SPINE AND JOINT ASSOCIATES LONDON

Spine And Joint Associates London is a family owned multidisciplinary clinic located in Hyde Park London Ontario. We take pride in providing the highest standard of patient-centered care with one-on-one therapeutic treatments tailored to the individual.

Members Of The (OCA) Ontario Chiropractic Association: chiropractic.on.ca

The (CCA) Canadian Chiropractic Association: chiropractic.ca

SIGVARIS MEDICAL COMPRESSION SOCKS/STOCKINGS

Medical Compression Therapy applies a type of elastic device on limbs or other body parts to exert a controlled pressure on them. The device squeezes the vein walls together to improve blood circulation. Medical compression also helps with reduction of edema and recreates conditions beneficial for the healing of chronic inflammatory disorders. Compression socks can relieve the pain of tired, achy legs; help your legs feel more energized and help prevent and treat a variety of symptoms associated with venous insufficiency.

MEDICAL COMPRESSION SOCKS ARE INDICATED FOR:

• Individuals with a profession that requires them to sit or stand for long periods of time

• Individuals who have been prescribed anticoagulants

• Individuals who travel frequently

• Women who are pregnant

• Individuals who have had a Deep Vein Thrombosis (DVT), Phelbitis

• Individuals with Venous Disorders such as Varicose Veins and/or Spider Veins

• Individuals who experience pain and swelling in their legs and feet

SOFT TISSUE MANIPULATION or ADVANCED MYOFASCIAL RELEASE: is used to evaluate the condition of tissues, improve tissue mobility, ease restrictions and aid the body’s life sustaining fluids (blood, lymph, synovial fluid, digestive juices etc.) to flow smoothly restoring optimal function. Avoiding harmful fluid retention and makes the body’s immune system *Myofascial Release, Trigger Point Therapy & Neuromuscular Techniques.

CRANIOSACRAL THERAPY (CST): assesses and treats the mobility of the skull, it may also be used to treat the spine, sacrum and other parts of the body. The goal is to adjust the body’s physiology by restoring optimal balance and neuro-vascular flow surrounding the (CNS) central nervous system.

VISCERAL MANIPULATION: is used to effectively treat organs and viscera of the body. (heart, lungs, liver, spleen, kidneys, stomach, pancreas, intestines, bladder & uterus) Visceral manipulations can improve the mobility of an organ, improve neuro-vascular flow surrounding the organ and ultimately help maximize organ function.

OSTEOPATHY CAN PROVIDE RELIEF FOR A WIDE RANGE OF CONDITIONS:

• Arthritis

• Foot, Ankle, Hip and Knee Pain

• Back Pain, Neck Pain, Sciatica, Scoliosis

• Chronic Pain

• Digestive Issues

• Fibromyalgia, Neuralgia

• Hand, Shoulder and Elbow Pain

• Migraines/Headaches

• Lymphatic Drainage

• Mitigation of Neurodegenerative Illnesses such as Parkinson’s and Multiple Sclerosis

• Postural Issues (from driving, work strain, pregnancy, scoliosis)

• Pediatric/ Infant Conditions (colic, torticollis, digestive disturbances, constipation, reflux, tongue tie, flat head “plagiocephaly”)

• Pain or Posture Concerns During Pregnancy

• Postnatal Care & Rehabilitation After Childbirth

• Scarring Post-Surgery

• Spinal Cord Injuries (traumatic, non-traumatic)

• Sports Injuries

• Tennis Elbow and Golfer’s Elbow

 MOST COMMONLY TREATED CONDITIONS:

• Relieves Symptoms: Multiple Sclerosis, Parkinson’s, Carpal Tunnel, Peripheral Neuropathy

• Provides Relief For: Fibromyalgia, Myofascial Pain, Arthritis, Osteoarthritis and Rheumatoid Arthritis

