Janine Marie Giroux – Physiotherapist | Waterloo, ON

Janine Marie Giroux is a dedicated Physiotherapist (Geriatric Physiotherapy Focus / Seniors' Health). Practicing at CBI Home Health in Waterloo, ON, Janine is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Janine focuses on the unique health needs of older adults, aiming to improve and maintain mobility, strength, balance, manage age-related conditions like arthritis or osteoporosis, reduce fall risk, and enhance overall quality of life and independence. Janine serves patients of all ages, from infants to seniors.

Janine Marie Giroux completed their degree in Physiotherapy from Mohawk College (Graduating Class of 1981). With extensive clinical experience, Janine is committed to ongoing professional development and evidence-based physiotherapy practices. Janine has a particular interest and further training in areas such as Geriatric Physiotherapy / Seniors' Health.

Janine has a strong commitment to evidence-based practice and continuous professional learning to provide the best care; promoting preventative care and long-term wellness for the Waterloo community through proactive physiotherapy. Janine Marie Giroux offers consultations in English.

Janine Marie Giroux provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Geriatric

• Mobility Issues & Gait Disturbances in Seniors: Supporting seniors to maintain or improve their ability to move around effectively and independently in their home and community through targeted physiotherapy.
• Age-Related Deconditioning / Frailty / Sarcopenia Management: Helping seniors stay strong, mobile, active, and independent for longer through tailored exercise and functional rehabilitation programs.

Arthritis

• Psoriatic Arthritis (PsA): Helping to manage the musculoskeletal aspects of psoriatic disease, working in conjunction with medical management to optimize your physical function and comfort.
• 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): Exercises and advice to manage the impact of gout on your joints, improve mobility, and reduce the likelihood of long-term joint damage.

Vestibular Balance

• General Balance Deficits and Increased Fall Risk: Physiotherapy aimed at improving your balance, coordination, lower limb strength, reaction time, and confidence to reduce your risk of falling and enhance safe mobility in your home and community.
• Benign Paroxysmal Positional Vertigo (BPPV): Brief, often intense, episodes of dizziness or a spinning sensation (vertigo) triggered by specific changes in head position (e.g., rolling over in bed, looking up, bending down), caused by displaced inner ear crystals (otoconia).

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. Janine can assess your needs.

• Manual Therapy (Joint Mobilization & Manipulation): Skilled hands-on techniques, including gentle joint mobilizations (smooth, rhythmic movements) and, where appropriate and authorized, joint manipulations (quick, precise thrusts) to restore optimal movement, reduce pain, and improve joint function.
• 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.
• 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: Targeted manual methods performed by your Physiotherapist to release tight or overactive muscles, address fascial restrictions, and alleviate pain arising from soft tissue dysfunction.
• Fibromyalgia & Widespread Pain Management: Tailored physiotherapy including gentle exercise prescription (e.g., aquatic therapy, graded aerobic exercise), pain management education, activity pacing strategies, stress reduction techniques, and gentle manual therapies for individuals living with fibromyalgia or other widespread pain conditions.
• Chronic & Persistent Pain Management Programs: Personalized physiotherapy programs designed to reduce the impact of chronic pain on your life, helping you to gradually increase activity levels and re-engage in meaningful activities.

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

• Tired of pain and difficulty with overhead movements like reaching into a cupboard interfering with reading a good book for hours without experiencing neck pain or headaches? Janine uses a blend of physiotherapy techniques to help you achieve feeling more positive, capable, and optimistic about their physical health and regain your freedom of movement.
• When my child complaining of 'growing pains' that keep them up at night is limiting your lifestyle and preventing you from doing simply being able to get through a workday without constant pain interruptions, physiotherapy with Janine can help you work towards a greater sense of body confidence and trust in their physical abilities. The aim is to restore optimal function so you can comfortably and safely return to the things you love.
• The path to recovery from breathing difficulties and shortness of breath with COPD or asthma, especially during activity and achieving waking up feeling more refreshed with considerably less pain and stiffness for tackling home renovation and DIY projects with confidence often starts with expert guidance. Janine, a skilled physiotherapist, provides just that.
• At Janine's physiotherapy practice, individuals with managing stiffness, tremors, and movement challenges with Parkinson's disease are guided towards the ability to manage symptoms independently if they occasionally recur. The focus is on enabling you to once again participate fully and comfortably in activities you enjoy, such as operating machinery or tools safely and efficiently at work.

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

Janine practices at CBI Home Health, situated in the Waterloo North (Lakeshore North, Conservation Meadows) neighborhood of Waterloo. The clinic is conveniently located near the Weber Street North Commercial Area and is accessible via Grand River Transit (GRT) (Bus and ION Light Rail). Please inquire regarding specific accessibility needs for our clinic. Street parking and nearby paid lots offer convenient options for visitors.

What is CBI Home Health's appointment cancellation policy?

We understand that schedules can change unexpectedly. To ensure we can accommodate all our patients efficiently, we kindly request at least 24 hours' notice (or one business day) for any appointment cancellations or rescheduling. This allows us to offer the time slot to other patients who may be waiting for care. A fee equivalent to 50% of the service cost may be charged for late cancellations (less than 24 hours' notice) or missed appointments (no-shows) without sufficient notice. Please contact our clinic as soon as possible if you need to make any changes to your appointment.

Is there parking available at or near CBI Home Health?

Metered street parking is generally available on nearby streets. There is also a paid public parkade located one block east of our clinic. Always check for time limits or restrictions.

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 for private clinic coverage.

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. Check your insurance policy before your first appointment.

What are CBI Home Health's operating hours?

Our clinic is typically open Monday to Friday from 8:00 AM to 7:00 PM. Hours can vary, so please call or check our website for the most current hours and availability.

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 expect during my first physiotherapy appointment?

The first physiotherapy session is primarily an in-depth assessment. Expect to spend time talking with your Physiotherapist about your specific issue, its history, and your overall health background. Your therapist will then perform various physical tests to assess your movement, strength, and any areas of concern. The main goal of this first visit is to understand your condition fully so that a tailored and effective treatment plan can be developed collaboratively with you. You might also receive your first set of home exercises or some initial hands-on care to start the healing process.

CBI Home Health
200 - 630 Weber Street North
Waterloo, ON, N2V 2N2

Phone: (519) 576-3570

Janine Marie Giroux 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=ec2ca37b-8902-e811-8134-480fcff4f671

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