Our Services

REHABILITATION & FITNESS INNOVATORS

Since 1996

Physiotherapy is a professional health care discipline directed primarily towards the rehabilitation of movement dysfunction. A movement dysfunction is defined as an alteration in normal body biomechanics that limits effective or efficient body performance. The movement dysfunction may be due to pain, congenital anomalies, disease processes, accident or injury, sustained activity, maladaptive postures, problems secondary to ageing, or psychological/social stress. The dysfunction may be manifested in actual or potential impairment related to the neuromuscular, musculoskeletal, respiratory or cardiovascular systems.

Injury or disease in your hands can affect your ability to work and play!

If you have a hand, wrist or elbow injury, consider seeking treatment with a Certified Hand Therapist (CHT).

What is a Certified Hand Therapist (CHT)?


A CHT has completed a minimum of 5 years of clinical experience, 4000 hours of treatment of hand related injuries, and has devoted months of study and advanced training in order to pass the international CHT examination. The CHT credential offers the public assurance that the therapist has achieved the highest international recognition to treat upper extremity injuries.

KHS CHTs


At Kootenay Health Services we have 2 Certified Hand Therapists: Craig Sully, BScPT, FCAMPT, CGIMS, CHT and Jen McNutt, BSc, MPT, CGIMS, CHT.

Hand Therapy Treatment


Hand Therapy includes consultation and/or treatment provided by a Certified Hand Therapist (CHT) for a variety of hand, wrist and elbow disorders.

Treatment includes:

• Early intervention post traumatic injury & post surgery

Custom splinting for:

• Immobilization & protection

• Increase range of motion

• Joint & soft tissue mobilizations – improve mobility & function

• Scar management & wound care

• Joint protection education

• Ergonomic education

• Therapeutic activities for strength and dexterity & range of motion

Hand Therapists


Craig Sully

Jen McNutt

Vocational Services


Occupational therapy services include case co-ordination, implementing and monitoring of graduated return to work programs, ergonomic consultation, cognitive remediation, functional cognitive assessment and remediation, community integration assessments and remediation, treatment planning and supervision of rehabilitation assistant supported programs, return to Work Facilitation, Functional Capacity Evaluations, Individualized Multidisciplinary Functional Conditioning Programs, Cognitive Assessment and Rehabilitation.

Hospital Discharge Planning


Hospital discharge planning with co-ordination of equipment and care needs, home health equipment prescription, home safety and accessibility assessments, and homemaking support needs assessment.

Home and Community Care


In the field of home and community care, KHS is dedicated to providing timely hospital liaison and discharge planning for clients with decreased functional mobility and difficulty in activities of daily living. Occupational therapists complete home accessibility assessments and provide recommendations and case co-ordination regarding medical equipment, home renovations, rehabilitation, and personal care support.

Occupational Therapists


Karin Gavac

Emma Haley

Hannah Gray

Athletic Performance Training


Clinicians at Kootenay Health Services have significant experience working with a variety of athletes as well as with occupational performance training and testing. Our assessment and programming offer individuals the opportunity to maximize performance and reduce injury risk. We believe strongly in providing fundamental activity structure and programming for youth and adults alike so they are not only able to perform at their best, but more importantly have a positive and life long lasting experience with physical activity and sports.

We extensively use the Functional Movement Screen (FMS) and Y-balance test to analyze movement patterns and injury risk. We provide targeted corrective exercises, mobility techniques and sport specific programming. Our goal is to keep you on the field, on the job, and in the “game” with optimal performance. We strive to not only rehabilitate your injury but to identify risk of injury BEFORE it happens!

Clients have exclusive access to the FMS exercise programming software to view their individual programs. They are also provided with a summary of their FMS screen and Y-Balance test results in comparison with gender, age, and sport specific norms.

Our KHS Physiotherapists, Kinesiologists and Sports Medicine Physician all work collaboratively within the clinic as well as with coaches and health professionals.

Individual Therapeutic Exercise Programs


We extensively use the Functional Movement Screen (FMS) and Y-balance test to analyze movement patterns and injury risk. We provide targeted corrective exercises, mobility techniques and sport specific programming. Our goal is to keep you on the field, on the job, and in the “game” with optimal performance. We strive to not only rehabilitate your injury but to identify risk of injury BEFORE it happens!

