Adrianna Pirko – Physiotherapist | Mississauga, ON

Adrianna Pirko is a dedicated Physiotherapist. Practicing at Intact Insurance in Mississauga, ON, Adrianna is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Adrianna's focus is addressing a wide range of muscle, joint, bone, tendon, and ligament conditions. This includes everything from acute injuries like sprains and strains, to chronic pain management, arthritis care, and comprehensive post-operative rehabilitation. Adrianna serves a diverse range of patients.

Adrianna Pirko completed their degree in Physiotherapy from University of Toronto (Graduating Class of 2008). With extensive clinical experience, Adrianna is committed to ongoing professional development and evidence-based physiotherapy practices. Adrianna has a particular interest and further training in areas such as Orthopedic and Musculoskeletal Physiotherapy.

Adrianna's practice philosophy centers on empowering patients through clear education about their condition and practical self-management strategies for lasting results. Adrianna maintains a strong commitment to evidence-based practice and continuous professional learning to provide the best possible care. Adrianna adopts a collaborative approach, working closely with patients to achieve their movement and functional goals. Adrianna offers consultations in English.

Adrianna Pirko provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Arthritis

• Psoriatic Arthritis (PsA): Supportive physiotherapy for individuals with psoriatic arthritis, focusing on managing joint pain and swelling, maintaining range of motion and strength, improving function, and providing advice on activity modification and joint protection.
• Ankylosing Spondylitis (AS): A physiotherapy approach to address the unique challenges of AS, aiming to keep you as mobile and active as possible and support your spinal health and overall well-being.

Hand Wrist

• Trigger Finger/Thumb (Stenosing Tenosynovitis): A condition where a finger or thumb gets stuck or 'catches' in a bent position, then may snap straight (like pulling a trigger). Caused by inflammation and narrowing of the tendon sheath around the flexor tendon.
• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Specialized physiotherapy for conditions affecting the intricate structures of the hand and wrist, such as fractures (e.g., Colles', scaphoid), tendon lacerations or ruptures (e.g., flexor/extensor tendon repairs), ligament sprains/tears (e.g., skier's thumb, TFCC injuries), repetitive strain injuries, or arthritis (osteoarthritis, rheumatoid arthritis). Includes both conservative management and post-operative rehabilitation.

Back Neck Pain

• Postural Back/Neck Pain: A common cause of persistent back and neck pain due to the cumulative strain of prolonged sitting, standing, or performing tasks in non-ideal positions.
• Spinal Stenosis Symptoms: Back or neck pain accompanied by associated limb symptoms (pain, sensory changes, weakness) due to a constricted spinal canal, which physiotherapy can help manage conservatively.
• Herniated Disc / Sciatica / Radiculopathy: Back or neck pain that often radiates into an arm or leg, potentially with numbness, tingling, weakness, or burning sensations, due to a spinal disc problem (herniation, protrusion, or bulge) compressing or irritating a nearby nerve root (radiculopathy). Sciatica specifically refers to radicular pain down the leg.
• Whiplash Associated Disorders (WAD): Neck, shoulder, and upper back discomfort, often accompanied by headaches or 'brain fog', after a sudden jerking motion of the head, such as in a rear-end collision.

This list offers examples of conditions commonly addressed. Diagnosis for physiotherapist is based on individual assessment, so if your specific concern isn't listed, please contact the clinic. Adrianna can assess your needs.

• Neural Mobilization Techniques (Nerve Gliding): Targeted therapy to alleviate symptoms such as shooting pain, pins and needles, or weakness arising from neural tension or entrapment.
• Soft Tissue Mobilization & Release Techniques: Application of skilled soft tissue techniques to manage pain, stiffness, and improve function in muscles, tendons, ligaments, and fascia.
• Patient Education & Self-Management Strategies: Educating you about your diagnosis, expected recovery timeline (prognosis), and the reasons behind your treatment plan to encourage active participation in your healing.
• Functional Movement Screening (FMS™/SFMA™ if certified): Evaluation of your body's basic movements (like squatting, lunging, reaching) to highlight areas for improvement in stability, mobility, and motor control.
• Postural Assessment and Correction: Education on optimal body mechanics and corrective strategies to improve your posture during daily activities, work, and recreation.
• Manual Therapy (Joint Mobilization & Manipulation): Manual treatments specifically designed to improve joint mechanics, alleviate discomfort, reduce stiffness, and enhance your range of motion in the spine or limbs.

Note: This list highlights some key services. For a full list of therapies offered by Adrianna, or to discuss your specific needs, please contact the clinic.

All services are provided in accordance with the scope of practice for Physiotherapists in ON and the standards set by The College of Physiotherapists of Ontario.