• Chronic Back Pain, Sciatica, Knee, Foot, Neck & Shoulder Pain

• Headaches & Migraines, Jaw Pain/TMJ

• Golfer’s/ Tennis Elbow, Tendonitis & Inflammatory Bursitis

• Rotator Cuff Dysfunction & Frozen Shoulder

• Muscle Tension/Dysfunction

•  Inflammation/Swelling

• Sports Injuries/Ligament Sprains & Strains, Shin Splints 

• Stroke & Bells Palsy Rehabilitation

• Motor Vehicle Accident Rehabilitation

• Post Surgical Pain/Rehabilitation

• Symptom & Pain Relief During/After Cancer Treatments

• Circulatory Conditions & Post Surgical Rehabilitation

SHOCKWAVE THERAPY INDICATIONS:

• Chronic Musculoskeletal Pain Conditions

• Plantar Fasciitis & Heel Spurs

• Tennis Elbow & Golfer’s Elbow

• Rotator Cuff Injuries & Carpal Tunnel

• Scar Tissue Treatment

• Jumper’s Knee & Morton's Neuroma

• Exostoses of Small Hand Joints

• Achilles/Patellar/Hamstring Tendinopathies

• Shoulder Calcific Tendonitis & Impingement Syndrome

• Sports Injuries, Shin Splints, Bursitis

• Hamstring Pain, Ankle & Foot Pain

• Back Pain, Neck & Shoulder Pain

• Overuse Injuries (RSI)

• Trigger Point Therapy

• Bunions

We use the BTL-6000 Topline Power Shockwave Therapy Unit

DR. MARK FLUTER- (BSC, DC) CHIROPRACTOR/OWNER

Dr. Mark Fluter graduated in 1999 with an Honours Kinesiology degree from the University of Western Ontario.  In 2005 he graduated from the Canadian Memorial Chiropractic College and he spent the first part of his career working at an outpatient Medical Clinic in Cairo, Egypt.  He later joined the Synergy Centre team in September of 2011. Over the last several years Dr. Fluter created a blended style of treatment with a strong foundation in ongoing functional assessment and diagnosis.  Treatment options include: Joint Mobilizations and Manual Manipulations, Soft Tissue Therapy, Percussive Therapy, Instrument Adjusting, as well as Acupuncture, Electroacupuncture, Shockwave Therapy, Custom Orthotics and Medical Compression Therapy. Dr. Fluter completed the Contemporary Medical Acupuncture Program at McMaster University in 2014 which has provided another effective treatment option to use either on its own, or in conjunction with chiropractic care. He has also taken various continuing education courses in Post Concussion Management, Gut Health and TMJ/TMD Treatments. Dr. Fluter is an advocate of patient responsibility in attaining health care goals.  Younger and older patients alike will be educated in a range of home rehabilitative and postural exercises to achieve long term results. In April of 2018, Dr. Fluter and his wife Kristin opened Spine And Joint Associates located within the Synergy Centre. They have recently relocated to a beautiful new clinic location, rebranded and expanded. Services include Chiropractic, Acupuncture, Shockwave Therapy, Physiotherapy, Manual Osteopathy, Registered Massage Therapy, Naturopathic Medicine and Counselling services. He is very excited for this new venture and extremely proud to operate a family run practice with a dynamic patient-centered, collaborative team of evidence based Healthcare Professionals.

DR. KEITH LEUNG- (DC) CHIROPRACTOR

Dr. Keith Leung was born and raised here in London, Ontario. After receiving his degree in Kinesiology at Western University, Dr. Keith completed his Chiropractic degree at Canadian Memorial Chiropractic College in Toronto. Dr. Keith is a diversified practitioner that focuses on identifying the cause of dysfunction, diagnosis, and treatment of various conditions involving the joints, muscles, and nerves. He takes on an evidence-based approach with the aim to restore function and overall health. Some methods of treatment that he uses to help you include:

• Joint Manipulation and Mobilization

• Acupuncture and Shockwave Therapy

• Custom Orthotics

• Myofascial Release Technique

• Proprioceptive Neuromuscular Facilitation

• Instrument Assisted Soft Tissue Therapy

• Rehabilitation Exercises, Functional Taping

• Patient education

During his free time, he likes to play soccer, run, workout at the gym, watch sports, and spend time with family and friends. Other than English, he can also speak Cantonese. Dr. Keith is very excited to be a part of the team and is looking forward to helping you on your path to recovery!

