Giancarlo D’Uva – Physiotherapist | Milton, ON

Giancarlo D'Uva is a dedicated Physiotherapist. Practicing at CBI Health Centre in Milton, ON, Giancarlo D'Uva is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Giancarlo D'Uva's role involves 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. Giancarlo D'Uva serves patients of all ages, from infants to seniors.

Giancarlo D'Uva completed their degree in Physiotherapy from University of Toronto (Graduating Class of 2004). With extensive clinical experience, Giancarlo D'Uva is committed to ongoing professional development and evidence-based physiotherapy practices. Giancarlo D'Uva has a particular interest and further training in areas such as Orthopedic and Musculoskeletal Physiotherapy.

Giancarlo D'Uva's practice philosophy centers on promoting preventative care and long-term wellness for the Milton community through proactive physiotherapy. Giancarlo D'Uva has a strong commitment to evidence-based practice and continuous professional learning to provide the best care. Giancarlo D'Uva offers consultations in English, Italian.

Giancarlo D'Uva provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

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.
• 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: Nerve compression symptoms due to a narrowing (stenosis) of the spinal canal or the small openings where nerves exit the spine (foramina), most commonly in the lumbar (lower back) or cervical (neck) regions.
• 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.

Arthritis

• Ankylosing Spondylitis (AS): Specific exercises (e.g., McKenzie exercises, stretching, postural exercises) and strategies to help individuals with ankylosing spondylitis maintain function, reduce stiffness, and prevent long-term spinal changes.
• Rheumatoid Arthritis (RA) & Other Inflammatory Arthropathies: An autoimmune condition causing chronic inflammation, pain, stiffness, swelling, and potential deformity in multiple joints, often symmetrically. Physiotherapy aims to manage pain, maintain joint function and mobility, improve strength and endurance, provide joint protection strategies, and support self-management.
• Gout (Management of Musculoskeletal Impairments): Physiotherapy to address residual joint stiffness, pain, swelling, and functional loss after an acute gout attack has subsided, or to help manage musculoskeletal impairments and tophi-related issues associated with chronic gout, always in conjunction with appropriate medical management for urate control.

Post Surgical

• Post-Fracture Fixation Surgery Rehabilitation (e.g., ORIF): Helping you manage pain, improve scar mobility, and regain optimal strength and range of motion in a limb following fracture fixation surgery.
• Post-Knee Replacement Rehabilitation (Total or Partial Knee Arthroplasty - TKA/PKA): The crucial rehabilitation phase following total or partial knee replacement surgery, with physiotherapy focusing on restoring range of motion, building strength, improving balance, managing pain and swelling, and enabling functional mobility (e.g., walking, stairs, getting in/out of a car).

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. Giancarlo D'Uva can assess your needs.

• Patient Education & Self-Management Strategies: Teaching you essential strategies and exercises to manage your symptoms independently, accelerate recovery, and prevent future problems.
• Functional Movement Screening (FMS™/SFMA™ if certified): A systematic screening process, such as FMS™ or SFMA™ (if your Physiotherapist is certified), to understand how you move and guide preventative or corrective exercise programs.
• Neural Mobilization Techniques (Nerve Gliding): Specialized manual techniques aimed at restoring normal movement and function to peripheral nerves that may be compressed, adhered, or under tension.
• Soft Tissue Mobilization & Release Techniques: A variety of hands-on methods such as therapeutic massage, myofascial release, trigger point therapy, and active release style techniques to reduce muscle tension, break down scar tissue, improve circulation, and enhance tissue flexibility.
• Manual Therapy (Joint Mobilization & Manipulation): Skilled hands-on techniques, including gentle joint mobilizations (smooth, rhythmic movements) and, where appropriate and authorized, joint manipulations (quick, precise thrusts) to restore optimal movement, reduce pain, and improve joint function.
• Postural Assessment and Correction: Detailed analysis of your static and dynamic posture, with tailored exercises, stretches, and advice to help you improve alignment and reduce strain on your body.

