Integrative Initial Assessment

All care begins with an initial examination.  We are the first clinic in Ottawa to introduce an Integrative Initial Assessment. Both a Chiropractor and Active Release Therapist and a Functional Dry Needling trained Physiotherapist will sit down and speak with you about your particular problem (see consultation description below).  Each therapist will then privately take you through their own examination, followed by a consultation between therapists to establish a plan of management for your particular condition.  This integrated approach to examination and treatment effectively combines the health care backgrounds of Chiropractic, Physiotherapy, Acupuncture, Active Release Therapy (ART), and Trigger Point Dry Needling, in order to establish a comprehensive and complete rehabilitation plan.

Please allow yourself up to two hours for the initial visit.  We also ask that you dress comfortably for the examination; comfortable shoes along with shorts and a tank-top/T-shirt is ideal.

Note: Please bring a copy of any past CTs, MRIs or X-rays.


Initial Paperwork

Our initial visit begins with you filling out some necessary paperwork.  These initial forms provide us with essential information about you, your condition, and your health history.  It is very important that we find out as much as possible about any past accidents, medications, surgeries, previous treatments, and any details regarding your family health history.  These forms can be downloaded by clicking on the link below.  Please bring the completed forms below to your scheduled appointment.  If you are unable to complete this process prior to your appointment, we ask that you arrive to your first visit at least 15 minutes early, in order to allow ample time for this process.




During the consultation, we will sit down and discuss details regarding the following:

    • Onset and description of symptoms
    • Aggravating and alleviating factors
    • Intensity of discomfort
    • Personal and family medical history
    • Major and minor illnesses you have experienced in the past
    • Surgeries or operations you have endured
    • Medications you might be (or might have been) taking
    • Your diet and exercise
    • Your work and leisure activities
    • Your sleeping habits (position, length of time per night etc.)

Based on this discussion, your health care provider will have an opportunity to better understand your problem.  This information also provides us with some direction for the examination aspect of the visit.  Following the consultation, if we believe that your problem falls outside our field of expertise, a referral will be made at this time to a more appropriate health care provider.



There are three main goals to the examination.

Rule out any serious disease/pathology

Although the large majority of pain-generating conditions do not fall within this category, serious conditions such as cancer, infection and fracture make up approximately 3% of the underlying causes.  These serious conditions must first and foremost be ruled out as the cause of your symptoms before moving on to the remainder of the examination.  Often, a series of specific questions and examination procedures are sufficient to rule these out.

Identify which area of the body is causing your pain and discomfort

Various movements, palpation (touch), and other relevant testing procedures are used to determine which part of your body is responsible for generating the discomfort you are experiencing.  These “symptoms” are usually a result of multiple pain generating structures and/or tissues, and often times the site of the actual pain is quite distant to the area responsible for its cause.

Identify WHY the structure and/or tissue causing your discomfort was strained and eliminate these perpetuating factors

There are often multiple causes for a single condition.  It could be related to a repetitive motion, the way you sit or sleep, a certain movement that placed excessive strain on a tissue or joint, or a number of other factors.  Our most important job as health practitioners is identifying exactly what led to your condition, so that we can minimize the chance of recurrence once your problem has been resolved.

Some of the tests we may perform include:

  • Gait Analysis (analyzing the way your walk or run)
  • A test of your muscle strength, flexibility, reflexes and coordination
  • Posture Analysis
  • Orthopaedic testing
  • Movement & Functional Analysis (specific to your sport or occupation)


Report of Findings

Following the completion of the initial examinations, and once we feel confident that we have a solution to your problem, we will do our best to communicate this to you in a clear and concise manner.  This is an excellent time to ask questions, and to be sure that as a patient you understand exactly what is happening.  Your understanding plays a crucial role in the recovery process.  Here we will discuss our diagnosis, our treatment recommendations, and any home care advice (exercises, stretches, avoidance of activities, nutrition.) that will help in your recovery.  If we feel that your condition is outside our area of expertise, OR, if we believe it could be better looked after somewhere else, we will do our best to point you in the right direction.

Contact Us


102 Lewis Street
Ottawa, ON
K2P 0S7
Phone: 613-230-7891
Fax: 613-569-1831
Send us an email


Mondays: 7:00am - 6:00pm
Tuesdays: 7:00am - 6:00pm
Wednesdays: 7:30am - 7:00pm
Thursdays: 7:00am - 8:00pm
Fridays: 7:00am -5:00pm

Saturdays*: 11:00am - 3:00pm

Hours are subject to change.


You can take advantage of the free 3-hour street parking on Delaware St. There are also several other streets within a couple of blocks (south) of the clinic with free 1 hour parking (Waverly, Frank, MacDonald).

If you require 2 hour parking, please go to McLaren St.