FAQs

Our RMTs offer a variety of techniques including therapeutic, deep tissue, relaxation, and prenatal massage, all tailored to meet your individual needs and goals.

No referral is required to book an appointment with an RMT. However, some insurance plans may ask for one for reimbursement purposes.

Many extended health benefit plans cover treatments performed by a Registered Massage Therapist. Please check with your insurance provider for your specific coverage details.

Your RMT will start with a brief health history and discuss your concerns and goals. You will have privacy to undress to your comfort level, and the treatment will be adjusted to suit your needs and comfort throughout the session.

You may undress to your comfort level. You will be draped appropriately during the session to ensure your privacy and comfort at all times. Only the area being treated will be uncovered.

No, we do not accept WSBC claims for massage therapy. We do accept ICBC claims for Registered Massage Therapy. Please call us for more information on 604-894-5525. 

Manual osteopathic practitioners use gentle hands-on techniques such as soft tissue release, joint mobilization, stretching, and myofascial release. Treatments are tailored to your specific needs and may also include advice on posture, movement, and home exercises.

Manual Osteopathic techniques are typically gentle and non-invasive. You may feel some mild soreness after treatment, similar to post-exercise stiffness, but most people find the sessions relaxing and restorative.

The number of treatments varies depending on your condition and goals. Some people feel relief after just one or two sessions, while others benefit from ongoing care as part of a broader health plan.

Wear loose, comfortable clothing. Your practitioner may need to observe and assess the posture and movement of your entire body, so clothes that allow easy mobility are ideal.

We are not able to direct bill for Manual Osteopathy. Payment is required at the time of your appointment, but many extended health insurance plans may reimburse osteopathic treatment when provided by a registered manual osteopathic practitioner. Please check with your insurance provider before booking.

No referral is required to see an osteopathic practitioner. However, your insurance provider may require a referral for reimbursement, so it’s best to check your plan details.

While all three disciplines treat musculoskeletal issues, osteopathy focuses on the whole body and how structure influences function. Manual Osteopaths use a broad range of gentle manual techniques and often integrate lifestyle and systemic health factors into treatment.

Yes, manual osteopathy is generally very safe when performed by a trained and licensed practitioner. Your medical history will be reviewed to ensure that the treatment is appropriate for you.

Chiropractors commonly treat back pain, neck pain, headaches, joint pain, sciatica, muscle strains, and postural issues.

Yes, chiropractic care is considered safe when performed by a licensed and trained chiropractor. Your provider will perform a thorough assessment before beginning any treatment.

No referral is needed to book a chiropractic appointment. You can self-refer and begin treatment directly.

Your first visit includes a detailed health history, physical assessment, and discussion of your goals. If appropriate, treatment may begin on the same day.

No we do not do Chiropractic x-rays at Pemberton Physiotherapy and Wellness. 

Most chiropractic techniques are gentle and non-invasive. Some patients may feel temporary soreness, similar to what you might feel after exercise.

This depends on your condition, goals, and how your body responds. Some people benefit from a few visits, while others may benefit from longer-term care.

Yes, certain types of headaches—especially those related to neck tension—can respond well to chiropractic adjustments and soft tissue work.

Many extended health plans cover chiropractic care. Check with your provider to confirm your coverage.

Yes, chiropractic care can be safe and beneficial during pregnancy. Chiropractors use modified techniques to ensure comfort and safety for both mother and baby.

Yes, acupuncture is a safe and minimally invasive treatment when performed by a licensed practitioner using sterile, single-use needles.

Your practitioner will begin with a health assessment and explain the treatment plan. Needles are then gently inserted at specific points and typically remain in place for 15-30 minutes while you relax.

No referral is needed to book a acupuncture appointment. You can self-refer and begin treatment directly.

Most people experience little to no pain. You may feel a slight pinch or tingling sensation when the needles are inserted, followed by a relaxing or warm feeling.

The number of treatments varies based on your condition and goals. Many clients notice improvement within a few sessions, but your practitioner will create a personalized plan for optimal results.

Side effects are rare and usually mild. These may include slight bruising, lightheadedness, or temporary soreness at the needle sites.

Many extended health benefit plans cover acupuncture. Check with your provider to confirm your coverage.

Yes, some acupuncture sessions may include guidance based on TCM principles, such as dietary or lifestyle advice, or the use of cupping or gua sha when appropriate.

