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Category: Blogs

By Brian Kitzerow, PT, DPT, OCS, CMPT

 

Pain in hypermobility is real, explainable, and treatable. Highly flexible people can sometimes have a large amount of pain but have a very difficult time finding care and support to treat their discomfort. Their doctors might not be able to identify any causes for the pain and this can lead to feelings of alienation and inadequacy. This isn’t necessarily because there isn’t anything wrong with them, but more commonly it is because medical clinics don’t have the same tools our research labs have to identify dysfunctions that cause the pain.  X-rays and MRIs are excellent for major structural injuries, but they cannot detect dysfunction at the level of nociceptors, small fibers, proprioceptors, or subtle instability.

 

Likewise, pain in hypermobility isn’t simple—and it isn’t easily communicated. Like the experience of seeing color, pain is highly individualized. Two people can look at the same object and agree that it’s red, yet their internal experience of ‘redness’ is shaped by their biology, past experiences, and neural wiring.

 

Additionally, pain in hypermobility arises from many different pathways, not just “loose joints.” Contributing factors may include:

 

  • Immune reactivity or autoimmune overlap
  • Increased muscle, tendon, and ligament strain
  • Central sensitization
  • Dysautonomia / POTS
  • Small fiber neuropathy
  • Peripheral nerve strain
  • Brainstem and spinal cord stress
  • Sleep disruption
  • Hormonal cycling
  • Dietary triggers
  • Psychological stress

 

That’s a big list and it can be very difficult to negotiate that experience on your own.

 

Hypermobility vs Hypermobile Spectrum Disorders

 

Hypermobility alone is not a disorder. Hypermobile joints are a normal variation of the human population. Like Yin and Yang you cannot define a person as stiff without having the contrast of loose. The evolution of individuals with “looser” musculoskeletal systems brings with it certain hypothetical advantages that have maintained the genetic expression in our population. But with these advantages come risks.

 

Likewise, unlike disorders caused by single-gene mutations, hypermobility appears to arise from complex interactions among multiple genes.  A characteristic of genetic diseases is that a defect in a single or small number of genes can cause the function of the body to fall off the rails. In Marfan’s it is FBN-1.[i]  In Vascular EDS it is COL3A1.[ii]  Classical EDS is associated with COL5A1 or COL5A2.[iii]  Hypermobility, in contrast, is suspected to arise from interactions among multiple genes, although the exact genes remain unidentified. This suggests an evolutionary trend towards specific physical attributes rather than an accidental mutation.

 

We still do not have a strong consensus on how prevalent hypermobility is in the population.  Opinions vary wildly with Blajwajs reporting that the number lies between 2 and 57% of the population being hypermobile.[iv]  That’s a massive range with a great deal of uncertainty.

 

Some studies have looked at hypermobility in segments of our population[v][vi], but clarity on the entire population remains undefined. A synthesis of publications in the last 10 years on adults with a Beighton scale of >4/9 suggests a consensus of 16-22% of the population.[vii]  An estimated one fifth of the population does not suggest an accidental genetic disease.

 

Hypermobility becomes a dysfunction rather than a normal presentation of a population when symptoms appear.  Pain, dislocation, challenges with stability, fatigue, headache, etc.  Again, the causes of symptoms developing are not homogenous across hypermobile populations and can arise from a multitude of causes and interactions.

 

Pain presentation models like Scott Dye’s Envelope of Function[i] or Michael Turvey’s Tensegrity hypothesis[ii] are both deep dives, but highly powerful models for understanding when and why hypermobility raises the risks for transitioning from the healthy athlete to developing debilitating symptoms.

 

A Slice of Pain Generators

 

Ok, you’ve suffered through all the heavy theory. It’s time to get into relevant advice.  Let’s look at four common causes of pain in hypermobility and what you can do about it. Keep in mind that most of these are models and are subject to change as our understanding evolves.

 

Micro-Instability

 

Hypermobile joints have challenges “locking-in” to stable end-ranges. To compensate for this, the muscles in hypermobile individuals work harder to maintain neutral postures for sitting and standing. You might have noticed that it is easier for you to maintain standing positions by shifting around rather than standing at attention stiffly like other people can. This places more strain on the muscle and tendon structures and is more energy intensive.

 

Muscle strength is essential to compensate for this lack of stability. Deconditioning brings pain. Bracing can also be helpful.

 

Proprioception

 

We don’t know exactly why, but people with hypermobility have more challenges with proprioception. The decrease in end-range joint stability is almost certainly a contributor, but there are likely other causes that are being investigated as well.

 

We do know that when the brain has challenges identifying joint position it responds by increasing the protective tone that muscles rest at. This leads to stiffness, spasms and trigger points, even when you are at rest.

 

Helping your brain to know where your joints are can reduce these experiences. Weighted blankets, braces, tape, compressive clothing can all reduce energy expenditures and improve comfort.  Somewhat counter-intuitively, exercise is extremely helpful to reduce this muscle stiffness. The more fit your muscles are the better they can maintain both joint stability and neurosensory tone.

 

Tendon and Ligament Strain

 

Building on the first two factors, tendons and ligaments can experience more strain in a hypermobile system. The decreased end range stability and proprioception results in larger amplitude sway and delayed stabilization responses that increase strain on the tissues anchoring muscles and joints. This repeated low-grade strain often does not show up on imaging but still produces real pain.

 

Training and measures to protect those tissues can reduce the localized inflammation and pain.  Again, bracing and taping is helpful. Increased muscular tone is also important. Finally, proprioceptive balance training can improve your ability to protect these tissues.

 

Central Sensitization

 

Pain is an adaptive experience that changes as we are exposed to different experiences, environments, stressors and stimuli. Research shows that we develop stronger neural pathways in the brain to experience pain when we regularly stimulate a particular pain pathway. This results in a lowered threshold for the nervous system to generate a pain response in association with that tissue. Occasionally these thresholds become low enough that a stress that causes no damage on the tissue level is experienced as excruciating pain.

 

Sometimes this is likened to the phenomenon of listening to music at higher or lower levels.  After a short time, your brain adapts to the volume and you experience it in a normalized, mid-range. Pain pathways however are much more resilient and slower to adapt.

 

This does not mean that your pain is not real. It is very observable with brain imaging when a person is in pain. But it does mean that your nervous system is very skilled at creating a pain experience and that it would be more functional if the degree of stimulus to create a pain experience was more aligned with the degree of stimulus to cause tissue damage.  Correct calibration would not only be less painful, but would help you to make better choices on what activities are risking tissue failure and which are not to prevent injury.

 

Central sensitization can be challenging to correct but we have solid research from clinicians like David Butler and Lorimer Mosely on pathways to correct it in the clinic.[i]

 

These are only a small sample of the different and highly complex mechanisms responsible for pain experiences in hypermobility.

 

 

With the right strategies, hypermobile bodies become stronger, more stable, and far less painful.

 

Evidence-based physiotherapy, pain education, strength training, and nervous-system regulation can dramatically improve comfort, function, and confidence.

 

If you’re living with hypermobility and pain, you’re not alone—and there is a clear, science-backed path forward.

 

References

 

[I] Dietz HC. Marfan Syndrome. In: Adam MP, Mirzaa GM, Pagon RA, et al., eds. GeneReviews® [Internet]. Seattle, WA: University of Washington, Seattle; 1993–2024. Updated 2017.

[II] Murray ML, Pepin M, Byers PH. Vascular Ehlers-Danlos Syndrome. In: Adam MP, Mirzaa GM, Pagon RA, et al., eds. GeneReviews® [Internet]. Seattle, WA: University of Washington, Seattle; 1993–2024. Updated 2014.

[III] Malfait F, Wenstrup RJ, De Paepe A. Classic Ehlers-Danlos Syndrome. In: Adam MP, Mirzaa GM, Pagon RA, et al., eds. GeneReviews® [Internet]. Seattle, WA: University of Washington, Seattle; 1993–2024. Updated 2017.

