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Synergy Centre Spine AND Joint Associates is comprised of a highly skilled collaborative team of chiropractors & Physiotherapists working in a FAMILY FRIENDLY, Modern, private clinical setting.

We take pride in providing the highest standard of care, wITH one-on-one therapeutic treatments tailored to the individual which include manual therapies in combination with comprehensive exercise prescription and electrotherapeutic modalities.

1635 Hyde Park Road, Suite #104, London ON

(519)266-3629 spine&



FAMILY CHIROPRACTIC CARE IN LONDON: Our chiropractic team utilizes hands-on manual adjustments, mobilizations, trigger point therapy, percussive therapy, myofascial release techniques with rehabilitative exercise prescription and posture re-education to restore correct spinal and peripheral joint mechanics in order to reduce pain and improve function. Using a modern evidence-based approach, treating patients from infants to seniors on an individualized basis to meet their specific needs.

SERVICES & MODALITIES: Chiropractic, Shockwave Therapy, Acupuncture, Electroacupuncture, Percussive Therapy, Orthopaedic Bracing, Gait Analysis/Custom Orthotics, Workplace Injuries (WSIB Registered), Motor Vehicle Accident Rehabilitation (HCAI Registered), BPPV Vertigo & TMJ Treatments, Vitamins, Supplements & Probiotics.


*To Ensure Quality Care, We Schedule Initial Exams Which Include Treatment For 1 Hour

*Subsequent Treatments Are 15-30 Mins (depending on service provided)


  • Improved movement in your neck, shoulders, back and torso

  • Improved posture

  • Relief from headaches, neck and back pain

  • Prevention of work-related muscle and joint injuries

  • Enhanced athletic performance

  • Improved flexibility

  • Relief of pregnancy-related backache

  • Correction of gait and foot problems


  • Neck, Shoulder, Hip & Back Pain

  • Infant Torticollis

  • Wrist Pain

  • Knee & Foot Pain

  • Sciatica

  • Bursitis

  • Arthritis

  • Fibromyalgia

  • Carpal Tunnel Syndrome

  • Tennis Elbow & Golfer’s Elbow

  • Scoliosis

  • Frozen Shoulder

  • Pregnancy Related Pain & Postnatal Care

  • Headaches/Migraines

  • TMJ Treatments/ TMD

  • BPPV Vertigo- Epley Maneuver

  • Plantar Fasciitis

  • Running & Sport Injuries

  • Restricted Movement in Back, Shoulders, Neck or Limbs

  • Whiplash


Chiropractors are trained to correct problems due to poor joint mechanics and joint misalignments. Chiropractic treatment of the TMJ focuses on joint mobilizations, adjustments and soft tissue techniques applied directly to the TMJ and its surrounding musculature.

In most cases,TMJ Dysfunction is influenced or exacerbated by poor joint mechanics, and tight musculature in the upper back and neck. Therefore, of equal importance, Chiropractic care also focuses on corrections to the mechanics and positioning of the joints in the upper back and neck to relieve symptoms associated with TMJ disorders.

When these treatments are employed, motion of your upper back, neck and jaw joints can improve and your symptoms such as: ear pain, jaw locking, headaches, and neck pain can be reduced or eliminated.

Members Of The (OCA) Ontario Chiropractic Association:

The (CCA) Canadian Chiropractic Association:


Douglas Labs, Pure Encapsulations, Seroyal, Genestra, HMF Probiotics, Klean Athlete


FAMILY PHYSIOTHERAPY IN LONDON: Physiotherapy involves the rehabilitation, prevention, and management of musculoskeletal conditions to restore, maintain, or enhance movement, joint function or performance associated with athletic or everyday injuries both acute and those caused by repetitive strain. Physiotherapy can help you feel your best at any age or stage of life.

Our Physiotherapy Clinicians believe in evidence-based practice and take pride in providing one-on-one, hands on Physiotherapy treatments tailored to the individual with a strong manual therapy focus. Treating a population from infants to the elderly.

Our Integrated Treatments begin with a comprehensive initial assessment and medical history, may include manual therapies such as joint range of motion, soft tissue or myofascial release techniques in combination with rehabilitative exercise prescription, posture re-education and modalities.

