Dr. Brouwer utilizes a variety of manual techniques and therapeutic modalities to accelerate recovery, restore function, and reduce risk of injury.
Chiropractors are primary healthcare practitioners specializing in the diagnosis and treatment of musculoskeletal conditions of the spine and extremities. Dr. Brouwer incorporates chiropractic manipulations and mobilizations when appropriate in order to reduce joint-related pain and restore normal joint movement and range of motion.
For more information on chiropractic, please visit the Canadian Chiropractic Association website.
MYOFASCIAL RELEASE THERAPY
Myofascial release therapy is a soft-tissue treatment technique targeting muscles and connective tissue (fascia, tendons, ligaments). Dr. Brouwer uses his hands to apply tension to the involved tissue while the patient is guided through specific movements. Myofascial release is utilized to address abnormal tension in muscles and fascia that may be contributing to pain, restricted movement, diminished blood profusion for local tissue healing, and nerve entrapments
Exercise-based rehabilitation is utilized to return tissues to their pre-injury state, reduce the likelihood of future injury, and address faulty movement patterns as well as increase athletic performance. Programs are specifically tailored to each patient and may include strengthening, endurance exercises, mobility training, movement re-education, balance/proprioceptive training, and sport-specific exercises.
Athletic and functional tape are used as an adjunct to therapy to reduce pain perception, enhance positional awareness (proprioception), act as a postural reminder, and reduce swelling and bruising. Athletic tape is firm and inelastic and therefore better suited to "restrict" movement that may lead to injury or irritation of an underlying condition. Functional tape (e.g. Rocktape, Spidertech, Kin Tape) is elastic in nature and therefore does not restrict movement.
Therapeutic modalities are incorporated into the treatment plan when clinically appropriate. Modalities include, Interferential Current (IFC), Transcutaneous Electrical Nerve Stimulation (TENS), and Micocurrent. Cryotherapy (ice) and Heat therapy are also utilized when indicated.
ORTHOTICS AND BRACING
When indicated, Dr. Brouwer may prescribe orthotics, bracing, or recommend over-the-counter supports. These can act as an adjunct to addressing abnormal foot mechanics through rehabilitative exercise and manual therapy. Foot dysfunction may not only lead to local conditions (e.g. plantar fasciitis, metatarsalgia, etc.) but may also result in lower leg, knee, hip, and low back pain.