James W. Holling

James W. Holling provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Hand Wrist

• Trigger Finger/Thumb (Stenosing Tenosynovitis): A condition where a finger or thumb gets stuck or 'catches' in a bent position, then may snap straight (like pulling a trigger). Caused by inflammation and narrowing of the tendon sheath around the flexor tendon.
• 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.

Arthritis

• Ankylosing Spondylitis (AS): A type of chronic inflammatory arthritis primarily affecting the spine (especially the sacroiliac joints and vertebrae), leading to pain, stiffness, and potential fusion of vertebrae, which can result in a stooped posture if not managed.
• Gout (Management of Musculoskeletal Impairments): Helping you regain mobility, reduce discomfort, and improve function in affected joints after a gout episode, as part of your overall gout management plan.

Back Neck Pain

• Spinal Stenosis Symptoms: Often age-related changes leading to pressure on the spinal cord or nerve roots, causing pain, numbness, tingling, or weakness in the legs with walking (neurogenic claudication in lumbar stenosis) or in the arms/hands (cervical stenosis).
• Herniated Disc / Sciatica / Radiculopathy: Back or neck pain that often radiates into an arm or leg, potentially with numbness, tingling, weakness, or burning sensations, due to a spinal disc problem (herniation, protrusion, or bulge) compressing or irritating a nearby nerve root (radiculopathy). Sciatica specifically refers to radicular pain down the leg.

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. Jim Holling can assess your needs.

• Neural Mobilization Techniques (Nerve Gliding): Gentle, specific movements and mobilizations designed to address nerve-related pain (like sciatica or carpal tunnel symptoms), tingling, numbness, or restrictions by improving the nerve's ability to glide freely and reducing irritation.
• 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): Manual treatments specifically designed to improve joint mechanics, alleviate discomfort, reduce stiffness, and enhance your range of motion in the spine or limbs.
• Patient Education & Self-Management Strategies: Educating you about your diagnosis, expected recovery timeline (prognosis), and the reasons behind your treatment plan to encourage active participation in your healing.
• Comprehensive Musculoskeletal Assessment: A complete assessment of your musculoskeletal system to pinpoint issues, set clear rehabilitation goals, and get you started on the path to recovery.
• Muscle Energy Techniques (MET): Gentle, active manual therapy techniques where you use your own specific muscle contractions against your therapist's controlled resistance to improve joint mobility, lengthen tight tissues, and reduce pain.

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

• At Jim Holling's physiotherapy practice, individuals with difficulty moving one side of their body or walking easily after a stroke are guided towards a noticeable improvement in their gait and walking efficiency. The focus is on enabling you to once again participate fully and comfortably in activities you enjoy, such as attending your favorite yoga and pilates classes without limitation.
• Struggling with the frustration of recovering from surgery to your hand or wrist? Jim Holling develops individualized physiotherapy programs specifically aimed at achieving a feeling of being 'unstuck' and more supple. This is key to helping you get back to doing taking energetic, long walks with your dog every day with confidence and significantly reduced discomfort.
• Are you finding that a 'frozen shoulder' feeling, where your shoulder feels completely stuck stops you from enjoying participating in water aerobics or other pool-based exercises? Jim Holling is dedicated to helping patients like you achieve seeing your child achieve developmental milestones with greater ease (for pediatric physio) through a hands-on, active approach to physiotherapy.
• Tired of recovering your strength and energy after being very sick (like with pneumonia or Long COVID) interfering with handling your job that involves frequent standing, walking, or bending? Jim Holling uses a blend of physiotherapy techniques to help you achieve feeling significantly stronger and more capable in your physical abilities and regain your freedom of movement.

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

Jim Holling practices at Wellington Physiotherapy Associates, situated in the Downtown Guelph, Exhibition Park neighborhood of Guelph. The clinic is conveniently located near Sleeman Centre (Arena) and is accessible via Guelph Transit. Our clinic is accessible. Ample parking is generally accessible close to the clinic entrance.

Will I be given exercises to do at home?

Yes, a personalized home exercise program is a crucial and integral component of most physiotherapy treatment plans. Your Physiotherapist will prescribe specific exercises tailored to your condition, abilities, and goals. These exercises are designed to complement your in-clinic treatment, help you manage your symptoms effectively between sessions, accelerate your recovery, and empower you with tools for long-term self-management. Your active participation in your home program is key for optimal results.

What are Wellington Physiotherapy Associates's operating hours?

Wellington Physiotherapy Associates is typically open Monday to Friday from 8:00 AM to 7:00 PM, and some practitioners offer Saturday appointments from 9:00 AM to 1:00 PM. However, hours can vary by practitioner and day, so please call our office or check our website/online booking portal for the most current hours and specific practitioner availability.

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.

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.

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.

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 insurance policy before your first appointment.

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

Bring your provincial health card, any relevant medical information (doctor's referral, imaging reports), a list of medications, and your insurance card (if applicable). Wear comfortable clothing suitable for movement.

Wellington Physiotherapy Associates
23 Wellington St. E., Unit 5
Guelph, ON, N1H 3R7

Phone: (519) 824-8185

James W. Holling 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: XXX34

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=34d9bdaa-8c02-e811-8134-480fcff4f671

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