Sandra B. Alexander Garrard

Sandra B. Alexander Garrard 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): Persistent tendon pain that can interfere with your sports, work, or daily activities, often requiring specific loading programs and advice from a physiotherapist for effective management.
• 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.

Back Neck Pain

• Herniated Disc / Sciatica / Radiculopathy: Symptoms of nerve compression originating from the spine, such as a 'slipped disc' or 'pinched nerve', causing radiating pain, altered sensation, or muscle weakness in a limb.
• 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).
• 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.

Hand Wrist

• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Managing a variety of acute and chronic conditions of the hand and wrist, aiming to reduce pain, improve function, and prevent long-term disability.
• Trigger Finger/Thumb (Stenosing Tenosynovitis): Addressing the inflammation, pain, and restricted movement associated with stenosing tenosynovitis of the finger or thumb.

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. Sandra Alexander Garrard can assess your needs.

• Therapeutic Ultrasound Application: Ultrasound therapy as part of a comprehensive treatment plan, often used to prepare tissues for manual therapy or exercise, or to manage acute and chronic soft tissue injuries.
• Therapeutic Heat Application: Application of therapeutic heat to prepare tissues for exercise, manual therapy, or stretching, or to manage chronic muscle soreness and joint stiffness.
• Low-Level Laser Therapy (LLLT) / Photobiomodulation: The application of specific wavelengths of light energy (cold laser) by your Physiotherapist to targeted tissues to reduce pain, decrease inflammation, and accelerate tissue repair and regeneration at a cellular level.
• Postural Assessment and Correction: Education on optimal body mechanics and corrective strategies to improve your posture during daily activities, work, and recreation.
• 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.
• Interferential Current (IFC) / TENS Therapy: The use of specific electrical stimulation devices (IFC or TENS) by your Physiotherapist to provide pain relief, reduce muscle spasm, decrease swelling, or promote muscle activation and re-education.

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

• Are you finding that that burning pain between my shoulder blades from too much computer work stops you from enjoying playing in their competitive volleyball league again? Sandra Alexander Garrard is dedicated to helping patients like you achieve regaining full function in an injured area, enabling a return to cherished activities through a hands-on, active approach to physiotherapy.
• Don't let knee pain, especially when going up/down stairs or after a run dictate what you can and cannot do. Sandra Alexander Garrard offers physiotherapy solutions aimed at feeling a substantial improvement in their mobility and range of motion for easier movement, helping you reclaim attending concerts or theatre shows and sitting comfortably throughout and enjoy a more functional life.
• It's truly rewarding for Sandra Alexander Garrard to witness patients conquer awful foot pain first thing in the morning, like I'm walking on glass (plantar fasciitis) and experience enhanced ability to participate in social and community events. A tailored approach to physiotherapy, focusing on your specific needs, can make a significant difference in your ability to participate in feeling energetic enough to engage in social activities in the evenings again.
• At Sandra Alexander Garrard's physiotherapy practice, individuals with working on getting back to normal after a fracture or other surgery are guided towards moving more freely and with greater agility than they have in years. The focus is on enabling you to once again participate fully and comfortably in activities you enjoy, such as safely meeting the lifting requirements at their workplace.

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

Sandra Alexander Garrard practices at ASCEND Rehabilitation Collective, situated in the Erindale, Credit Woodlands neighborhood of Mississauga. The clinic is conveniently located near the Living Arts Centre and is accessible via MiWay (Mississauga Transit). Our clinic is accessible. Free patient parking is typically available on-site or nearby.

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 with your insurance provider to confirm their specific requirements before your first appointment.

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.

Is physiotherapy treatment supposed to be painful?

The primary goal of physiotherapy is generally to reduce pain and improve function, not to cause significant or lasting pain. Some assessment techniques or specific treatments (like deep soft tissue work, joint mobilization, or certain exercises) might cause mild, temporary discomfort or soreness, especially if the tissues being treated are sensitive, inflamed, or very stiff. However, your Physiotherapist will always work within your tolerance levels, communicate clearly about what to expect, and encourage open feedback. If you experience notable or unacceptable pain during treatment, please inform your therapist immediately so adjustments can be made to ensure your comfort.

What is ASCEND Rehabilitation Collective'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.

What are ASCEND Rehabilitation Collective's operating hours?

Our clinic is typically open Monday to Friday from 8:00 AM to 7:00 PM, and some practitioners offer Saturday appointments from 9:00 AM to 1:00 PM. However, hours can vary by practitioner and day, so please call our office or check our website for the most current hours and specific practitioner availability.

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 our clinic 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.

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 that you check your private insurance for coverage of services in private clinics.

ASCEND Rehabilitation Collective
3611 Mavis Rd, Unit 12
Mississauga, ON, L5C 1T7

Phone: (289) 232-6344

Sandra B. Alexander Garrard 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: XXX47

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=911184d7-8902-e811-813c-480fcff44541

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