South City Physiotherapy has moved!


As South City celebrates 25 years of providing quality health care services to Guelph and area patients, we have moved our clinic.

We are now located at;

620 Scottsdale Drive, Guelph ON N1G 3M2

620 3D w New Logo Sign

(corner of Scottsdale Dr. & Stone Rd – across from Stone Road Mall in the old KFC / Parties Plus location)

Our new facility has been designed to provide more effective services, and we look forward to showing you all the improvements we’ve made.

 We will be easier to reach using Guelph Transit, and as usual there will be plenty of free parking.

Please Note: Phone and Fax numbers remain the same!

Phone:   519-763-2885

Fax:       519-763-8745

620 3D w New Logo Sign 3620 3D w New Logo Sign

Bracing for Knee Osteoarthritis


by Ashlea Wilson

Registered Physiotherapist

Osteoarthritis 2







Osteoarthritis (OA) of the knee is inflammation of the joint and can present with pain, stiffness, redness and swelling. The Arthritis Society (1) describes OA as occurring when “cartilage (the tough elastic material that covers and protects the ends of the bones) begins to wear away”. This is problematic because there is a loss of joint space and decreased ability for the joint to absorb shock. There can also be the development of bony growths called osteophytes and all of this can result with bone on bone friction. This exacerbates pain, stiffness and swelling.

Fortunately, there are conservative treatment options to help people manage the symptoms associated with OA of the knee. Physiotherapy will focus on maintaining or improving your knee range of motion, strengthening the muscles that help support the knee, improving your movement patterns to maintain the best alignment and reduce any increased load being placed on the joint.

donjoy nanoYou can also talk to your physiotherapist about bracing options available to help align and support your knee. There are pre-fabricated brace options or a trained physiotherapist can measure your knee to have a custom brace made for you. The objective of OA knee braces is to help off-load the area of the joint most affected by degeneration or OA changes. This can help decrease pain and limit further loss of cartilage by restoring some of the joint space that is loss with OA. These braces can be worn during any recreational activities when people will be on their feet, and even in water.
Talk to your physiotherapist about these and other options to help you manage your knee OA symptoms and keep you moving pain free.


Youth Sports Injury Prevention



by Craig Brown

Registered Physiotherapist




Participation of youth in sport has many great benefits like improving physical fitness, promoting positive social interaction and boosting self-esteem. Although participating in sport carries a risk of injury, certain steps can be taken to minimize the chance of injury.


In a five part blog series, I will be discussing various approaches that can decrease the chance of injury.  They include:

Part 1: Diversifying the Athlete’s sport participation

Part 2: Proper Warm Up

Part 3: Movement Screening

Part 4: Returning from an injury when Return to Sport Criteria is achieved

Part 5: Performing a maintenance exercise program


Diversifying the Athlete’s sports participation

Early specialization in youth sport is becoming more prevalent. The theory is that, by getting increased exposure to a sport at a younger age, the individual skills of the athlete will develop more quickly. The problem with this increased exposure to just one sport leads to the young athlete performing the same movement patterns, repetitively. This can lead to a higher incidence of injury due to this repetitive movement.

Dr. Neeru Jaynathi, a medical doctor out of Loyola University in Chicago, followed 1200  young athletes (age range 8 to 18) over a period of three years. The study found that more specialized athletes were 2.3 times more likely to get injured. Their specialization was based on a six point sport specialization questionnaire using if the athlete:

1.  Trains more than 75 percent of the time, in one sport

2.  Trains to improve skill, or misses time with friends

3.  Has to quit other sports to focus on one sport

4.  Considers one sport more important than other sports

5.  Regularly travels out of state (American study)

6.  Trains greater than 8 months/year and competes greater than 6 months/year

This study concluded that for youth to avoid sports related injury:

A)  Athletes should not compete in more hours of training per week than their age, and

B)  The amount of time in one sport should not be more than 2x greater than other sports/activities

The above recommendations reflect the benefits of diversifying the young athlete’s activity participation, in helping decrease their chances of injury. The addition of another sport into already busy lives can be difficult, but diversification does not have to involve another organized sport. Letting young people play other sports in school, or with friends after school can also help to prevent injuries down the road.

Is “Sitting” the new “Smoking”?



Sitting = Smoking

Over the past few years, prolonged sitting has emerged as a new health threat. “Sitting is the new smoking”, many headlines have warned.

The list of ills associated with hours of uninterrupted sitting includes neck and lower back pain, elevated risk of heart disease, diabetes, cancer and other conditions, which can occur as your muscles switch into a “dormant” mode that compromises their ability to break down fats and sugars. Surprisingly, exercising before or after work isn’t enough to counteract these effects – sitting all day is harmful no matter how fit and active you are.

