Juliana Nunes da Silva

Juliana Nunes da Silva provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Arthritis

• Ankylosing Spondylitis (AS): Physiotherapy for ankylosing spondylitis focuses on maintaining spinal mobility and flexibility (especially extension), improving posture, strengthening core and back muscles, managing pain, and providing education on self-management and regular exercise.
• Rheumatoid Arthritis (RA) & Other Inflammatory Arthropathies: Helping you live well with rheumatoid arthritis or other inflammatory arthropathies through targeted physiotherapy interventions designed to manage symptoms, preserve function, and promote overall well-being.
• 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

• Postural Back/Neck Pain: Discomfort, aching, stiffness, or muscle fatigue in the back or neck arising from sustained or awkward postures during daily activities, prolonged work (e.g., desk work, computer use), or sleep.
• 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.
• Spinal Stenosis Symptoms: Nerve compression symptoms due to a narrowing (stenosis) of the spinal canal or the small openings where nerves exit the spine (foramina), most commonly in the lumbar (lower back) or cervical (neck) regions.

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. Juliana can assess your needs.

• Stretching & Flexibility Programs: Guided stretching routines and flexibility exercises prescribed by your Physiotherapist, aimed at improving your range of motion, reducing muscle tightness or stiffness, and enhancing overall movement quality.
• Personalized Therapeutic Exercise Prescription: A carefully selected set of exercises specific to your condition and abilities, aimed at restoring function, reducing pain, improving movement, and preventing future issues.
• Comprehensive Musculoskeletal Assessment: A thorough evaluation by your Physiotherapist to accurately diagnose movement dysfunctions, injuries, and the underlying sources of your pain.
• Core Stability & Strengthening Training: A progressive program designed to build a strong and stable core, improving your body's foundation for all movements and reducing strain on other structures.
• General Reconditioning & Fitness Programs: A progressive approach to rebuilding your physical condition, allowing for a safe return to daily activities, work demands, and hobbies you enjoy.
• 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.

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

• Dealing with the ongoing challenges of awful foot pain first thing in the morning, like I'm walking on glass (plantar fasciitis)? Juliana works collaboratively with patients to reach the goal of sleeping more soundly through the night due to reduced pain and discomfort. This might involve specific rehabilitation techniques, hands-on care, and a home program, all aimed at helping you confidently resume important activities, such as safely meeting the lifting requirements at their workplace.
• If my baby/child having trouble with their motor skills, like delayed rolling, sitting or walking is preventing you from fully enjoying participating in community events and social gatherings more actively, Juliana offers expert guidance and tailored treatment. Physiotherapy focuses on attaining feeling significantly stronger and more capable in their physical abilities, often utilizing targeted exercises, manual therapy, and education to help you regain your previous level of function.
• Juliana believes that everyone deserves to move well and feel their best. If my child walking on their toes most of the time is hindering your ability to playing in their competitive volleyball league again, a personalized plan focusing on effectively managing chronic pain and reclaiming an active lifestyle can make all the difference.
• The journey to improved coordination for complex movements and fine motor tasks when faced with persistent a 'frozen shoulder' feeling, where my shoulder feels completely stuck is made smoother and more effective with Juliana's expert physiotherapy care, often leading to a fulfilling and active return to pastimes like feeling energetic enough to engage in social activities in the evenings.

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

Juliana practices at Health Bound Health Network, a physiotherapy clinic in the central East York neighborhood of East York. The clinic is conveniently located near nearby parks and community recreation facilities and is accessible via local public transit routes. 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 typically do not need a doctor's referral to see a physiotherapist. This is known as direct access. However, while a referral isn't legally required for your appointment, some extended health insurance plans may require a physician's referral for coverage. It's crucial to check with your insurance provider before your first appointment to understand their specific requirements for physiotherapy reimbursement.

What is Health Bound Health Network'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 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 may be charged for late cancellations (less than 24 hours' notice) or missed appointments without sufficient notice. Please contact our clinic as soon as possible if you need to make any changes to 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.

Approximately how many physiotherapy sessions will I need?

This is very individual and depends on many factors. After your comprehensive initial assessment, your Physiotherapist will be able to give you a better idea of the anticipated number of sessions and the frequency of visits needed to achieve your specific goals. We believe in open communication and will regularly review your progress with you, adjusting the treatment plan as you improve and as needed.

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

Physiotherapy services in private clinics are generally not covered by OHIP. While publicly funded physiotherapy is available in certain situations (such as post-hospitalization for specific conditions or through community clinics), eligibility criteria are strict and waitlists may apply. Most Ontarians will need to rely on private or extended health insurance for coverage of physiotherapy in private clinics. It is strongly recommended that you check your private insurance policy for details on coverage before your appointment.

Health Bound Health Network
1 - 909 Pape Ave East
East York, ON, M4K 3V1

Phone: (416) 548-7872

Juliana Nunes da Silva 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: XXX50

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=34103932-e932-ee11-bdf4-000d3a09cd81

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