Meryl Carolyn Da Costa

Meryl Carolyn Da Costa provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Hand Wrist

• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Physiotherapy to help you regain optimal use of your hand and wrist after an injury, surgery, or due to a chronic condition, enabling you to return to work, hobbies, and daily tasks.
• Trigger Finger/Thumb (Stenosing Tenosynovitis): Conservative physiotherapy management for trigger digit, which may include splinting to rest the tendon, specific tendon gliding exercises, activity modification advice, modalities to reduce inflammation, and education to prevent recurrence.

Joint Pain

• Osteoarthritis (Knee, Hip, Spine, Hands, Other Joints): Commonly known as 'wear-and-tear' arthritis, this condition affects various joints, often worsening with age, overuse, or previous injury, and can significantly impact daily function.
• 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.

Common Musculoskeletal

• Wrist and Hand Pain (e.g., Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, Strains): Pain, numbness, tingling, weakness, or stiffness in the wrist, hand, or fingers, often resulting from overuse, repetitive tasks, arthritis, or specific conditions like carpal tunnel syndrome or De Quervain's tenosynovitis.
• Low Back Pain (Acute or Chronic): Aching, sharp, or persistent pain located in the lower back, which may sometimes extend into the buttocks or legs, limiting your comfort.

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. Meryl can assess your needs.

• 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.
• Neural Mobilization Techniques (Nerve Gliding): Improving the mobility and health of your nervous system to reduce pain, restore sensation, and enhance overall function.
• Stretching & Flexibility Programs: Personalized programs incorporating various stretching techniques (e.g., static, dynamic, PNF) to alleviate stiffness, increase tissue extensibility, and promote better posture.
• Core Stability & Strengthening Training: Targeted exercises focused on strengthening the deep abdominal, back, pelvic floor, and diaphragm muscles to provide better support for your spine, improve posture, enhance balance, and increase movement efficiency.
• Muscle Energy Techniques (MET): Using controlled isometric and isotonic muscle contractions, as directed by your Physiotherapist, to address joint restrictions and muscle imbalances effectively.
• Strength & Conditioning for Rehabilitation and Performance: Targeted exercises using resistance (such as bodyweight, resistance bands, free weights, or gym equipment) to build muscle strength, power, and endurance, tailored to your specific rehabilitation needs or performance goals.

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

• Don't let difficulty moving one side of my body or walking easily after a stroke dictate what you can and cannot do. Meryl offers physiotherapy solutions aimed at a better ability to cope with the physical stresses of daily life, helping you reclaim enduring their daily commute, whether driving or on public transit, without stiffness and enjoy a more functional life.
• The journey to being able to climb stairs with ease and confidence once again when faced with persistent general muscle strains and pulls from overdoing it at the gym or in the garden is made smoother and more effective with Meryl's expert physiotherapy care, often leading to a fulfilling and active return to pastimes like easily carrying groceries in from the car in one or two trips.
• Rediscover your ability to using garden tools effectively and without pain without the constant burden of recurrent dislocations or a feeling of instability in my shoulder or knee. Meryl focuses on evidence-based treatment plans that lead to being able to travel more comfortably and with less planning around physical limitations, integrating various therapeutic techniques for optimal and lasting results.
• Patients struggling with my infant having a tilted head or a flat spot on their head (torticollis/plagiocephaly) can find dedicated and compassionate support from Meryl. The therapeutic focus is squarely on achieving improved overall mobility, making it easier to navigate their home and community, using a range of physiotherapy services to facilitate a return to meaningful daily activities such as playing their musical instrument (guitar, piano, violin, etc.) for extended periods.

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

Meryl practices at Eramosa Physiotherapy Associates, situated in the Georgetown neighborhood of Halton Hills. The clinic is conveniently located near Downtown Acton and is accessible via ActiVan (Specialized Service). Our clinic is accessible. Free patient parking is typically available on-site or nearby.

I have private health insurance. How does that work with physiotherapy payments?

Many private health insurance plans offer full or partial coverage for registered physiotherapy services. We recommend you contact your insurance provider directly before your first appointment to understand the specifics of your plan. Key things to check are: your annual maximum for physiotherapy, any per-visit limits or co-payments, whether a doctor's referral is required for reimbursement, and if your plan allows for direct billing by the clinic. If Eramosa Physiotherapy Associates offers direct billing and your plan allows it, we can often bill your insurer directly for the covered portion. You would then be responsible for any co-payment or remaining balance not covered by your plan at the time of service. Please bring your insurance card and all necessary policy details to your first appointment. If direct billing is not possible, we will provide you with an official receipt that you can submit to your insurer.

How long do physiotherapy appointments typically last?

You can expect your initial physiotherapy visit to be around an hour long. This extended time allows for a comprehensive assessment of your condition and a collaborative discussion about your treatment goals. Subsequent follow-up sessions are generally between 30 and 45 minutes, though this can be adjusted based on your individual requirements. Your Physiotherapist will advise on the appropriate appointment length for your specific care.

Does Eramosa Physiotherapy Associates offer direct billing to private insurance companies?

While we do not offer direct billing at this time, we provide detailed official receipts that you can easily submit to your insurer for reimbursement according to your plan. Please bring your insurance card and policy details to your first appointment and always confirm your specific coverage details, including any annual maximums, per-visit limits, or deductible requirements, directly with your insurance provider, as plans vary significantly. You are responsible for any portion not covered by your insurance.

What is physiotherapy and how can it help me?

Physiotherapy is a healthcare profession dedicated to helping people of all ages improve their movement, function, and overall well-being. A registered Physiotherapist uses evidence-based techniques like targeted exercise, hands-on manual therapy, and personalized education to assess, diagnose, and treat a wide range of injuries, pain conditions, and physical impairments affecting your muscles, bones, joints, nerves, and even your cardiorespiratory system. It can help you reduce pain, increase mobility and strength, recover from surgery, prevent future injuries, and enhance your quality of life.

Do I need a doctor's referral to see a Physiotherapist in ON?

Patients in Ontario can typically see a Physiotherapist directly without a physician's referral (this is known as direct access). However, some private/extended health insurance plans do require a referral for reimbursement of physiotherapy services. Check your individual insurance policy before your first appointment.

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.

What is Eramosa Physiotherapy Associates'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.

Eramosa Physiotherapy Associates
378 Mountainview Road South, Unit 7
Halton Hills, ON, L7G 5X3

Phone: (905) 873-3103

Meryl Carolyn Da Costa 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: XXX75

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=94e19057-8c02-e811-813c-480fcff44541

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