Waterloo Chiropractor, Waterloo Physiotherapist, and Massage Therapist (RMT)

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Our awesome physio, Sayaka, is expecting her second child and needs help keeping her patients strong and healthy!

Sayaka works with a diversity of patients ranging from Parkinson’s rehab, surgical rehab all the way to strength training for athletes. We are looking for somebody who works with a strong emphasis on strength work/ rehab- we want to put that gym space to use!

Some general facts about the job:

  • Flexible hours
  • Expected duration: 1 year
  • Part-time or full time- we will take what we can get if the practitioner is a good fit!
  • Your own treatment room and access to gym space
  • Jane practice software
  • Patient- focused, evidence-based work environment
  • Plenty of parking with store front entrance into the clinic
  • Reception coverage for 40 hours/week with the option to work outside of those hours

There’s always the option to work beyond the locum if it makes sense for all, but for now the focus would be on maintaining Sayaka’s patients and other new physio patients that come into the clinic.

E-mail seandelanghe@gmail.com if you want to learn more!

By: Sayaka Thiessen, Waterloo Physiotherapist

I am sure most of use have experienced a muscle that feels tight and stiff. Most people immediately think to stretch the affected area, but is that always the solution? 


If you have stretched to the ends of the earth but you still feel tight, it might be time to change the approach and try to strengthen it. The sensation of “tightness” doesn’t always mean a short muscle. It could, in fact, mean that the muscle is weak or that a joint lacks motor control and needs to be trained. 


Getting assessed by a healthcare professional, like a physiotherapist, you can determine if stretching, or strengthening, or a combination of the two is the way forward. 

Looking for a physiotherapist in Waterloo? Sayaka might be a good fit for you, read more HERE.

Exercise is always better with friends, which is why we are excited to formally offer individual and small group workout sessions guided by Physio Sayaka!

Strength is a key component of any good rehab program, and is invaluable for staying healthy, regardless of if you are an athlete or not. Plus, we all know there are many ways to go wrong when trying to implement it, so why not get work with a regulated health practitioner to make sure you are doing things the right way!


These one-hour exercise sessions are tailored to your group’s needs, such as:

  • prehab for your sport or everyday activities
  • prenatal/postpartum rehab and strengthening
  • peri/post-menopausal strengthening
  • maintaining fitness in a safe environment with consideration for your previous injuries

Sessions are scheduled in advance to reserve the same time every week. We’re flexible on the duration, but 4 weeks minimum is usually a good place to start.

COST: 
Cost will be scaled to the size of the group:

Prices for the group session:

  • 4 people: $68 per person/session
  • 3 people: $78 per person/session
  • 2 people: $93 per person/session
  • Solo: $124

Covered under your physiotherapy benefits!

Note: Anyone looking to claim this under their PT benefits will need to come in for a short assessment to ensure we are delivering appropriate care for your PT goals. 

Reach out today if you’re interested! sayaka.physio@gmail.com

We’re excited at the clinic that we’ve decided to take on the Run Waterloo Grandway 5K as a team!

Completing 5Ks isn’t just about racing to your limit- conquering it in any capacity can do wonders for your health. Here at the clinic we all have all different goals for this event depending on factors like family, work schedule and our fitness starting point. Here is how everybody hopes to do and how they are going to prepare!

Dr. Sean

GOAL: Something that’s less than 2 minutes slower than my personal best- anything faster than 17:30.

TRAINING GOAL: I hope to run 50-60K/week most weeks with 1 interval workout and one longer run most weeks.

Chiro Intern Taylor

GOAL: Finish without walking! Anything under 40 would be great.

TRAINING GOAL: 1 run/week (3-5 km), 1 distance walk/week (3-5km), carrying around my 10-month old all the time otherwise!

Physio Sayaka

GOAL: To come in around 22:30 give or take 10 seconds. 

TRAINING GOAL: Run 3x/week and nail the weekly H+P interval workout. 

Karen Kennedy

GOAL: Why is Sean making me do this?

TRAINING GOAL: Walking 3x/week.

Jackie Hergott

GOAL: To complete the race with a brisk walk, and not be worn out when done.

TRAINING GOAL: Walking 2-5x/week, 3-5K total!

