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Back pain and sciatica physiotherapy in Etobicoke
Assessment and treatment for low back pain, sciatica and disc problems, using the McKenzie method, manual therapy, traction and exercise.
Back problems we treat
Back pain can make sitting, bending, lifting, driving and sleep harder. These are the back problems we see most often.
Low back pain
Sudden back pain after lifting or bending, and back pain that keeps coming back.
Sciatica
Pain, tingling or numbness travelling into the buttock or leg from an irritated nerve in the lower back.
Disc bulges and herniations
Back and leg pain from a lumbar disc problem, often worse with sitting or bending forward.
Spinal stenosis and arthritis of the spine
Back stiffness and leg pain or heaviness when standing or walking.
Work-related back injuries
Lifting and repetitive strain injuries, including WSIB claims and return-to-work rehab.
Mid-back and neck pain
We also treat neck and upper back problems. See all conditions.
Your first visit: a thorough assessment
We start by finding out what is driving your pain and what you want to get back to doing. Your physiotherapist will:
- Ask how the pain started, where you feel it, and how it affects sitting, work and sleep
- Check movement, strength, reflexes and sensation in the back and legs
- Use McKenzie repeated movement testing to find the movements and positions that ease your pain
- Review any X-ray or MRI reports you bring
You leave with a clear explanation, a treatment plan, exercises to start at home, and an estimate of how many visits to expect.
How we treat back pain and sciatica
Treatment is built around your assessment. It usually combines:
- McKenzie method. Specific repeated movements and positions matched to your back. When leg pain from sciatica moves back up toward the spine, called centralization, it is usually a good sign. The method also teaches you how to manage flare-ups yourself.
- Manual therapy. Joint mobilization and soft tissue techniques to ease pain and improve movement.
- Lumbar traction. Gentle mechanical traction, used when it suits your condition, often for disc-related leg pain.
- Core and strengthening exercise. Building strength and endurance in the trunk and hips so your back handles daily activity and work.
- Acupuncture. Available with Xuemin (Simon) Li, R.TCM.P., if you would like to add it to your care.
- Advice for daily life. Sitting, lifting, sleeping positions and staying active while your back recovers.
When to seek urgent care: go to the emergency department if back pain comes with numbness in the groin or inner thighs, new bladder or bowel problems, or leg weakness that is quickly getting worse.
Back pain and sciatica: common questions
Do I need a doctor's referral?
No. In Ontario you can see a physiotherapist directly. Some insurance plans require a referral for reimbursement, so check your plan.
Do I need an X-ray or MRI first?
Usually not. Most back pain and sciatica can be assessed and treated without imaging. If your assessment suggests you need imaging or a medical review, we will tell you and refer you to your doctor.
Should I rest until the pain settles?
Long bed rest usually slows recovery. Staying gently active, within comfortable limits, is generally better. We will show you which movements and positions suit your back.
How many visits will I need?
It depends on your condition, how long you've had it and your goals. We give you an estimate after your first assessment.
Do you direct bill?
Yes. We direct bill most extended health plans, WSIB and auto insurers, and help you complete and submit claim forms.
Book a back assessment
100 Humber College Blvd, Suite 210, near Etobicoke General Hospital. Serving Etobicoke, Rexdale, West Humber and nearby areas.