Note: This list highlights some key services. For a full list of therapies offered by Giancarlo D'Uva, 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 CBI Health Centre, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Giancarlo D'Uva frequently helps patients work towards goals such as:

• Patients struggling with working on getting back to normal after a fracture or other surgery can find dedicated and compassionate support from Giancarlo D'Uva. The therapeutic focus is squarely on achieving feeling more like their 'old self' before their injury or condition began, using a range of physiotherapy services to facilitate a return to meaningful daily activities such as peacefully paddling their kayak or canoe on the lake for hours.
• If managing stiffness, tremors, and movement challenges with Parkinson's disease is preventing you from fully enjoying handling their job that involves frequent standing, walking, or bending, Giancarlo D'Uva offers expert guidance and tailored treatment. Physiotherapy focuses on attaining greater ease with dressing, bathing, and other self-care activities, often utilizing targeted exercises, manual therapy, and education to help you regain your previous level of function.
• Many individuals seek help from Giancarlo D'Uva, their physiotherapist, when facial weakness or drooping on one side (like Bell's Palsy) starts impacting daily life. Through a personalized physiotherapy plan, they often achieve feeling more energetic and less weighed down by physical discomfort, empowering them to joyfully return to activities like sitting comfortably through a movie at the cinema or a play.
• At Giancarlo D'Uva's physiotherapy practice, individuals with breathing difficulties and shortness of breath with COPD or asthma, especially during activity are guided towards feeling more positive, capable, and optimistic about their physical health. The focus is on enabling you to once again participate fully and comfortably in activities you enjoy, such as painting or drawing for longer stretches without neck or shoulder ache.

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

Giancarlo D'Uva practices at CBI Health Centre, located in the Milton Central/North/East (Old Milton, Dempsey, Clarke, Beaty, Coates) neighborhood of Milton. The clinic is conveniently located near Milton District Hospital and is accessible via Milton Transit. Our clinic is accessible. Free patient parking is typically available on-site or nearby.

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

For your first visit, please bring your provincial health card (e.g., Ontario Health Insurance Plan (OHIP) card, if applicable for any publicly funded programs or simply for identification), any relevant medical information such as a doctor's referral note (if you have one), reports from recent imaging (like X-rays, MRI, or ultrasound scans), and a list of your current medications. Also, if you plan to use private health insurance, bring your insurance card or policy details. Finally, wear or bring comfortable clothing suitable for assessment and movement.

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

In Ontario, you can typically see a Physiotherapist directly without a doctor's referral. This is known as direct access. However, some private health insurance plans may require a referral for coverage. It is strongly recommended that you check with your insurance provider before your first appointment to understand their specific requirements.

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.

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 Ontarians. 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's essential to check your private insurance coverage as many plans offer significant physiotherapy coverage for services in private clinics.

Can physiotherapy help prevent injuries or recurring pain?

Yes, absolutely! Physiotherapy plays a significant role in injury prevention and managing recurring pain. Your Physiotherapist can identify underlying risk factors such as muscle imbalances, poor movement patterns, postural issues, or biomechanical inefficiencies. By addressing these through targeted exercises, education on proper body mechanics, ergonomic advice, and activity modification, physiotherapy can help reduce your risk of initial injury, prevent re-injury, and manage chronic conditions more effectively, keeping you active and healthy.

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

Please wear comfortable, loose-fitting clothing that allows the Physiotherapist to easily access and assess the area being treated, and permits you to move freely for any exercises or movements. For example, shorts are ideal for knee, hip, or ankle issues, while a tank top or loose t-shirt works well for shoulder, neck, or upper back problems. Athletic wear or gym attire is generally a good choice. You may also be provided with a gown if needed.

Is physiotherapy treatment supposed to be painful?

While some physiotherapy techniques might feel uncomfortable or cause a temporary increase in soreness (similar to muscle soreness after a new workout), especially when working on stiff joints or tight muscles, it should not be excessively or intolerably painful. Your Physiotherapist will discuss what sensations you might expect with different treatments and will always aim to adjust the intensity and techniques to ensure you are as comfortable as possible while still achieving therapeutic benefits. Constant communication about your comfort level is very important.

What is physiotherapy and how can it help me?

Physiotherapy, delivered by a qualified Physiotherapist, is a science-based profession that focuses on restoring movement and function when someone is affected by injury, illness, or disability. It can also help to reduce your risk of future problems. Your physiotherapist will use techniques such as therapeutic exercise, manual therapy (hands-on treatment), education, and advice, empowering you to manage your health independently and achieve your physical goals.

CBI Health Centre
202-611 Holly Ave.
Milton, ON, L9T 0K4

Phone: (289) 295-1010

Giancarlo D'Uva 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: XXX72

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=dfc83afe-8d02-e811-8134-480fcff4f671

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