Nayana Jose – Physiotherapist | Pickering, ON

Nayana Jose is a dedicated Physiotherapist. Practicing at Integrated Rehab Professionals in Pickering, ON, Nayana Jose is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Nayana Jose's practice focuses on addressing 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. Nayana Jose has a particular focus on the unique health needs of older adults, aiming to improve and maintain mobility, strength, balance, manage age-related conditions like arthritis or osteoporosis, reduce fall risk, and enhance overall quality of life and independence.

Nayana Jose completed their degree in Physiotherapy from Mahatma Gandhi University (Graduating Class of 2011). With extensive clinical experience, Nayana Jose is committed to ongoing professional development and evidence-based physiotherapy practices. Nayana Jose has a particular interest and further training in areas such as Orthopedic and Musculoskeletal Physiotherapy and Geriatric Physiotherapy / Seniors' Health.

Nayana Jose employs a patient-centered approach, actively involving individuals in their treatment planning and goal setting. Nayana Jose maintains a strong commitment to evidence-based practice and continuous professional learning to provide the best possible care. Nayana Jose offers consultations in English, Hindi, Malayalam, and Tamil.

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

Vestibular Balance

• General Balance Deficits and Increased Fall Risk: Comprehensive balance assessment by a Physiotherapist to identify underlying causes of unsteadiness, followed by targeted exercise programs and strategies to help you stay steady on your feet.
• Persistent Postural-Perceptual Dizziness (PPPD / 3PD): A chronic functional dizziness disorder characterized by persistent sensations of dizziness, unsteadiness, or non-spinning vertigo (often lasting for 3 months or more), typically exacerbated by upright posture, active or passive motion, or exposure to complex or moving visual environments (e.g., busy supermarkets, scrolling on a screen). Often follows an acute vestibular event, medical illness, or period of psychological distress.
• Benign Paroxysmal Positional Vertigo (BPPV): Brief, often intense, episodes of dizziness or a spinning sensation (vertigo) triggered by specific changes in head position (e.g., rolling over in bed, looking up, bending down), caused by displaced inner ear crystals (otoconia).
• Vestibular Hypofunction (Unilateral or Bilateral): Reduced function of one (unilateral) or both (bilateral) inner ear balance systems (vestibular organs), leading to persistent dizziness, gaze instability (difficulty keeping vision clear during head movement), imbalance, and sometimes nausea.

Geriatric

• Age-Related Deconditioning / Frailty / Sarcopenia Management: A decline in physical function, muscle mass and strength (sarcopenia), and endurance commonly associated with aging or inactivity, sometimes leading to frailty, increased fall risk, and reduced ability to perform daily tasks independently.
• Mobility Issues & Gait Disturbances in Seniors: Difficulty with walking (e.g., slow gait, shuffling, unsteadiness), transferring (e.g., getting in/out of a chair or bed), using stairs, or performing other daily mobility tasks due to age-related changes, chronic health conditions, deconditioning, or fear of falling.

Common Musculoskeletal

• Hip Pain (e.g., Bursitis, Muscle Strains, Labral Issues - conservative): Aching, sharp, or deep pain in the hip that may worsen with activity, specific movements, or even at rest.
• Low Back Pain (Acute or Chronic): Pain, discomfort, or stiffness in the lumbar spine region, whether it's a sudden onset or a long-lasting issue affecting your daily life.
• Neck Pain and Stiffness: Neck problems that interfere with your sleep quality, ability to work comfortably (especially at a desk), or perform everyday tasks without pain.

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. Nayana Jose can assess your needs.

