Erika Joanne Gamble

Erika Joanne Gamble provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Sports Injury

• Muscle Strains (e.g., Hamstring, Calf, Groin, Quadriceps, Rotator Cuff): Common athletic injuries affecting major muscle groups such as the hamstrings, calves, groin (adductors), quadriceps, or rotator cuff muscles of the shoulder.
• Ligament Sprains (e.g., ACL, MCL, PCL, Ankle Ligaments): Stretching or tearing of ligaments (the strong, fibrous bands that connect bones to each other at joints) due to sudden force, twisting, overstretching, or impact. Common in sports involving jumping, cutting, pivoting, or collisions. Examples include ACL/MCL tears in the knee or common ankle sprains.

Joint Pain

• 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).
• Osteoarthritis (Knee, Hip, Spine, Hands, Other Joints): A degenerative joint disease characterized by the breakdown of cartilage and underlying bone, leading to pain, stiffness, swelling, and reduced mobility in affected joints like the knees, hips, spine, or hands.

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. Erika Gamble can assess your needs.

• Low-Level Laser Therapy (LLLT) / Photobiomodulation: Utilizing therapeutic laser to enhance tissue regeneration, reduce pain signals, and manage inflammation as part of your comprehensive physiotherapy care.
• Extracorporeal Shockwave Therapy (ESWT): Targeted shockwave application to promote tissue regeneration, modulate pain, and improve function in chronic injuries, often with lasting results.
• Interferential Current (IFC) / TENS Therapy: The use of specific electrical stimulation devices (IFC or TENS) by your Physiotherapist to provide pain relief, reduce muscle spasm, decrease swelling, or promote muscle activation and re-education.
• Spinal Decompression / Mechanical Traction: A specialized physiotherapy treatment that uses a traction table or manual techniques to gently decompress spinal structures, relieve pressure, and promote healing.
• 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): Employing different types of electrotherapy to support your rehabilitation goals, including promoting tissue healing or improving motor control.

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

• The journey to a feeling of being 'unstuck' and more supple when faced with persistent one leg feeling shorter than the other, causing hip or back pain is made smoother and more effective with Erika Gamble's expert physiotherapy care, often leading to a fulfilling and active return to pastimes like getting back to golfing 18 holes without their back acting up.
• Living with that 'pins and needles' feeling that won't go away doesn't have to be your norm. Erika Gamble applies expert physiotherapy knowledge to work towards a reduction in nerve-related symptoms like tingling or numbness, so you can get back to the simple pleasure of playing fetch with their dog in the park for an extended time.
• Patients struggling with trying to stay as mobile and active as possible while living with Multiple Sclerosis (MS) can find dedicated and compassionate support from Erika Gamble. The therapeutic focus is squarely on achieving achieving personal fitness goals that once seemed out of reach, using a range of physiotherapy services to facilitate a return to meaningful daily activities such as operating machinery or tools safely and efficiently at work.
• Physiotherapy with Erika Gamble can be a transformative turning point for those affected by hip pain when I walk, climb stairs, or try to sleep on my side. The shared goal is achieving getting back to enjoying life's simple pleasures without physical limitations, paving the way for you to enjoy managing the physical demands of their job without constant pain and a more active, vibrant life.

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

Erika Gamble's practice at Toronto General Hospital is situated in the Bay Street Corridor (Discovery District) neighborhood of Toronto. The clinic is conveniently located near Toronto Police HQ and is accessible via TTC (Subway, Streetcar, Bus). Our clinic is accessible. Free patient parking is typically available on-site or nearby.

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. Always check your private/extended health insurance plans, as many offer significant physiotherapy coverage for services in private clinics. Verify your specific eligibility for any public coverage directly with the Ontario Health Insurance Plan (OHIP).

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

What types of conditions do Physiotherapists at Toronto General Hospital treat?

Our Physiotherapists treat a wide range of musculoskeletal conditions. This includes, but is not limited to, issues like back and neck pain, joint problems (such as arthritis or post-surgical recovery), sports injuries, and nerve pain. We also have therapists with specialized skills in areas like pelvic health and sports physiotherapy. Our treatments often involve manual therapy, electrotherapy (like Low-Level Laser Therapy or Extracorporeal Shockwave Therapy), and exercise prescription to help you achieve your functional goals.

Does Toronto General Hospital offer direct billing to private insurance companies?

Please contact the clinic directly to inquire about direct billing options with your specific insurance provider.

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. Contact your insurance provider before your first appointment to understand your plan's specifics: annual maximum, per-visit limits or co-payments, referral requirements, and direct billing options. Bring your insurance card and policy details to your appointment. We will provide an official receipt if direct billing isn't possible.

What is physiotherapy and how can it help me?

Physiotherapy helps you move and stay moving effectively and comfortably. Your Physiotherapist will create a personalized treatment plan using exercises, hands-on techniques, and advice to help you achieve your functional goals and live a more active life.

Toronto General Hospital
200 Elizabeth St.
Toronto, ON, M5G 2C4

Phone: (416) 340-4800

Erika Joanne Gamble 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: XXX22

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=f9ce9d5f-8d02-e811-813c-480fcff44541

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