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The Activator Technique (Instrument Adjustment)

What is the Activator Technique?

Activator Methods Chiropractic Technique is a chiropractic treatment method using a Mechanical Force Manual Assisted Instrument to deliver a controlled impulse to particular areas of the spine and extremities in order to restore motion. It is an alternative to the manual form of spinal manipulation in which a High Velocity Low Amplitude thrust is used to adjust the spine.

What is the Activator?

The Activator V is a handheld electronic tool which allows for a specific, gentle and controlled adjustment to be delivered. There are multiple settings depending on which area is being adjusted. They range from 1 to 4. The purpose is to create a force wave that is quick and that is localized without any pulling or twisting. This is an advantage as there is less muscle resistance.

How is the Activator used? (See Video below!)

The Activator method relies on a specific protocol. This protocol is based on any changes that you would see in the patient’s leg lengths or leg length inequality. These changes would be evaluated by having the patient perform certain muscle and spinal tests in order to activate certain muscles which are attached to specific vertebrae. If the leg lengths are found not to be the same then there would be a problem in that corresponding area. We would evaluate using this method from the feet towards the head.

Please note, it is very important that the chiropractor is trained and certified to use this instrument as there are specific ways to use it.

Any thorough evaluation always involves the procedure of taking a health history and assessment which may involve orthopedic, neurological and physical components. There is a focus placed on musculoskeletal elements looking for spinal restrictions, postural limitations and any areas of muscular tightness.

The Activator Technique can be used on people of all ages including babies and the elderly.

Please refer to for more information.

To find out if this is right for you contact us to book in for your free 15 minute meet & greet with our Chiropractor!

Written by: Dr. Teesha Geevarghese D.C.

Acupuncture as part of your Physio, Chiro or Massage treatment!

Did you know that several of our Registered Physiotherapists, Registered Massage Therapist and our Chiropractor are trained and certified to include acupuncture as part of your treatment plan!

What it does and what condition can it be useful for?

Acupuncture needles are placed at certain known points that have been shown to have an impact on certain conditions and pain. Acupuncture can impact blood flow and alter the release of neurotransmitters (1) that impact the bodies natural healing process. Several reported effects of acupuncture include improvements in low back pain (2), musculoskeletal conditions (1, 3) including neck, elbow, wrist and shoulder pain related to tendonitis and muscle strains. Acupuncture is also used for treating ankle sprains and knee pain.

What does it feel like?

You may or may not feel the needle when inserted. Even if you do it is generally not a painful feeling. However, everyone’s tolerance and perception of what is painful plays a role here.  After the needle is inserted some people describe a deep aching or heaviness locally or in the area surrounding the needle. Some report they don’t feel anything at all!…but still notice improvement in their symptoms.

The number of sessions and outcome of treatment varies from one individual to another. However, improvement is usually noted within 4-6 treatments provided over a period of 2-4 weeks.

Contact us to discuss if acupuncture is right for you! We offer free 15 minute consultations (in person or over the phone) to discuss your concerns and find the best treatment option for you.


  1. Acupuncture. NIH Consensus Statement Online 1997 Nov 3-5; 15(5):1-34.
  2. Furlan, A.D., van Tulder, M.W., Cherkin, D.C., Tsukayama, H., Lao, L., Koes, B.W., Berman, B.M. (2005). Acupuncture and dry-needling for low back pain. The Cochrane Database of Systematic Reviews.
  3. Vickers AJ, Cronin AM, Maschino AC, et al. Acupuncture for chronic pain: individual patient data meta-analysis. Archives of Internal Medicine. 2012;172(19):1444-1453.

Treating Low Back Pain with Exercise

Treating lower back pain: A few simple exercises and stretches

This recent article and video gives a good perspective on a lot of misconceptions that people have about dealing and treating back pain. The statistics of eighty percent of the population around the world experiencing lower back pain at some point in their lives is quite high. The old school of thought was that one needed bed rest and some medication to mange the issue and that was that. Society is always looking for that quick fix, or to slap a band-aid on it of sorts and move on.

