Riyalben Shailesh Parmar – Physiotherapist | London, ON

Riyalben Shailesh Parmar is a dedicated Physiotherapist. Practicing at Hands On Health Wellness Centre in London, ON, Riyal is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Riyal's approach 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. Riyal serves patients of all ages, from infants to seniors.

Riyalben Shailesh Parmar completed their degree in Physiotherapy from Sardar Patel University (Graduating Class of 2018). With clinical experience, Riyal is committed to ongoing professional development and evidence-based physiotherapy practices. Riyal has a particular interest or further training in areas such as Orthopedic and Musculoskeletal Physiotherapy.

Riyal's practice philosophy centers on promoting preventative care and long-term wellness for the London community through proactive physiotherapy. Riyal employs a collaborative approach, working with patients to achieve their movement and functional goals. Riyal uses a patient-centered approach, actively involving individuals in their treatment planning and goal setting. Riyalben Shailesh Parmar offers consultations in English, Gujarati, Hindi.

Riyalben Shailesh Parmar provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Hand Wrist

• Trigger Finger/Thumb (Stenosing Tenosynovitis): Helping to alleviate the symptoms of a catching, locking, or painful finger/thumb through targeted physiotherapy interventions, potentially avoiding the need for injections or surgery in some cases.
• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Specialized physiotherapy for conditions affecting the intricate structures of the hand and wrist, such as fractures (e.g., Colles', scaphoid), tendon lacerations or ruptures (e.g., flexor/extensor tendon repairs), ligament sprains/tears (e.g., skier's thumb, TFCC injuries), repetitive strain injuries, or arthritis (osteoarthritis, rheumatoid arthritis). Includes both conservative management and post-operative rehabilitation.

Post Surgical

• Post-Hip Replacement Rehabilitation (Total or Partial Hip Arthroplasty - THA/PHA): A structured physiotherapy plan to help you recover full function, independence, and confidence in your new hip after replacement surgery.
• Post-Fracture Fixation Surgery Rehabilitation (e.g., ORIF): Physiotherapy aimed at restoring movement, strength, and function after surgical repair of broken bones (e.g., Open Reduction Internal Fixation - ORIF, intramedullary nailing), once the fracture site is sufficiently healed and cleared for rehabilitation by your surgeon.
• Post-Knee Replacement Rehabilitation (Total or Partial Knee Arthroplasty - TKA/PKA): A structured physiotherapy program to manage post-operative pain and swelling, improve knee flexibility and strength, and re-educate your gait pattern after a TKA or PKA.

Back Neck Pain

• Herniated Disc / Sciatica / Radiculopathy: Pain, pins and needles, numbness, or weakness in an arm or leg resulting from irritation or compression of a spinal nerve, often managed effectively with physiotherapy techniques like McKenzie method or neural mobilization.
• Whiplash Associated Disorders (WAD): Symptoms resulting from a whiplash injury, which can vary in severity (WAD Grades I-III) and duration, requiring a comprehensive physiotherapy approach for recovery.
• Postural Back/Neck Pain: A common cause of persistent back and neck pain due to the cumulative strain of prolonged sitting, standing, or performing tasks in non-ideal positions.
• Spinal Stenosis Symptoms: Symptoms like 'neurogenic claudication' – leg pain, cramping, or heaviness with walking or prolonged standing that typically eases with rest or bending forward (flexion).

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. Riyal can assess your needs.

• Stretching & Flexibility Programs: Personalized programs incorporating various stretching techniques (e.g., static, dynamic, PNF) to alleviate stiffness, increase tissue extensibility, and promote better posture.
• Manual Therapy (Joint Mobilization & Manipulation): Application of precise, passive movements to joints to decrease stiffness, relieve pain, and facilitate easier, more comfortable movement.
• Neural Mobilization Techniques (Nerve Gliding): Improving the mobility and health of your nervous system to reduce pain, restore sensation, and enhance overall function.
• Soft Tissue Mobilization & Release Techniques: A variety of hands-on methods such as therapeutic massage, myofascial release, trigger point therapy, and active release style techniques to reduce muscle tension, break down scar tissue, improve circulation, and enhance tissue flexibility.
• General Reconditioning & Fitness Programs: Comprehensive exercise plans developed by your Physiotherapist to combat deconditioning, enhance overall physical well-being, and promote an active lifestyle.
• 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.

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

• Tired of that grinding or crunching feeling in my knee or shoulder interfering with dressing myself independently and without difficulty, including shoes and socks? Riyal uses a blend of physiotherapy techniques to help you achieve increased endurance for walking, allowing for longer and more enjoyable outings and regain your freedom of movement.
• It's truly rewarding for Riyal to witness patients conquer facial weakness or drooping on one side (like Bell's Palsy) and experience being able to climb stairs with ease and confidence once again. A tailored approach to physiotherapy, focusing on your specific needs, can make a significant difference in your ability to participate in engaging in detailed crafting, sewing, or knitting hobbies for hours again.
• If difficulty moving one side of my body or walking easily after a stroke is preventing you from fully enjoying taking group exercise classes at the community center, Riyal offers expert guidance and tailored treatment. Physiotherapy focuses on attaining a renewed sense of vitality and enthusiasm for daily activities, often utilizing targeted exercises, manual therapy, and education to help you regain your previous level of function.
• Are you finding that that burning pain between my shoulder blades from too much computer work stops you from enjoying keeping up with their team during our weekly soccer match? Riyal is dedicated to helping patients like you achieve a safe and confident return to their favorite sport or recreational activity through a hands-on, active approach to physiotherapy.

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

Riyal practices at Hands On Health Wellness Centre, situated in the Hamilton Road Area, Trafalgar Heights neighborhood of London. The clinic is conveniently located near Labatt Memorial Park and is accessible via London Transit Commission (LTC). Our clinic is accessible. Ample parking is generally accessible close to the clinic entrance.

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.

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 individual insurance policy before your first appointment.

Does Hands On Health Wellness Centre 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 appointment and always confirm your coverage details with your insurance provider.

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. Contact your insurance provider before your first appointment to understand your plan's specifics. 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 direct billing is not possible, we will provide you with an official receipt that you can submit to your insurer.

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.

Hands On Health Wellness Centre
155 Clark Rd.
London, ON, N5W 5C9

Phone: (519) 204-8888

Riyalben Shailesh Parmar 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: XXX81

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=690d27af-907b-ed11-81ad-002248d51760

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