[IV] Blajwajs L, Williams J, Timmons W, Sproule J. Hypermobility prevalence, measurements, and outcomes in childhood, adolescence, and emerging adulthood: a systematic review. Rheumatol Int. 2023 Aug;43(8):1423-1444. doi: 10.1007/s00296-023-05338-x. Epub 2023 May 6. PMID: 37149553; PMCID: PMC10261186.

[V] Russek LE, Errico DM. Prevalence, injury rate, and symptom frequency in generalized joint laxity and joint hypermobility syndrome in a “healthy” college population. Clin Rheumatol. 2016;35(4):1029-1039.

[VI] Reuter PR, Fichthorn KR. Prevalence of generalized joint hypermobility, musculoskeletal injuries, and chronic musculoskeletal pain among American university students. PeerJ. 2019;7:e7625.

[VII] OpenAI. ChatGPT: Analysis of recent studies on generalized joint hypermobility prevalence in adult populations. December 2025. Accessed [date]. Available from: https://chat.openai.com

[VIII] Dye SF. The knee as a biologic transmission with an envelope of function. Clin Orthop Relat Res. 1996;(325):10-18.

[IX] Turvey MT, Fonseca ST. The medium of haptic perception: A tensegrity hypothesis. J Mot Behav. 2014;46(3):143-187

[X] Moseley GL, Butler DS. Fifteen Years of Explaining Pain: The Past, Present, and Future. J Pain. 2015;16(9):807–813

 

 

About the Author

 

Brian Kitzerow, hypermobility expert, is photoshopped riding a zebra on a safari.

 

Brian Kitzerow, PT, DPT, OCS, CMPT, is a new physiotherapist in Calgary with specialized expertise in hypermobility, Ehlers-Danlos Syndrome (EDS), dysautonomia/POTS, and complex pain conditions. With more than 15 years of clinical experience and advanced orthopedic credentials, Brian integrates biomechanics, pain science, and nervous-system regulation to help patients build stability, strength, and long-term resilience. He is dedicated to providing clear education, evidence-based treatment, and supportive care for individuals who often feel misunderstood in traditional medical settings.

 

 

Clinical Pilates is known as a gentle yet powerful way to rebuild strength, support rehabilitation, and improve everyday movement. At Strive Physiotherapy in Calgary, we may integrate Pilates-based exercises into our treatment sessions to help you move with more ease and confidence, whether you are dealing with post-surgery discomfort, recovering from an injury, or simply wanting to feel stronger and more stable.

pilates in calgary

What Is Clinical Pilates and How Can It Help?

Pilates is a form of exercise that focuses on controlled movement, core strength, posture, and breathing. Many people notice that Pilates sessions help them feel more aligned, stable, and aware of how their body moves. For adults managing spine or joint discomfort, Pilates may support better movement patterns and reduce strain on sensitive areas.

In our Calgary clinics, we often use Pilates principles within our physiotherapy treatment plans. This approach may be especially helpful if you are managing conditions like persistent back pain, neck pain, or ongoing joint pain.

Clinical Pilates vs. Regular Pilates Classes

Not all Pilates classes are the same. In our clinic we focus on clinical Pilates and rehabilitation Pilates, which are guided by a physiotherapy assessment and tailored to your specific needs.

 

Here is how clinical Pilates may differ from general or gym-based Pilates physical fitness classes:

  • Assessment first: We start with a thorough Pilates assessment of your posture, movement, strength, and symptoms before prescribing exercises.3
  • Goal-focused: Sessions are designed around goals like injury recovery, surgery recovery, or improving function with osteoarthritis, rather than general fitness alone.2
  • Integration with treatment: Clinical Pilates is often combined with hands-on therapy and other exercise therapy as part of a broader plan.2,3

For many patients, this physiotherapist-led Pilates approach may feel safer and more manageable than jumping into large, fast-paced Pilates classes.

Mat vs. Reformer: What’s the Difference?

When people explore beginner Pilates classes, they often ask about mat vs. reformer Pilates and what a reformer actually is.

  • Mat Pilates: Performed on a mat using your body weight, small props, and gravity. Mat-based beginner Pilates may be ideal if you are new to exercise, nervous about pain, or working on basic control.
  • Reformer Pilates: Uses a sliding carriage, springs, and straps to add resistance or support. Intermediate Pilates reformer exercises can be adjusted to make movements easier or more challenging which may be helpful during injury recovery or Pilates rehab.

Both types of Pilates sessions can be valuable; the best choice depends on your comfort level, mobility, and goals. In many clinical Pilates reformer classes, we gradually progress from basic control to more dynamic strength and balance work as you improve.

What Does Pilates Do to the Body?

From a simple anatomy perspective, the specific anatomy affected by a Pilates workout often includes the deep core muscles, spine stabilizers, hip and shoulder muscles, and postural stabilizers around the neck and upper back. Strength and Pilates-based training may help these muscles support your joints more effectively. This can contribute to more efficient and less painful movement over time.2,3

 

Exercise therapy in general can play a role in easing pain and improving function for conditions like osteoarthritis, although effects may be small and vary from person to person.2 When these exercises are thoughtfully tailored, Pilates may be one way to gently load joints, build control, and support long-term mobility.

Can Clinical Pilates Help With Pain and Injury Recovery?

Many patients ask, “Can Pilates help with pain?” While every situation is unique, exercise-based approaches are often included in care plans for joint-related issues and patellofemoral (kneecap) pain.2,3 Pilates-style strengthening and control exercises may complement these strategies by helping you move with better alignment, coordination, and muscle balance.

A woman performs therapeutic Pilates lying on her back on a reformer.

When combined with hands-on care and education, Pilates rehab provides a structured, low-impact way to stay active during recovery.

At Strive Physiotherapy, we may incorporate Pilates into treatment plans for:

  • Sports injury rehabilitation
  • Chronic or recurrent back and neck discomfort
  • Osteoarthritis and other joint concerns2
  • MVA injury and post-accident recovery
  • Pre- and post-surgery strength and control

Is It Better to Go to an In-Person Pilates Session?

Online videos can be a helpful starting point, but in-person physiotherapist-led Pilates may offer important advantages, especially if you are dealing with pain, injury, or complex movement issues.

  • Real-time feedback: Our team can help you adjust your posture and muscle activation to reduce strain and improve effectiveness.
  • Safety: We monitor for signs of Pilates injury or flare-ups and adjust exercises quickly if something does not feel right.3
  • Progression: As your strength and control improve, we can safely progress you from beginner Pilates classes to more challenging exercises, whether on the mat or reformer.

For many patients, especially those using Pilates rehab after surgery or a major injury, this guided, in-person approach may feel more reassuring and manageable than trying to figure things out alone at home.

Our Approach to Pilates Therapy in Calgary

At Strive Physiotherapy, our experienced professionals bring together manual therapy, individualized home programs, and clinical Pilates to create a plan that fits you. We begin with a one-on-one assessment to understand your history, current symptoms, and goals. From there, we may recommend individual treatment sessions focused on Pilates, strength, and mobility.

In some cases, we may also recommend complementary services such as massage therapy or other exercise-based care if this aligns with your goals.2,3

FAQs About Pilates at Strive Physiotherapy

Is clinical Pilates suitable for beginners with pain?

Yes, we regularly work with people who are new to exercise or nervous about moving because of pain. Clinical Pilates for beginners is paced carefully, with close supervision and modifications to respect your current comfort and abilities.2,3

Can Pilates be part of rehab after a knee or shoulder issue?

Pilates-style exercises are often integrated into rehabilitation plans for sore muscles and joints, focusing on alignment, strength, and movement control.2,3

How quickly will I notice benefits when doing Pilates?

Some people feel improvements in body awareness and posture within a few sessions, while changes in strength, control, and day-to-day comfort usually build gradually over time.

Is clinical Pilates safe if I have arthritis?

Gentle, well-guided exercise can be part of many arthritis management plans, and Pilates may be one way to work on strength and movement with lower impact.2 We adjust the intensity, range of motion, and positions to match your joints’ tolerance and your comfort level.

What should I wear and bring to a Pilates session?

