Vanessa Natareno

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

Joint Pain

• Osteoarthritis (Knee, Hip, Spine, Hands, Other Joints): Joint pain, aching, and functional limitation due to the progressive loss of cartilage, which physiotherapy can help manage through exercise, education, and pain relief strategies.
• 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).

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): Focused physiotherapy care for complex hand and wrist problems, often involving custom splinting or orthosis fabrication, manual therapy (joint and soft tissue mobilization), specific exercises to restore dexterity, strength, and range of motion, scar management, and sensory re-education.

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.
• 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.

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. Ness Natareno can assess your needs.

• Manual Therapy (Joint Mobilization & Manipulation): Hands-on physiotherapy focused on mobilizing restricted joints and soft tissues to promote healing, restore normal biomechanics, and alleviate pain.
• Personalized Therapeutic Exercise Prescription: Development of a tailored therapeutic exercise program by your Physiotherapist, focused on your specific rehabilitation needs, strength goals, flexibility improvements, balance, and overall conditioning.
• 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.
• Strength & Conditioning for Rehabilitation and Performance: Progressive resistance training programs designed by your Physiotherapist to improve muscle performance, support joint health, and enhance functional capacity for daily life or sport.
• Core Stability & Strengthening Training: A progressive program designed to build a strong and stable core, improving your body's foundation for all movements and reducing strain on other structures.
• Muscle Energy Techniques (MET): Gentle, active manual therapy techniques where you use your own specific muscle contractions against your therapist's controlled resistance to improve joint mobility, lengthen tight tissues, and reduce pain.

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

• It's truly rewarding for Ness Natareno to witness patients conquer difficulty getting out of a chair or bed due to stiffness or pain and experience achieving their specific mobility goals, whether big or small. A tailored approach to physiotherapy, focusing on your specific needs, can make a significant difference in your ability to participate in dancing the night away at social events and family celebrations again.
• If my child complaining of 'growing pains' that keep them up at night is preventing you from fully enjoying being able to kneel or squat down to play with pets or children, Ness Natareno offers expert guidance and tailored treatment. Physiotherapy focuses on attaining a smooth and confident transition back to their work duties, often utilizing targeted exercises, manual therapy, and education to help you regain your previous level of function.
• At Ness Natareno's physiotherapy practice, individuals with recovering my strength and energy after being very sick (like with pneumonia or Long COVID) are guided towards greater ease in performing overhead activities or reaching. The focus is on enabling you to once again participate fully and comfortably in activities you enjoy, such as travelling more comfortably on planes, trains, or in cars for longer durations.
• Living with post-operative stiffness and weakness that's slowing down my recovery doesn't have to be your norm. Ness Natareno applies expert physiotherapy knowledge to work towards better joint stability during movement and weight-bearing activities, so you can get back to the simple pleasure of taking group exercise classes at the community center.

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

Ness Natareno practices at RISE Physio, a physiotherapy clinic in the central Shelburne neighborhood of Shelburne, ON. The clinic is conveniently located near nearby parks and community recreation facilities and is accessible via local public transit routes. Our clinic is accessible. Free patient parking is typically available on-site or nearby.

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 typically do not need a doctor's referral to see a physiotherapist. This is known as direct access. However, while a referral isn't legally required for your appointment, some private health insurance plans may require one for reimbursement of physiotherapy services. It is strongly recommended that you check with your insurance provider to understand their specific requirements before your first appointment.

Is physiotherapy covered by the Ontario Health Insurance Plan (OHIP) in ON?

OHIP generally does not cover physiotherapy services provided in private outpatient clinics. Publicly funded physiotherapy is available in specific circumstances, such as post-hospitalization for certain conditions or through community physiotherapy clinics and family health teams, but eligibility criteria are strict and waitlists may apply. It is essential to check your private health insurance coverage, as many plans offer significant coverage for physiotherapy services in private clinics.

Will I be given exercises to do at home?

Yes, a personalized home exercise program is a crucial and integral component of most physiotherapy treatment plans. Your Physiotherapist will prescribe specific exercises tailored to your condition, abilities, and goals. These exercises are designed to complement your in-clinic treatment, help you manage your symptoms effectively between sessions, accelerate your recovery, and empower you with tools for long-term self-management. Your active participation in your home program is key for optimal results.

What is RISE Physio'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.

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 RISE Physio 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.

RISE Physio
735 Industrial Road
Shelburne, ON, L9V 2Z4

Phone: (877) 249-4009

Vanessa Natareno 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: XXX11

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=6e1ab30b-d56a-ef11-a670-0022483c9e3b

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