DR. ASHTEN BUCK- (ND) NATUROPATHIC DOCTOR

Dr. Ashten Buck, ND has graduated from the Canadian College of Naturopathic Medicine in Toronto, Ontario and is passionate about complex chronic illness. She utilizes an evidence-based medicine approach while also acknowledging that our cells respond to energy, frequency and one's thoughts. Using functional medicine testing and physical assessments, each appointment will be tailored to support the patient's needs. Additionally, Ashten has an honours degree in Nutrition and Dietetics from Western University, practices traditional Chinese acupuncture, has a competitive bodybuilding background and grew up on the indigenous island of Manitoulin. Her appointments will be well-rounded just like Dr. Ashten Buck, ND.

*Now Offering Bioidentical Hormone Prescription: including Topical Estrogen, Topical and Vaginal Progesterone, Desiccated Thyroid

*Nutrient Injections (Vitamin B12 Methylcobalamin, B9 Folate, Vitamin D3 & Glutathione Antioxidant Injections)

DR. WENDY PARDIAC- (ND, RMT) NATUROPATHIC DOCTOR & REGISTERED MASSAGE THERAPIST

Dr. Wendy Pardiac, ND is excited to offer both Naturopathic Medicine and Registered Massage Therapy. She graduated with honours and received academic achievement awards in all three of her degrees: a Bachelor of Science from the University of Guelph, Massage Therapy accreditation from the Canadian College of Massage & Hydrotherapy, and a Medical Degree from the Canadian College of Naturopathic Medicine. During her studies, she elected to receive additional training and experience in prenatal care, sports injuries, fertility, as well as cosmetic and Chinese acupuncture. She has a great passion for "root cause medicine" and holds a general practice where all illnesses, disorders, and concerns are welcome!

With many years of clinical experience, Dr. Wendy has developed a true passion for connecting Eastern and Western medicine. She uses evidence-based approaches combined with traditional and energetic medicine to create lasting changes in your health, mindset, and lifestyle.

*Now Offering Facial Cosmetic Acupuncture Treatments

ACCEPTING NEW PATIENTS

RYAN ROSATI- (BHK, MPT) REGISTERED PHYSIOTHERAPIST

Ryan Rosati graduated from the University of Windsor in 2014 with a Bachelor's Degree in Human Kinetics majoring in Movement Science.  He then went on to advance his education completing a Master's Degree in Physical Therapy from the University of Western Ontario in 2016. Ryan believes in evidence based, individualized care tailored to fit patient lifestyle and recovery goals. He looks to treat the source of the condition rather than just the symptoms in order to prevent injury recurrence and optimizing long-term results. His treatment methods include: comprehensive assessments, hands-on care, joint mobilizations, soft tissue release, traction, rehabilitative & postural exercise prescription, education of the condition, acupuncture/dry needling and other modalities (therapeutic ultrasound & Shockwave Therapy). In his spare time, Ryan enjoys watching sports and working out.  He grew up heavily involved in playing and coaching soccer and still enjoys staying active in any way he can.

KENDAL MARRIOTT- (BSC, MPT, PhD) REGISTERED PHYSIOTHERAPIST

Kendal Marriott completed each of her degrees at the University of Western Ontario, including a Bachelor of Science in Kinesiology (2012) and the combined MPT/PhD program, where she graduated with a Master of Physical Therapy (2016) and a Doctor of Philosophy in Rehabilitation Sciences (2017). In addition to her work as a Registered Physiotherapist, she is a completing a Postdoctoral Fellowship in gait biomechanics at the University of Waterloo. Her research focuses on conservative treatments for knee osteoarthritis. Kendal believes in evidence-based practice with a focus on individualizing treatment to address the underlying causes. She has a particular interest in helping individuals with knee osteoarthritis to improve symptom relief and achieve greater function. Kendal has a desire to continue helping individuals with a variety of conditions through multiple treatment methods: education, progressive exercise prescription, joint mobilizations and other modalities. She is excited to continue helping individuals to achieve better pain management and function. 

