces pain, and since the needling is conducted transversely the technique is deemed more safe than similar procedures. For more information visit Gokavi Transverse Technique:

Concussion & Vestibular Rehabilitation

Vestibular Rehabilitation is an exercise-based approach for treatment of dizziness and balance problems. After careful assessment and identification of the factors triggering the episodes of dizziness, appropriate techniques may be carried out to reduce current symptoms and/or an exercise program will be designed for each patient. This exercise regime is based on the rationale that repeated exposure will decrease the nervous system’s sensitivity to the stimuli. Balance and disequilibrium problems in the elderly have been shown to respond well to progressive balance retraining as well as specific stretching and strengthening techniques, based on assessment findings.

To learn more about the benefits of vestibular therapy and what you can expect from treatment CLICK HERE


Shockwave Therapy
Extracorporeal shock wave therapy (ESWT) is a modern and highly effective treatment method: high-energy sound waves are introduced into the painful areas of the body. With this innovative therapy approach, pathological alterations of tendons, ligaments, capsules, muscles and bones can be eliminated systematically.   

There are numerous benefits from shockwave therapy: 

• Non-Surgical 
• No Side Effects 
• Accelerated Healing 
• Ease Of Use 
• Affordable 
• Covered By Some Insurance Companies

The beneficial effects of shock wave therapy are often experienced after only 1 or 2 treatments. The therapy eliminates pain and restores full mobility, thus improving your quality of life.


Electrotherapy treatments including;

  • Ultrasound
  • Shockwave Therapy
  • High Voltage Pulsed Current (HVPC)
  • Laser
  • Interferential (IFC)
  • Transcutaneous Nerve Stimulation (TNS)