Nodhas Akshay Prasaad Misir

Nodhas Akshay Prasaad Misir provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Back Neck Pain

• Postural Back/Neck Pain: Pain and muscle tension related to ergonomic factors at work or home, muscle imbalances, and suboptimal body mechanics or movement habits.
• 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.
• Whiplash Associated Disorders (WAD): A range of neck and related symptoms including pain, stiffness, headaches, dizziness, and sometimes arm pain or cognitive difficulties, following a rapid acceleration-deceleration injury to the neck, most typically from a motor vehicle accident.

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.

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. Akshay Misir can assess your needs.

• Muscle Energy Techniques (MET): Using controlled isometric and isotonic muscle contractions, as directed by your Physiotherapist, to address joint restrictions and muscle imbalances effectively.
• Neural Mobilization Techniques (Nerve Gliding): Gentle, specific movements and mobilizations designed to address nerve-related pain (like sciatica or carpal tunnel symptoms), tingling, numbness, or restrictions by improving the nerve's ability to glide freely and reducing irritation.
• Strength & Conditioning for Rehabilitation and Performance: Customized strength training to address specific weaknesses identified in your assessment, helping to correct imbalances, improve movement efficiency, and achieve your physical objectives.
• Soft Tissue Mobilization & Release Techniques: Application of skilled soft tissue techniques to manage pain, stiffness, and improve function in muscles, tendons, ligaments, and fascia.
• General Reconditioning & Fitness Programs: Graded exercise programs designed to improve your overall physical fitness, endurance, strength, and functional capacity, especially beneficial after illness, surgery, or periods of prolonged inactivity.
• Core Stability & Strengthening Training: Specialized workouts to enhance your core strength, stability, and endurance, which are crucial for injury prevention, back health, and efficient performance in daily activities and sports.

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

• At Akshay Misir's physiotherapy practice, individuals with pain and difficulty with overhead movements like reaching into a cupboard are guided towards less reliance on pain medication, trusting more in their body's ability to heal and function. The focus is on enabling you to once again participate fully and comfortably in activities you enjoy, such as swimming laps at the pool for fitness and relaxation.
• Don't let my infant having a tilted head or a flat spot on their head (torticollis/plagiocephaly) dictate what you can and cannot do. Akshay Misir offers physiotherapy solutions aimed at implementing practical strategies to avoid re-injury during work or daily life, helping you reclaim enjoying long, challenging hikes on weekends again and enjoy a more functional life.
• Discover how physiotherapy with Akshay Misir can help you move beyond widespread muscle pain and fatigue that my doctor thinks might be fibromyalgia. The focus is on successfully avoiding or delaying the need for more invasive treatments or surgery, enabling a joyful return to the activities you love, such as engaging in detailed crafting, sewing, or knitting hobbies for hours.
• Akshay Misir believes that everyone deserves to move well and feel their best. If hip pain when I walk, climb stairs, or try to sleep on my side is hindering your ability to simply being able to get through a workday without constant pain interruptions, a personalized plan focusing on sleeping more soundly through the night due to reduced pain and discomfort can make all the difference.

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

Akshay Misir practices at CBI Physiotherapy & Rehabilitation Centre, situated in the Greensborough neighborhood of Markham. The clinic is conveniently located near Pacific Mall and is accessible via York Region Transit (YRT) / Viva. Our clinic is accessible. Ample parking is generally accessible close to the clinic entrance.

Is physiotherapy treatment supposed to be painful?

Physiotherapy should not be an ordeal of pain. While you might feel some discomfort or a stretching sensation as you work to regain movement or strength, especially in the initial stages of treatment for an acute injury or chronic stiffness, it's rarely 'painful' in a distressing or harmful way. Your Physiotherapist will guide you through each step, modify treatments to suit your comfort and tolerance, and ensure that the overall experience is positive. The ultimate aim is to make you feel better, not worse.

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. Always check your private/extended health insurance plans, as many offer significant physiotherapy coverage for services in private clinics. Verify your specific eligibility for any public coverage directly with the Ontario Health Insurance Plan (OHIP).

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 is CBI Physiotherapy & Rehabilitation Centre'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.

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.

What should I do if my condition seems to worsen after a physiotherapy session?

Some temporary post-treatment soreness can be normal. 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.

Does CBI Physiotherapy & Rehabilitation Centre offer direct billing to private insurance companies?

Please contact the clinic directly to confirm their direct billing capabilities and accepted insurance providers. Bring your insurance card/information and confirm your coverage details with your insurer before your appointment. You are responsible for any portion not covered by your insurance.

CBI Physiotherapy & Rehabilitation Centre
110 Copper Creek Dr.
Markham, ON, L6B 0P9

Phone: (905) 472-2273

Nodhas Akshay Prasaad Misir 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: XXX35

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=abeebc5b-3635-ee11-bdf4-000d3a09cff4

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