Most people find it deeply relaxing. The therapist uses light touch, usually no more than the weight of a nickel, to assess and release restrictions in the craniosacral system. You may feel sensations like warmth, gentle pulsing, or soft releases.

Yes. It’s non-invasive, gentle, and suitable for people of all ages, from newborns to older adults. Your therapist will always adapt the session to your needs and comfort level.

The number of sessions varies depending on your goals and condition. Some people notice improvement after one or two treatments, while others benefit from a series of sessions to address long-standing issues.

Comfortable clothing is best. You’ll remain fully clothed during the treatment, so avoid anything restrictive like tight belts or stiff jeans.

Coverage depends on your extended health plan. Craniosacral therapy is conducted by a Chiropractor at Pemberton Physiotherapy and Wellness. Check with your provider for coverage details.

Yes. Many clients report feeling calmer, more balanced, and less tense after sessions. The therapy works with the nervous system to encourage relaxation and release built-up tension.

Mat Pilates uses body weight and small props on a mat, while Reformer Pilates uses a spring-based machine that provides resistance and support, allowing for more dynamic movement and progression.

Wear comfortable clothing  that allows you to move freely with no zips or metal on them which can damage the equipment. Bare feet or grip socks are required. Please no perfume, strong makeup or lotion that can stain the vinyl.

While both improve flexibility and strength, Pilates emphasizes core stability, spinal alignment, and small controlled movements. Yoga tends to focus more on flexibility, breathwork, and holding poses.

Yes, with modifications. Prenatal and postnatal Pilates can support strength, posture, and pelvic floor health—we recommend to get clearance from your healthcare provider.

Unfortunately Pilates sessions are not covered under extended health benefits.

We do not offer Reformer-based group classes at this time. However, we do offer matwork Pilates classes as well as private and semi-private equipment-based sessions tailored to individual needs.

• No refunds on services purchased.
• Private & Semi-Private Lessons: You may cancel or reschedule up to 24 hours before the session. Cancellations within 24 hours will be charged in full.
• Packages are non-transferable.
• Late Cancel Exceptions:
  • Clients attending once/week are allowed 1 late-cancel free pass per calendar year.
  • Clients attending twice/week are allowed 2 late-cancel free passes per calendar year.
  • A valid reason must be provided; forgetting or no-shows do not qualify.
  • Free passes cannot be used for introductory packages, promotions, or complimentary classes.
• Semi-Private Rescheduling: If one participant cancels with more than 24 hours’ notice, the session can be rescheduled. If less than 24 hours, the remaining participant may use two semi-private credits for a private session.
• Mat Classes: Packages are valid only for the current session.
• Arrival: Please arrive on time. Late arrivals will receive the remaining class time only.

Your pelvic physiotherapy appointment will begin with a confidential discussion about your medical history, symptoms, and goals. Your physiotherapist will explain everything clearly and answer any questions you have.

The physical assessment may include:

• Posture and movement analysis
• Breathing and core function assessment
• External pelvic and abdominal exam
• An internal pelvic floor exam (only if appropriate and with your full consent)

The goal is to understand how your pelvic floor, core, and surrounding systems are functioning so that a personalized treatment plan can be developed. Treatment may begin during the first session and often includes:

• Education
• Exercises
• Manual therapy
• Lifestyle or posture recommendations

Initial assessments are one hour long, allowing time for a thorough and respectful approach.

During Pregnancy:
We recommend checking in with a pelvic physiotherapist at key stages of pregnancy to support your comfort and preparation for birth:

• Between 12–20 weeks: A great time to assess pelvic floor function, core activation, posture, and address any early symptoms like incontinence or pain. We can also begin strategies to support a healthy, active pregnancy.
• Around 34–36 weeks: This visit focuses on preparing for birth—reviewing pushing techniques, perineal massage, pelvic mobility, and strategies for labor and delivery

You can also start pelvic physiotherapy at any time if you experience pelvic, back, or hip pain, pressure, or bladder issues.

Postpartum:
It’s recommended to book a pelvic physiotherapy assessment around 6 weeks postpartum. This visit focuses on:

• Healing of pelvic tissues and any birth-related injuries
• Pelvic floor and core recovery (including diastasis recti)
• Supporting recovery after a C-section, including scar tissue management
• Managing symptoms such as pain, incontinence, or heaviness
• Guidance on safely returning to activity, intimacy, or exercise

If you are experiencing pain or symptoms before 6 weeks postpartum, we can still help with a gentle assessment and offer safe movement, positioning, and self-care advice—no internal exam is done before 6 weeks.