SERVICES & MODALITIES: Physiotherapy, Running Physiotherapy, Pelvic Floor Physiotherapy, Shockwave Therapy, Acupuncture, Percussive Therapy, Cupping, Kinesio Taping, Therapeutic Ultrasound, TENS, Orthopaedic Bracing, Motor Vehicle Accident Rehabilitation (HCAI Registered), Workplace Injuries (WSIB Registered), Athletic Baseline Testing & Post Concussion Management




*Carpal Tunnel & Hand Therapy

*Chronic Pain

*Concussion Rehabilitation Therapy

*Falls/ Fall Prevention (seniors or those suffering from disease or injury)

*Fractures, Foot Pain, Plantar Fasciitis

*Gait Retraining

*Headaches & Migraines

*Neck, Back & Knee Pain

*Pelvic Floor Concerns/Chronic Pelvic Pain, Pelvic Organ Prolapse

*Pregnancy Related Pain, Postpartum Recovery

*Pre & Post-Operative Rehabilitation/Outpatient Physiotherapy

*Repetitive Strain Injuries/Tennis & Golfer’s Elbow

*Running Injuries (fasciitis, heel spurs, metatarsalgia, stress fractures, achilles tendinitis, ITB syndrome)

*Sciatica, Scoliosis, Shoulder Injuries

*Sports Related Injuries, Sprains & Strains

*TMJ Treatments/ TMD

*Urinary Incontinence

*Whiplash & Motor Vehicle Accident Rehabilitation

*Work Related Injuries


WHAT IS A CONCUSSION? A concussion is a form of brain injury resulting from a direct or indirect blow to the head, face or jaw causing an alteration of brain function.

*Concussion Management & Rehabilitation: Trained Provider of the Shift Concussion Management Program, Dante Biscaro MSc PT, BHK.

*Comprehensive Concussion Assessments and Follow Up Treatment Programs.

*Qualified to Administer the ImPACT Test (Immediate Post-Concussion Assessment and Cognitive Testing).

*Pre-Participation Concussion Baseline Testing For Athletes- Baseline Testing is a vital component to the proper management of concussive injuries. By measuring an athlete’s “normal” level of functioning through baseline testing, Healthcare providers are better able to gauge the level of impairment or injury that may exist post-injury by performing comparative testing. Baseline Testing is used to track the athlete’s recovery and serve as a tangible measurement for Return-to-Participation timelines.

Concussion Initial Assessments 75- 90 mins.

Concussion Subsequent Visits 45 mins

Athletic Baseline Testing 25 minute appointments


Interested In Athletic Baseline Testing For A Sport Organization?

Contact (519)266-3629 spine&

You can read more at Shift Concussion Management:


Rehabilitative Taping Technique Designed To Facilitate The Body’s Natural Healing Process, While Providing Support And Stability To Muscles And Joints Without Restricting Range Of Motion.


Dante Biscaro MSc PT, BHK & Certified Professional in Running Assessments

Common Running Injuries: plantar fasciitis, heel spurs, metatarsalgia, stress fractures, achilles tendinitis, ITB syndrome, compartment syndrome, calf & hamstring strains, shin splints


*One-on-One Manual Therapy, Kinesio Taping, Acupuncture, Percussive Therapy, Therapeutic Ultrasound & Shockwave Therapy For Common Running Injuries

*Running Programs For Novice & Experienced Runners

*Gait Retraining & Running Shoe Recommendations

*Prescribed Strengthening Exercises/Muscular Stability Exercises, Injury Prevention Interventions

*Return-to-Run Programs For Injured Runners

*Appropriate Cross-Training Workouts And Running Drills



Recognized Provider of


Pelvic Floor Physiotherapy is an emerging form of therapy addressing & treating conditions of pelvic floor dysfunction for women at any age or stage of life.

WOMEN’S HEALTH SERVICES: Hiral Desai BPT Urinary Incontinence, Pelvic Organ Prolapse, Pelvic Pain, Prenatal Care, Diastasis Recti and Post-Natal Recovery For Vaginal Births & C-Sections.


*To Ensure Quality Care, Initial Assessments are scheduled for 75 mins & Subsequent Visits 45 mins

WHAT TO EXPECT: Pelvic Floor Dysfunction can be diagnosed by a registered physiotherapist with additional specialized training. An internal exam will be performed to determine the function of the pelvic floor muscles, as well as an external orthopaedic assessment to evaluate the bones and muscles of the low back, hips and Sacro-iliac joints. Follow up sessions may include a combination of education, pelvic floor muscle re-education, exercises, manual therapies or electrical muscle stimulation.

