Hayley Joy Nell

Hayley Joy Nell provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Post Surgical

• Post-Shoulder Surgery Rehabilitation (e.g., Rotator Cuff Repair, Labral Repair, Stabilization, Replacement): Comprehensive shoulder rehabilitation after surgical intervention, following surgeon-specific protocols, to ensure optimal healing, manage pain and swelling, and restore your arm's functional capacity.
• Post-Spinal Surgery Rehabilitation (e.g., Discectomy, Laminectomy, Fusion - with surgeon clearance): Supportive physiotherapy to aid your recovery and help you manage symptoms after back or neck surgery, focusing on education, safe movement strategies, and specific exercises.

Arthritis

• Psoriatic Arthritis (PsA): Individualized exercise programs and pain management strategies tailored for psoriatic arthritis to help reduce symptoms and improve your quality of life.
• 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.

Neurological

• Parkinson's Disease Management & Movement Therapy: Specialized physiotherapy exercises and movement strategies (e.g., LSVT BIG® principles, amplitude-based training, cueing techniques) to improve balance, gait (walking), posture, flexibility, coordination, and overall motor function in individuals with Parkinson's Disease.
• Stroke (CVA) Rehabilitation: Personalized exercise programs, hands-on therapy, and functional retraining for post-stroke recovery, addressing issues like hemiparesis, spasticity, or neglect.

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. Hayley Nell can assess your needs.

• Personalized Therapeutic Exercise Prescription: Customized exercise plans designed to help you recover from injury, manage chronic conditions, improve physical performance, and achieve your functional goals safely and effectively.
• Strength & Conditioning for Rehabilitation and Performance: Targeted exercises using resistance (such as bodyweight, resistance bands, free weights, or gym equipment) to build muscle strength, power, and endurance, tailored to your specific rehabilitation needs or performance goals.
• Concussion / Mild Traumatic Brain Injury (mTBI) Management & Rehabilitation: Specialized physiotherapy to address persistent concussion symptoms such as headaches, dizziness, balance problems, visual disturbances, and difficulty concentrating or tolerating activity.
• Stretching & Flexibility Programs: Specific stretches designed by your therapist to target tight muscle groups relevant to your condition, helping to improve your flexibility and reduce your risk of injury.
• 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.
• Core Stability & Strengthening Training: Developing control, strength, and endurance in your core musculature for improved functional performance, pain reduction, and prevention of re-injury.

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

• Are you finding that awful foot pain first thing in the morning, like I'm walking on glass (plantar fasciitis) stops you from enjoying hitting the slopes for a full day of skiing or snowboarding in winter? Hayley Nell is dedicated to helping patients like you achieve reduced muscle tension and a feeling of greater physical ease through a hands-on, active approach to physiotherapy.
• Patients struggling with my infant having a tilted head or a flat spot on their head (torticollis/plagiocephaly) can find dedicated and compassionate support from Hayley Nell. The therapeutic focus is squarely on achieving restoring normal movement patterns essential for everyday tasks, using a range of physiotherapy services to facilitate a return to meaningful daily activities such as standing for longer periods, for example, while cooking or at an event.
• With Hayley Nell's help, managing feeling unsteady on my feet or experiencing dizziness and balance problems to achieve running their usual distance comfortably and with improved form becomes a clear journey, allowing patients to confidently re-engage with life and activities like challenging myself with indoor or outdoor rock climbing.
• Rediscover your ability to attending concerts or theatre shows and sitting comfortably throughout without the constant burden of recurrent dislocations or a feeling of instability in my shoulder or knee. Hayley Nell focuses on evidence-based treatment plans that lead to being able to travel more comfortably and with less planning around physical limitations, integrating various therapeutic techniques for optimal and lasting results.

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

Hayley Nell practices at John Chan Physiotherapy, situated in the Lakeport, Lakeshore neighborhood of St. Catharines. The clinic is conveniently located near Pen Centre Shopping Mall and is accessible via Niagara Region Transit (NRT). Our clinic is accessible. Free patient parking is typically available on-site or nearby.

Approximately how many physiotherapy sessions will I need?

The number of physiotherapy sessions required varies greatly from person to person. It depends on several factors, including the nature and severity of your condition, how long you've had the issue (acute vs. chronic), your individual treatment goals, your body's unique response to therapy, and how consistently you are able to follow your prescribed home exercise program and self-management advice. Your Physiotherapist will discuss a proposed treatment frequency and estimated duration after your initial assessment and will continually re-evaluate your progress with you.

How long do physiotherapy appointments typically last?

Your first physiotherapy appointment, which includes a detailed assessment and the development of your initial treatment plan, usually takes about 60 minutes. Follow-up appointments are typically scheduled for 30 to 45 minutes. The exact duration of each session will depend on the nature of your treatment and what your Physiotherapist has planned for that specific visit to best help you progress.

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 and to verify your specific eligibility for any public coverage directly with the Ontario Health Insurance Plan (OHIP).

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 John Chan Physiotherapy or your physician directly. They can provide advice, adjust your treatment plan if necessary, or determine if you need to be reassessed.

Does John Chan Physiotherapy offer direct billing to private insurance companies?

Please contact John Chan Physiotherapy directly to inquire about their direct billing capabilities. It is recommended to bring your insurance card and policy details to your appointment and confirm your specific coverage details, including any annual maximums, per-visit limits, or deductible requirements, directly with your insurance provider, as plans vary significantly. You are responsible for any portion not covered by your insurance.

What are John Chan Physiotherapy's operating hours?

John Chan Physiotherapy is typically open Monday to Friday from 8:00 AM to 7:00 PM. Hours can vary by practitioner and day, so please call their office or check their website for the most current hours and specific practitioner availability.

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. However, some private/extended health insurance plans require a referral for reimbursement of physiotherapy services. Check your individual insurance policy before your first appointment.

John Chan Physiotherapy
2-132 Lakeshore Road
St. Catharines, ON, L2N 2T5

Phone: (905) 935-2000

Hayley Joy Nell 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: XXX90

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=8dfc9e58-9302-e811-8136-480fcfeae051

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