Anja Zwambag

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

Hand Wrist

• Trigger Finger/Thumb (Stenosing Tenosynovitis): Conservative physiotherapy management for trigger digit, which may include splinting to rest the tendon, specific tendon gliding exercises, activity modification advice, modalities to reduce inflammation, and education to prevent recurrence.
• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Focused physiotherapy care for complex hand and wrist problems, often involving custom splinting or orthosis fabrication, manual therapy (joint and soft tissue mobilization), specific exercises to restore dexterity, strength, and range of motion, scar management, and sensory re-education.

Post Surgical

• Post-Hip Replacement Rehabilitation (Total or Partial Hip Arthroplasty - THA/PHA): Physiotherapy rehabilitation after total or partial hip replacement surgery, aimed at restoring mobility, strength, balance, and improving your gait pattern, allowing you to perform daily activities safely and effectively.
• Post-Shoulder Surgery Rehabilitation (e.g., Rotator Cuff Repair, Labral Repair, Stabilization, Replacement): Restoring your ability to perform daily tasks, work, and recreational activities by addressing pain, stiffness, and weakness after your shoulder surgery.

Back Neck Pain

• Whiplash Associated Disorders (WAD): Post-traumatic neck pain, restricted movement, and associated issues common after car accidents, which benefit from early and appropriate physiotherapy intervention.
• Postural Back/Neck Pain: Muscular pain, trigger points, and tension headaches resulting from habitual poor posture, which can be addressed with postural re-education, exercises, and ergonomic advice.
• Herniated Disc / Sciatica / Radiculopathy: Pain, pins and needles, numbness, or weakness in an arm or leg resulting from irritation or compression of a spinal nerve, often managed effectively with physiotherapy techniques like McKenzie method or neural mobilization.
• 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.

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. Anja Zwambag can assess your needs.

• Extracorporeal Shockwave Therapy (ESWT): ESWT for chronic tendinopathies, heel spurs, and other musculoskeletal problems, aiming to break down scar tissue, increase blood flow, and trigger a healing response.
• General Reconditioning & Fitness Programs: A progressive approach to rebuilding your physical condition, allowing for a safe return to daily activities, work demands, and hobbies you enjoy.
• Low-Level Laser Therapy (LLLT) / Photobiomodulation: The application of specific wavelengths of light energy (cold laser) by your Physiotherapist to targeted tissues to reduce pain, decrease inflammation, and accelerate tissue repair and regeneration at a cellular level.
• Cryotherapy Application (Cold Therapy): The application of cold packs, ice massage, or other cold modalities by your Physiotherapist to reduce swelling, inflammation, muscle spasm, and acute pain, particularly after an injury.
• Personalized Therapeutic Exercise Prescription: Evidence-based exercise programs designed by your physiotherapist, including instruction and progression, to optimize your recovery and enhance your physical well-being.
• Stretching & Flexibility Programs: Personalized programs incorporating various stretching techniques (e.g., static, dynamic, PNF) to alleviate stiffness, increase tissue extensibility, and promote better posture.

Note: This list highlights some key services. For a full list of therapies offered by Anja Zwambag, 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 Four Counties Health Services, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Anja Zwambag frequently helps patients work towards goals such as:

• Many find that feeling unsteady on my feet or experiencing dizziness and balance problems significantly impacts their ability to sitting comfortably through a movie at the cinema or a play. Anja Zwambag helps patients target greater ease in performing overhead activities or reaching with physiotherapy, making a return to these activities possible.
• If my child walking on their toes most of the time is preventing you from fully enjoying attending concerts or theatre shows and sitting comfortably throughout, Anja Zwambag offers expert guidance and tailored treatment. Physiotherapy focuses on attaining decreased frequency and intensity of headaches related to neck or postural issues, often utilizing targeted exercises, manual therapy, and education to help you regain your previous level of function.
• Physiotherapy with Anja Zwambag can be a transformative turning point for those affected by loss of strength in one of my limbs after an injury. The shared goal is achieving enhanced ability to participate in social and community events, paving the way for you to enjoy participating in light recreational activities like bowling or mini-golf and a more active, vibrant life.
• Discover how physiotherapy with Anja Zwambag can help you move beyond frequent headaches that seem to start from tension in my neck or shoulders. The focus is on a noticeable improvement in their gait and walking efficiency, enabling a joyful return to the activities you love, such as going on enjoyable fishing or camping trips again.

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

Anja Zwambag's practice at Four Counties Health Services is situated in a physiotherapy clinic in the central Newbury neighborhood of Newbury. The clinic is conveniently located near nearby parks and community recreation facilities and is accessible via local public transit routes. Our clinic is accessible. Street parking and nearby paid lots offer convenient options for visitors.

What are Four Counties Health Services's operating hours?

Four Counties Health Services 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 at (519) 693-6501 or check our website for the most current hours and specific practitioner availability.

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

In Ontario, you can typically see a Physiotherapist directly without a physician's referral (direct access). However, some private/extended health insurance plans may require a referral for reimbursement. Check your insurance policy before your first appointment.

What is Four Counties Health Services's appointment cancellation policy?

We understand that schedules can change unexpectedly. We kindly request at least 24 hours' notice for cancellations or rescheduling. A fee may be charged for late cancellations or missed appointments. Please contact us as soon as possible if you need to make any changes.

How long do physiotherapy appointments typically last?

Initial assessments are 45-60 minutes; follow-up appointments are usually 30-45 minutes. The duration can vary depending on your needs.

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

OHIP generally does NOT cover physiotherapy in private clinics. Publicly funded physiotherapy is available in specific situations (e.g., post-hospitalization), but eligibility is strict. Check your private insurance for coverage.

What types of conditions do Physiotherapists at Four Counties Health Services treat?

Our Physiotherapists treat a wide range of musculoskeletal, neurological, and cardiorespiratory conditions. This includes back and neck pain, joint problems, sports injuries, and nerve pain. We utilize various techniques including manual therapy and exercise prescription.

How can I book an appointment at Four Counties Health Services?

You can book an appointment by calling our clinic directly at (519) 693-6501 during our business hours. Our reception team will be happy to assist you.

Four Counties Health Services
1824 Concession Dr., RR3
Newbury, ON, N0L 1Z0

Phone: (519) 693-6501

Anja Zwambag 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: XXX65

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=a6257ccf-8902-e811-8134-480fcff4f671

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