We usually recommend comfortable, stretchy clothing you can move in easily, and socks or bare feet. If you have imaging reports or previous treatment notes, feel free to bring them, but they are not required for us to get started.

Book a Clinical Pilates Assessment at Strive Physiotherapy

If you are wondering whether Pilates could fit into your recovery or wellness plan, our Calgary team would be happy to guide you. Book an Appointment to get started with a personalized assessment and explore whether clinical Pilates is right for you.

Strive Physiotherapy Main Site

References

  1. Karasuyama M, et al. Exercise for multidirectional instability of the shoulder. Cochrane Database Syst Rev. 2026. doi:10.1002/14651858.CD015450.pub2
  2. Schleimer T, et al. Effectiveness of exercise therapy for osteoarthritis: an overview of systematic reviews and randomised controlled trials. RMD Open. 2026. doi:10.1136/rmdopen-2025-006275
  3. Hart HF, et al. Bridging Gaps in Delivering High-Value Treatment for Patellofemoral Pain: A Systematic Evidence and Gap Map of Interventions for Patellofemoral Pain. J Orthop Sports Phys Ther. 2026. doi:10.2519/jospt.2026.13511

If you’re living in Calgary and dealing with symptoms related to Ehlers-Danlos Syndrome (EDS), hypermobility, or Postural Orthostatic Tachycardia Syndrome (POTS), you’re not alone—and effective physiotherapy options are available. Many people with EDS and POTS experience dizziness, fatigue, brain-fog, pain, and difficulty tolerating daily activities, yet struggle to find clear answers. At our Calgary physiotherapy clinic, we see a growing number of patients with POTS and hypermobility-related dysautonomia, and one of the most important steps is understanding how these conditions work and why they create such widely varying symptoms. The more you understand your own physiology, the easier it becomes to manage POTS confidently and reclaim your daily function.  If you would like to learn more keep reading!

Identifying and Managing POTS

By Brian Kitzerow, PT, DPT, OCS, CMPT

Postural Orthostatic Tachycardia Syndrome (POTS) is a complex and often misunderstood condition that can produce a wide range of symptoms—most commonly dizziness, headaches, tremors, disorientation, fatigue, and brain fog. Our understanding of POTS continues to evolve quickly, and so does the way we diagnose and manage it.

There can be many different causes contributing to the presentation of POTS.  Multiple studies have demonstrated that some people with POTS experience reduced blood flow to the brain when upright. [1][2][3][4][5][6] Other research shows that not all POTS patients follow the same pattern—some maintain normal cerebral blood flow.[7][8][9]  .[10][11][12][13]  Others showed reduced intracranial blood flow in patients without high heart rate (tachycardic) or low blood pressure (hypotensive abnormalities).6  These differences highlight something essential: POTS is not one condition, but a group of related conditions with different mechanisms.

Additionally, classifications for types of POTS are continuing to evolve and change.  Most researchers support roughly 7 different types with a lot of crossovers between them.[14][15]  Because of this heterogeneity, each POTS patient must be treated as an individual with consciously identified treatment protocols and educational materials.  Treatments that may be useful for a patient with Secondary POTS (related to Ehlers-Danlos and hypermobility syndromes) may not be useful for Mast-cell Mediated POTS.  And what about the patient with elements of both Secondary and Mast-cell Mediated vs the isolated single-type patient.  It’s not uncommon to see patients with elements of at least 4 of the different types in a single presentation.

As an educated provider the complexity of POTS causes and presentations can be extremely challenging to understand and design treatments for.  But as a patient it is exponentially harder to pick through the confusion.  Layer onto this that patients commonly experience these symptoms for much of their life and identifying which symptoms are relevant abnormalities from those that are normal experiences to the general population is very challenging.  Many people with POTS don’t realize that things like purple feet in the shower, needing to sit to towel off, morning fasting tendencies, or brief dizzy spells are not typical experiences.

Because there is such a wide-range of causes, presentations and deficits we will only be discussing self-care techniques generally.  Not all of these will be relevant to all POTS patients and some might conceivably worsen POTS on occasion.  Keep in mind that not all of these tips might help everyone.  Therefore, it can be very helpful to get in with an educated provider to discuss self-care options that are right for you and how your particular POTS experience presents.

How many people have POTS?

We still don’t know the true prevalence.

  • In the early 2010s, estimates suggested a minimum prevalence of 0.17% (170 per 100,000), while acknowledging significant under-recognition. [16]
  • By the 2020s, expert reviews commonly cited 0.2% to 1% of the population, reflecting both better diagnosis and a probable true increase—especially after COVID-19. [17]

Regardless of the exact number, the trend is clear: POTS is far more common than previously recognized, and improving diagnostic recognition is essential.

Who Should Diagnose and Treat POTS?

There is no single specialty that “owns”  the treatment and diagnosis of POTS.

POTS is multi-system, much like hypermobility syndromes, and doesn’t fit neatly into cardiology, neurology, rheumatology, or internal medicine.

A 2022 survey by Cooperrider et al. found that:

  • 81% of POTS diagnoses were made by neurologists,
  • followed by cardiologists, primary care physicians, and others. [18]

However, in real clinical practice, any MD who has knowledge and interest in dysautonomia can diagnose POTS. Geneticists, rheumatologists, and even naturopathic physicians often identify cases.

There are currently no studies comparing which profession is best positioned to treat POTS. Many patients receive medication through their PCP or cardiologist, while a large percentage are referred to physiotherapy.

Physiotherapy is ideally placed to treat POTS because the most effective interventions—graded exercise, autonomic retraining, breathing pattern correction, functional pacing, and strength conditioning—are intrinsically rehabilitative. While cardiologists and neurologists diagnose POTS, physiotherapists provide the core therapy that restores orthostatic tolerance, increases stroke volume, improves autonomic stability, and allows patients to return to meaningful activity.

Watch Your Heart Rate

It is common for people with POTS to see a large rise in heart rate upon standing. Diagnostic criteria typically include:

  • an increase of ≥30 bpm within 10 minutes of upright posture. [19]

Most people without POTS experience only a 10–20 bpm increase. For reference, a standing heart rate of 120 bpm is similar to going for a light jog.

If your heart rate rises from 65 bpm lying down to 120 bpm standing, you are likely experiencing a POTS episode.

A lot of people with POTS have learned to function in this range.  Many aren’t even aware that they are having unreasonably high heart rates.   Checking your HR or having your biometric devices set to give you alarms if it exceeds certain parameters can be very helpful for heading off POTS episodes early, before they impact your day.[20]  Apple watches and Garmin can be expensive, but a simple pulse oximeter can be purchased off Amazon for under $30.

What Can You Do to Improve Blood Flow to the Brain?

Not all strategies help every subtype, but most people benefit from a combination of positioning, hydration, salt intake, compression, and exercise.

1. Positioning

Most POTS subtypes show reduced blood flow to the brain when upright.
Getting the head and heart on the same level improves perfusion.

Lying flat for short breaks throughout the day can give your brain the oxygen boost it needs.

2. Salt and Hydration

Increasing blood volume helps the cardiovascular system function more effectively in POTS. Hydration + electrolytes can improve cerebral circulation.

Important notes:

  • Avoid this strategy if you have hypertension, particularly in hyperadrenergic or mast-cell–related POTS.
  • Avoid drinking large volumes of water without salt—this can dilute electrolytes and lower blood pressure.
  • Salt dosing should be guided by your physician, as excessive electrolytes can affect heart function and may not be appropriate for everyone

3. Compression

Compression helps push blood upward, improving brain perfusion.

Options include:

  • compression socks (20–30 mmHg or ideally 30–40 mmHg if tolerated)
  • leggings
  • specialized garments like Intelliskin, SKINS, or Supacore

Even inexpensive socks can make a meaningful difference.

4. Exercise

Your body always maintains a certain level of compression on itself, from both mass and elastic components.  A cool term for this is tensegrity.  The passive tensegrity in hypermobile patients is lower than the normal population and this can contribute to POTS.  While passive tensegrity isn’t something you have much control over, active tensegrity is in your muscle mass and tone (the amount of tension a muscle rests at).  And that you can control.