No. Internal exams are helpful but not required. Your physiotherapist will always respect your comfort level and offer alternatives to assess and treat externally.

Yes. It can help manage pelvic girdle pain, prepare for childbirth, and promote better bladder control during and after pregnancy.

It varies depending on the condition and individual goals. Some people benefit from just a few sessions, while others with more complex or chronic issues may need longer-term support.

Yes. Exercises are often prescribed to improve pelvic floor strength, relaxation, coordination, and integration with your core and breathing patterns.

In most cases, no referral is needed to see a pelvic floor physiotherapist, but check your insurance plan as some may require one for coverage.

Often, yes—if your plan includes physiotherapy. It’s best to verify with your insurance provider.

Physiotherapists trained in concussion management can help reduce symptoms such as headaches, dizziness, neck pain, and balance problems. Treatment may include education, vestibular therapy, visual exercises, manual therapy, and a gradual return-to-activity plan.

Vestibular therapy is used to treat issues with balance, dizziness, and visual disturbances. It involves targeted exercises that help retrain the brain and inner ear after a concussion.

It’s best to rest for the first 24–48 hours, but if symptoms persist beyond a few days, physiotherapy can help guide your recovery. Early intervention can prevent symptoms from becoming prolonged or chronic.

Yes, but specific guidance is recommended. A physiotherapist will help you follow a step-by-step, individualized return-to-activity or return-to-sport plan to ensure exercise is safe and appropriate for your stage of recovery.

No referral is needed. You can book directly with one of our trained physiotherapists.

Orthotics are custom or pre-made shoe inserts designed to support the foot, improve alignment, and reduce pain or discomfort in the feet, knees, hips, or lower back.

Many extended health plans cover custom orthotics, especially with a prescription. It’s best to check with your insurance for specific requirements.

Check with your insurance provider, as most plans require a physician’s referral for reimbursement. No referral is required if you are self-funding the orthotics.

Orthotics can help with:

• Plantar fasciitis
• Flat feet or high arches
• Heel pain
• Bunions
• Knee, hip, or lower back pain related to foot mechanics
• Shin splints
• Achilles tendinopathy

Orthotics are a tool to support and improve biomechanics. They don’t “fix” the problem permanently but can significantly reduce pain and improve function when used in conjunction with physiotherapy and exercises.

On average, custom orthotics last 1 to 5 years, depending on usage, activity level, and materials used. We are able to send older pairs of orthotics for repairs of the top sheet if required.

They’re created using a detailed biomechanical assessment in clinic, gait analysis, and plaster casting to ensure a precise fit. These are then sent to Vancouver and made by Paris Orthotics. It takes around 2–3 weeks from assessment to receiving the orthotics.

Not all. Most orthotics are designed for athletic shoes, work boots, or everyday shoes. You may need different styles (e.g., slim-fit orthotics) for dress shoes or sandals.

Start by wearing them for 1–2 hours a day and gradually increase use over a 1–2 week period. Some mild discomfort is normal during the break-in phase.

Shockwave therapy is typically used for persistent conditions that have been present for three months or more and is combined with a rehabilitation exercise program over a 12-week period. It is effective for musculoskeletal conditions including plantar fasciitis, tendinopathies, tennis elbow, calcific shoulder tendinopathy, and shin splints.

Most people require between four to six sessions, typically scheduled once a week, to achieve optimal results.

Your therapist will purposely target the most tender point of the tissue involved in your pain. The treatment produces a high-frequency tapping sensation and reproduces your symptoms. For the treatment to be effective, the intensity is usually around 6/10. The sensation is generally well tolerated and lasts only for the duration of the session (about 10 to 15 minutes).

No. Shockwave therapy is included as part of a standard physiotherapy session. Initial assessments typically last 30 to 45 minutes and include a full evaluation. Follow-up shockwave sessions are shorter, usually around 15 minutes.

Some mild soreness, redness, bruising, or swelling in the treated area may occur within 24 to 48 hours post-treatment. Most patients can return to normal daily activities immediately, though we recommend avoiding strenuous exercise for 48 hours.

Shockwave therapy is generally safe, but it may not be suitable for everyone. Contraindications include pregnancy, blood clotting disorders, infections or open wounds near the treatment area, malignancies, and the presence of a pacemaker or implanted electrical device. Your physiotherapist will review your medical history to determine if shockwave therapy is appropriate for you.