Physiotherapy for Neck Pain & Headache

Physiotherapy for Neck Pain & Headache

Headache and Chiropractic Care

Neck Pain & Headache Physiotherapy

Neck pain causes sharp pain and muscle aches to develop in your neck. It hinders your ability to move your head and the constant pain leads to headaches. Neck pain occurs when your neck joints become stiff or lock in place. This causes the protective muscle of the neck and shoulders to spasm and it could be the cause of headaches.

Physiomobility’s Comprehensive Neck Pain Treatment

At Physiomobility, your treatment starts with a comprehensive assessment by a registered physiotherapist or chiropractor to find out the cause of pain and how it affects your activities and life. We then devise a treatment plan specific to your condition which involves:

  • Full Rehabilitation program before and after back surgeries
  • Pain management
  • Manual therapy
  • Exercise therapy
  • Acupuncture
  • Education to not only help you to get rid of pain but to stay well and return to work and lifestyle activities safely
  • Help to manage your pain without unnecessary medication, injections or surgery
  • Communication with your doctor to inform them of your plan of care and progress and when a referral is necessary


Most commonly neck back pain is the result of an acute injury such as a whiplash injury, repetitive sprains, prolonged sitting and computer, and poor posture that puts excessive strain on the spine and surrounding muscles and ligaments. Often neck pain is accompanied with headaches.

Neck Pain, Arthritis, Whiplash

Proper treatment starts with finding the root cause of the neck pain. Myofascial neck pain which is neck pain due to the involvement of muscles and other soft tissue of neck area is best treated by a combination of physiotherapy, chiropractic, massage therapy and acupuncture to manage pain. A good treatment program always includes education and progressive strengthening and mobility exercises. Physiotherapists and chiropractors commonly use a combination of manual techniques, education, and exercises to treat neck pain.

Read more about causes, symptoms and treatment for neck pain & arthritis…

Herniated Disc

Herniated Discs occur in the lower back or neck. You may sense leg or arm pain with numbness or tingling sensation along with muscle weakness impairing your ability to lift and hold items. Other times, you may not experience any symptoms of a herniated disc.

Read more about causes, symptoms and treatment for herniated disc…

Spinal Stenosis

Spinal Stenosis is the narrowing of the foramen and spinal canal, resulting in the nerve roots become compressed. The spinal canal is the center of the spinal column and the spinal foramen passages become narrowed. Spinal stenosis is due to the slow, degenerative aging process of the spine and occasionally due to an injury, causing it to congeal and calcify.

Read more about causes, symptoms and treatment for spinal stenosis…

Degenerative Disc Disease (DDD)

Degenerative Disc Disease (DDD) refers to the arthritic changes in the spinal discs as you grow older. Characterized as soft, the compressible spinal discs allow flexibility and movement. Degenerative disc disease occurs in the lower back and the neck. The changes in the discs cause pain in the neck, back or both and radiating pain to arms or legs.

Read more about causes, symptoms and treatments of DDD…

Thoracic Outlet (Inlet) Syndrome

Thoracic Outlet/Inlet Syndrome occurs when blood vessels or nerves get compressed as they leave the thorax. The subclavian artery, the subclavian vein, and the lower brachial plexus roots are affected and they are compressed in the following three areas:

  • Between the front and middle scalene neck muscles
  • Between the first rib and collarbone
  • Under the shoulder blade’s coracoid process


Spondylolisthesis refers to a condition where one vertebral bone slides forward over the bone below it. It happens when there is a problem with one of the small joints that line up the bones in your back. This can cause the vertebral bone to get out of alignment and cause pain radiating to legs or arms.

Read more about Spondylolisthesis…

Cervicogenic Headache (Headache originating from neck)

Cervicogenic Headaches are classified as a secondary headache which is usually caused by a weakness of neck muscles or arthritis or lack of mobility of neck spinal joints. In this instance, the headaches are due to a neck disorder or a lesion.


Do I need a referral from my doctor for physiotherapy?

To see physiotherapists, massage therapists, and chiropractors in Physiomobility, you do not require a doctor’s referral. However, some insurance companies require that you submit a Doctor’s referral with your claim form.

For Orthotics and orthopedic footwear, a requisition by a chiropodist or physician is usually required. Our Chiropodist will complete such referral as part of your Orthotic assessment which is sufficient by most insurance providers; however, some insurance providers only accept physician notes. We recommend that you clarify the requirements with your insurance provider.

For Compression stocking and braces, requisition by a physician is usually required.

*** WE NEED A REFERRAL FROM YOUR PHYSICIAN OR SURGEON for OHIP covered physiotherapy after knee, hip and shoulder replacement operations. If you are not directly referred to our program and would like to receive your post operation rehabilitation in our clinic, you could request a referral from the hospital or we can request an approval on your behalf prior to your operation date. Contact our administration team for more information.

Are your services covered by Insurance?

Most extended health insurance plans cover the cost of the services at Physiomobility. Payment is required at the end of each session. You will be provided with a receipt detailing the type of service you received, applicable fees and provider’s registration number to submit to your insurance provider for reimbursement. If your plan qualifies for direct billing, we will happily submit the claims on your behalf. You will only be responsible for the unpaid balance.

Can you directly bill my insurance provider?

Registered Physiotherapy, Registered Massage Therapy, Chiropractic care, Acupuncture, bracing, and orthotics are generally covered by most extended health insurance policies. We recommend that you call your insurance provider to determine the extent of your coverage.

Physiomobility is an approved provider for direct billing for a growing list of insurance providers. Great-West-Life, Sunlife, Manulife, Desjardins, Johnson are just to name a few. We can assist you to inquire and see if your insurance plan approves direct online billing for you.

If you are being treated for injuries sustained in a car accident or a work-related injury and your claim has been approved we do not require payment directly from you. After your initial assessment, we will submit the appropriate proposed treatment plan to your insurance company and upon approval of the plan, we can bill your insurance company or WSIB directly.

What type of physiotherapy is covered by OHIP?

Rehabilitation programs after knee, hip and shoulder replacement are covered by OHIP in our clinic. Call our office for more information.

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Physiomobility continues to remain open and is not part of the lockdown. We continue to have rigorous disinfection policies and procedures in place to ensure the safety of our community and are open for patient in-person visits with all of our practitioners.

Virtual appointments are available and encouraged for those who are at a heightened risk of illness.

We remain focused on our quality of care & our continued commitment to helping our patients feel their best. For further assistance, you can contact us at 416-444-4800 during our opening hours. 

The Physiomobility Team