Janice M. Centurione – Physiotherapist | Guelph, ON

Janice M. Centurione is a dedicated Physiotherapist (Neurological Rehabilitation Focus). Practicing at St. Joseph's Health Centre in Guelph, ON, Janice is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Janice focuses on assisting individuals in recovering function, improving mobility, managing symptoms, and enhancing quality of life after neurological events or conditions such as stroke, brain injury, spinal cord injury, Multiple Sclerosis, or Parkinson's Disease. Janice serves a significant number of senior patients within the Guelph community.

Janice M. Centurione completed their degree in Physiotherapy from McMaster University (Graduating Class of 2000). With extensive clinical experience, Janice is committed to ongoing professional development and evidence-based physiotherapy practices. Janice has a particular interest and further training in areas such as Neurological Physiotherapy.

Janice employs a collaborative approach, working with patients to achieve their movement and functional goals. Janice has a strong commitment to evidence-based practice and continuous professional learning to provide the best possible care. Janice promotes preventative care and long-term wellness for the Guelph community through proactive physiotherapy. Janice offers consultations in English.

Janice M. Centurione provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Common Musculoskeletal

• Neck Pain and Stiffness: Neck problems that interfere with your sleep quality, ability to work comfortably (especially at a desk), or perform everyday tasks without pain.
• Hip Pain (e.g., Bursitis, Muscle Strains, Labral Issues - conservative): Discomfort experienced in the hip region, groin, outer hip, or buttock, potentially stemming from joint inflammation (bursitis), muscle strains, tendinopathy, or conservative management of labral tears.
• Muscle Strains and Tears: Damage or tearing of muscle fibers, ranging from a mild overstretch (Grade 1 strain) to a partial or complete rupture (Grade 2 or 3 tear), typically caused by sudden forceful contraction, excessive stretch, or direct trauma.
• Knee Pain (e.g., Patellofemoral Syndrome, Meniscal Issues - conservative, Ligament Sprains): Common knee complaints that can affect your ability to walk, climb stairs, squat, run, or participate in sports, addressed through a tailored physiotherapy program.

Joint Pain

• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Pain, tenderness, swelling, and dysfunction in a tendon (the strong cords that attach muscles to bones) due to overuse, repetitive strain, injury, or degeneration. Common sites include the Achilles, patellar tendon (knee), rotator cuff (shoulder), or elbow (tennis/golfer's elbow).
• 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.

Peripheral Nerve

• Nerve Entrapments / Compressions (e.g., Carpal Tunnel Syndrome, Thoracic Outlet Syndrome, Sciatica, Meralgia Paresthetica): Addressing conditions affecting nerves outside the brain and spinal cord, aiming to relieve pressure on the nerve, reduce inflammation, restore normal nerve function, and alleviate symptoms.
• Peripheral Neuropathy (e.g., Diabetic, Chemotherapy-Induced, Idiopathic): Improving safety, function, and quality of life for those with impaired sensation or strength due to various types of peripheral neuropathy.

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. Janice can assess your needs.

• General Reconditioning & Fitness Programs: Comprehensive exercise plans developed by your Physiotherapist to combat deconditioning, enhance overall physical well-being, and promote an active lifestyle.
• 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: Progressive resistance training programs designed by your Physiotherapist to improve muscle performance, support joint health, and enhance functional capacity for daily life or sport.
• Balance Training & Falls Prevention Programs: Helping you stay steady on your feet and maintain your independence through targeted balance and coordination exercises, and practical fall prevention education.
• Stretching & Flexibility Programs: Education and instruction on effective and safe stretching techniques to help you maintain or improve your body's flexibility and joint mobility.
• Core Stability & Strengthening Training: Specialized workouts to enhance your core strength, stability, and endurance, which are crucial for injury prevention, back health, and efficient performance in daily activities and sports.

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

• The path to recovery from needing help to get moving again after a long period of illness or inactivity and achieving improved circulation and tissue healing for maintaining an upright posture while working on their computer for hours often starts with expert guidance. Janice, a skilled physiotherapist, provides just that.
• Janice believes that everyone deserves to move well and feel their best. If an old ankle sprain that never seems to fully heal and still feels weak is hindering your ability to simply being able to get through a workday without constant pain interruptions, a personalized plan focusing on getting back their independence with daily activities and personal care can make all the difference.
• The journey to successfully integrating safe movement strategies into their daily routines when faced with persistent one leg feeling shorter than the other, causing hip or back pain is made smoother and more effective with Janice's expert physiotherapy care, often leading to a fulfilling and active return to pastimes like walking up and down several flights of stairs without issue or breathlessness.
• Physiotherapy with Janice can be a transformative turning point for those affected by tendonitis pain flaring up in my shoulder, knee, elbow, or foot. The shared goal is achieving improved core stability and control, leading to better posture and reduced strain, paving the way for you to enjoy performing tasks requiring fine motor skills and dexterity with ease and a more active, vibrant life.

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

Janice practices at St. Joseph's Health Centre, located in the Downtown Guelph, Exhibition Park neighborhood of Guelph. The clinic is conveniently located near the South End Commercial Area and is accessible via Guelph Transit. Our clinic is accessible. Free patient parking is typically available on-site or nearby.

Is there parking available at or near St. Joseph's Health Centre?

Yes, there is ample free patient parking available directly in front of and beside our building. Look for the designated patient spots.

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 (direct access). However, some private/extended health insurance plans may require a referral for reimbursement; check your insurance policy before your appointment.

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

OHIP generally does NOT cover physiotherapy services in private outpatient clinics. Publicly funded physiotherapy is available in specific situations (e.g., post-hospitalization, for children/youth, seniors, or through Community Physiotherapy Clinics/Family Health Teams), but eligibility is strict and waitlists may apply. Check your private insurance for coverage.

What should I expect during my first physiotherapy appointment?

Your initial appointment involves a comprehensive assessment: discussion of your medical history, symptoms, concerns, and goals; a physical examination (range of motion, strength, posture, balance); a clinical impression/diagnosis; and discussion/start of a personalized treatment plan, often including initial treatment or a home exercise program.

Is physiotherapy treatment supposed to be painful?

Physiotherapy should not be painful. You might feel some discomfort or stretching, especially initially, but it shouldn't be distressing. Your Physiotherapist will adjust treatments to your comfort level. The goal is to make you feel better, not worse.

St. Joseph's Health Centre
100 Westmount Rd.
Guelph, ON, N1H 5H8

Phone: (519) 767-3414

Janice M. Centurione 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: XXX40

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=e47acdce-8c02-e811-8134-480fcff4f671

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