 *WEAK PELVIC FLOOR MUSCLES (HYPOTONICITY): Contribute to Stress Incontinence, Urge Incontinence as well as Pelvic Organ Prolapse 

*TIGHT PELVIC FLOOR MUSCLES (HYPERTONICITY): Urinary and Fecal Urgency, Urge Incontinence, Chronic Pelvic Pain, Dyspareunia, Vaginismus, Vulvodynia, Pudendal Neuralgia, Interstitial Cystitis and Painful Urination


 1. Maintaining continence of the bowel and bladder

2. Allowing sexual function and pleasure

3. Providing support to the internal organs; keeping the uterus, bladder and intestines within the abdominal cavity where they belong

4. Providing support to the low back

5. Helping the circulatory system to get the blood and other body fluids from the legs back to the heart


*3.3 million Canadians suffer from incontinence

*1 in 4 women are incontinent

*1 in 3 women over the age of 40 have urinary incontinence

*Having bladder leakage following childbirth is NOT normal

*1/6 of children under the age of 17 struggle with incontinence

*only 1 out of 12 indivduals seek out treatment due to embarrassment, or do not know that help is available


*Giving Birth- Pushing a baby through the birth canal places stretching pressures on most of the pelvic organs and muscles.

*Declining levels of hormones during and after menopause

*Other factors can also cause problems for the pelvic floor- longterm coughing, sneezing, constipation or increased body mass.


Is the separation or “soft gap” between the rectus abdominis or "6 pack" muscle, most often occurring during pregnancy and measured by the number of fingers you can fit between the muscle. *Normal measurement is 1/2 of a finger above and below the belly button, and 1 finger at the belly button.


(The Curl Up) Lie on your back, keep your knees bent and chin tucked. Slowly lift your head and shoulders off the floor.

(The Leg Lift) Lie on your back with your legs extended and lift one leg off the floor approximately 2-3 inches.


*Abdominal Bulging or Doming

*A Soft Gap or Separation Between The Middle of Your Stomach

*Back Pain or Pelvic Pain During Tests

WHY IS IT A PROBLEM? Your abdominals work with your pelvic floor, therefore a separation of the rectus abdominis/core muscles can make the pelvic floor less efficient and may also contribute to incontinence and pelvic organ prolapse. Safe corrective exercises are recommended.

POST-NATAL RECOVERY: Restore normal function of your core, abdominal wall, bladder and pelvic floor.

For More Information Please Do Not Hesitate To Call (519)266-3629



*Non-Surgical *Non-Invasive *No Downtime *Accelerated Recovery *Affordable Cost

SHOCKWAVE THERAPY IN LONDON: Shockwave Therapy or (ESWT) is often used in the treatment of musculoskeletal conditions or injuries involving connective soft tissues such as ligaments and tendons, as well as bone, heel and joint pain.

Extracorporeal Shockwave technology uses mechanical high-energy acoustic pulses or sound waves to eliminate pain, restore mobility, enhance blood circulation to regenerate damaged tissue and stimulate the body’s healing process.

Treatment is targeted on the damaged tissue through a hand held applicator and can enhance the breakdown of adhesions, scar tissue and calcifications.

*Initial Assessment 1hr

*Subsequent Treatments 30 mins

*Direct Billing Available


*Plantar Fasciitis & Heel Spurs

*Tennis Elbow & Golfer’s Elbow

*Rotator Cuff Injuries

*Achilles/Patellar/Hamstring Tendinopathies

*Shoulder Calcific Tendonitis

*Scar Tissue Treatment

*Jumper’s Knee

*Morton's Neuroma

*Sports Injuries, Shin Splints

*Hamstring Pain, Ankle & Foot Pain

*Back Pain, Neck & Shoulder Pain

*Overuse Injuries (RSI)

*Trigger Point Therapy

We use the BTL-6000 Topline Power Shockwave Therapy Unit

For More Information Call (519)266-3629



Electroacupuncture, is the method of attaching acupuncture needles to a device that generates a mild but continuous electrical pulse.

Electroacupuncture, is extremely effective as it stimulates a larger region surrounding acupuncture points, increases blood circulation, relaxing spastic muscles, and releasing painful trigger points.


