Julian Anthony Vitale

Julian Anthony Vitale provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Back Neck Pain

• 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.
• Whiplash Associated Disorders (WAD): Post-traumatic neck pain, restricted movement, and associated issues common after car accidents, which benefit from early and appropriate physiotherapy intervention.

Arthritis

• Rheumatoid Arthritis (RA) & Other Inflammatory Arthropathies: Tailored exercise programs (including range of motion, strengthening, and low-impact aerobic exercises), pain relief modalities, and education on joint protection techniques and energy conservation for individuals with RA or similar conditions.
• Gout (Management of Musculoskeletal Impairments): Physiotherapy to address residual joint stiffness, pain, swelling, and functional loss after an acute gout attack has subsided, or to help manage musculoskeletal impairments and tophi-related issues associated with chronic gout, always in conjunction with appropriate medical management for urate control.

Joint Pain

• 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.
• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Inflammation (tendinitis) or, more commonly, degeneration (tendinosis/tendinopathy) of tendons, leading to localized pain that typically worsens with activity or loading of the tendon.

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. Julian Vitale can assess your needs.

• Therapeutic Ultrasound Application: The application of high-frequency sound waves by your Physiotherapist to targeted tissues to promote deep tissue heating, increase local blood flow, reduce pain, and facilitate the healing process in soft tissues like muscles, tendons, or ligaments.
• Therapeutic Heat Application: The use of moist heat packs, paraffin wax, or other heat sources by your Physiotherapist to relax muscles, increase local blood flow, reduce stiffness, alleviate chronic pain, and improve tissue extensibility.
• Comprehensive Musculoskeletal Assessment: A thorough evaluation by your Physiotherapist to accurately diagnose movement dysfunctions, injuries, and the underlying sources of your pain.
• Extracorporeal Shockwave Therapy (ESWT): ESWT for chronic tendinopathies, heel spurs, and other musculoskeletal problems, aiming to break down scar tissue, increase blood flow, and trigger a healing response.
• Interferential Current (IFC) / TENS Therapy: The use of specific electrical stimulation devices (IFC or TENS) by your Physiotherapist to provide pain relief, reduce muscle spasm, decrease swelling, or promote muscle activation and re-education.
• Postural Assessment and Correction: Identifying and addressing habitual postures (e.g., from desk work, phone use) or ergonomic factors that may be contributing to your pain or dysfunction.

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

• It's truly rewarding for Julian Vitale to witness patients conquer recovering from a concussion and dealing with lingering symptoms like dizziness or headaches and experience running their usual distance comfortably and with improved form. A tailored approach to physiotherapy, focusing on your specific needs, can make a significant difference in your ability to participate in participating in water aerobics or other pool-based exercises again.
• With Julian Vitale's help, managing feeling like my posture is hunched or rounded, causing discomfort to achieve improved core stability and control, leading to better posture and reduced strain becomes a clear journey, allowing patients to confidently re-engage with life and activities like carrying a backpack or shoulder bag comfortably.
• For those whose difficulty moving one side of my body or walking easily after a stroke has made walking their children to school or the park seem like a distant memory, Julian Vitale's physiotherapy care offers a clear path toward restored joint function, leading to smoother and more coordinated movements. Effective, evidence-based treatments can be instrumental in helping you get back to walking their children to school or the park with greater comfort and renewed confidence.
• Dealing with the ongoing challenges of recovering from surgery to my hand or wrist? Julian Vitale works collaboratively with patients to reach the goal of being able to travel more comfortably and with less planning around physical limitations. This might involve specific rehabilitation techniques, hands-on care, and a home program, all aimed at helping you confidently resume important activities, such as joining in on pickup basketball games at the local court.

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

Julian Vitale practices at Triangle Physiotherapy, situated in the Brockton, Parkdale Village, Exhibition Place neighborhood of Toronto. The clinic is conveniently located near Port Lands and is accessible via TTC (Subway, Streetcar, Bus). Our clinic is accessible. Free patient parking is typically available on-site or nearby.

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

It's not uncommon to experience some temporary soreness or a mild increase in symptoms after certain physiotherapy treatments, especially in the initial stages or if you're starting new exercises. This usually subsides within 24-48 hours. However, if you experience a significant or sharp increase in pain, new or worsening neurological symptoms (like numbness, tingling, or weakness), or if your soreness lasts longer than expected, it's important to contact Triangle Physiotherapy or your physician directly. They can provide advice, adjust your treatment plan if necessary, or determine if you need to be reassessed.

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. It is strongly advised to check your private insurance for private clinic coverage and to verify your specific eligibility for any public coverage directly with the Ontario Health Insurance Plan (OHIP).

How long do physiotherapy appointments typically last?

Your first physiotherapy appointment, which includes a detailed assessment and the development of your initial treatment plan, usually takes about 60 minutes. Follow-up appointments are typically scheduled for 30 to 45 minutes. The exact duration of each session will depend on the nature of your treatment and what your Physiotherapist has planned for that specific visit to best help you progress.

Can physiotherapy help prevent injuries or recurring pain?

Yes, absolutely! Physiotherapy plays a significant role in injury prevention and managing recurring pain. Your Physiotherapist can identify underlying risk factors such as muscle imbalances, poor movement patterns, postural issues, or biomechanical inefficiencies. By addressing these through targeted exercises, education on proper body mechanics, ergonomic advice, and activity modification, physiotherapy can help reduce your risk of initial injury, prevent re-injury, and manage chronic conditions more effectively, keeping you active and healthy.

What kind of clothing should I wear to my physiotherapy appointment?

Comfortable clothing that allows for ease of movement is best for your physiotherapy appointment – think about what you might wear to a gym or for light exercise. If you're being treated for a lower-body issue (like hip or knee pain), shorts are very helpful. For upper-body issues (like shoulder or neck pain), a tank top or loose t-shirt is suitable so the Physiotherapist can properly examine and treat the area.

What should I expect during my first physiotherapy appointment?

During your first visit, the Physiotherapist will conduct a detailed evaluation to get a full picture of your condition. This usually involves a thorough discussion about your symptoms, how they impact your daily life, any relevant medical history, and your personal goals for therapy. A physical assessment will then be performed to help pinpoint the cause of your problem and assess your physical capabilities. Afterwards, your therapist will explain their findings, collaborate with you to set treatment goals, and outline a proposed plan of care. You'll likely receive some initial advice, exercises, or hands-on treatment to begin your recovery journey.

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 of physiotherapy services. Check your insurance policy before your first appointment.

What is physiotherapy and how can it help me?

Physiotherapy, delivered by a qualified Physiotherapist, is a science-based profession that focuses on restoring movement and function when someone is affected by injury, illness, or disability. It can also help to reduce your risk of future problems. Your physiotherapist will use techniques such as therapeutic exercise, manual therapy (hands-on treatment), education, and advice, empowering you to manage your health independently and achieve your physical goals.

Triangle Physiotherapy
980 King Street West
Toronto, ON, M6K 3N2

Phone: (416) 548-5408

Julian Anthony Vitale 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: XXX25

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=0dcfc664-e651-eb11-a812-000d3af427b4

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