You want to be able to recognize where and what is causing your back pain and be able to nurse it back to health. That doesn’t mean that you want to stop all activity right away, you may want to minimize certain things but not all. Motion is lotion for the joints.

Exercise is not only for strengthening certain areas but also for stabilizing them as well. To incorporate a consistent daily stretching program is an important key to long term recovery and preventing recurrent episodes.

There are many resources and outlets you can use to find out what is the cause of your back pain and how to treat it and it goes well beyond visiting your primary care physician. Health care practitioners such as physiotherapists, registered massage therapists and chiropractors are well versed in addressing these issues and coming up with a program that would best suit the patient. Contact us today to book your free 15 min meet & greet with one of our therapists to find out how we can help you.

By: Dr. Teesha Geevarghese

Remember to take care of you!

Denise House Holiday Season Gift Program

Our team here at JointAction has decided to once again support the Denise House this holiday season. Founded in 1991, the Denise house provides a shelter for women and their children who suffer at the hand of domestic violence here in the Durham Region.  Below is a list of gift suggestions for Mothers and their Children, we will be collecting the items here at the clinic until December 15, 2017.


To learn more about the Denise House and their mission, click on the link below:

We’re hiring!

An opportunity has opened up to come and join our team here at JointAction Physiotherapy in Whitby!  We are a multidisciplinary clinic (Physiotherapy, Chiropractic and Massage Therapy) looking for an RMT (Registered Massage Therapist) who is eager to work in a team setting and appreciates the value that each profession can bring to helping a patient achieve their treatment goals.

Applicants must be registered with and in good standing with The College of Massage Therapists of Ontario. For more information please apply below.

Job Type: Part-time, must be willing to work evenings (to 7pm) and Saturdays (9am -1pm)

Job Type: Part-time



Good Pain?? Bad pain!

good vs.badPatients usually find the term “good pain” odd…how can a pain be good? However, a “good pain” is often used to describe muscle aching you may experience during a long hold or after doing a few repetitions of a strengthening or resistance type exercise. For example, if you hold a squat and start feeling an aching in the thighs and gluteal muscles as a result of that long hold, or if you do leg raises in side lying and feel that aching in the gluteal muscles of the leg you are working out. Any type of muscle aching you experience after a workout: known as delayed onset of muscle soreness (DOMS) is an expected type of discomfort. Usually this type of “pain” or discomfort is relieved with moving those muscle groups and stretching. The idea is to keep the blood flowing to help the muscles heal after a strenuous workout.


Whereas a bad pain is usually described as aching or dull, stabbing, grabbing, sharp type of pain or even a referring, radiating, numbing and burning. This is usually experienced during, hours after or even the day after doing an exercise or activity that has caused injury. This is usually not relieved easily and tends to linger or come and go depending on the activity you are doing. For example, some people will only experience a sharp type of pain only mid-way through their run and may notice that they tend to get it earlier and earlier in the run over time which may indicate a worsening of the pain/cause.Studio shot of young man with pain in back


It is always best to seek a health professional’s opinion about pain that is consistent and interferes with your exercise routine or functional every day activities like walking, stairs etc. I would recommend you make note of the following to report to your health care professional which will help provide an idea on the potential cause of the pain:

  • What aggravates/causes your pain (i.e. stairs, walking, sitting, standing etc.)
  • What helps relieve your pain (i.e. walking, sitting, stretching, ice, heat etc.)
  • Type of pain (i.e. sharp, throbbing, aching, stabbing, burning, numbness)
  • Location of pain (i.e. take note of you experience any pain radiating down arm or leg)
  • Intensity and duration of your pain when you do get it


It’s important to note that you may not need a referral to see a Physiotherapist, Chiropractor or Massage Therapist UNLESS your extended health benefits plan requires one.

We also offer free 15 minute meet & greet which allow you the opportunity to meet the therapist and discuss your pain/concerns before booking an assessment. Contact us today!


By: Nelly Temraz, PT.