Contemporary Medical Acupuncture is the evidence based application of the traditional theories of  acupuncture combined with the current concepts of neuroanatomy, neurophysiology & pathophysiology. Combining ancient Chinese principles with modern science in order to relieve acute pain, alter movement, and improve function.

It involves the insertion of very fine sterile disposable needles in specific points on the body to access different physiological responses. Acupuncture points are carefully determined based on your specific injury and symptoms targeting the muscles and nerves that are causing the pain or dysfunction.  

The Scientifically Proven Benefits Of Acupuncture Include: Pain Relief, Inflammation Reduction, Improved Blood Flow and Arterial Function, Stress Reduction, Improved Nerve Conduction and Improved Systemic Organ Function. 


  • Fibromyalgia

  • Myofascial Pain

* Arthritis

  • Osteoarthritis

  • Rheumatoid Arthritis


  • Multiple Sclerosis

  • Parkinson’s

  • Carpal Tunnel (wrist/hand pain)

  • Peripheral Neuropathy


  • 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

You can read more at McMaster Contemporary Medical Acupuncture:




Back Pain- Poor foot posture can cause pain in the spinal column.

Hip Pain- Structural differences in the feet may cause pain in the hip joints.

Knee Pain- Misaligned feet can cause excessive strain in your knees.

Foot Pain- Inadequate arch support and unforgiving hard surfaces can cause pain in the ankles and feet.

** Orthogenic Precision Crafted EVA Custom Orthotics, 3D Laser Scanning & Gait Analysis**

*Full Foot Contact

*Light Weight & Comfortable

*Functional Shock Absorbing Material


Rehabilitation, Pain Management, Injury Prevention, Sports-Related Injuries, Pre-Operative & Post-Operative Care


DONJOY OA NANO KNEE BRACE- Indicated for mild to moderate knee osteoarthritis, designed for people to stay active and move freely.

*High-tech functional comfort in a lightweight design.

*The flexibility of the magnesium frame allows for an intimate fit.

*The revolutionary nano MAG material provides strength to off-load & provide pain relief.


DONJOY DEFIANCE III CUSTOM KNEE BRACE- For contact or non-contact sports, ligament support & injury prevention. Hyperextension; Moderate to severe ACL or PCL instabilities.



Dr. Mark Fluter, Chiropractor, Owner

Dr. Mark Fluter, Chiropractor, Owner

Dr. Mark Fluter –  BSc, Chiropractor

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 mobilizations, manual manipulations, and soft tissue therapy, as well as acupuncture, Shockwave Therapy and custom-made orthotics when appropriate.

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 Synergy Centre Spine & Joint Associates located within the Synergy Centre. Expanding to include Chiropractic, Acupuncture, Physiotherapy & Pelvic Floor Physiotherapy services to the new clinic. He is excited for this new venture operating a family run practice with a dynamic patient oriented rehab team!

Dr. Tiffany Rose Lukas, Chiropractor

Dr. Tiffany Rose Lukas, Chiropractor

Dr. Tiffany Rose Lukas (Formerly Eybergen)- Chiropractor

Dr. Tiffany Rose Lukas graduated in 2008 with a Bachelor of Science in Health Promotion from the University of Georgia. In 2016 she completed her chiropractic studies at the Canadian Memorial Chiropractic College. 

Most recently she had the privilege of working for St. Michael’s Hospital Academic Family Health Team in Toronto and led an evidence based diversified chiropractic practice within the Children’s Fitness Centres of Canada. 

Dr. Tiffany spent the first part of her career as a health educator for the American Heart Association, in cardiopulmonary rehabilitation at St. Mary’s hospital in Athens, Georgia, and at the Wasserstraelen aquatic centre in Straelen, Germany. In Chicago she spent several years treating patients as a manual therapist, physical therapy aide, and radiology technician of the spine refining her ability in assessment and diagnosis. 

Dr. Tiffany has a particular interest in aesthetic sport injury rehabilitation and family practice. She is a former Canadian National Elite Rhythmic Gymnast and a certified Canadian Centre for Activity and Aging Functional Fitness Instructor for Older Adults. Since 2001 she has coached Trampoline, Artistic, and Rhythmic Gymnastics. Patients will benefit from her passion for exercise instruction, incorporation of gymnastics based fitness and functional training into treatment programs. 

Treatment options include hands-on mobilizations, manual manipulations and soft tissue therapy, as well as Shockwave Therapy and custom-made orthotics when necessary.