Lance Dawson

GOAL: Under 25minutes, enjoy the race.

TRAINING GOAL: A mix of cardio and weights every week. Playing in my band and drinking teas with 4-7 sugars.

Meet our Waterloo Chiropractor and Physiotherapy Team

Our team of Waterloo Chiropractors, physiotherapists, and registered massage therapists are here to help you get out of pain, and back to the life you enjoy as soon as possible. We use only the necessary treatments, nothing more.

We always take the time to conduct a full history and physical exam to identify exactly what is causing your pain. You will always be provided with a precise diagnosis, an explanation of your injury, a variety of treatment options, and a prognosis so that there are no surprises.

We are Evidence-Based

Our treatments are based on what only the newest and best scientific research is showing- you do not have to be concerned with pseudoscience or poorly understood concepts.

Dr. Sean Delanghe & Dr. Rebecca Blackburn both graduated from the most highly regarded chiropractic school, CMCC.

We strive to prevent recurrence

Our goal is not only to help you become pain-free, but also to stay pain-free.

With every injury, there will always be an option for different interventions to help prevent your injury from returning. This may include options ranging from ergonomic training to custom exercise plans.

By: SAYAKA TIESSEN, HONS. BKIN, MSCPT

Book here

Ankle sprains, AKA rolled ankles, have got to be one of the most common injuries out there. They can happen in the most innocuous situations, like stepping on an uneven surface, or during sports that require cutting and landing. The words “walk it off” are synonymous with ankle sprains. Get up. It’s nothing serious. Back to business.

I get the sense that most people that sustain an ankle sprain do not seek any guidance from a physiotherapist. It might swell up nicely for a day or two, but then you limp around and manage to get on with your life. What you might not appreciate though, is that ankle sprains have a high recurrence rate due to the residual effects of the initial injury. Things like ligament laxity and damage to the neural and musculotendinous tissue around the ankle can inhibit complete recovery. This can present as weakness, poor balance, and slower muscle response to load. You might not notice these deficits when you are walking around, but they do make you susceptible to re-injuring the area. This is why I always advocate for getting any old rolled ankle assessed by a physiotherapist.

I often prescribe a blend of resistance and balance training for my ankle sprain patients. But if you are super crunched for time, is there one that is more efficient than the other?According to a 2021 study, although resistance training and balance training on their own improves strength, hopping (explosiveness and control), and dynamic balance, if you had to pick one, balance training takes the edge. This is likely due to the high training load used in the study (20-30 second holds, 10-20x, 3-5 sets over multiple exercises), and the fact that you need to be strong and coordinated to balance well, and strictly strengthening will not challenge your proprioception (balance-ability). Time to get your Karate Kid on.

Want to know what kind of exercises are appropriate for you? Or have you sprained your ankle before and feel things are not quite right? You can book an appointment with me here!

We’re back again for the latest in my series on strength training for endurance athletes!

I’ve written previously about how and when strength training should be used in a nuanced way- it’s not as simple as ‘strength is always good!’ Check it out: hereherehere and here.

Now, the next question: is there a downside to strength training? Time costs aside, are there risks or detrimental aspects to including strength training in your quest to be a better endurance athlete? That is what I am taking a quick look at in this article.

Muscle hypertrophy:

First and foremost, based on my previous articles, we know the goal of strength training is to improve our running economy without losing any other components of why we run well. However, it’s not as simple as ‘build power, go faster;’ it’s about how you maximize your power-to-weight ratio.

The other consideration is that if you put on muscle mass, the ratio of the density of blood vessels carrying oxygen to the muscles vs. the volume of muscles they supply goes down – once again, hurting endurance performance.

The key with this is that higher rep, lower weight exercises don’t seem to give the same boost in performance that high weight, low rep strength work does. The flip side to this is that low rep exercises are what builds mass – something we don’t necessarily need to be faster. So, what’s the balance?

CLICK HERE to read the rest in the Run Waterloo Magazine.

Welcome back to my series on strength training and endurance sports. My last article looked at strength work and cycling economy- which was way back in June. I have a good excuse though: the birth of my daughter, Adeline Delanghe!