• Comprehensive Musculoskeletal Assessment: A complete assessment of your musculoskeletal system to pinpoint issues, set clear rehabilitation goals, and get you started on the path to recovery.
• Chronic & Persistent Pain Management Programs: Personalized physiotherapy programs designed to reduce the impact of chronic pain on your life, helping you to gradually increase activity levels and re-engage in meaningful activities.
• 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.
• 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.
• Tele-Rehabilitation / Virtual Physiotherapy Consultations: Providing physiotherapy assessment, diagnosis, treatment guidance, education, exercise prescription, and self-management strategies remotely via secure video conferencing technology.
• Functional Movement Screening (FMS™/SFMA™ if certified): A systematic screening process, such as FMS™ or SFMA™ (if your Physiotherapist is certified), to understand how you move and guide preventative or corrective exercise programs.

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

• Rediscover your ability to taking group exercise classes at the community center without the constant burden of feeling like my joints are just 'wearing out' and getting harder to move. Nayana Jose focuses on evidence-based treatment plans that lead to a feeling of being 'unstuck' and more supple, integrating various therapeutic techniques for optimal and lasting results.
• At Nayana Jose's physiotherapy practice, individuals with feeling unsteady on my feet or experiencing dizziness and balance problems are guided towards noticeable strength gains in their limbs, supporting more demanding tasks. The focus is on enabling you to once again participate fully and comfortably in activities you enjoy, such as keeping up with their team during our weekly soccer match.
• Are you finding that my child walking on their toes most of the time stops you from enjoying participating in water aerobics or other pool-based exercises? Nayana Jose is dedicated to helping patients like you achieve getting back their independence with daily activities and personal care through a hands-on, active approach to physiotherapy.
• Struggling with the frustration of swelling in my arm or leg, possibly lymphedema, after surgery or treatment? Nayana Jose develops individualized physiotherapy programs specifically aimed at achieving a return to intimacy without the fear of pain or discomfort. This is key to helping you get back to doing reaching for items on high shelves or in cupboards without shoulder strain with confidence and significantly reduced discomfort.

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

Nayana Jose practices at Integrated Rehab Professionals, situated in the Bay Ridges, West Shore neighborhood of Pickering. The clinic is conveniently located near Petticoat Creek Conservation Park and is accessible via Durham Region Transit (DRT). Our clinic is accessible. Ample parking is generally accessible close to the clinic entrance.

Will I be given exercises to do at home?

Absolutely! Home exercises are a vital part of your rehabilitation journey and empower you to take an active role in your recovery process. Your Physiotherapist will carefully select and teach you exercises specific to your needs. These exercises help to reinforce what's done in the clinic, manage your condition effectively, and ensure you continue progressing towards your goals even when you're not in a session.

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

Please wear comfortable, loose-fitting clothing that allows the Physiotherapist to easily access and assess the area being treated, and permits you to move freely for any exercises or movements. For example, shorts are ideal for knee, hip, or ankle issues, while a tank top or loose t-shirt works well for shoulder, neck, or upper back problems. Athletic wear or gym attire is generally a good choice. You may also be provided with a gown if needed.

What types of conditions do Physiotherapists at Integrated Rehab Professionals treat?

Our Physiotherapists treat a wide range of musculoskeletal, neurological, and cardiorespiratory conditions. This includes, but is not limited to, issues like back and neck pain, joint problems (such as arthritis or post-surgical recovery), sports injuries, and nerve pain. We also have therapists with specialized skills in areas like Orthopedic and Musculoskeletal Physiotherapy and Geriatric Physiotherapy / Seniors' Health. Our treatments often involve Comprehensive Musculoskeletal Assessment, Chronic & Persistent Pain Management Programs, and patient education to help you achieve your functional goals.

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.

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

In Ontario, you can typically see a Physiotherapist directly without a doctor's referral. This is known as direct access. However, some private/extended health insurance plans may require a referral for reimbursement of physiotherapy services. It is strongly recommended that you check the specific requirements of 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 Ontarians. 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 that you check your private/extended health insurance plan, as many offer significant physiotherapy coverage for services in private clinics.

Integrated Rehab Professionals
1867 Valley Farm Rd.
Pickering, ON, L1V 3Y7

Phone: (905) 839-5248

Nayana Jose 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: XXX20

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=4744955e-988e-e811-816b-480fcff40721

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