KARIN A. LORENTO- (MSc, DOMP) OSTEOPATHIC MANUAL PRACTITIONER

Karin A. Lorento had a long journey on her way to becoming a Manual Osteopath: she brings to the table a unique blend of national strength and conditioning, applied kinesiology, and osteopathic sciences, giving her a broad-spectrum view on movement and human physiology.  Karin graduated university the first time around with a double major in social sciences from the University of Guelph in 2004 leading to a career in social work.  It was years later during the pursuit of personal passions that Karin’s career took a hard-right turn towards health sciences, directing her into personal training and leading her to continue her education in applied kinesiology.  Karin obtained her professional certification in Human Performance Development in 2011 from Sheridan College, and at the encouragement of her mentor, was accepted into a pilot MSc program at A. T. Still University of Osteopathic Sciences in Arizona which she completed with a specialization in clinical psychology in 2014. After graduation, it was merely days before head-hunters recruited Karin as the local National Strength and Conditioning Specialist contracted to the Canadian Wheelchair Sports Association. Over the last several years, Karin has been dedicated to working with special populations Paralympic and provincial-level wheelchair athletes. Such a unique field comes with its own set of challenges with chronic pain being at the root.  When her alma matter offered to financially support her continued education towards completing her Manual Osteopathy Degree, Karin jumped at the opportunity to add to her professional toolbox. Manual Osteopathy has provided Karin the ability to take her athlete’s and patient’s chronic pain into her own hands: through treating all the systems as one (craniosacral, visceral, and musculoskeletal) and gently encouraging realignment through hands-on manipulation, Karin is able to effectively manage and mitigate the chronic pain associated with a variety of ailments, with her specializing in spinal cord injuries and neurodegenerative illnesses such as Parkinson’s and Multiple Sclerosis. She is looking forward to furthering her professional development in Advanced Visceral and Advanced Pediatrics.

MAURICIO BRAGA - (DOMP) OSTEOPATHIC MANUAL PRACTITIONER

Mauricio holds a Bachelor’s Degree in Physiotherapy from Brazil (2004) and a Post Graduate Degree in Osteopathy from the Brazilian School of Osteopathy (2006). He had his own practice in Brazil where he had the opportunity to work with a wide range of patients of different ages and conditions. Mauricio worked as a Physiotherapist and an Osteopathic Practitioner at the Ceara Sporting Club in both the Brazilian and Ceara Championships, as well as the Olympic Games in Rio 2016, and the IRONMAN Brazil 2012, 2013, and 2014. In 2018, he moved to Canada and in 2024 he graduated from The London College of Osteopathy and Health Sciences.

Throughout his career in Brazil as a Physiotherapist and Osteopath, he has always been heavily involved in sports. Growing up playing high level soccer and basketball and later participating in numerous half marathons, cycling tournaments, and CrossFit competitions. His extensive sporting background and experience allow him to understand a wide variety of sports injuries.

Mauricio enjoys helping patients of all ages who are experiencing a wide range of conditions and injuries. He uses a variety of techniques and skills in conjunction with compassion, enthusiasm and a strong commitment to the health and well-being of his patients.

NOW ACCEPTING NEW CLIENTS

RACHEL ADKINS- (RMT) REGISTERED MASSAGE THERAPIST

Rachel Adkins graduated from the Fanshawe Massage Therapy accelerated program in 2016. Currently, they are back in school working towards a BA in Psychology at Wilfrid Laurier University. They are currently a Registered Massage Therapist in good standing with the CMTO. Rachel is primarily a deep pressure therapist, with a strong focus on injury rehabilitation and sports massage. They also provide relaxation massage and are trained in both Hot Stone treatments, as well as Cupping Therapy. Rachel believes in treatments focused on their clients and their clients individual needs, so no treatment is the same. They will work with you to create a treatment plan that addresses your concerns and works towards making you feel better in your every day life. Whether you suffer from chronic pain, a recent injury, or are just looking for an hour to yourself to relax; Rachel is more than ready to help you achieve your goals.