But even as awareness of the problem grows, proposed solutions like regular activity breaks and adjustable-height desks have run into a stubborn problem: workplace culture. We should all be aware that psychology is as important as physiology in the fight against sedentary behaviour, and that programs designed to tackle the problem will be more effective if launched on an organizational, rather than personal, scale.

In a study published in the American Journal of Preventive Medicine in January (January 2014 Volume 46, Issue 1, Pages 30–40), researchers at the University of Queensland in Australia found that employees who were given adjustable-height desks together with ongoing individual and organizational-level guidance, reduced daily sitting time by almost three times as much (89 minutes vs. 33 minutes), as employees who were provided with the same adjustable-height desks – but no individual or organizational level guidance.

The bottom line?  Be aware of the health risks associated with sitting for long periods.  If your job requires long hours at a desk, ask for an adjustable-height desk (or some other set-up that does not require you to sit all day) and suggest that your employer put a program in place to inform and encourage people to reduce the time they spend sitting every day.

Given the costs associated with sedentary behaviour – one study estimated that the least active employees are less productive by about three hours per week – this all-too-common workplace culture is something that employers would be wise to address.

The simple conclusion, is that we should avoid sitting for prolonged periods whenever possible.  If you must sit, it is recommended that you frequently change positions to ease the pressure on joints, muscles and discs.

For those already suffering with chronic low back or neck pain caused from past sitting habits – simply changing those habits now, may not be enough to resolve the pain.  When this kind of pain persists, be sure to consult a registered physiotherapist who is trained to assess your condition.  Your physiotherapist will teach you exercises designed to resolve your specific neck or back issues, and to show you how to stay active safely!

Full or Part-Time Registered Massage Therapist (RMT) Position Available


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South City Physiotherapy is looking for a full-time or part-time Registered Massage Therapist (RMT) to start immediately.  Minimum of two years experience preferred.  Must be willing to work two evenings per week (until 8:00 p.m.)

You could work as an independent contractor, or an employee.  Please send resume and cover letter to

Kinesiologist /Physiotherapy Assistant position available!

Articles For General Public









South City Physiotherapy is actively looking for a full-time or part-time Kinesiologist or Physiotherapy Assistant to start March 2, 2015.

South City is a very busy clinic, so the right candidate will be energetic, dynamic, organized and resourceful.  Some evening hours (until 8 pm) will be required.  Please apply to

High ankle sprains

Articles For General Public

Robbi Fabbri 2What is a ‘high ankle sprain’?

 by Teresa Fox – Registered Physiotherapist FCAMPT


I know a lot if you were cheering on Team Canada at the recent World Junior Championships and in our house there was a collective gasp as our Guelph Storm representative Robby Fabbri went down and was helped off the ice.  Tests later confirmed that Fabbri had suffered a high ankle sprain….so what is that exactly you might ask.

A high ankle sprain involves tearing of the connective tissue that connects the two lower leg bones, the tibia (shin bone) and fibula.  But that’s not all that’s involved.  There are also several very strong ligaments around the ankle.  Ligaments run from bone to bone and protect the joint from moving too much.   With so much support between bones and around the ankle there needs to be a lot of force to tear them.  Common mechanisms of injury include a player colliding with another player, being hit with great speed and force, or twisting/pivoting suddenly on a planted foot.  The result is an unstable ankle…the exact opposite of what a hockey player needs!

These high ankle sprains can be very debilitating.  Your physiotherapist at South City Physiotherapy has the knowledge and skills to get athletes back into full participation.   After a thorough assessment your physiotherapist will discuss a treatment plan with you to help you achieve your goal as well as reassessments during your course of treatment.

Treatment may include: taping/bracing or a removable cast like Fabbri’s; modalities such as electrical stimulation, ultrasound, acupuncture; manual therapy; balance retraining exercises; strengthening exercises; functional training exercises; and finally advanced sport specific training exercises.

I’m guessing that Fabbri’s goal is to be back on the ice full steam before the end of the regular season and ready for the OHL playoff’s!

South City Receives “Diamond” Readers Choice Award!


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South City has been awarded a “Diamond” rating as Guelph’s Favourite Physiotherapy Clinic for 2014 by the Readers Choice Award!

Taking the best possible care of our patients is our number one priority, but it’s nice to see that the dedication of our terrific staff is appreciated.

Thank you Guelph for your loyal support over the past 24 years!

Francine Doré

Clinic Director