Viva | Services


Pelvic Pain

Pelvic pain is defined by the APTA Section on Women's Health as "pain in the lower abdomen, pelvis or perineum". Chronic pain is pain which is experienced for six months or longer. Pain can be "achy", "burning" for example and can be caused by an imbalance of of the muscles of the pelvis, coordination issues with the bladder and/or bowel, pressure on the nerves within the pelvis and/or scar tissue. Other diagnoses can also contribute to pelvic pain, so it is vital that the cause of pain be assessed by a Physician before scheduling treatment. Physiotherapy is conservative management.

Pelvic Floor Dysfunction

Treatment is available for the entire pelvis: internal and external. Some pelvic conditions can be the result of poor pelvic floor function.  Conditions include: incontinence, functional constipation, prolapse, bladder pain/syndromes, flatus, post-surgical pain (urological, gynaecological, episiotomies, post-prostatectomy), pregnancy related pubic pain, vaginismus (pain with intercourse), vulvodynia, coccydynia. There are times when kegels are inappropriate and can worsen your symptoms. Find real help for bowel and bladder syndromes with Dr. Bonimy-Lee, Physiotherapist.

Breast Cancer & Lymphedema Management for Women & Men 

If you have had treatment for Breast / Chest Cancer and have undergone surgery, chemotherapy and/or radiation; even years into remission, you may be experiencing the effects of treatment. This can include very tight connective tissue/ scarring, joint pain, intermittent and progressive swelling of the hand, arm and trunk, Osteoporosis due to hormonal therapy, poor strength and weakness. Early treatment by a skilled Physiotheraipst is advised. A thorough examination is completed in the first session to document lymphedema risk, skin texture and mobility prior to treatment.

Pre-natal and Postpartum Care

Pregnancy changes everything.  The hormonal fluctuations during this time of change can cause excessive joint movement which can worsen already existing hip and back pain and can create new problems such as pubic bone pain, abdominal muscle separation (diastasis recti), pelvic organ prolapse and sacroiliac (SI joint) dysfunction.  Education during and after pregnancy on positions of comfort for delivery, avoidance of re-injury and postpartum return to activity are integral parts of the birthing experience for the new mother. Physical Therapy sessions during pregnancy can help. Sessions after the birthing experience can start as soon as 6 weeks once you are cleared and have a referral from your OBGYN.

Cancer Rehabilitation

Cancer Rehabilitation by a skilled Physiotherapist includes recovery from all types of Cancer treatment including the long term effects of Bone Marrow Transplant, long term corticosteroid treatment and cancer related fatigue.

Lymphedema Management

Primary lymphedema is congenital or can develop in adolescence. It is the result of malformations in the overall network of the Lymphatic system. This means that the body's ability to transport waste products and the protein-rich fluid called, LYMPH, is impaired. As a result, there is swelling/accumulation that worsens with time.  Secondary lymphedema is swelling as a result of lymphatic filariasis, surgery and/ or radiation for cancer treatment. Lymphedema can occur in the body; head/neck, arms or legs, trunk and genitals. Depending on the cause, the risk and progression of the accumulation of this fluid / swelling varies. Learn more about Complete Decongestive Therapy and Physiotherapy management of Lymphedema.


An ancient Eastern tradition, Yoga philosophy includes recommendations on diet, lifestyle, activity, mindfulness and wellness. By learning to incorporate different aspects of this tradition into your daily routine, simple milestones can be achieved and a path to wellness can be constructed. Private instruction of Hatha yoga available upon request.

Manual Lymphatic Drainage

A gentle technique that assists in the drainage of lymph and reduce swelling. The lymphatic system is the body's way of getting rid of toxins, waste products; cellular debris and is a vital part of the immune system. Manual Lymphatic Drainage techniques are not reserved only for those with lymphedema, but can also benefit others.  Find out if you are eligible for MLD.

Other healthcare practitioners

After your evaluation at VIVA Physio & Wellness, in addition to communicating with your Physician, your needs are assessed to identify additional services if needed. Recommendations to other, appropriate healthcare practitioners and body healers may be provided to ensure a “whole person approach” to care.

This list can include: Urologists, Gastroenterologists, Physiatrists, Licensed Clinical Social Workers, Acupuncturists, Pilates/Yoga instructors, Exercise Physiologists, Gynaecologists, Nutritionists/Dieticians, Health Coaches, Massage Therapists.