Iriny Jacoub

Iriny Jacoub provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Common Musculoskeletal

• Hip Pain (e.g., Bursitis, Muscle Strains, Labral Issues - conservative): Aching, sharp, or deep pain in the hip that may worsen with activity, specific movements, or even at rest.
• Neck Pain and Stiffness: Aching, soreness, or sharp pain experienced in the neck, which may include muscle spasms, trigger points, or reduced flexibility.
• Shoulder Pain (e.g., Rotator Cuff Tendinopathy, Impingement, Frozen Shoulder/Adhesive Capsulitis): Discomfort felt around the shoulder blade, at the top of the shoulder, or radiating down the arm, making simple tasks challenging.

Hand Wrist

• Trigger Finger/Thumb (Stenosing Tenosynovitis): Addressing the inflammation, pain, and restricted movement associated with stenosing tenosynovitis of the finger or thumb.
• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Physiotherapy to help you regain optimal use of your hand and wrist after an injury, surgery, or due to a chronic condition, enabling you to return to work, hobbies, and daily tasks.

Joint Pain

• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Conditions like 'jumper's knee' (patellar tendinopathy), 'swimmer's shoulder' (rotator cuff tendinopathy), or 'tennis elbow' (lateral epicondylitis) caused by tendon issues that limit your ability to perform specific tasks.
• 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. Iriny can assess your needs.

• Muscle Energy Techniques (MET): Using controlled isometric and isotonic muscle contractions, as directed by your Physiotherapist, to address joint restrictions and muscle imbalances effectively.
• Manual Therapy (Joint Mobilization & Manipulation): Hands-on physiotherapy focused on mobilizing restricted joints and soft tissues to promote healing, restore normal biomechanics, and alleviate pain.
• Interferential Current (IFC) / TENS Therapy: Application of Transcutaneous Electrical Nerve Stimulation (TENS) or Interferential Current (IFC) for managing acute or chronic pain conditions by modulating pain signals or promoting the release of endorphins.
• Extracorporeal Shockwave Therapy (ESWT): The application of focused acoustic waves (Extracorporeal Shockwave Therapy) by a trained Physiotherapist to treat chronic tendon issues (e.g., plantar fasciitis, tennis elbow, Achilles tendinopathy), calcific tendinosis, and other persistent musculoskeletal conditions.
• 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.
• Other Electrotherapy Applications (e.g., NMES, FES): The therapeutic use of different electrical currents by your Physiotherapist to achieve specific physiological effects, such as improving muscle contraction, reducing atrophy, or enhancing functional movement.

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

• The journey to being able to play actively with their children or grandchildren again when faced with persistent difficulty with fine motor skills like buttoning shirts or writing due to hand pain is made smoother and more effective with Iriny's expert physiotherapy care, often leading to a fulfilling and active return to pastimes like attending their favorite yoga and pilates classes without limitation.
• If sharp pain shooting down my leg, feeling a lot like sciatica is preventing you from fully enjoying simply enjoying leisurely daily walks around their neighborhood for fresh air, Iriny offers expert guidance and tailored treatment. Physiotherapy focuses on attaining feeling more resilient and less vulnerable to minor strains or injuries, often utilizing targeted exercises, manual therapy, and education to help you regain your previous level of function.
• Are you finding that recovering from a painful and limiting work-related injury (WCB/CNESST/WorkSafe claim) stops you from enjoying engaging in volunteer work that might have physical demands? Iriny is dedicated to helping patients like you achieve greater confidence when walking, standing, or navigating challenging environments through a hands-on, active approach to physiotherapy.
• Dealing with the ongoing challenges of soreness and tightness in my Achilles tendon, especially after exercise? Iriny works collaboratively with patients to reach the goal of feeling equipped with effective self-management strategies and exercises. This might involve specific rehabilitation techniques, hands-on care, and a home program, all aimed at helping you confidently resume important activities, such as being able to carry their baby or toddler without straining their back or arms.

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

Iriny practices at Markham Stouffville Hospital, situated in the Markham Village, Old Markham Village neighborhood of Markham. The clinic is conveniently located near Markham Town Centre (Shops) and is accessible via York Region Transit (YRT) / Viva. Our clinic is accessible. Ample parking is generally accessible close to the clinic entrance.

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 crucial to check with your insurance provider before your first appointment to understand their specific requirements.

Can physiotherapy help prevent injuries or recurring pain?

Definitely. A key aspect of physiotherapy is not just treating current problems but also preventing future ones. A Physiotherapist can assess your movement, identify potential weaknesses or imbalances that could lead to injury, and provide you with a personalized program of exercises and strategies. This proactive approach is beneficial for athletes, individuals with physically demanding jobs, or anyone looking to maintain long-term musculoskeletal health and avoid recurring pain.

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. We recommend you contact your insurance provider directly before your first appointment to understand the specifics of your plan. Key things to check are: your annual maximum for physiotherapy, any per-visit limits or co-payments, whether a doctor's referral is required for reimbursement, and if your plan allows for direct billing by the clinic. If direct billing is possible and your plan allows it, we can often bill your insurer directly for the covered portion. You would then be responsible for any co-payment or remaining balance not covered by your plan at the time of service. Please bring your insurance card and all necessary policy details to your first appointment. If direct billing is not possible, we will provide you with an official receipt that you can submit to your insurer.

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.

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. Check your private insurance coverage for services in private clinics.

Markham Stouffville Hospital
381 Church St., PO Box 1800
Markham, ON, L3P 7P3

Phone: (905) 472-7373

Iriny Jacoub 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: XXX20

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=c3a61492-9702-e811-8136-480fcfeae051

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