Building muscle improves:

  • vascular responsiveness
  • venous return
  • tolerance to upright activities!

Start at a level that does NOT trigger POTS.
One thing that is commonly missed by younger physios, if walking provokes symptoms, standing exercise will likely make things worse.

A typical progression:

  1. supine (on back, stomach, or side)
  2. semi-recumbent
  3. sitting
  4. standing

There is also evidence that causes us to suspect that the cardiac benefits from exercise, heart stroke volume and blood volume, can lower POTS symptoms.[21]  We also suspect that we can modulate sympathetic responses including autonomic nervous system and vagal responses through careful exercise progressions.

Other interventions that we are watching and implementing on a more limited basis due to the low number of studies and unclear efficacy include Baroreflex conditioning, breath training for hypocapnia, time restricted caloric windows, cooling protocols and anti-inflammatory lifestyles.

Living with POTS can feel overwhelming, but it becomes far more manageable once you understand your specific patterns, triggers, and physiology. There is no single pathway through POTS, but there are consistent strategies that help many people regain stability, confidence, and control over their day. With education, pacing, the right exercise progression, and support from clinicians who understand dysautonomia, most patients make meaningful improvements in function and quality of life. You do not have to navigate POTS alone—there are effective tools, and there is a way forward.

References

[1] Ocon AJ, Medow MS, Taneja I, Clarke D, Stewart JM. Decreased upright cerebral blood flow and cerebral autoregulation in normocapnic postural tachycardia syndrome. Am J Physiol Heart Circ Physiol. 2009;297(2):H664-H673. doi:10.1152/ajpheart.00138.2009

[2]Medow MS, Del Pozzi AT, Messer ZR, Terilli C, Stewart JM. Altered oscillatory cerebral blood flow velocity and autoregulation in postural tachycardia syndrome. Front Physiol. 2014;5:234. doi:10.3389/fphys.2014.00234

[3] Del Pozzi AT, Schwartz CE, Tewari D, Medow MS, Stewart JM. Reduced cerebral blood flow with orthostasis precedes hypocapnic hyperpnea, sympathetic activation, and postural tachycardia syndrome. Hypertension. 2014;63(6):1302-1308. doi:10.1161/HYPERTENSIONAHA.113.02824

[4] Novak V, Novak P, Spies JM, Low PA. Hypocapnia and cerebral hypoperfusion in orthostatic intolerance. Stroke. 1998;29(9):1876-1881. doi:10.1161/01.str.29.9.1876

[5] Novak P. Cerebral blood flow, heart rate, and blood pressure patterns during the tilt test in common orthostatic syndromes. J Neurol Sci. 2016;362:41-46. doi:10.1016/j.jns.2016.01.035

[6] van Campen CM, Rowe PC, Visser FC. Cerebral blood flow is reduced in ME/CFS during head-up tilt testing even in the absence of hypotension or tachycardia: a quantitative, controlled study using Doppler echography. Clin Neurophysiol Pract. 2020;5:50-58. doi:10.1016/j.cnp.2019.11.003

[7] Stewart JM, Montgomery LD, Glover JL, Medow MS. Changes in regional blood volume and cerebral blood flow during orthostasis in postural tachycardia syndrome. Am J Physiol Heart Circ Physiol. 2004;287(3):H1319-H1327. doi:10.1152/ajpheart.01138.2003

[8]  Stewart JM, Medow MS, Messer Z, et al. Postural hyperventilation: a frequent and overlooked cause of orthostatic intolerance. Am J Physiol Heart Circ Physiol. 2012;302(1):H166-H173. doi:10.1152/ajpheart.00330.2011

[9] Jordan J, Shannon JR, Grogan E, et al. Contrasting effects of vasovagal syncope and POTS on cerebral blood flow. Circulation. 2003;108(3):284-289. doi:10.1161/01.CIR.0000079173.07574.D3

[10] Stewart JM, Montgomery LD, Glover JL, Medow MS. Changes in regional blood volume and cerebral blood flow during orthostasis in postural tachycardia syndrome. Am J Physiol Heart Circ Physiol. 2004;287(3):H1319-H1327. doi:10.1152/ajpheart.01138.2003

[11]  Stewart JM, Medow MS, Messer Z, et al. Postural hyperventilation: a frequent and overlooked cause of orthostatic intolerance. Am J Physiol Heart Circ Physiol. 2012;302(1):H166-H173. doi:10.1152/ajpheart.00330.2011

[12] Jordan J, Shannon JR, Grogan E, et al. Contrasting effects of vasovagal syncope and POTS on cerebral blood flow. Circulation. 2003;108(3):284-289. doi:10.1161/01.CIR.0000079173.07574.D3

[13] Novak V, Novak P, Spies JM, Low PA. Hypocapnia and cerebral hypoperfusion in orthostatic intolerance. Stroke. 1998;29(9):1876-1881. doi:10.1161/01.STR.29.9.1876

[14] Bryarly M, Phillips LT, Fu Q, Vernino S, Levine BD. Postural Orthostatic Tachycardia Syndrome: JACC Focus Seminar. J Am Coll Cardiol. 2019;73(10):1207-1228. doi:10.1016/j.jacc.2018.11.059

[15] Olshansky B, Sullivan RM, Inayat F, et al. Postural Orthostatic Tachycardia Syndrome: A Critical Assessment. Prog Cardiovasc Dis. 2020;63(3):263-273. doi:10.1016/j.pcad.2020.01.003

[16] Mathias CJ, Low DA, Iodice V, et al. Postural tachycardia syndrome—current experience and concepts. Nat Rev Neurol. 2012;8(1):22-34. doi:10.1038/nrneurol.2011.187

[17] Vernino S, Bourne KM, Stiles LE, et al. Postural orthostatic tachycardia syndrome: state of the science and clinical care from a 2019 National Institutes of Health Expert Consensus Meeting. Neurology. 2021;97(16):e160-e171. doi:10.1212/WNL.0000000000012759

[18] Cooperrider J, Kriegler J, Yunus S, Wilson R. A survey-based study examining differences in perception of postural orthostatic tachycardia syndrome between patients and primary care physicians. Cureus. 2022;14(11):e31531. doi:10.7759/cureus.31531

[19] Raj SR, Fedorowski A, Sheldon RS. Diagnosis and management of postural orthostatic tachycardia syndrome. CMAJ. 2022;194(10):E378-E385. doi:10.1503/cmaj.211373

[20] Finkelstein J, Gabriel N, et al. A wearable solution for managing postural orthostatic tachycardia syndrome: patient perspectives on real-time heart rate monitoring and activity pacing. J Med Internet Res. 2025;27(2):eXXXXX. doi:10.2196/XXXXX

[21] Fu Q, Vangundy TB, Shibata S, Auchus RJ, Williams GH, Levine BD. Exercise in the postural orthostatic tachycardia syndrome. J Am Heart Assoc. 2014;3(1):e000067. doi:10.1161/JAHA.113.000067

 

About the author

Brian Kitzerow, PT, DPT, OCS, CMPT, is a new physiotherapist in Calgary with specialized expertise in hypermobility, Ehlers-Danlos Syndrome (EDS), dysautonomia/POTS, and complex pain conditions. With more than 15 years of clinical experience and advanced orthopedic credentials, Brian integrates biomechanics, pain science, and nervous-system regulation to help patients build stability, strength, and long-term resilience. He is dedicated to providing clear education, evidence-based treatment, and supportive care for individuals who often feel misunderstood in traditional medical settings.

 

If you are dealing with a stiff neck and pain that makes it hard to work, sleep, or stay active, you are not alone. Neck strain is common in busy professionals, active adults, and people recovering from injuries or accidents. At Strive Physiotherapy in Calgary, we focus on practical neck strain remedies, personalized neck strain treatment, and therapy for neck strain that can help you move more comfortably and confidently.

physiotherapy clinic calgary

What Is a Neck Strain?