Clients have exclusive access to the FMS exercise programming software to view their individual programs. They are also provided with a summary of their FMS screen and Y-Balance test results in comparison with gender, age, and sport specific norms.

The KHS Kinesiologist will liaise with the family physician and other treating therapists and or coaches to design an exercise program that is safe, effective and goal orientated.

Kinesiologists are able to provide services in our private gym or in the home or community gym setting.

KHS Return to Work Philosophy


The Return to Work (RTW) process can be complex with numerous factors that have the potential to impact success. Some of the assessments/interventions with the most practical application include: recognizing and appropriately addressing psychosocial barriers, early referral to an interdisciplinary rehabilitation team, effective & goal oriented communication between stakeholders, and implementing strategies to strengthen or reinitiate the “occupational bonding” between the worker and employer. Initiating appropriate interventions have the potential to generate solutions in order to encourage a successful and durable RTW.

What is a Functional Capacity Evaluation


T“It is a systematic process of measuring and developing an individual’s capacity to dependably sustain performance in response to broadly defined work demands” (A Systematic Approach to Industrial Rehabilitation, Dr. Leonard Matheson, 1986).

At Kootenay Health Services, FCEs are completed by therapists who have attended a post graduate residency program to become a certified work capacity evaluator (Roy Matheson and Associates).

Functional Capacity Evaluations


Robyn Clark

Emma Haley

Custom Knee Bracing-DonJoy


We provide custom knee bracing with Donjoy braces. The custom Defiance is DonJoy’s flagship knee brace. With clinically-proven technology including the 4-Points-of-Leverage System™ plus innovative, high-tech materials and design, this lightweight brace provides durable support for moderate-to-severe ACL, PCL, MCL and LCL instabilities. Plus, the low-profile design fits comfortably underneath clothing and sports uniforms, including hockey and football. As the strongest of DonJoy’s functional braces, the custom, carbon composite Defiance is recommended for high-collision sports, while its featherweight materials and custom fit also make it the brace of choice for activities of daily living. Available with the LoPro FourcePoint Hinge, the only hinge clinically-proven to protect the ACL. Defiance technology is on the field, on the court, on the slopes and in the water protecting knees and providing confidence to those who wear it. First introduced in 1992, DonJoy has produced more than a million braces; in college football alone, 22 of the Associated Press Top 25 teams use the Defiance knee brace.

Once a fitting session has been completed we receive the brace within a week. The cost of the custom brace includes: initial sizing appointment, ordering and shipping costs, brace education and an application appointment.

Sharisse Kyle MD CFPC(EM) Dip Sport Med


Sharisse is a fellowship-qualified sport physician with expertise and experience in sport injury assessment, diagnosis and treatment, and injury prevention strategies through physical activity. She has extensive experience in this capacity from working with professional, national and Olympic athletes as well as with people of all types of athletic backgrounds and abilities.

With expertise in acute sport injury, overuse injury management and injury prevention; she is well versed in optimal management of these conditions and continues to evaluate new evidence-based treatments.

Bridging treatment with physiotherapists, kinesiologists, athletic therapists, chiropractors and other skilled health care professionals as well as other physicians including orthopaedic surgeons, physiatrists, neurologists, internists, rheumatologists and radiologists provides optimal multidisciplinary care for you. Your family physician remains the cornerstone of your care coordination and every effort is taken to keep your family physician involved in your care.

Sports Medicine


Sharisse Kyle

Ergonomics


Ergonomics is the scientific discipline concerned with interactions among humans and other elements of a system (e.g. the tools, equipment, products, tasks, organization, technology, and environment). The profession applies theory, principles, data, methods and analysis to design in order to optimize human well-being and overall system performance.

At Kootenay Health, we have the expertise to do onsite ergonomic assessments in your workplace whether your workplace is a truck cab, an assembly line or a computer workstation. We collectively have more than 25 years of ergonomics experience to help you with optimizing the fit between your workers and the work that you do. This benefits you because you have a more efficient and effective workforce with fewer injuries.

Links


Ergonomics

Ergonomists


Jane Byers

Photo courtesy of: Shockwave Canada

How Shockwave Therapy Works


Shockwave therapy accelerates the healing process in the body by stimulating the metabolism and enhancing blood circulation to regenerate damaged tissue. Strong energy pulses are applied to the affected area. These pulses occur for short periods of time, creating micro-cavitation bubbles that expand and burst. The force created by these bubbles penetrates tissue and stimulates cells in the body that are responsible for bone and connective tissue healing. In many instances, shockwave therapy is most effective in cases where the human body has not been able to heal itself on its own.

