David Alexander Kuhner – Physiotherapist | Mississauga, ON

David Alexander Kuhner is a dedicated Physiotherapist. Practicing at Club Physio Plus in Mississauga, ON, Dave is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Dave'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. Dave serves patients of all ages, from infants to seniors.

David Alexander Kuhner completed their degree in Physiotherapy from University of Toronto (Graduating Class of 1991). With extensive clinical experience, David Alexander Kuhner is committed to ongoing professional development and evidence-based physiotherapy practices. David Alexander Kuhner has a particular interest and further training in areas such as Orthopedic and Musculoskeletal Physiotherapy.

Dave employs a collaborative approach, working with patients to achieve their movement and functional goals. Dave's patient-centered approach actively involves individuals in their treatment planning and goal setting. David Alexander Kuhner offers consultations in English.

David Alexander Kuhner provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

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.

Joint Pain

• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Inflammation (tendinitis) or, more commonly, degeneration (tendinosis/tendinopathy) of tendons, leading to localized pain that typically worsens with activity or loading of the tendon.
• 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.

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. Dave can assess your needs.

• 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.
• Cryotherapy Application (Cold Therapy): Using therapeutic cold to manage the initial stages of an injury (e.g., sprains, strains) and control inflammatory responses, helping to limit tissue damage.
• Extracorporeal Shockwave Therapy (ESWT): A non-invasive, evidence-based treatment that uses high-energy sound waves to stimulate healing, reduce pain, and promote tissue regeneration in stubborn soft tissue conditions that haven't responded to other therapies.
• Interferential Current (IFC) / TENS Therapy: Utilizing targeted electrical currents to help alleviate pain, manage discomfort, and support healing in conjunction with other physiotherapy interventions.
• 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.
• Low-Level Laser Therapy (LLLT) / Photobiomodulation: LLLT or 'cold laser' therapy to stimulate your body's natural healing processes, provide pain relief, and improve function in conditions like tendinopathies, arthritis, or soft tissue injuries.

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

• With Dave's help, managing swelling in my arm or leg, possibly lymphedema, after surgery or treatment to achieve the ability to sit for longer periods (e.g., at a desk, in a car) without significant discomfort becomes a clear journey, allowing patients to confidently re-engage with life and activities like taking long photography walks to capture nature or cityscapes.
• For those whose difficulty with fine motor skills like buttoning shirts or writing due to hand pain has made setting up and taking down equipment for hobbies or sports seem like a distant memory, Dave's physiotherapy care offers a clear path toward restored joint function, leading to smoother and more coordinated movements. Effective, evidence-based treatments can be instrumental in helping you get back to setting up and taking down equipment for hobbies or sports with greater comfort and renewed confidence.
• Through personalized physiotherapy at Dave's clinic, common concerns like trouble performing repetitive tasks at work without pain are thoroughly assessed and addressed with the objective of a more comfortable and physically manageable pregnancy experience. This often involves a combination of in-clinic treatment, education, and self-management strategies, helping people to once again enjoy activities like challenging myself with indoor or outdoor rock climbing.
• It's truly rewarding for Dave to witness patients conquer one leg feeling shorter than the other, causing hip or back pain and experience improved overall mobility, making it easier to navigate their home and community. A tailored approach to physiotherapy, focusing on your specific needs, can make a significant difference in your ability to participate in maintaining their balance and stability while walking on uneven ground or trails again.

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

Dave practices at Club Physio Plus, situated in the Clarkson North, Sheridan Park neighborhood of Mississauga. The clinic is conveniently located near Hazel McCallion Central Library and is accessible via MiWay (Mississauga Transit). Our clinic is accessible. Free patient parking is typically available on-site or nearby.

What kind of clothing should I wear to my physiotherapy appointment?

Comfortable clothing that allows for ease of movement is best for your physiotherapy appointment – think about what you might wear to a gym or for light exercise. If you're being treated for a lower-body issue (like hip or knee pain), shorts are very helpful. For upper-body issues (like shoulder or neck pain), a tank top or loose t-shirt is suitable so the Physiotherapist can properly examine and treat the area.

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

It's not uncommon to experience some temporary soreness or a mild increase in symptoms after certain physiotherapy treatments, especially in the initial stages or if you're starting new exercises. This usually subsides within 24-48 hours. However, if you experience a significant or sharp increase in pain, new or worsening neurological symptoms (like numbness, tingling, or weakness), or if your soreness lasts longer than expected, it's important to contact Club Physio Plus or your Physiotherapist directly. They can provide advice, adjust your treatment plan if necessary, or determine if you need to be reassessed.

How long do physiotherapy appointments typically last?

Initial assessment appointments are generally longer to allow for a thorough evaluation and discussion, typically lasting between 45 to 60 minutes. Subsequent follow-up treatment sessions are usually shorter, often ranging from 30 to 45 minutes. However, the duration can vary depending on your specific needs, the complexity of your condition, the type of treatment being provided, and the treatment plan designed by your Physiotherapist.

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. It is strongly advised to check your private insurance for private clinic coverage.

Is there anything specific I should bring to my first physiotherapy appointment?

It's helpful to bring your health card, any referral letters from other healthcare providers if you were referred, and any reports or images from relevant medical tests (X-rays, MRIs, etc.) related to your condition. If you have private insurance coverage for physiotherapy, please bring your insurance card or policy details for billing purposes. Comfortable attire that allows for easy movement during the assessment is also recommended.

Will I be given exercises to do at home?

Absolutely! Home exercises are a vital part of your rehabilitation journey and empower you to take an active role in your recovery process. Your Physiotherapist will carefully select and teach you exercises specific to your needs. These exercises help to reinforce what's done in the clinic, manage your condition effectively, and ensure you continue progressing towards your goals even when you're not in a session.

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.

What types of conditions do Physiotherapists at Club Physio Plus treat?

Our Physiotherapists treat a wide range of musculoskeletal conditions. This includes, but is not limited to, back and neck pain, joint problems (arthritis or post-surgical recovery), sports injuries (like tendinopathy), and nerve pain. We also have therapists with specialized skills in orthopedic and musculoskeletal physiotherapy. Our treatments often involve manual therapy, electrotherapy, and patient education to help you achieve your functional goals.

Club Physio Plus
884 Southdown Rd.
Mississauga, ON, L5J 2Y4

Phone: (905) 822-1823

David Alexander Kuhner 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: XXX34

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=cc6864de-8a02-e811-8134-480fcff4f671

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