A neck strain usually involves irritation of the neck muscles, tendons, or ligaments around the cervical spine. This can cause muscle tension, sharp or aching discomfort, and neck stiffness that limits your range of motion.

 

Common contributors include:

  • Prolonged computer or phone use with poor posture
  • Sleeping in an awkward position
  • Sudden movements, lifting, or twisting
  • Whiplash after a motor vehicle accident
  • Sports contact or repetitive training

Neck strain may affect the trapezius muscle, deep neck muscles, and supporting soft tissues. In some people, a ligament strain or muscle trigger points may feel like a “knot” or burning discomfort in one area of the neck or upper shoulder.

What Is the Best Remedy for a Neck Strain?

There is no single best neck strain remedy for everyone, but a combination of manual therapy and tailored therapeutic exercises may provide meaningful relief of neck pain and functional improvement for many people.

 

At Strive Physiotherapy, our physiotherapists typically build a treatment plan that may include:

  • Hands-on soft tissue therapy and joint techniques
  • Targeted neck mobility exercises
  • Progressive strengthening for neck and shoulder muscles
  • Education on posture correction and ergonomic adjustments
  • Home remedies for neck strain to support recovery between visits

This approach is designed to address both your immediate stiff neck and pain and the underlying movement or posture patterns that may be contributing to the problem.

Therapies for Neck Strain Treatment at Strive Physiotherapy

For adults who want to stay active and independent, we emphasize individually tailored neck strain treatment rather than one-size-fits-all programs. Our clinics in Centre Street, Hanson Ranch, and Trinity Hills offer several evidence-informed options for neck pain treatment in Calgary.

Manual Therapy and Exercise

Manual therapy involves a physiotherapist using precise hands-on techniques on your neck joints and soft tissues. When combined with exercises, this approach may lead to a large reduction in pain and moderate improvements in function for people with subacute or chronic neck pain compared with receiving no treatment.1 It may also support better health-related quality of life in the short term.

 

In your sessions, we may:

  • Gently mobilize stiff cervical spine joints
  • Release tight neck muscles and the upper trapezius muscle
  • Guide you through arange of motion and strengthening exercises

Many of our patients find that combining in-clinic physiotherapy with a consistent home exercise program provides more reliable neck pain relief than relying solely on passive strategies.

Dry Needling for Myofascial Neck Pain

Some neck strains, especially those linked to myofascial trigger points, may respond to dry needling. In people with neck pain caused by myofascial trigger points, dry needling and other physical modalities appear similarly effective for reducing pain and improving function. At Strive Physiotherapy, dry needling is offered as part of a broader plan that can also include manual therapy, neck mobility exercises, posture work, and strengthening. This integrated approach aims to help reduce muscle tension while building long-term resilience.

Strengthening the Cervical Spine and Shoulder Girdle

Strengthening the muscles around the cervical spine may help improve neck strength and help your neck better tolerate daily and sport-related demands. For our Calgary patients, we apply the same concept to everyday life: building stronger neck and shoulder muscles may contribute to improved stability, better posture, and potentially reduced recurrence of neck strain.

Acupuncture NW Calgary

Home Remedies and Self-Care for Neck Strain

Alongside in-clinic therapy for neck strain, self-management strategies often play a big role in recovery and prevention.

  • Activity modification: Short breaks from aggravating positions (e.g., prolonged laptop use) may help ease neck stiffness and muscle tension.
  • Gentle neck mobility exercises: Slow, comfortable movements into rotation, side bending, and nodding can help maintain range of motion when guided appropriately.
  • Heat or cold: Many people find that brief applications of heat or cold can be helpful for relieving neck discomfort.
  • Ergonomic adjustments: Optimizing screen height, keyboard position, and chair support can help reduce neck strain during work.

We often pair these strategies with massage therapy, soft tissue therapy, or dry needling when appropriate, so your recovery is supported both at home and in the clinic.

Pain Management and When to Seek Care

Mild neck strains often improve over several days to a couple of weeks, especially when you keep moving within a comfortable range and address aggravating factors. If your stiff neck and pain are not improving, worsening, or linked to issues such as persistent neck pain, headaches, previous whiplash, or other injuries, an assessment with a physiotherapist may help clarify the cause and guide treatment options.

For people with ongoing back pain, joint pain, or sport-related problems alongside neck issues, we can coordinate care plans that address multiple regions together.

FAQ: Neck Strain Remedy & Therapy in Calgary

What is the best remedy for a neck strain?

For many adults, a combination of manual therapy and targeted exercises is a practical starting point. This approach has been associated with a large reduction in neck pain and moderate functional improvement when compared with no treatment in clinical research on neck pain.1

How long does it take for stiff neck pain to heal?

Time frames vary, but in research on manual therapy with exercise for neck pain, outcomes were commonly measured over short-term periods of about 4 weeks, during which improvements in pain, function, and quality of life were observed compared with no treatment.1 Some people feel better sooner, while others with chronic or recurrent symptoms may need a longer, phased plan.

Which therapies are effective for neck strain treatment?

Manual therapy combined with exercises, dry needling, and other physical modalities have all been studied in people with neck pain. Manual therapy plus exercise may provide notable benefits compared with no treatment, and dry needling appears similarly effective to other physical modalities for myofascial trigger-point-related neck pain.2

Can pain relievers help with chronic neck strain?

Many people use medication as part of short-term pain management, but we focus on active strategies such as therapeutic exercises, posture correction, ergonomic adjustments, and hands-on care. These may address the movement and muscle factors behind chronic neck strain more directly than medication alone.

What exercises help relieve neck stiffness and tension?

Gentle mobility work, scapular (shoulder blade) control, and progressive cervical spine strengthening are commonly used. At Strive Physiotherapy, we tailor these exercises to your comfort, job demands, and activity goals.

physiotherapy calgary nw

Book Neck Strain Treatment at Strive Physiotherapy

If you are looking for individualized neck pain relief in Calgary—whether from office work, a sport injury, or an MVA injury—our team offers one-on-one assessment and treatment across our three locations. We combine manual therapy, therapeutic exercises, ergonomic and posture coaching, and, when appropriate, options like dry needling or massage therapy as part of a comprehensive plan.

 

Book an Appointment today to start a personalized plan for neck strain remedy, therapy, and ongoing prevention.

 

References

  1. Chacko N, et al. Manual therapy with exercise for neck pain. Cochrane Database Syst Rev. 2025. doi:10.1002/14651858.CD011225.pub2
  2. Chen Y, et al. Comparison of dry needling with physical modalities for myofascial trigger point of patients with neck pain: A systematic review and meta-analysis. J Bodyw Mov Ther. 2025. doi:10.1016/j.jbmt.2025.08.015

The holiday season in Calgary can feel like a perfect storm: busy schedules, icy sidewalks, dark evenings, and the pressure to “do it all.” At Strive Physiotherapy, we see how this time of year may increase stress and aggravate neck, back, and joint discomfort for many local adults. Holiday wellness in Calgary does not need to be complicated—small, realistic changes can make a meaningful difference in how you move and feel.

Struggling with holiday stress in Calgary? Discover simple winter wellness tips and how physiotherapy can help before year-end.

Why Holiday Wellness Matters in Calgary

Shorter days, colder weather, and slippery conditions can make it tempting to stay indoors and move less. In a review of lower back pain, lifestyle factors such as occupational strain, poor posture, and daily stress were associated with chronic low back discomfort.1 When you layer holiday travel, shopping, social events, and family responsibilities on top, it is easy for tension and discomfort to build. At our Calgary physiotherapy clinic, we often see flare-ups of back pain, neck pain, and joint issues during November and December as routines change and people sit more, sleep less, and rush through their days.

How to Manage Holiday Stress in Calgary

Holiday stress management in a Calgary winter starts with simple, sustainable habits that support your body and mind. When you feel overwhelmed, it can be harder to keep up with movement, exercise, and self-care routines that might otherwise help.