Concussion Clinic


Kootenay Health Services is part of the Shift Concussion Management Group and offers treatment for acute and chronic post-concussion symptoms. Our concussion clinic involves assessment and treatment for concussion patients with a qualified Physiotherapist, Occupational therapist, and Kinesiologist. The goal is to provide targeted intervention to allow the individual to return to important life role activities such as work, recreation, and sport.

Massage Therapy


For centuries, massage therapy has been used to ease muscular tension, decrease pain, and promote relaxation. In the past 50 years, Massage has now developed into a regulated health profession in British Columbia.

Massage therapists are trained in the treatment and rehabilitation of many common injuries and conditions such as repetitive strain and tendinopathies, TMJ dysfunction, sprains(ligament tears), strains, back injuries, frozen shoulder, whiplash, and tension headaches, among many other conditions. Arthritis, fibromyalgia, and other systemic conditions, in addition to nerve entrapment such as carpal tunnel, sciatic pain, and thoracic outlet syndrome are conditions massage therapy may help to alleviate pain and dysfunction. Massage therapy is also a great way prevent injuries at work, in sports, and in everyday activities. Together, we can work together in creating a pain-free state that assists you in living your life.

Links


Concussion


Nicolas Faucher

Kootenay Health Services Small Group Classes


Rock the Bells! Kettlebell Classes with Robyn Clark BKin, MEd, Strong First Level 1 Kettlebell Instructor, MovNat Level 2 Instructor.

Our style of training incorporates StrongFirst Kettlebell principles, Natural Movement skills and functional movement progressions. The classes build on fundamental movement patterns to allow for safe and solid progress. Class participants will make consistent progress and be able to manage this for a long period of time as a lifestyle! This training will leave you feeling strong & energized afterward!

Virtual Classes:
A Kettlebell class focusing on proper skill development and progression, symmetry, strength, balance, stability, mobility, and breathing.
This class involves Kettlebells and bodyweight exercise. The virtual classes are online live and video features allow for Robyn to correct form, lead the class, and demonstrate skills.

Spin Classes:
We are proud to offer classes with our amazing Keiser bikes! Fully adjustable, they allow for a comfortable and efficient riding experience!

Our small group spin classes are taught by local biking legends, Travis Hauck, Jaime Frederick, and Michael Godfrey!

You will enjoy a fun and challenging workout with this crew accompanied with unique rocking tunes! Travis, Jaime and Mike’s expertise as riders offers a unique experience to participants in terms of biking technique and strategy! You are sure you have sweat on your brow and a smile on your face during these classes!

What People Are Saying

I started working with Craig shortly after the COVID-19 social distancing restrictions took place, so all of my physiotherapy sessions have been conducted online. The telehealth platform is very easy to set up and use. Craig is great about answering any questions I have about my healing process and walks me through every exercise he suggests. Any time a new exercise is added to my routine, I receive an updated exercise program through a phone app with helpful video examples. The social distancing restrictions have been a challenge to navigate, but I am so grateful for the attentive and professional level of care that I receive at Kootenay Health Services. Thank you Craig!

Courtney

We are so fortunate to have Kootenay Health Services in Nelson. Whether I'm going for physiotherapy, massage therapy, spin or kettlebell classes, I'm always treated with respect and appreciation. This is a multi-service clinic like none other.

Robyn and Craig's vision of their clinic is a reflection of the passion they have for healing their clients in a welcoming and unintimidating space.

Cheryl Côté

While nobody wants to need extensive physiotherapy, our family’s adventure habits, mishaps and athleticism mean that we rely heavily on the pros at Kootenay Health Services. From Doug’s hand injury to Krista’s knee surgeries and even our daughter’s shoulder troubles, the awesome team at KHS have helped us to heal, rehabilitate and get back to doing the things we love. We trust them fully and appreciate their extensive knowledge and caring, friendly demeanour.
The friendly front counter staff are always helpful and the direct billing is greatly appreciated. We love the bright space and convenient downtown location. When you need a helping hand to get through your tough time, the professionals at Kootenay Health Services will be there for you.

Doug & Krista Brackett