Dante Biscaro, Physiotherapist

Dante Biscaro, Physiotherapist

Dante Biscaro- Physiotherapist MSc PT, BHK

An Ottawa native, Dante is fluently English/French bilingual in his practice and graduated from the University of Ottawa with a Master’s Degree in Physiotherapy. He completed undergraduate Honours Degrees in Biology from Western University and in Human Kinetics from the University of Ottawa.  Dante is a “Trained Provider of the Shift Concussion Management Program”, qualified to administer the ImPACT Test (Immediate Post-Concussion Assessment and Cognitive Test) as well as Baseline Testing for athletes.

He has been heavily involved in the soccer world as a former player and coach for the Capital United Soccer Club (CUSC) in Ottawa, recruited player on a professional European reserve team in Romania and Varsity soccer player for 5 years at Western University. His time on and off the soccer field has allowed him to appreciate and understand the rehabilitation process from both the athlete and the physiotherapist’s perspectives. Furthermore, his experience preparing and implementing pre-season training programs for competitive youth and senior soccer teams has given him a solid base in strength and conditioning. 

Dante believes in providing individualised care with patient-oriented goals, has completed training in Acupuncture and Concussion Management, and is a certified professional in running assessments. He is looking forward to furthering his professional development in Manual Therapy and Dry Needling. Today, Dante enjoys running, cycling and triathlons, and has competed in the Boston Marathon and the Mont Tremblant 70.3 Half Ironman.

Hiral Desai, Physiotherapist

Hiral Desai, Physiotherapist

Hiral Desai- Physiotherapist BPT, Pelvic Floor Physiotherapist

Hiral Desai is a dynamic physiotherapist with over 10 years of experience treating patients on 2 continents with various musculoskeletal conditions.  Hiral graduated as a physiotherapist back in 2007 from the Rajiv Gandhi University Institute of Physiotherapy, Health Sciences Karnataka. She was soon after heading the Physiotherapy Department of the Ayurveda Hospital of India. After moving to Canada with her family she began practicing as a physiotherapist in the GTA then relocating to the London area, joining the multidisciplinary team at the Synergy Centre in April 2018. 

Hiral believes in an evidence-based practice approach and has a strong focus in Chronic Pain, Orthopaedic Injuries and Women’s Health. (Pre Natal, Urinary Incontinence, Pelvic Floor Prolapse, Pain & Postpartum Recovery) She uses a combination of soft tissue release techniques, one-on-one hands on manual therapy, exercise rehabilitation, as well as certain modalities such as IFC, Tens, Therapeutic Ultrasound and Shockwave Therapy. She has taken various continuing education courses in Manual Therapy, Mulligan Concepts, Pelvic Floor Therapy, Hydrotherapy, Antenatal and Postnatal Training, Yoga Therapy and Kinesio Taping Techniques. Her main passion is her family, enjoying an active lifestyle and practicing yoga.

She believes "It is not only your skills and knowledge that is enough to treat your patients’ symptoms, it is treating your patient as a whole”.

Brenda Pieper Patient Care Coordinator

Brenda Pieper Patient Care Coordinator

With significant history in office administration and with over 12 years experience, Brenda is a key part of the Synergy Centre Spine & Joint team. Brenda is our Patient Care Coordinator, administrator and medical billing specialist dealing with all Motor Vehicle Accident, Worker Safety and Insurance Board cases, and private Medical Insurance Plans. Please feel free to contact Brenda with any questions or request for an appointment with any of our therapists.




Monday 9:00am - 6:00pm

Tuesday 9:00am - 6:00pm

Wednesday 9:00am - 7:00pm

Thursday 9:00am - 7:00pm

Friday 9:00am - 6:00pm

Saturday Closed

Sunday Closed

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1635 Hyde Park Road, Suite #104

London, ON N6H 5L7

T (519)266-3629 F 1(888)758-3601

Email: spine&


Synergy Centre- 1635 Hyde Park Rd London Ontario Image


Greenshield, Great West Life, Sunlife, Chamber of Commerce, Cowan, ClaimSecure, Desjardins, Industrial, Johnson Insurance, Equitable Life, Manulife, Blue Cross, Direct Billing for Individuals Involved in Motor Vehicle Accidents Claims (HCAI Registered), Direct Billing for WSIB Work Place Safety Insurance Board Claims