Here are practical strategies you can use right away:

  • Create non-negotiable “movement breaks.” Set a timer to get up every 45–60 minutes, especially if you work at a desk or spend extra time driving to gatherings. Short, regular breaks may help reduce strain on your spine and joints.
  • Protect your sleep routine. Aim for consistent bed and wake times, even with events and parties. Better sleep can support emotional management and healthier lifestyle choices.
  • Schedule “quiet time” into your calendar. Even 10–15 minutes for a walk, stretching, breathing exercises, or reading can help you reset and feel more in control of your day.
  • Move gently when you feel tense. Light stretching for your neck, shoulders, hips, and lower back may help ease that “tight” feeling many people notice when they are stressed and sitting more.

How to Stay Active During the Holidays in Winter

Staying active in winter does not require a gym membership or perfect conditions. It is about finding realistic ways to keep your body moving despite cold temperatures and icy sidewalks.

Some Calgary-friendly winter wellness routines include:

  • Indoor walking options. Try mall walking, community recreation centres, or simply using the hallways and stairs in your building to keep your step count up as part of an active lifestyle.
  • Short home-based programs. At Strive Physiotherapy, we often build customized at-home exercise routines focused on strength, balance, and mobility that can be done with minimal equipment.
  • Winter-friendly outdoor activity. When conditions are safe, short walks around your neighbourhood, tobogganing with family, or light skating can be enjoyable ways to stay active while still embracing the season.

Using Your Health Benefits Before Year-End

Many of our patients in Calgary have extended health benefits that renew in January. Booking physiotherapy in Calgary before year-end may help you:

  • Address nagging neck, back, or joint pain before it worsens.
  • Start a winter-specific exercise plan that fits your schedule and fitness level.
  • Get guidance on safe movement if you are returning to activity after a sports injury or accident.

physiotherapy calgary nw

How Strive Physiotherapy Can Help Your Holiday Wellness

At Strive Physiotherapy, we offer personalized, hands-on treatment for people managing injuries, chronic discomfort, mobility issues, and post-accident recovery. Our team focuses on customized plans that combine manual therapy, at-home exercise programs, and evidence-based techniques to support better movement and function throughout the year.

Across our three Calgary locations—Centre Street, Hanson Ranch, and Trinity Hills—we commonly see patients dealing with:

  • Spine-related issues, such as neck and low back discomfort
  • Work-related and sports injuries
  • Vestibular and balance concerns
  • Pain and fatigue that affect daily activities and quality of life

We offer physiotherapy in Calgary, along with services such as massage therapy and dry needling, which can help reduce muscle tension and improve mobility as part of a broader care plan. Our experienced professionals work with you to understand your specific holiday schedule, stressors, and activity goals so that your plan fits your life—not the other way around.

Simple Winter Wellness Checklist

To keep holiday wellness in Calgary simple, try this weekly checklist:

  • Take movement breaks during workdays and shopping trips to limit prolonged sitting.
  • Complete your home exercise program at least 3 times per week to stay consistent with your goals.
  • Schedule one relaxing activity for yourself (such as massage, stretching, or a quiet walk) to help you unwind.
  • Protect at least one evening per week with no major commitments so you have space to rest and recharge.
  • Monitor any ongoing health symptoms such as pain, fatigue, or mood changes, and update your care team as needed.

Holiday Wellness FAQ – Calgary

Q: How can I prevent my back from flaring up with all the holiday driving and shopping?

A: Frequent position changes, short walking breaks, and simple spine mobility exercises can help reduce strain associated with prolonged sitting and carrying heavy bags. Our team can show you a short, personalized routine to use before and after long drives or shopping trips.

Q: Is it safe to start a new exercise routine in the middle of winter?

A: In many cases, yes—especially if you begin with low-impact, indoor options and progress gradually. A physiotherapy assessment may help identify mobility or balance considerations so your plan feels safe and achievable.

Q: I am recovering from an injury—how do I stay active without making it worse?

A: Tailored guidance is important after a sports injury or MVA injury. At our clinic, we assess your current function and build a plan that balances tissue healing, strength, and gradual return to activity, so you can participate in holiday events as comfortably as possible.

Q: Do I need a referral to see a physiotherapist at Strive Physiotherapy?

A: Many extended benefits plans do not require a physician referral for physiotherapy, but coverage details vary. Our administrative team can help you understand how to make the most of your remaining benefits before year-end.

physiotherapy calgary nw

Take the Next Step for Holiday Wellness in Calgary

If you want support with how to manage holiday stress in Calgary, how to stay active during the holidays in winter, or why to use health benefits before year end, we are here to help. Our team at Strive Physiotherapy will work with you to create a simple, realistic winter wellness plan that fits your body, your schedule, and your goals.

Book an Appointment today at our Centre Street, Hanson Ranch, or Trinity Hills location and start moving into the season with more confidence and comfort.

To learn more about our Calgary wellness clinic and services, visit our main site.

References

  1. Tyagi S, et al. Exploring the Role of Lower Back Pain in the Indian Community: A Comprehensive Review of Epidemiology, Risk Factors, and Culturally Tailored Interventions. J Pain Palliat Care Pharmacother. 2025. doi:10.1080/15360288.2025.2599368

Osteoporosis is a common condition that affects bone density, posture, and long-term mobility in many people over time. At Strive Physiotherapy in Calgary, our team provides guidance on safe movement, strength-building approaches, and supportive care that can help individuals feel more confident in their daily routines. Since every person’s experience with osteoporosis is unique, understanding how to adapt to movement can play an essential role in long-term well-being. 

Understanding Osteoporosis with Support from Strive Physiotherapy in Calgary 

Osteoporosis involves reduced bone density and is often described as a “silent disease,” since many people don’t notice changes early on and may learn about it during routine screening or after an unexpected fracture (Stang, 2025). Because experiences vary widely, people often look for ways to stay active and move comfortably at their own pace. 

People may seek support for a variety of reasons, including: 

  • Wanting to stay active as they age 
  • Exploring safe ways to incorporate strength training 
  • Learning how to move with greater awareness 
  • Building routines that feel supportive and sustainable 

With proper guidance, many individuals find it easier to choose movements that align with their comfort levels and long-term goals. 

How Strive Physiotherapy in Calgary Uses Movement to Support Bone Health 

Movement can play a crucial role in helping people feel strong, capable, and engaged in their daily activities. At Strive Physiotherapy in Calgary, our movement-based care is tailored to each person’s individual needs and comfort levels. 

Physiotherapy may involve: 

  • Techniques to support ease of movement 
  • Strength-building exercises tailored to your ability 
  • Balance and coordination work 
  • Posture guidance for everyday routines 
  • Education on how to move confidently and safely 

Massage therapy can complement physiotherapy by helping people feel relaxed and supported before or after exercise. Together, these approaches aim to help individuals explore movements that feel accessible and manageable. 

Everyday Tips to Help Support Joint Comfort and Mobility 

Small, intentional habits can help people feel more supported and confident in their movement routines. Because osteoporosis involves changes in bone density, many individuals find that regular, manageable movement helps them stay engaged in daily activity. Here are a few ideas: 

Stay consistently active

Short walks, movement breaks, or light daily activity can help you stay gently engaged throughout the day. 

Be mindful of posture

Gentle posture adjustments and occasional stretching during your day can help support comfortable movement. 

Explore strength-based exercise

Strength-based exercises, whether with light weights, resistance bands, or bodyweight movements, can be adapted to what feels best for you. In our video, you’ll see a simple wrist roll exercise that supports controlled movement and gentle grip engagement.

Watch it here: 

Incorporating balanced nutrition

Including foods that offer calcium, vitamin D, and protein is often part of general bone health guidance (Johns Hopkins Medicine, 2025). You can also focus on incorporating more vegetables, protein-rich foods, and balanced meals into your daily routine. 

Visit a Strive Physiotherapist in Calgary

Working with a Strive physiotherapist can give you guidance on movement options that match your comfort level and pace. 

A Team-Based Approach to Bone Health at Strive Physiotherapy in Calgary 

Osteoporosis support often benefits from a collaborative approach. At Strive Physiotherapy in Calgary, physiotherapists and massage therapists collaborate to help individuals establish routines that promote comfort, stability, and sustained activity levels.  