EVAN RAVN- (RMT) REGISTERED MASSAGE THERAPIST

Evan is an upbeat Registered Massage Therapist who finds an interest in pain, injury and rehabilitation. He has an extensive background working with athletes having been a part of the Fanshawe Mens Varsity Volleyball team for four years. With a passion for helping people reach their best and return to their normal after being injured, Evan is always looking for new treatment methods and information to expand his practice. In his free time Evan is involved in playing a lot of indoor and beach volleyball. He looks forward to meeting you!

TARA JORGENSEN- (RMT) REGISTERED MASSAGE THERAPIST

Tara graduated from Brock University with an Honours degree in Kinesiology in 2019. Tara continued her studies in the Accelerated Massage Therapy program at Ontario College of Health and Technology, graduating in 2021.
While at Brock, Tara coached competitive swimming as well as volunteered as a student athletic therapist where she found a passion for athletic injury prevention and rehabilitation. Tara has unique experience working with multiple sclerosis and stroke patients, as well as individuals with spinal cord injuries and amputations. Tara also has experience in concussion management/rehabilitation and CuppingTherapy.

KAYLA GREEN- (RMT) REGISTERED MASSAGE THERAPIST, FST PRACTITIONER

Kayla graduated from Fanshawe College in 2015 with a Diploma in Developmental Services and specialized in working with individuals who were deaf and blind. Through this line of work she had unique opportunities to help with communication and mobility needs. While assisting clients during their medical appointments Kayla witnessed the therapeutic benefits of Massage Therapy and wanted to learn more.

She continued her studies to pursue a career as a Registered Massage Therapist, graduating from Anderson College in February 2023. While at Anderson College she had the opportunity to work in the student clinic, which gave her direct clinical exposure treating clients with diverse needs. During her time in the student clinic she also discovered a passion for treating TMJ disorders and migraines.

*Certified (FST) Facia Stretch Practitioner-Stretch to Win Institute

*Reiki Master Level Practitioner

AMANDA GRIMMER- (RSW) REGISTERED SOCIAL WORKER

Amanda is a dedicated Registered Social Worker with a passion for helping individuals navigate their mental health journeys. She has a very diverse background; trained as a Doula, has worked in Developmental Services with individuals who are deaf and blind, has experience working with children as an Educational Assistant and is a Registered Social Worker.

Utilizing a holistic counselling approach, she tailors her therapeutic methods to meet the unique needs of each client, drawing from various psychological modalities to foster healing and growth. With a commitment to creating a safe and supportive environment, Amanda empowers her clients to explore their thoughts and emotions and achieve personal transformation. Together, you will explore the roots of your experiences, cultivate self-awareness, and develop strategies for lasting well-being.

Outside of her practice, Amanda has a special love for Ragdoll cats, enjoying their playful and affectionate nature. She finds joy in their companionship and believes that the bond between pets and people can be a source of comfort and healing. Amanda also has

• Services Address A Range of Issues Including: Anxiety Disorders, Depression, Grief, Stress, Burnout, Relationship Challenges, PTSD, Trauma, Postpartum Depression, Pregnancy Loss and Counselling for Healthcare Workers and First Responders

NOW ACCEPTING NEW COUNSELLING CLIENTS

BRENDA PIEPER- PATIENT CARE COORDINATOR

With significant history in office administration and with over 13 years experience, Brenda is a key part of the Spine And Joint Associates team. Brenda is our Patient Care Coordinator, administrator and medical billing specialist dealing with all Motor Vehicle Accident claims, Worker Safety and Insurance Board cases, and Private Medical Insurance Plans. Please feel free to contact Brenda with any questions or to request an appointment with any of our therapists.