Antonio Bruni

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

Back Neck Pain

• Whiplash Associated Disorders (WAD): A range of neck and related symptoms including pain, stiffness, headaches, dizziness, and sometimes arm pain or cognitive difficulties, following a rapid acceleration-deceleration injury to the neck, most typically from a motor vehicle accident.
• Spinal Stenosis Symptoms: Often age-related changes leading to pressure on the spinal cord or nerve roots, causing pain, numbness, tingling, or weakness in the legs with walking (neurogenic claudication in lumbar stenosis) or in the arms/hands (cervical stenosis).
• Postural Back/Neck Pain: Discomfort, aching, stiffness, or muscle fatigue in the back or neck arising from sustained or awkward postures during daily activities, prolonged work (e.g., desk work, computer use), or sleep.
• Herniated Disc / Sciatica / Radiculopathy: Symptoms of nerve compression originating from the spine, such as a 'slipped disc' or 'pinched nerve', causing radiating pain, altered sensation, or muscle weakness in a limb.

Post Surgical

• Post-Hip Replacement Rehabilitation (Total or Partial Hip Arthroplasty - THA/PHA): Guidance on hip precautions (if applicable for your surgical approach), a progressive exercise program, and functional retraining after hip surgery to help you achieve your goals.
• Post-Knee Replacement Rehabilitation (Total or Partial Knee Arthroplasty - TKA/PKA): A structured physiotherapy program to manage post-operative pain and swelling, improve knee flexibility and strength, and re-educate your gait pattern after a TKA or PKA.

Joint Pain

• Osteoarthritis (Knee, Hip, Spine, Hands, Other Joints): A chronic condition causing joint discomfort, stiffness (especially in the morning or after inactivity), and impacting your ability to perform daily activities, walk, or engage in hobbies.
• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Pain, tenderness, swelling, and dysfunction in a tendon (the strong cords that attach muscles to bones) due to overuse, repetitive strain, injury, or degeneration. Common sites include the Achilles, patellar tendon (knee), rotator cuff (shoulder), or elbow (tennis/golfer's elbow).

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. Antonio Bruni can assess your needs.

• Low-Level Laser Therapy (LLLT) / Photobiomodulation: A non-invasive light therapy used in physiotherapy to treat various musculoskeletal conditions, promote faster healing, reduce pain, and modulate inflammation without generating heat.
• 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.
• Interferential Current (IFC) / TENS Therapy: Application of Transcutaneous Electrical Nerve Stimulation (TENS) or Interferential Current (IFC) for managing acute or chronic pain conditions by modulating pain signals or promoting the release of endorphins.
• Therapeutic Heat Application: Application of therapeutic heat to prepare tissues for exercise, manual therapy, or stretching, or to manage chronic muscle soreness and joint stiffness.
• Other Electrotherapy Applications (e.g., NMES, FES): Application of various forms of electrical stimulation, such as Neuromuscular Electrical Stimulation (NMES) for muscle strengthening and re-education, or Functional Electrical Stimulation (FES) to assist with movement, as prescribed by your Physiotherapist.
• Extracorporeal Shockwave Therapy (ESWT): Targeted shockwave application to promote tissue regeneration, modulate pain, and improve function in chronic injuries, often with lasting results.

Note: This list highlights some key services. For a full list of therapies offered by Antonio Bruni, 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 Generations Sport and Spine Physiotherapy, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Antonio Bruni frequently helps patients work towards goals such as:

• When feeling 'off-balance' and worried about falling, especially as I get older is limiting your lifestyle and preventing you from doing running their usual 5k route without knee pain, physiotherapy with Antonio Bruni can help you work towards the ability to sit for longer periods (e.g., at a desk, in a car) without significant discomfort. The aim is to restore optimal function so you can comfortably and safely return to the things you love.
• Many find that recovering my strength and energy after being very sick (like with pneumonia or Long COVID) significantly impacts their ability to attending and enjoying their children's or grandchildren's sporting events. Antonio Bruni helps patients target enjoying less stiffness in the mornings and throughout the day with physiotherapy, making a return to these activities possible.
• Are you finding that persistent dizziness that isn't a spinning vertigo but makes me feel unsteady stops you from enjoying challenging myself with indoor or outdoor rock climbing? Antonio Bruni is dedicated to helping patients like you achieve feeling significantly stronger and more capable in their physical abilities through a hands-on, active approach to physiotherapy.
• Living with recovering from surgery to my hand or wrist doesn't have to be your norm. Antonio Bruni applies expert physiotherapy knowledge to work towards reduced muscle tension and a feeling of greater physical ease, so you can get back to the simple pleasure of giving presentations or speaking publicly with confidence and good posture.

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

Antonio Bruni practices at Generations Sport and Spine Physiotherapy, situated in the South Welland, Dain City neighborhood of Welland. The clinic is conveniently located near Welland International Flatwater Centre and is accessible via Niagara Region Transit (NRT) / Welland Transit routes. Our clinic is accessible. Street parking and nearby paid lots offer convenient options for visitors.

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 Generations Sport and Spine Physiotherapy 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 private clinic coverage.

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 require a referral for reimbursement. Check your insurance policy before your first appointment.

Is physiotherapy treatment supposed to be painful?

While some techniques might feel uncomfortable or cause temporary soreness, it should not be excessively painful. Your Physiotherapist will discuss sensations and adjust intensity to ensure your comfort.

Will I be given exercises to do at home?

Absolutely! Home exercises are vital for your recovery. Your Physiotherapist will select and teach you exercises specific to your needs.

Generations Sport and Spine Physiotherapy
618 South Pelham Road
Welland, ON, L3C 3C8

Phone: (905) 732-1278

Antonio Bruni 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: XXX79

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=5f0ce9d1-8f02-e811-8136-480fcfeae051

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