For those seeking to understand better how to move confidently with osteoporosis, this integrated model makes it easier to explore supportive options under one roof. 

Frequently Asked Questions (FAQs)

What is osteoporosis?

Osteoporosis is a condition where bone density becomes lower than average. People may learn about osteoporosis through routine checkups, bone density scans, or conversations with their healthcare team. Experiences can vary widely, and many individuals explore movement, nutrition, and supportive care to help stay active.

Who is most likely to develop osteoporosis?

Anyone can develop osteoporosis, but it is more commonly identified in older adults, particularly women after menopause. Family history, hormonal changes, activity levels, and nutrition can all contribute to an individual’s overall bone health.

How often should I exercise if I have osteoporosis?

There isn’t one schedule that works for everyone. Many people find it helpful to include regular, manageable activities in their week. These activities can include walking, gentle strength training, or mobility exercises. A Strive physiotherapist in Calgary can help you determine a routine that feels comfortable and realistic for your lifestyle.

How can a physiotherapist at Strive Physiotherapy in Calgary help me with osteoporosis? 

A physiotherapist can guide you through movements that feel safe, accessible, and aligned with your goals. This may include strength-based exercises, balance of work, posture recommendations, and strategies to make daily activities feel more manageable. Your plan is tailored to your comfort and pace.

What should I expect at my first physiotherapy appointment at Strive Physiotherapy in Calgary?

Your first appointment typically includes a conversation about your health history, daily activities, and your goals for treatment. A Strive physiotherapist will assess your movement, discuss your comfort level with various activities, and work with you to develop a personalized plan that suits your needs. You’ll also have time to ask questions and explore movement options that feel right for you. 

Take the Next Step at Strive Physiotherapy in Calgary 

If you’re looking for movement strategies that feel safe and supportive, Strive Physiotherapy in Calgary can help you explore options that fit your lifestyle and comfort level.  

Book an appointment today to begin building a routine that feels right for you. 

References 

If you’ve been considering shockwave therapy in Calgary but find yourself unsure or skeptical, you’re not alone. Despite its proven effectiveness, many people still believe common myths that can delay their recovery or make them hesitant to try this powerful treatment. Let’s set the record straight. Here are the top five myths about shockwave therapy, debunked. 

Myth #1: Shockwave Therapy Is Painful 

While the name might sound intense, shockwave therapy is generally well tolerated. Most patients describe the sensation as a tapping or pulsing feeling, not painful. Any mild discomfort experienced during treatment is temporary and usually fades quickly afterward.  

Myth #2: It’s Only for Athletes 

Shockwave therapy is commonly used for sports injuries, but that doesn’t mean it’s limited to athletes. At Strive Physiotherapy, we treat patients from all walks of life who are struggling with chronic tendon pain, plantar fasciitis, calcific shoulder tendinitis, or hip bursitis. If you’re experiencing musculoskeletal discomfort that hasn’t responded to other treatments, shockwave may be the solution you’ve been looking for. 

shockwave therapy in calgary for athletes and beyond

Myth #3: The Results Are Temporary 

One of the biggest misconceptions is that shockwave therapy provides short-term relief only. In reality, the treatment helps stimulate your body’s natural healing processes, including collagen production and improved blood flow. That means the benefits are long-lasting, especially when combined with a physiotherapy plan tailored to your condition. 

Myth #4: It’s Not Supported by Research 

On the contrary, shockwave therapy is supported by a growing body of evidence. Multiple studies have demonstrated its effectiveness in treating conditions such as plantar fasciitis, calcific tendinitis, and tennis elbow. As noted by Shockwave Canada (2021), it’s even included in numerous clinical practice guidelines across Europe and North America for conservative musculoskeletal care. 

Myth #5: All Clinics Offer the Same Experience 

Not all shockwave therapy in Calgary is created equal. At Strive Physiotherapy, our trained practitioners utilize advanced equipment and create personalized treatment plans tailored to your specific goals and condition. We also combine shockwave therapy with hands-on physiotherapy techniques and guided home exercises to help you get better, faster. 

See Shockwave Therapy in Calgary in Action 

Curious to see what shockwave therapy looks like? Check out our latest video on YouTube, where one of our practitioners guides you through the treatment process and what to expect during your session. 

Frequently Asked Questions About Shockwave Therapy in Calgary 

Is shockwave therapy available in Calgary?

Yes, Strive Physiotherapy offers shockwave therapy in Calgary at both our Hanson Ranch and Centre Street locations. Our trained practitioners utilize advanced technology to support recovery and help alleviate pain. 

What conditions does shockwave therapy treat?

Shockwave therapy is effective for many chronic musculoskeletal conditions, including plantar fasciitis, tennis elbow, Achilles tendinopathy, rotator cuff injuries, and hip bursitis. 

How much does shockwave therapy cost in Calgary?

Costs vary by clinic, but at Strive Physiotherapy, our rates are competitive and may be partially covered by extended health benefits. Contact us to learn more about pricing and insurance options. 

Is shockwave therapy covered by insurance in Calgary?

In many cases, shockwave therapy is covered under physiotherapy services in extended health insurance plans. We recommend checking with your provider or asking our front desk team for assistance. 

Does shockwave therapy actually work?

Yes, shockwave therapy is backed by research and used worldwide to help support the healing of soft tissue injuries. Many patients experience reduced discomfort and improved mobility after just a few sessions. 

Where can I book shockwave therapy near me?

You can book shockwave therapy at either of Strive Physiotherapy’s Calgary locations. Click here to book online or contact our team to find the best time for your visit. 

Book-Shockwave-Therapy-in-Calgary-Today-scaled

Book Shockwave Therapy in Calgary Today 

Whether you’re dealing with persistent heel pain, a stubborn shoulder issue, or chronic tension in your tendons, shockwave therapy in Calgary can help you recover without surgery or medication. 

 

Learn more or book your appointment today at Strive Physiotherapy. 

 

References

Back pain can interrupt every part of your day, whether it’s a sharp twinge when getting out of bed, ongoing discomfort at your desk, or stiffness after a long drive. At Strive Physiotherapy, we help patients take control of their health with movement-based treatment plans designed to target the source of the problem. If you’re dealing with back pain in Calgary, our team is here to help you feel better, move more easily, and get back to doing what you love. 

What Causes Back Pain? 

Various factors, including posture, repetitive strain, injuries, and muscle imbalances, can cause back pain. At our back pain clinic in Calgary, we commonly treat: 

  • Herniated discs: Often due to wear and tear or injury, causing pain, burning, or tingling. 
  • Muscle strain: Stiffness or tenderness caused by overuse or improper movement. 
  • Pinched nerves: When surrounding tissues compress a nerve, leading to numbness or sharp pain. 
  • Stress fractures: Small cracks in the spine that can make bending and twisting difficult. 

No matter the cause, our physiotherapists work to uncover the root issue and guide you through a plan that addresses both short-term relief and long-term recovery. 

3 Physiotherapy Strategies for Back Pain at Work 

Many clients experience worsening back pain during work hours, especially those with desk jobs. That’s why we often recommend these simple strategies to help prevent stiffness and support spinal health throughout the day: 

  1. Seated Lumbar Flexion: Sit tall in your chair with your feet flat on the floor. Slowly bend forward, reach the ground, and return to an upright position. Repeat 5–8 times to stretch your lower back and help ease tension gently. 
  1. Two-Minute Movement Break: Set a timer to stand, stretch, and walk every hour. Movement improves circulation and helps prevent your muscles from tightening up. 
  1. Seated Spinal Rotations: Sit tall, cross your arms over your chest, and slowly rotate your upper body to one side. Hold for 5–10 seconds and switch sides. This boosts upper back mobility and posture. 

Want to see these in action? Watch our quick video on YouTube where one of our physiotherapists walks you through each exercise. These techniques are a great place to start. If you’d like personalized support or a full assessment, our physiotherapists can build a customized treatment plan for you. 

