Spinal Manipulation + Soft Tissue Therapy for Back Pain
Spinal manipulation plus soft tissue therapy reduces chronic back pain more effectively than either alone by addressing joint and muscle dysfunction together.
Arthritis, in particular osteoarthritis (OA), refers to degeneration of joints that results in reduced synovial tissue at the affected joint, osteophyte formation, reduced articular cartilage and meniscus.
OA is the most common type of arthritis affecting over 25% of the population over the age of 18 years old.
The progressive loss of cartilage and osteophyte formation can result in variable degrees of inflammation, stiffness and pain and presents as chronic pain.
Risk factors for arthritis are previous joint injury, obesity, aging and heredity.
The most common types of Arthritis are:
Osteoarthritis (OA) Treatment
Osteoarthritis, often called OA, is a common degenerative joint disease that mainly targets the cartilage in your joints. Several factors are believed to contribute to the development of OA, including age, joint overuse, obesity, genetics, joint injury, hormonal changes, inactivity, joint misalignment, and bone density.
Common Symptoms of Osteoarthritis:
Joint Pain
Swelling
Grating Sensation
Reduced Range of Motion
Stiffness
Instability
Tenderness
Difficulty Performing Daily Activities
Bone Spurs
Rheumatoid Arthritis (RA) Treatment
Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease that affects the synovial joints of the body. RA is associated with disability and makes it difficult for individuals to perform their everyday activities of living.
Rheumatoid arthritis is more common in females than males and predominantly affects the elderly. Contributing factors include genetics, autoimmune responses, age, hormonal changes, and environmental or lifestyle factors such as smoking.
Common Symptoms of Rheumatoid Arthritis:
Joint Pain and Stiffness
Difficulty with Daily Activities
Morning Stiffness
Fatigue
Joint Swelling
Eye Inflammation
Joint Deformities
Loss of Range of Motion
Call +1 (604) 227-4536 or book online to schedule your visit. Walk-ins are welcome as space allows, and no referral is needed.
Coverage options include most extended health plans, MSP supplementary benefits, ICBC, and Worksafe BC.
Arthritis is a condition that causes inflammation in the joints, leading to pain, stiffness, and decreased mobility. It can affect one or multiple joints. It also affects the cartilage, which is the protective cushion in joints, making movement painful. The most common type of arthritis is Osteoarthritis (OA) and Rheumatoid Arthritis (RA).
The common symptoms include joint pain, swelling, stiffness, decreased range of motion, joint deformities in severe cases and sometimes redness or warmth around the joints.
Fulcrum Therapy offers a range of treatments for arthritis, including physiotherapy, manual therapy, exercise programs, and modalities like ultrasound therapy and heat/cold therapy to manage pain and improve function.
Osteoarthritis is typically caused by wear and tear, affecting older individuals, while rheumatoid arthritis is an autoimmune disorder that can occur at any age and affects multiple joints symmetrically. Rheumatoid arthritis has a sudden onset whereas osteoarthritis gradually comes on. There will also be swelling and warmth with RA.
Physiotherapy can help relieve pain, improve joint mobility, strengthen muscles around the joints, and reduce inflammation through exercises, manual therapy, and specialized treatments.
We discuss your goals, review concerns & assess your physical limitations.
We explain each step, ensure your consent, and provide one-on-one personalized care.
You receive expert, one-on-one care aimed at relief, mobility, and better function.
We empower you with guidance and tools to manage symptoms & gain independence.
100% therapist attention for faster, safer progress.
Services that support body and mind from chiro to pilates.
We coordinate with your care providers for one unified plan.
Hands-on techniques to relieve pain and restore movement.
Evidence-based protocols to speed recovery after surgery.
We help you manage symptoms confidently with informed care.
Multilingual, LGBTQ+ affirming, and inclusive care.
Specialized practitioners creating plans tailored to you.
Spinal manipulation plus soft tissue therapy reduces chronic back pain more effectively than either alone by addressing joint and muscle dysfunction together.
Learn how Active Release Technique (ART) breaks down scar tissue to accelerate neck injury recovery. Reduce adhesions, restore mobility, and ease pain.
Do you have to keep seeing a chiropractor forever? No. Learn how treatment plans are patient-driven, maintenance care is optional, and when you can stop safely.
Did you tweak your lower back? Learn why active recovery beats bed rest. Explore gentle movement, ice and heat timing, sleep positions, and red flags.
Learn why cracking your neck for relief can make stiffness worse, the risks of self-manipulation, and what professionals do differently for lasting relief.
Spinal Manipulation vs. Spinal Mobilization: Understanding the Differences in Joint Therapy. Learn how speed, thrust, and cavitation affect pain and function.