I would like to say “now that her sleep is normalizing blah blah,” but that simply is not the case. Instead, I’m just getting better at squeezing stuff in, which hopefully will result in more science of training articles for you all!

In any case, if you haven’t already, please review the first three articles in this series. The idea is not to give you a cookie-cutter, magical answer on how endurance athletes should utilize strength training. Instead, this is meant to introduce you to some of the nuances in the science, and how to decide if, when, and how much resistance training you should do.

Strength training 101: Impact on V02Max
Strength training 102: Impact on Running economy
Strength training 103: The impact of cycling economy

To add to the above, today’s article will take a look at another parameter of endurance performance- lactate threshold.

Strength Training and your Lactate Threshold (LT)

What is your LT? This is essentially the exercise intensity at which lactate accumulates in the blood faster than it can be removed. This is the “breaking point” so to speak between low and high-intensity work.

While V02max is important, having a high lactate threshold is crucial in endurance performance. The higher the lactate threshold is as a % of your V02max, the harder the effort you will be able to sustain for long periods of time. We don’t race at our V02max, but we do spend lots of time in and around our lactate threshold!

While V02max is a popular thing to measure and be proud of, as we have noted before, somebody with the highest V02max doesn’t always win the race, especially in running. As we discussed, this is in large part due to exercise economy. However, this is also seen when somebody has more effectively trained their lactate threshold despite not having the same max oxygen-consuming ability. In other words, having a slightly lower V02max that’s good enough, and a very highly trained LT can allow you to beat a competitor with a higher V02max.

V02max is the ceiling, and we want to max it out, and then get our LT as close to it as possible to be at our best!

CLICK HERE to read the rest on the Run Waterloo Blog.

The quest to give a more complete view of strength training and endurance sports continues!

In my first two articles in this series, I discussed the impact of strength training on your ability to consume oxygen (no major impact) and the impact on running economy.

In the article on strength training and running economy, I explained how 8-12 weeks of 2-3 sessions/week is required to see any change.  Heavy weight, low rep exercises seem to trump plyometrics and high rep exercises.   On top of this, masters and female runners are more likely to be responders.  I also discussed how simply running more, if you are a low volume runner, should be the first step in trying to get faster (of course there are other benefits to strength training if you are thinking beyond speed). 

Now, since there are so many multisport athletes who read this column, I thought I would address how strength training impacts cycling economy specifically.   Surprisingly, the relationship isn’t quite as clear!

Intuitively, you’d think it would almost be the opposite in the minds of most- that strength training would be more helpful to cycling than to running.  It kind of makes sense to speculate that cycling requires more powerful, larger muscles to smash big gears, while running requires light legs and next-level cardio.  Therefore, lifting weights should help cyclists more, right?  Wrong!

When we look at studies like THIS ONE, we see that cycling economy isn’t something that’s nearly as difficult to develop as running economy.  As studies like this one show, runners with no cycling training tend to have pretty good cycling economy, while cyclists have horrible running economy.  Cycling economy isn’t hard to train, but running economy is!

That’s also why we see that V02max is a great predictor of longer cycling event performance, while V02max does not do a great job of predicting running performance.  

So when we look at the studies on strength work and cycling economy, we get mixed answers. 

Click HERE to read the rest on the Run Waterloo magazine.

Wanted: Physiotherapist Associate 

We are looking for the right physiotherapist to join our growing team.

Hours: 10-20 hours/week or more if desired.  Flexible in terms of days and times. 

We are hoping to find an evidence-based therapist with strong work ethic, who works well independently, is motivated, possesses good people skills, and has a keen interest in the science of injury management with a focus on active care.  Acupuncture is an asset. 

We are also hoping to find somebody who values patient care above all else, and is easy to get along with and contributes to our positive work environment.  We want a great teammate! 

Learn more about our clinic and club we are associated with: www.drdelanghe.com www.health-performance.ca

Included:

  • Jane practice software
  • Full time reception during regular office hours
  • Access to office after hours 
  • Your own treatment room 
  • Access to gym space for 1-on-1 sessions 
  • TENs and acupuncture needles 
  • Payment: Percentage split with ceiling 

Send Resumes to: info@drdelanghe.com

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Call Us 519 885 4930