 

Other Ways to Help Back Pain in Calgary 

In addition to targeted exercises, there are several other strategies that can support your recovery and help you manage back pain effectively: 

  • See a Physiotherapist: An individualized assessment can identify the root cause of your discomfort and create a tailored plan to help improve strength, posture, and mobility. 
  • Stay Active: Gentle movement throughout the day can help reduce stiffness and keep your spine flexible. Avoid long periods of sitting when possible. 
  • Adjust Your Workstation: Ergonomic changes like supportive chairs, proper screen height, and footrests can help reduce the strain on your spine. 
  • Apply Heat or Ice: Using a heating pad or ice pack on sore areas may help reduce inflammation and ease tension. 
  • Focus on Posture: Slouching adds pressure to your spine. Pay attention to your sitting and standing posture throughout the day. 

Combining these strategies with regular physiotherapy can lead to long-term improvements in comfort and mobility. 

Your Local Back Pain Clinic in Calgary

Why Physiotherapy Matters 

Physiotherapy isn’t just about treating pain; it’s about restoring movement, improving strength, and helping prevent problems from coming back. According to research, physical therapy is a first-line treatment for both acute and chronic low back pain. It improves function and helps people return to their daily routines, from walking and exercising to playing with their kids or returning to work (Shipton, 2018). 

At Strive Physiotherapy, we combine hands-on techniques with tailored movement programs that continue at home. From your first session, we focus on understanding your goals and designing a plan that fits your lifestyle. Want to learn more about what to expect at your first session? Check out this blog post. 

Your Local Back Pain Clinic in Calgary 

Whether you’ve been dealing with discomfort for a few weeks or living with chronic back issues for years, our team at Strive Physiotherapy is here to help. Visit our back pain clinic in Calgary to learn more about our approach and how we can support your recovery. 

 

We’re currently accepting new patients. Book your first session today and take the first step toward a stronger, more comfortable future. 

 

References 

At Strive Physiotherapy, we’re always exploring new ways to enhance care, reduce administrative burden, and improve the experience for both patients and staff. One of the ways we’re doing that is by integrating AI tools into our workflow, specifically Heidi and Janeapp AI Scribe. 

Heidi: AI-Powered Transcription for Clinicians 

Our team now uses Heidi, an AI transcription service, to streamline clinical documentation. It allows our staff to dictate notes quickly and accurately, reducing the time spent typing and charting after appointments. By making documentation more efficient, Heidi gives our clinicians more time to focus on what matters most: patient care. 

This use aligns with the CPTA Documentation Standard of Practice, which emphasizes timely, accurate, and complete clinical records. Heidi helps physiotherapists maintain high-quality documentation while easing the administrative load. 

Janeapp AI Scribe: Smarter Notes in Real Time 

We’ve also implemented Janeapp AI Scribe, a tool that works during patient sessions to generate draft clinical notes in real time. It captures key information while allowing the physiotherapist to stay focused on your session. 

Importantly, all AI-generated notes are reviewed and approved by the physiotherapist before becoming part of the official health record. This aligns with the CPTA Technology in Practice Standard, which supports the use of digital tools, so long as clinical reasoning, professional judgment, and patient safety are maintained. 

Privacy, Security, and Compliance 

We understand that protecting patient information is absolutely essential. That’s why we’ve chosen these tools based on their strong commitment to privacy and security. 

  • Heidi is fully PIPEDA (Personal Information Protection and Electronic Documents Act) and HIPA (Health Information Protection Act – applicable in Saskatchewan) compliant. Data is encrypted during transmission and storage, and all information is handled in accordance with Canadian healthcare privacy standards. 
  • Janeapp AI Scribe, part of the Jane platform we already use at Strive, is also PIPEDA and HIPA compliant. All data is securely stored in Canada, encrypted, and only accessible by authorized personnel. 

These measures fully support the CPTA Privacy/Confidentiality Standard of Practice, which requires physiotherapists to ensure personal health information is protected and only shared with appropriate consent or legal authority. 

Why It Matters 

At Strive Physiotherapy, we believe in using technology to support, not replace, quality care. By reducing time spent on administrative tasks, AI tools like Heidi and Janeapp AI Scribe allow us to be more present, more responsive, and more efficient, while staying fully aligned with CPTA Standards of Practice. 

 

Have questions about how these tools are used in your care, or how your privacy is protected?
We’re always happy to chat. Reach out to your clinic team anytime.  

Booking your first physiotherapy appointment can feel like a big step, but at Strive Physiotherapy in NW Calgary, we’re here to make it a comfortable and empowering experience. Whether you’re recovering from an injury, managing chronic pain, or simply looking to move better, your first visit is designed to give you the clarity, confidence, and care you need to start feeling like yourself again. Here’s what you can expect during your first physiotherapy appointment in Calgary and how we’ll help you get back to doing the things you love.

Why Physiotherapy Matters

Physiotherapy isn’t just about recovery, it’s about prevention, education, and empowerment. Research has shown that physiotherapy is effective in treating musculoskeletal conditions, reducing hospital visits, and improving quality of life. Currently, 15% of Canadians receive physiotherapy annually, and this has helped to reduce the economic burden of illness by $232 million per year (Deloitte, 2023, p. 42). With an aging population and rising healthcare costs, physiotherapy is more relevant than ever.

What Happens During Your First Physiotherapy Appointment

If it’s your first time visiting a physiotherapist, you might be wondering what exactly happens during the session. At Strive Physiotherapy in Calgary, we take a thorough and personalized approach to help you feel supported, informed, and completely at ease, every step of the way. Here’s what you can expect at your first physiotherapy appointment in Calgary at Strive.

 

1. A Warm Welcome at Reception

As soon as you arrive at our Calgary clinic, you’ll be greeted by our friendly front desk team. We’ll help you check in, answer any quick questions, and make sure you feel at ease right from the start. No waiting in a busy hallway, just a calm, supportive space from the moment you walk in.

2. One-on-One Time with Your Physiotherapist

Once you’re settled, you’ll be brought into a private assessment room where you’ll meet your physiotherapist. They’ll explain everything step-by-step and take time to get to know you, not just your injury.

That includes:

  • Your daily activities and lifestyle
  • Any past injuries or surgeries
  • What goals you have for your health and movement

This conversation helps us understand the full picture so we can create a plan that works specifically for your body and your life.

 

3. A Physical Assessment of Your Condition

Next, your physiotherapist will perform a gentle, guided physical assessment. This may include movement tests, strength checks, range-of-motion exercises, or palpation (hands-on examination) to help identify the source of pain or dysfunction. The goal? To understand what’s going on beneath the surface and get to the root cause of your symptoms, not just treat where it hurts.

4. A Custom Treatment Plan Built Around You

No cookie-cutter care here. Your physiotherapist will outline a personalized plan that may include:

  • Hands-on manual therapy
  • Therapeutic exercises and stretches
  • Postural or movement coaching
  • Acupuncture or dry needling (if appropriate)
  • Shockwave treatment (if appropriate)
  • A take-home exercise program to support your recovery

5. Space to Ask Questions and Be Heard

Throughout your appointment, you’re encouraged to ask anything. Not sure what a certain exercise is for? Curious about how long recovery might take? Want to understand how your pain developed in the first place? We’re here to listen, explain, and support you with evidence-based care every step of the way.

 

Watch our video walkthrough:

 

Why Book a Physiotherapy Appointment in Calgary?

At Strive Physiotherapy, our team supports patients from all walks of life:

  • Athletes recovering from sports injuries
  • Desk workers managing back, neck, or shoulder tension
  • Individuals with workplace or car accident injuries
  • People living with chronic pain or mobility limitations

With two locations at Hanson Ranch Plaza and Centre Street, we’re proud to serve our community with longer one-on-one appointments, hands-on care, and modern rehab techniques that get results.

Your Recovery Starts with a Conversation

We know starting physiotherapy can feel intimidating, but it doesn’t have to be. Our team is here to make your first visit simple, comfortable, and effective. If you’re ready to manage pain, improve mobility, or just feel better in your body, book your first physiotherapy appointment in Calgary today.

Book Now

References

Hanson Ranch Plaza

Centre Street