Lisa Miele – Physiotherapist | St. Catharines, ON

Lisa Miele is a dedicated Physiotherapist (Neurological Rehabilitation Focus). Practicing at LV Physiotherapy in St. Catharines, ON, Lisa Miele is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Lisa Miele's expertise lies in 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. Lisa Miele also addresses a wide range of muscle, joint, bone, tendon, and ligament conditions. This includes everything from acute injuries like sprains and strains, to chronic pain management, arthritis care, and comprehensive post-operative rehabilitation. Lisa Miele serves patients of all ages, from infants to seniors.

Lisa Miele completed their degree in Physiotherapy from McMaster University (Graduating Class of 2011). With extensive clinical experience, Lisa Miele is committed to ongoing professional development and evidence-based physiotherapy practices. Lisa Miele has a particular interest and further training in areas such as Orthopedic and Musculoskeletal Physiotherapy and Neurological Physiotherapy.

Lisa Miele maintains a strong commitment to evidence-based practice and continuous professional learning to provide the best care. Lisa Miele empowers patients through clear education about their condition and practical self-management strategies for lasting results. Lisa Miele offers consultations in English.

Lisa Miele provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Peripheral Nerve

• 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.
• 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.

Concussion

• Concussion / Mild Traumatic Brain Injury (mTBI) & Post-Concussion Syndrome: A structured and individualized rehabilitation approach for individuals recovering from a mild traumatic brain injury, guiding a safe and gradual return to school, work, and sport activities.

Common Musculoskeletal

• Wrist and Hand Pain (e.g., Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, Strains): Aching, burning, sharp pain, or a 'pins and needles' sensation in the wrist, thumb, or hand region, sometimes waking you at night.
• Hip Pain (e.g., Bursitis, Muscle Strains, Labral Issues - conservative): Hip problems that interfere with your mobility, sleep, and daily comfort, which can be effectively managed with physiotherapy interventions.

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. Lisa Miele can assess your needs.

• Postural Assessment and Correction: Helping you understand how your posture impacts your musculoskeletal health and providing you with tools for lasting postural improvement and pain relief.
• Patient Education & Self-Management Strategies: Providing clear guidance on self-care techniques, activity modifications, and beneficial lifestyle adjustments for long-term well-being and injury prevention.
• Home-Based Physiotherapy Visits (Mobile Physio): Convenient and effective physiotherapy care delivered in your home by a qualified Physiotherapist, focusing on your specific goals and challenges.
• Functional Movement Screening (FMS™/SFMA™ if certified): Evaluation of your body's basic movements (like squatting, lunging, reaching) to highlight areas for improvement in stability, mobility, and motor control.
• Tele-Rehabilitation / Virtual Physiotherapy Consultations: Convenient access to expert physiotherapy services from the comfort of your home, office, or any location with an internet connection, ideal for those with busy schedules, living in remote areas, or preferring virtual care.
• Neurological Rehabilitation (e.g., Stroke, MS, Parkinson's, Acquired Brain Injury, Spinal Cord Injury): Tailored exercises, hands-on techniques, and functional strategies to manage symptoms (e.g., spasticity, weakness, ataxia) and optimize function in various neurological conditions, promoting participation in daily life.

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

• Many patients have found lasting relief from an awkward gait or limping when I walk and achieved improved ability to lift and carry objects correctly and safely under the skilled care of Lisa Miele. This renewed physical ability often allows them to re-engage with beloved activities such as playing a full game of recreational hockey with their friends with a new lease on life.
• Patients struggling with feeling like my posture is hunched or rounded, causing discomfort can find dedicated and compassionate support from Lisa Miele. The therapeutic focus is squarely on achieving enhanced pelvic floor function and control (for relevant conditions), using a range of physiotherapy services to facilitate a return to meaningful daily activities such as being able to kneel or squat down to play with pets or children.
• Lisa Miele frequently assists patients in overcoming the effects of managing stiffness, tremors, and movement challenges with Parkinson's disease. A carefully designed physiotherapy program, potentially including specialized manual techniques and progressive exercises, targets getting back their independence with daily activities and personal care and supports your enthusiastic engagement in desired activities like performing self-care tasks like hair washing or reaching their back.
• Lisa Miele believes that everyone deserves to move well and feel their best. If that 'arthritic' pain in my hands, hips, or knees is hindering your ability to being able to perform deep cleaning tasks around the house, a personalized plan focusing on improved coordination for complex movements and fine motor tasks can make all the difference.

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

Lisa Miele practices at LV Physiotherapy, situated in the Port Dalhousie neighborhood of St. Catharines. The clinic is conveniently located near Meridian Centre (Arena) and is accessible via Niagara Region Transit (NRT). Our clinic is accessible. Ample parking is generally accessible close to the clinic entrance.

Is physiotherapy treatment supposed to be painful?

The primary goal of physiotherapy is generally to reduce pain and improve function, not to cause significant or lasting pain. Some assessment techniques or specific treatments (like deep soft tissue work, joint mobilization, or certain exercises) might cause mild, temporary discomfort or soreness, especially if the tissues being treated are sensitive, inflamed, or very stiff. However, your Physiotherapist will always work within your tolerance levels, communicate clearly about what to expect, and encourage open feedback. If you experience notable or unacceptable pain during treatment, please inform your therapist immediately so adjustments can be made to ensure your comfort.

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 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 recommended 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).

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 parking available at or near LV Physiotherapy?

Ample free patient parking is available directly in front of and beside the building. Look for the designated patient spots.

Does LV Physiotherapy offer direct billing to private insurance companies?

LV Physiotherapy offers direct billing for most major private insurance companies. Please bring your insurance card and policy details. Always confirm your coverage details with your insurance provider, as plans vary significantly. You are responsible for any portion not covered by your insurance.

LV Physiotherapy
5-274 Fourth Avenue
St. Catharines, ON, L2S 0B6

Phone: (905) 682-5119

Lisa Miele 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: XXX98

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=725127bb-9002-e811-8136-480fcfeae051

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