At Intact Insurance, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Adrianna frequently helps patients work towards goals such as:

• The path to recovery from awful foot pain first thing in the morning, like I'm walking on glass (plantar fasciitis) and achieving regaining full function in an injured area, enabling a return to cherished activities for standing for longer periods, for example, while cooking or at an event often starts with expert guidance. Adrianna, a skilled physiotherapist, provides just that.
• Living with facial weakness or drooping on one side (like Bell's Palsy) doesn't have to be your norm. Adrianna applies expert physiotherapy knowledge to work towards enjoying less stiffness in the mornings and throughout the day, so you can get back to the simple pleasure of walking up and down several flights of stairs without issue or breathlessness.
• Tired of feeling like my joints are just 'wearing out' and getting harder to move interfering with sleeping soundly through the night without being woken by pain or discomfort? Adrianna uses a blend of physiotherapy techniques to help you achieve greater confidence when walking, standing, or navigating challenging environments and regain your freedom of movement.
• Rediscover your ability to competing effectively in their curling league games without the constant burden of sharp pain shooting down my leg, feeling a lot like sciatica. Adrianna focuses on evidence-based treatment plans that lead to a greater sense of body confidence and trust in their physical abilities, integrating various therapeutic techniques for optimal and lasting results.

Your personalized physiotherapy plan, developed with Adrianna, will be designed to help you reach your specific functional and wellness objectives.

Adrianna practices at Intact Insurance, located in the Meadowvale, Meadowvale Village North neighborhood of Mississauga. The clinic is conveniently located near Toronto Pearson International Airport (YYZ) Area and is accessible via MiWay (Mississauga Transit). Our clinic is accessible. Street parking and nearby paid lots offer convenient options for visitors.

Approximately how many physiotherapy sessions will I need?

The number of physiotherapy sessions required varies greatly from person to person. It depends on several factors, including the nature and severity of your condition, how long you've had the issue (acute vs. chronic), your individual treatment goals, your body's unique response to therapy, and how consistently you are able to follow your prescribed home exercise program and self-management advice. Your Physiotherapist will discuss a proposed treatment frequency and estimated duration after your initial assessment and will continually re-evaluate your progress with you.

I have private health insurance. How does that work with physiotherapy payments?

Many private health insurance plans offer full or partial coverage for registered physiotherapy services. We recommend you contact your insurance provider directly before your first appointment to understand the specifics of your plan. Key things to check are: your annual maximum for physiotherapy, any per-visit limits or co-payments, whether a doctor's referral is required for reimbursement, and if your plan allows for direct billing by the clinic. If our clinic offers direct billing and your plan allows it, we can often bill your insurer directly for the covered portion. You would then be responsible for any co-payment or remaining balance not covered by your plan at the time of service. Please bring your insurance card and all necessary policy details to your first appointment. If direct billing is not possible, we will provide you with an official receipt that you can submit to your insurer.

Is physiotherapy covered by the Ontario Health Insurance Plan (OHIP) in ON?

OHIP generally does NOT cover physiotherapy services in private outpatient clinics for most of the population. Publicly funded physiotherapy is available in specific situations (e.g., post-hospitalization for certain conditions, for children/youth, seniors, or through Community Physiotherapy Clinics/Family Health Teams), but eligibility criteria are strict and there may be waitlists. We strongly advise checking your private insurance for coverage for services in private clinics.

What are Intact Insurance's operating hours?

Our clinic is typically open Monday to Friday from 8:00 AM to 7:00 PM, and some practitioners offer Saturday appointments from 9:00 AM to 1:00 PM. However, hours can vary by practitioner and day, so please call our office or check our website/online booking portal for the most current hours and specific practitioner availability.

Does Intact Insurance offer direct billing to private insurance companies?

Our clinic offers direct billing for most major private insurance companies such as Sun Life, Manulife, Canada Life, Green Shield, Blue Cross, etc. Please bring your insurance card and policy details to your first appointment to ensure a smooth billing process. Always confirm your specific coverage details, including any annual maximums, per-visit limits, or deductible requirements, directly with your insurance provider, as plans vary significantly. You are responsible for any portion not covered by your insurance.

What should I do if my condition seems to worsen after a physiotherapy session?

Some temporary post-treatment soreness can be normal, much like after a good workout. However, if your pain significantly worsens, if you develop new concerning symptoms, or if the discomfort doesn't settle down within a day or two, please call us. Your Physiotherapist would want to know so they can offer guidance and make any necessary adjustments to your care plan. Open communication is key to your successful recovery.

What should I expect during my first physiotherapy appointment?

Your initial physiotherapy appointment is a comprehensive assessment. Your Physiotherapist will start by discussing your medical history, the details of your current symptoms or injury, your concerns, and what you hope to achieve with physiotherapy (your functional goals). This is followed by a thorough physical examination, which may include evaluating your range of motion, strength, posture, balance, and specific movement patterns, as well as performing special tests relevant to your condition. Based on these findings, your therapist will provide a clinical impression or diagnosis, discuss a personalized treatment plan with you, and often begin some initial treatment or provide education and a home exercise program to get you started.

Do I need a doctor's referral to see a Physiotherapist in ON?

Patients in ON can typically see a Physiotherapist directly without a physician's referral (direct access). However, some private/extended health insurance plans *do* require a referral for reimbursement of physiotherapy services. Check your individual insurance policy before your first appointment.

Intact Insurance
6925 Century Avenue,, Suite 900
Mississauga, ON, L5N 0E3

Phone: (905) 858-1070

Adrianna Pirko is regulated by the Regulated Health Professions Act, 1991 and Physiotherapy Act, 1991 in ON and is a registered member of The College of Physiotherapists of Ontario.

Registration Number: XXX53

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=e38378d1-8f02-e811-813f-480fcff40721

Always consult with your primary healthcare provider before starting any new treatment program.