Hepsibah Nancy Samson

Hepsibah Nancy Samson provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Joint Pain

• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Persistent tendon pain that can interfere with your sports, work, or daily activities, often requiring specific loading programs and advice from a physiotherapist for effective management.
• 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.

Hand Wrist

• Trigger Finger/Thumb (Stenosing Tenosynovitis): Conservative physiotherapy management for trigger digit, which may include splinting to rest the tendon, specific tendon gliding exercises, activity modification advice, modalities to reduce inflammation, and education to prevent recurrence.
• 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.

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. Nancy Samson can assess your needs.

• Cryotherapy Application (Cold Therapy): Cold therapy techniques applied by your therapist to effectively alleviate acute pain, reduce inflammation, and manage muscle soreness or spasm.
• 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.
• Therapeutic Heat Application: A comforting physiotherapy modality that helps to soothe tight muscles, decrease pain perception, and improve the flexibility of soft tissues.
• Extracorporeal Shockwave Therapy (ESWT): Targeted shockwave application to promote tissue regeneration, modulate pain, and improve function in chronic injuries, often with lasting results.
• Spinal Decompression / Mechanical Traction: Utilizing traction techniques to create space within the spine, reduce nerve irritation, improve disc hydration, and alleviate back or neck pain.
• Therapeutic Ultrasound Application: Using therapeutic ultrasound as an adjunct treatment to help reduce pain, decrease inflammation, break down scar tissue, and accelerate the repair of injured soft tissues.

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

• Through personalized physiotherapy at Nancy Samson's clinic, common concerns like clicking, popping, or pain in my jaw (TMJ issues) when I eat or talk are thoroughly assessed and addressed with the objective of more comfortable and efficient movement when transitioning between positions (e.g., sit to stand). This often involves a combination of in-clinic treatment, education, and self-management strategies, helping people to once again enjoy activities like returning to dancing, whether it's ballet, salsa, or just for fun.
• Nancy Samson believes that everyone deserves to move well and feel their best. If numbness, tingling, or weakness in my hands, arms, feet, or legs is hindering your ability to giving presentations or speaking publicly with confidence and good posture, a personalized plan focusing on improved coordination for complex movements and fine motor tasks can make all the difference.
• It's truly rewarding for Nancy Samson to witness patients conquer an old ankle sprain that never seems to fully heal and still feels weak and experience a feeling of being 'unstuck' and more supple. A tailored approach to physiotherapy, focusing on your specific needs, can make a significant difference in your ability to participate in travelling more comfortably on planes, trains, or in cars for longer durations again.
• Living with a noticeable curve in my child's spine or uneven shoulders (scoliosis concerns) doesn't have to be your norm. Nancy Samson applies expert physiotherapy knowledge to work towards improved core stability and control, leading to better posture and reduced strain, so you can get back to the simple pleasure of running their usual 5k route without knee pain.

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

Nancy Samson practices at Brampton Civic Hospital, situated in the Sandringham-Wellington, Heart Lake West neighborhood of Brampton. The clinic is conveniently located near Brampton Flying Club and is accessible via Brampton Transit (including Züm BRT). Our clinic is accessible. Street parking and nearby paid lots offer convenient options for visitors.

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 or extended health insurance plans may require a referral for coverage of physiotherapy services. It is strongly recommended that you check with your insurance provider before your first appointment to understand their specific requirements.

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

Some temporary post-treatment soreness can be normal, much like after a good workout. However, if your pain significantly worsens, if you develop new concerning symptoms, or if the discomfort doesn't settle down within a day or two, please call us. Your Physiotherapist would want to know so they can offer guidance and make any necessary adjustments to your care plan. Open communication is key to your successful recovery.

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.

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.

Is physiotherapy covered by the Ontario Health Insurance Plan (OHIP) in ON?

The Ontario Health Insurance Plan (OHIP) generally does NOT cover physiotherapy services provided in private outpatient clinics. Publicly funded physiotherapy is available in specific situations, such as post-hospitalization for certain conditions, for children/youth, seniors, or through Community Physiotherapy Clinics/Family Health Teams. However, eligibility criteria are strict, and there may be waitlists. It is strongly recommended that you check your private/extended health insurance plan, as many offer significant coverage for physiotherapy services in private clinics.

What is manual therapy in physiotherapy?

Manual therapy refers to specialized hands-on techniques used by a Physiotherapist to diagnose and treat musculoskeletal pain and dysfunction. This can include joint mobilization (gentle, rhythmic gliding movements), joint manipulation (skilled, high-velocity, low-amplitude thrusts, where appropriate and within the therapist's scope and with your consent), various soft tissue mobilization techniques (like massage, myofascial release, trigger point release), and neural mobilization (gentle techniques to improve nerve movement). The primary goals are to reduce pain, improve range of motion, restore optimal joint mechanics, reduce muscle tension, and enhance tissue repair and function.

Brampton Civic Hospital
2100 Bovaird Drive East
Brampton, ON, L6R 3J7

Phone: (905) 494-2120

Hepsibah Nancy Samson 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: XXX19

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=bf95079e-9702-e811-8136-480fcfeae051

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