Nancy Jane S Miller – Physiotherapist | London, ON

Nancy Jane S Miller is a dedicated Physiotherapist. Practicing at Parkwood Hospital in London, ON, Nancy Miller is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Nancy Miller focuses on providing comprehensive assessment and treatment for a broad spectrum of musculoskeletal injuries, pain conditions, and movement dysfunctions to help patients of all ages restore function, manage pain, and improve their quality of life. Nancy Miller serves seniors and other patients in the London community.

Nancy Jane S Miller completed their degree in Physiotherapy from Mohawk College (Graduating Class of 1986). With extensive clinical experience, Nancy Miller is committed to ongoing professional development and evidence-based physiotherapy practices. Nancy Miller has a particular interest and further training in areas such as General Physiotherapy Practice and general physiotherapy.

Nancy Miller's practice philosophy centers on empowering patients through clear education about their condition and practical self-management strategies for lasting results; Nancy Miller promotes preventative care and long-term wellness for the London community through proactive physiotherapy. Nancy Miller offers consultations in English.

Nancy Jane S Miller provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Joint Pain

• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Pain, tenderness, swelling, and dysfunction in a tendon (the strong cords that attach muscles to bones) due to overuse, repetitive strain, injury, or degeneration. Common sites include the Achilles, patellar tendon (knee), rotator cuff (shoulder), or elbow (tennis/golfer's elbow).
• 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.

Back Neck Pain

• 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: Back or neck pain accompanied by associated limb symptoms (pain, sensory changes, weakness) due to a constricted spinal canal, which physiotherapy can help manage conservatively.
• 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.

Common Musculoskeletal

• Ankle Sprains and Instability: Weakness, a feeling of the ankle 'giving way' repeatedly, or persistent pain after an initial sprain, indicating a need for targeted physiotherapy to restore stability and function.
• Shoulder Pain (e.g., Rotator Cuff Tendinopathy, Impingement, Frozen Shoulder/Adhesive Capsulitis): Common shoulder problems such as rotator cuff issues (tendinopathy, small tears), impingement syndrome, or adhesive capsulitis (frozen shoulder) significantly affecting arm function and daily 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. Nancy Miller can assess your needs.

• Cryotherapy Application (Cold Therapy): Using therapeutic cold to manage the initial stages of an injury (e.g., sprains, strains) and control inflammatory responses, helping to limit tissue damage.
• Soft Tissue Mobilization & Release Techniques: Hands-on treatment focusing on your body's soft tissues to restore pliability, reduce discomfort, and optimize movement quality.
• Spinal Decompression / Mechanical Traction: Utilizing traction techniques to create space within the spine, reduce nerve irritation, improve disc hydration, and alleviate back or neck pain.
• Other Electrotherapy Applications (e.g., NMES, FES): Employing different types of electrotherapy to support your rehabilitation goals, including promoting tissue healing or improving motor control.
• Therapeutic Heat Application: Superficial heat application carefully monitored by your therapist to promote relaxation, pain relief, and enhance the effectiveness of other treatments.
• Extracorporeal Shockwave Therapy (ESWT): Targeted shockwave application to promote tissue regeneration, modulate pain, and improve function in chronic injuries, often with lasting results.

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

• Are you finding that trouble performing repetitive tasks at work without pain stops you from enjoying participating in light recreational activities like bowling or mini-golf? Nancy Miller is dedicated to helping patients like you achieve successfully avoiding or delaying the need for more invasive treatments or surgery through a hands-on, active approach to physiotherapy.
• Through personalized physiotherapy at Nancy Miller's clinic, common concerns like wrist pain and tingling, possibly from carpal tunnel syndrome, especially at night are thoroughly assessed and addressed with the objective of seeing their child achieve developmental milestones with greater ease (for pediatric physio). This often involves a combination of in-clinic treatment, education, and self-management strategies, helping people to once again enjoy activities like getting in and out of the car smoothly and without wincing.
• Don't let an old ankle sprain that never seems to fully heal and still feels weak dictate what you can and cannot do. Nancy Miller offers physiotherapy solutions aimed at improved circulation and tissue healing, helping you reclaim dancing the night away at social events and family celebrations and enjoy a more functional life.
• For those whose soreness and tightness in my Achilles tendon, especially after exercise has made working at their desk all day without developing back or neck stiffness seem like a distant memory, Nancy Miller's physiotherapy care offers a clear path toward restoring normal movement patterns essential for everyday tasks. Effective, evidence-based treatments can be instrumental in helping you get back to working at their desk all day without developing back or neck stiffness with greater comfort and renewed confidence.

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

Nancy Miller practices at Parkwood Hospital, located in the Woodfield, Wortley Village neighborhood of London. The clinic is conveniently located near Victoria Hospital (LHSC) and is accessible via London Transit Commission (LTC). Our clinic is accessible. Ample parking is generally accessible close to the clinic entrance.

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.

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 Parkwood Hospital or your physician directly. They can provide advice, adjust your treatment plan if necessary, or determine if you need to be reassessed.

What are Parkwood Hospital's operating hours?

Parkwood Hospital is typically open Monday to Friday from 8:00 AM to 7:00 PM. However, hours can vary by practitioner and day, so please call the hospital directly or check their website for the most current hours and specific practitioner availability.

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).

What should I expect during my first physiotherapy appointment?

Your initial physiotherapy appointment is a comprehensive assessment. Your Physiotherapist will start by discussing your medical history, the details of your current symptoms or injury, your concerns, and what you hope to achieve with physiotherapy (your functional goals). This is followed by a thorough physical examination, which may include evaluating your range of motion, strength, posture, balance, and specific movement patterns, as well as performing special tests relevant to your condition. Based on these findings, your therapist will provide a clinical impression or diagnosis, discuss a personalized treatment plan with you, and often begin some initial treatment or provide education and a home exercise program to get you started.

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 Parkwood Hospital 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.

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 do require a referral for reimbursement of physiotherapy services. Check your individual insurance policy before your first appointment.

Is physiotherapy treatment supposed to be painful?

While some physiotherapy techniques might feel uncomfortable or cause a temporary increase in soreness, it should not be excessively or intolerably painful. Your Physiotherapist will discuss what sensations you might expect and will adjust the intensity to ensure your comfort while achieving therapeutic benefits. Constant communication about your comfort level is very important.

Parkwood Hospital
550 Wellington Rd.
London, ON, N6C 0A7

Phone: (519) 646-6100

Nancy Jane S Miller 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: XXX00

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=7d1e0012-8a02-e811-8134-480fcff4f671

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